NHS faces bed blocking crisis after health spending review

NHS patients will be denied hospital beds because they will be bed blocked by the elderly and vulnerable who are unable to get council care after government cuts, a health service chief has warned.NHS faces bed blocking crisis after health spending reviewThe Coalition has promised to increase the NHS budget over the next four years, even as it cuts more than £40 billion from other public services.

Patients will be left untreated as the NHS struggles to mop up the consequences of severe cuts in local authority funding, said Nigel Edwards, the head of the NHS Confederation.

The Coalition has promised to increase the NHS budget over the next four years, even as it cuts more than £40 billion from other public services. Local councils will bear some of the heaviest cuts.

In a letter to The Daily Telegraph, Mr Edwards — whose organisation represents NHS trusts running hospitals and ambulance services — says the cuts in local authority budgets will force them to reduce care services for the elderly and vulnerable.

“Less support from council services will quickly lead to increased pressure on emergency services and hospitals,” he writes. “Hospital beds will be blocked for those who badly need care because the support services the elderly require after discharge will not be available.”

Calling for a greater co-ordination of council care services and NHS facilities, he says: “When it comes to the care of the most vulnerable in our society, it really is essential that the NHS and local authorities are in it together.”

His warning coincides with the most explicit admission yet from a Cabinet minister that the Coalition’s cuts in public spending will cause genuine distress.

Danny Alexander, the Chief Secretary to the Treasury, says in an interview with The Daily Telegraph that the cuts will mean real hardship for many. “For a lot of people it’s going to be very difficult indeed,” he says.

Mr Edwards’s warning comes in response to this week’s spending review, which set out Coalition plans to address the deficit in public finances. Central government support for councils in England will be reduced by 27 per cent over the next four years, leaving them seeking deep cuts in the services they offer.

Councils last year spent £14 billion on adult social care services. Care funding is the largest part of council budgets not legally ring-fenced, leaving it vulnerable to cuts.

To reduce the scale of any cuts in care, the Treasury this week earmarked £2 billion over the next four years for councils to spend on adult care services. However, local government leaders and charities said it was not enough to compensate for larger cuts in council budgets.

The Local Government Association, which represents councils in England and Wales, said even with the extra cash councils would still face a £4 billion shortfall in budgets for adult social care by 2014. A spokesman for the LGA said the spending review would have a significant impact on care services.

Some councils have already begun raising the entry criteria for care to those judged to be in the most severe need.

Government sources said ministers were aware of the likely pressure on the health service and had set aside funds in the NHS budget for care services.

A spokesman for the Department of Health said it was understood that social care could have an impact on NHS demands and that is why they were strengthening programmes that would integrate hospital care with care in the community, as well as providing the extra funding.

He added that “we expect local health and social care professionals will work together” to “improve outcomes for everyone”.

Kieran Mullan, from the Patients Association, said: “Social care and the NHS do not exist in silos. One impacts directly on the other. Poor services in the community lead to admissions to hospital and lack of services prevent discharge when it might be best for the patient.”

From: http://www.telegraph.co.uk/Spending-Review-2010-NHS-faces-bed-blocking-crisis

Children drink related hospital admissions up by third

The number of under-18s admitted to hospital because of drinking has increased by a third, according to a new report.Children drink related hospital admissions up by thirdThe figure went up by 32 per cent between 2002 and 2007, with 36 children a day being admitted for alcohol related conditions, the study by the charity Alcohol Concern found.

Over the last five years, London Ambulance Service responded to 11,780 alcohol-related call-outs involving under-18s at a cost of more than £2.5m, the research showed.

In 2009/10, West Midlands Ambulance Service responded to 1,296 alcohol-related call-outs involving under-18s at a cost of almost £250,000, while the North East Ambulance Trust responded to just under 1,000 at a cost of £175,000.

In all cases, more young girls were seen by ambulance crews than young boys, the charity said.

Alcohol Concern also found that between 2004 and 2009 28% more girls were admitted to hospital via accident and emergency departments for alcohol than boys – 23,347 girls compared to 18,159 boys.

The report ‘Right time, right place: Alcohol-harm reduction strategies with children and young people’ calls for earlier identification of young people engaged in ‘risky’ drinking such as young people attending A&E or getting into trouble with the police for alcohol, so they can access information, advice and support.

The charity’s chief executive, Don Shenker, said: “As long as alcohol remains as heavily promoted as it currently is, young drinkers will continue to consume far more than they might otherwise, leading to inevitable health harms, wasting ambulance and police time.

“As well as tackling the ludicrously cheap price of alcohol in some settings, we want all under-18-year-olds who turn up at A&E to be advised and supported to address their drinking.”

A spokesman for the Department of Health said: “This report shows the devastating impact that alcohol has on the lives of young people who drink too much. We must educate them so they understand how bad it is for their health now and in the long term. And we must do more to stop shops selling alcohol to under 18s.

“Everyone has a part to play in this. Parents, police, education and social services need to work together. The new Public Health Service will give communities the power and budget to tackle alcohol problems in their areas.”

From: http://www.independent.co.uk/figures-show-rise-in-drinkrelated-hospital-admissions-for-children

NHS patients to see medical records online

Patients will be able to view their medical records online, email their GP and compare doctors across Britain under plans for an “information revolution” in the NHS to be led by Martha Lane Fox, the internet entrepreneur.
NHS patients to see medical records onlineMartha Lane Fox says that the most useful online services for consumers should be made available to NHS patients over the next few years.

Those requiring treatment for cancer will be able to study survival rates – and waiting times – for different medical teams and then opt to have treatment where they wish, under the plans to be announced today. Proposals are being drawn up to give patients online access to their medical records.

Miss Lane Fox says that the most useful online services for consumers should be made available to NHS patients over the next few years.

It is hoped this will help drive up hospital standards as patients choose not to use the services of poor doctors, who will then lose funding. Patients will also be asked to rate the service and treatment they receive from different hospitals and medics.

They will be able to choose which GP they register with and whether to be treated at an NHS hospital or private or charity-run institution, within certain cost limits.

Miss Lane Fox, the founder of Lastminute.com, says the data could prove invaluable.

The Department of Health is the only major Whitehall department which will not see its spending cut this week. However, Andrew Lansley, the Health Secretary, still has to push ahead with major reforms as the ageing population is causing a sharp rise in health-care costs.

Miss Lane Fox, the Government’s digital champion said: “A recent YouGov poll found that 40 per cent of people believe the NHS can learn from the service offered by supermarkets, banks and utility companies. I’ve always believed in the power of information and technology as an incredibly useful tool.

“There’s clearly an appetite for a new approach. The Department of Health is launching a consultation this week into how information and technology can help people take more control of their health and make the best choices for themselves and their families.”

The consultation will study how internal data could be offered to websites like TripAdvisor or Mumsnet, which could “empower patients and families”.

Mr Lansley said: “The first principle of the White Paper is that the NHS should ensure that for patients, ‘no decision about me, without me’ is the invariable practice. To realise this means patients must have more say and more choice.”

From: http://www.telegraph.co.uk/NHS-patients-to-see-medical-records-online

First drug addict sterilised under cash for vasectomy offer

A  drug addict has become the first man in the country to be sterilised in exchange for cash under a controversial new project.First drug addict sterilised under cash for vasectomy offerA man addicted to heroin for 15 years, was given £200 by an American charity in return for having a vasectomy

The man, known as John, who has been addicted to heroin for 15 years, was given £200 by an American charity in return for having a vasectomy.

Project Prevention, the charity running the scheme, has made similar payments to thousands of men and women in America in a crusade to prevent them having children who may inherit their addictions.

The 38-year-old man said he had been involved with drugs since the age of 11 or 12 and that the offer of money had “spurred” him into having the operation.

He said: “It was kind of what spurred me into doing it in a way.

“It was something that I’d been thinking about for a long time and something that I’d already made my mind up that I wanted to do. Just hadn’t got around to it.”

The charity began offering the cash incentive to British addicts after paying 3,500 American men and women addicted to drugs or alcohol to be sterilised.

John said he was given 30 days to make a decision after calling the charity’s helpline, and had the operation on the NHS in September.

He told BBC London’s Inside Out, which was screened on Monday night: “It came as a bit of a shock to me knowing I was the first in Britain.

“I would have thought people would be snapping up the offer as soon as it came apparent as it was there. I won’t be able to support a kid. I can just about manage to support myself. Just about got it together to do that.”

The woman behind the project, Barbara Harris, from North Carolina, said she set up the charity after adopting four children whose mother was addicted to crack.

She said: “I got very angry about the damage that these drugs do to these children.

“It was unbelievable. Isaiah could not sleep, he couldn’t eat, his eyes were big, noise bothered him, light bothered him. It broke my heart.”

But the scheme has attracted criticism from people who feel the charity is exploiting vulnerable people and led to accusations of social engineering.

Ms Harris added: “I’ve been called everything. I’ve been spat on.

“Typically I just say to my critics: ‘If you believe these women should continue to take drugs and have children, then step up in line and adopt their babies’. It’s that simple.”

But the scheme has met criticism from addiction charities.

A spokesman for Addaction, the drug and alcohol treatment charity, said: “Addaction firmly believes there is no place for Project Prevention in the UK because their practices are morally reprehensible and irrelevant.

“Sex education and contraceptive advice is part of drug treatment work in this country. Women who use drugs can access all types of contraception free on the NHS including a number of long term options.”

The project also pays addicts to get long-term birth control including intrauterine contraceptive devices or a contraceptive implant.

From: http://www.telegraph.co.uk/First-drug-addict-sterilised-under-cash-for-vasectomy-offer

Statins cut bowel cancer risk by 12%

Cholesterol lowering drugs used to prevent heart problems can reduce the risk of bowel cancer by 12%, a study has suggested.
Statins cut bowel cancer risk by 12%The beneficial effect of statins emerged from an analysis of 22 studies involving more than 2.5 million participants.

“Statin use was associated with a statistically significant reduction in colorectal cancer,” said lead research Dr Jewel Samadder, from the University of Michigan at Ann Arbor in the US.

The most common type of statins, known as lipophilic, had the greatest impact.

Statins block the production of cholesterol in the liver and help prevent the build up of hard deposits on the walls of arteries.

They are normally taken by people with diabetes, at risk of heart attacks or with abnormally high cholesterol levels.

But long-term statin use has been associated with a reduced risk of several cancers, including breast, prostate, lung, pancreas and liver – and now bowel.

“Our findings suggest that randomised controlled trials designed to test the hypothesis that statins reduce the risk of colorectal cancer are warranted,” said Dr Samadder.

The findings were presented today at the annual scientific meeting of the American College of Gastroenterology in San Antonio, Texas.

Bowel cancer is the third most common cancer in the UK, affecting around 38,600 people a year.

About 16,260 people in the UK die from the disease each year, though death rates are falling.

From: http://www.independent.co.uk/statins-cut-bowel-cancer-risk-by-12-per-cent

Hundreds of foreign doctors not checked for competency

Hundreds of foreign doctors working in Britain have not been checked for language skills or competency, according to figures out today.
Hundreds of foreign doctors not checked=Despite widespread outrage over the case of a German doctor with poor English whose mistake led to the death of a pensioner, less than one in four foreign doctors is currently being properly verified, according to a Freedom of Information (FOI) request.

The investigation by Pulse, a newspaper for GPs, also found many NHS trusts in England have no accurate record of whether or not a doctor has been checked.

Dr Daniel Ubani killed David Gray, 70, by giving him 10 times the normal dose of diamorphine on his first-out-of-hours shift in Britain in 2008. He later admitted never having heard of the drug.

In February a coroner found that Dr Ubani was “incompetent” and ruled that Mr Gray had been killed unlawfully.

Dr Ubani was struck off by the General Medical Council in June but he still practises in Germany.

His poor English meant he was refused work by the NHS in West Yorkshire but was later accepted in Cornwall and then Cambridgeshire, where Mr Gray lived.

Today’s survey of more than 100 primary care trusts (PCTs) shows hundreds of foreign doctors are included on “performers’ lists” without having been fully checked.

Out of 152 PCTs in England, 108 responded to questions following an FOI request.

Of 35 that gave information about language checks, only 23 per cent of non-UK EU doctors on their performers’ lists had undergone such tests. More than 300 had not.

And of 20 PCTs able to provide details about tests on clinical competence, just 17 per cent of doctors trained on the continent had undergone such assessments.

More than two thirds of trusts that responded (74 of 108) admitted they did not collect data on whether doctors had been checked, including NHS Cambridgeshire.

Mr Gray’s son Dr Stuart Gray, himself a GP, said he was “horrified” by the results of the survey.

“To be honest I don’t know what more it takes to get changes made,” he lamented. “It’s only a matter of time before there’s another death.”

He believed compliance with such checks would have stopped Dr Ubani practising in Britain and hence saved his father’s life.

Niall Dickson, chief executive of the General Medical Council, said: “The Pulse survey appears to show worrying failings in the system of employer checks, which could put patients at risk.

“Both the Government and the GMC have reminded PCTs of their responsibility to ensure the doctors they employ, or contract with, are fit for purpose; this includes making sure they can communicate effectively.”

However, the GMC believes its hands are tied by European rules which prevent it from directly checking the language skills and clinical competence of foreign trained doctors.

Professor Steve Field, chairman of the Royal College of GPs, who co-wrote a recent Government-commissioned report that was highly critical of out-of-hours care, said: “We’ve given PCTs a wake-up call and it’s disgraceful they still aren’t taking the issue seriously.

“The performers’ list simply hasn’t worked in providing safety for patients.”

Richard Hoey, editor of Pulse, said: “PCTs work in a difficult financial environment, and some of the criticism they get is unfair.

“But in this case they are shirking on the cost of testing an average of just 10 doctors each, and risking a far greater cost in human life.”

A spokesman for the Department of Health said: “Under European law healthcare regulators such as the General Medical Council cannot systematically test the language knowledge of European Economic Area migrants at the point of registration.

“United Kingdom domestic law supports the EU directive on mutual recognition of proof of qualifications in this respect.

“However, employers and those contracting with healthcare workers can, and indeed should, verify the language knowledge of any person they appoint to ensure that they can undertake the duties being asked of them.”

She added that PCTs had “a legal duty” to ensure that doctors were fit to provide services, and that Europe-trained doctors could be subjected to language tests. However, she said there was no requirement stipulating such a test.

From: http://www.telegraph.co.uk/Hundreds-of-foreign-doctors-not-checked

Spending Review- how the National Health Service (NHS) is effected

The National Health Service (NHS) is the only major area of Whitehall spending in which there will be a rise in real terms. Spending Review- how the National Health Service (NHS) is effectedHowever, an increase of just 0.1 per cent a year will be dwarfed by the rise in the cost of drugs, an ageing population, the cost of reorganisations and inflation.

The cuts:
Technically the NHS has been given an increase in funding but this is less than half a per cent over four years.

£1bn will be diverted from the NHS to social care to help cut emergency readmissions to hospitals.

Psychological therapies will be boosted for those with mental health problems.

A new cancer drug fund for medicines that have been turned down by Nice worth up to £200m a year.

Three new hospitals were given the go ahead including Epsom and St Helier, West Cumberland and the Royal Oldham.

However the extension of free prescriptions to people with long-term conditions will be stalled.

One to one nursing care for cancer patients and a pledge under the previous government to have cancer tests conducted within one week will also be postponed.

The number of quangos will be cut from 18 to 10 by 2014 and the administration costs will be reduced by a third.

Radiographers will examine some x-rays as well as take them in order to save £7.9m of consultant radiologists’ time.

What it means:

Although an increase in funding sounds generous compared to the other departments it is nowhere near enough to keep pace with inflation in the NHS or the increase in demand for healthcare as the population ages and new treatments are developed.

The NHS has already been planning to make £20bn worth of savings over the next four years and it is not yet clear if this will have to be increased in light of the CSR settlement.

The Chancellor said the NHS spent £102bn this year but this is £5bn lower than what was planned for in the 2007 spending round, raising the question of where that money has gone.

Thousands of jobs in the NHS are already earmarked for cuts as primary care trusts and strategic health authorities are to be abolished as part of the coalition’s reforms and it is feared that some hospitals may seek to cut frontline jobs as well.

Experts have warned that plans to give GPs greater control over the NHS budget and the reorganisation this will take will cost between £2bn and £3bn.

What is the department’s budget?


How well does the department perform?

Waiting times for patients needing treatment in hospital reduced dramatically under Labour, following the introduction of many targets. But with them came an expanding bureaucracy. The number of managers rose by 84 per cent in a decade, while nurse numbers grew by just 24 per cent.

Recent scandals such as that at Stafford Hospital, where patients suffered appalling and basic failings, illustrated the dangers of prioritising finances and targets over care.

Britain’s record in funding drugs for many serious diseases – especially cancer – compares poorly with the rest of Europe, and survival rates are worse than in other countries.

While growth in spending on the NHS in the past decade was at a record level, most of the money went on pay. GP pay rose by nearly 50 per cent in a decade, to an average of £106,000.

Had any savings already been identified?

The Government says more than £1 billion will be saved by halving the size of NHS bureaucracy in four years. 150 primary care trusts and 10 health authorities will be scrapped. However, redundancy payouts to get rid of so many managers will be expensive. Quangos such as the Health Protection Agency will be culled. Funding for a £75 million public campaign against obesity and drinking is to be stopped, with food and drinks companies asked to foot the bill.

From: http://www.telegraph.co.uk/Spending-Review-What-it-means-for-the-National-Health-Service-NHS-Department-of-Health

NHS whistleblowers charter for consultation

NHS whistleblowers will be given greater protection under changes being considered in the aftermath of the nursing standards scandal at Mid Staffordshire hospitals.
NHS whistleblowers charter for consultationAndrew Lansley, the Health Secretary, said a “culture of fear” had pervaded Mid Staffordshire NHS Foundation Trust, where between 400 and 1,200 patients died due to poor nursing care between 2005 and 2009, which enabled problems to continue “unchallenged and undetected for so long”.

As a result of the Mid Staffordshire nursing scandal and other problems, Mr Lansley has announced a consultation is to take place over changes to the NHS Constitution, which sets out what staff, patients and the public can expect from the service.

NHS whistleblowers ‘need greater legal protection’ says BMJ

Mr Lansley aims to bring about a cultural shift in the NHS to make it easier for employees to highlight failings.

Specifically, he wants to introduce “an NHS pledge that employers will support all staff in raising such concerns” and “create an expectation that NHS staff will raise concerns about safety, malpractice and wrong doing … as early as possible”.

Reports have repeatedly highlighted how serious problems at hospitals have been allowed to continue because staff have been too afraid to speak up.

An independent report commissioned by the Government last year concluded that patients were “robbed of their dignity” at Stafford Hospital and Cannock Chase Hospital, with some left in soiled bedclothes, while families had to clean lavatories and public areas themselves. Staff were “uncaring” and managers “in denial” about the problems.

The NHS consultation closes on January 11.

From: http://www.telegraph.co.uk/NHSWhistleblowers-charter-for-NHS

Summary Care Record IT program given go ahead

The Summary Care Record IT program  is to go ahead, but its content will be limited to core information with an opt out form will be included in patient information packs.

The Department of Health has published the results of two simultaneous reviews of the SCR, covering the content of the record and the information patients receive before their record is uploaded.

The reviews were set up by the coalition government this summer, following concerns about patients’ awareness of the SCR and the kind of information added to it. This had led to the suspension of further patient information programmes.

The review of the content of the record, led by NHS medical director Sir Bruce Keogh, concluded that the core record should only contain a patient’s demographic details, medications, allergies and adverse reactions, and that these should continue to be copied from the GP’s medical record.

The review group said the DH should only consider expanding the content of the record “when we have built trust in the system and when patients request that we should do so.”

Sir Bruce said: “In an advanced national health system, it is reasonable for citizens to expect that when they arrive in accident and emergency or require treatment out of hours, the clinicians treating them have access to enough basic medical information to prevent anyone making wrong or even dangerous decisions.”

The separate Patient Information and Preference Review group, led by national director of patient and public affairs Joan Saddler, concluded that an opt-out form should be included in the patient information packs, and that these should also be simplified.

It said services such as HealthSpace should also continue to provide access to SCRs.

Almost 30m patients have already received information about the SCR but the review concluded that there should be no requirement to send another letter to those patients.

However, it said but there should be awareness raising campaigns at local, regional and national levels to ensure patients realise that an SCR is being created for them unless they choose to opt out.

Health minister Simon Burns said he was pleased that a consensus had emerged about the importance of the SCR in supporting safe patient care, so long as the content of the record was limited to core information.

He added: “Coupled with improvements to communication with patients which reinforce their right to opt out, we believe this draws a line under the controversies that the SCR has generated up to now.

“We see this review as having taking a significant step towards the goal of patients owning their records and using them to share decision-making with healthcare professionals.”

A BMA spokesperson said: “We welcome the progress that has been made towards an emergency electronic record that supports urgent care, yet recognises many of the understandable concerns of patients and clinicians.

“Much will depend on the way the amended scheme is put into practice, and the BMA looks forward to continuing our work with government on its implementation. It is essential that patients have genuine control over who has access to their records, and when changes are made to them.”

The review groups concluded that patients should play a key role in deciding the evolution of the record and that new arrangements should be introduced to define responsibility for decisions about the introduction of any new content to the record.

They said the principle should be that any change to the scope of the record should be driven by citizens and patients with appropriate advice from professional bodies and in line with the IT capability.

Saddler said the availability of core information when patients need care was essential if patients were to be at the heart of care but it should also be easy for patients to opt-out.

She added:”Patients must be the ones who decide if any additional information should be included in their SCR, supported by appropriate professionals. This is the only way we will build trust in the SCR and its use.”

The SCR Content Review group said standards should be defined to support a patient’s wish to add information to their SCR such as end of life preferences, a care plan for patients with long term conditions or the inclusion of a patient’s significant medical history.

The review groups, which between them took evidence from almost 50 bodies, said it had heard strong opinions that the use of smartcards was not universal within GP practices which had implications for accurate updating of the SCR.

The reviews said use of smartcards was outside their remit but recommended that further options were investigated to mitigate the risk of practices not using smartcards.

The review group on Patient information and Preferences also recommended that the outer envelope that patients receive should have clear emphasis that the information contained in the envelope is about “Your health records, you need to make a choice.”

John Heyworth, president of the College of Emergency Medicine, said the college welcomed the decision to proceed with the SCR.

He added: “Clinicians working in emergency departments are currently often deprived of key background and patient information, particularly during the initial phase of time critical treatment and this may significantly compromise the quality and safety of care provided.

“Immediate access to such records will lead to better and safer care for our emergency patients.”

The review’s conclusions were backed by a range of bodies including the Patients’ Assocation, The Royal College of Nursing, Asthma UK and Sue Ryder Care.

From: http://www.e-health-insider.com/summary_care_record_given_go-ahead

ME patients banned from donating blood transfusions

Patients with ME will be banned from donating blood transfusions in the UK under new safety guidelines.
ME patients banned from donating blood transfusionsNanny state officials spin that the ban, starting on 1 November, is designed to protect the health of people with ME – also known as chronic fatigue syndrome.

But the ME Association says the move is motivated by concerns that the illness may be caused by a virus similar to HIV that can be passed on via blood.

Prior to the ban ME patients could give blood provided they were in remission.

But the cyclical “relapsing-remitting” nature of this chronic condition means people can become ill again.

NHS Blood and Transplant says the ban is “a precaution to protect the donor’s safety by ensuring their condition is not made worse by donating blood”.

They say the move brings ME blood donation policy into line with other relapsing conditions or neurological conditions of unknown or uncertain origin, such as multiple sclerosis and Parkinson’s Disease.

But the ME Association believes there is another reason for the ban – to protect blood recipients from a potentially blood-borne illness. Although they agree with the ban, they say the public should be made aware of all of the reasons for it.

Experts do not know what causes ME.

But US scientists recently linked the condition to a retrovirus – known as XMRV – after finding it in the blood of many patients.

The Whittemore Peterson Institute team found XMRV (xenotropic murine leukemia virus-related virus) in 67% of ME patients compared to under 4% of the general population.

However since the 2009 discovery, published in the journal Science, other research teams, including experts in the UK, have failed to demonstrate such a link.

A spokeswoman from NHS Blood and Transplant said: “Currently there is no epidemiological evidence of a link between XMRV and CFS in the UK.”

Although the evidence is patchy, the ME Association say it is enough to advise caution and recommend a ban on blood donations from ME patients.

The American Association of Blood Banks put in place a similar blood ban in June of this year as an interim measure until the true risk of transfusion transmission of XMRV is known.

The ME Association’s medical advisor, Dr Charles Shepherd, said this was a well-judged approach.

“In the current state of uncertainty about a possible viral link a ban is a perfectly sensible measure to take in case it is caused by a retrovirus.

He said the UK ban should not leave a big gap in the blood donor pool.

“Although people with ME often want to donate blood, they make up a small number of the many thousands of donations the NHS receives each year.”

Seven thousand units of blood a day are needed to meet the demand of NHS Blood and Transplant alone.

The ME donor ban applies across all four of the UK’s Blood Services.

From: http://www.bbc.co.uk/health/me-patients-banned-from-blood-donations