Early success in prostate cancer drug trial gives patients promising future

A London hospital’s trial of a prostate cancer drug has been stopped early because it was so successful doctors felt it would be “unethical” to deny the treatment to other patients.Early success in prostate cancer drug trial gives patients promising futureMedics halted tests of the life-extending drug because it would have been “unethical” not to offer the treatment to all 922 cancer sufferers taking part in the trial.

Patients who were given the drug found that it eased pain and caused only minor side effects.

The new drug accurately targets tumours using alpha radiation, which doctors conducting the study said is the most effective form of radiation to eliminate cancer because it limits damage to surrounding tissue.

Dr Chris Parker, lead researcher on the project at the Royal Marsden Hospital, said: “It’s more damaging. It takes one, two, three hits to kill a cancer cell compared with thousands of hits for beta particles.”

The drug, Radium-223 Chloride – known as Alpharadin TM – will also do less damage to surrounding tissue because it accurately targets calls, the doctors said.

Speaking at an international gathering of cancer experts, Dr Parker, a consultant clinical oncologist, said: “They have such a tiny range, a few millionths of a metre. So we can be sure that the damage is being done where it should be.”

Patients taking the drug has a 30 per cent lower rate of death compared top patients taking a placebo pill.

“It would have been unethical not to offer the active treatment to those taking placebo,” Dr. Parker said.

Radium-223 has “a completely different safety profile” to chemotherapy, he added.

The trial’s results were presented this week at the 2011 European Multidisciplinary Cancer Congress in Stockholm.

The researchers, who have pointed out the urgent need for an effective treatment for prostate cancer, will now submit their findings for approval by regulators.

Prof Gillies McKenna, Cancer Research UK’s radiotherapy expert said: “This appears to be an important study using a highly targeted form of radiation to treat prostate cancer that has spread to the bones.”

“This research looks very promising and could be an important addition to approaches available to treat secondary tumours – and should be investigated further.”

From:  http://www.telegraph.co.uk/Early-success-in-cancer-drug-trial-gives-patients-promising-future

Dismantling NHS IT computer scheme could cost more money

Dismantling Labour’s disastrous £12 billion NHS IT programme may cost taxpayers more than keeping it going.Dismantling NHSfIT computer scheme could cost more moneyMinisters announced on Thursday that they will speed up the scrapping of the National Programme for IT (NPfIT)  after a review concluded “there can be no confidence that the programme has delivered or can be delivered as originally conceived”.

It confirmed earlier reports that the central part of the scheme, allowing NHS staff across England to access any patient’s details, was unworkable while costs had increases and deadlines were missed.

The governance board of the programme will now be scrapped, and local trusts will be given the freedom to develop their own versions of the electronic care record rather than having the rules dictated by Whitehall. A new Cabinet Office oversight committee will monitor future IT investment to ensure money is not wasted.

But many trusts across England have large contracts with private suppliers to supply their care record systems, and their cancellation could leave taxpayers even more out of pocket.

The Department of Health’s own chief information officer, Christine Connelly, told MPs on the Public Accounts Committee in May that a £3bn deal with CSC to deliver systems in the north, midlands and east of England would cost more to get out of than to keep going.

She said: “Potentially, if you ask me about the absolute maximum, we could be exposed to a higher cost than the cost to complete the contract as it stands today.”

A decision will be made on the future of the contract later in the autumn.

However the Cabinet Office’s Major Projects Authority said that some parts of the £12.7bn programme had worked and would be retained, including the NHSmail email system and the Choose and Book process of arranging hospital referrals.

Andrew Lansley, the Health Secretary, said: “Labour’s NHS IT Programme let down the NHS and wasted taxpayers’ money by imposing a top-down IT system on the local NHS, which didn’t fit their needs.

“We will be moving to an innovative new system driven by local decision-making. This is the only way to make sure we get value for money from IT systems that better meet the needs of a modernised NHS.”

Roger Goss, co-director of the pressure group Patient Concern said: “Thank goodness politicians have decided to stop money being poured into a huge bottomless pit. Now we must pray that they don’t sanction pouring it into endless incompatible regional pits.”

From: http://www.telegraph.co.uk/Dismantling-NHS-computer-scheme-could-cost-more-money

Nanny state wants to ban the Great British Fryup Breakfast

Nanny state government targets are putting the great British Breakfast under threat.Nanny state wants to ban the Great British Fryup BreakfastFor many, a plate of bacon, sausage and eggs makes the perfect start to a buzy day.

But Government nanny state targets are about to put the great British breakfast under threat.

Butchers and other food retailers say health diktats to reduce salt levels could ruin the taste of some of our favourite dishes, with producers of bacon and sausages facing the greatest difficulties.

More than 60 food firms and supermarkets have pledged to meet salt reduction targets agreed by the Coalition.

But as the deadline grows closer, they fear compromising the familiar tastes valued by customers unless extra additives are introduced. They also fear risking safety, because of the role of salt as a preservative.

Some independent butchers have said they have no intention of changing cherished recipes to meet the demands of the “salt police”.

At least 80 per cent of sausages sold in Britain currently fall short of the government’s 2012 target, which allows 1.13g of salt per 100g of food. Popular brands such as Richmond contain twice that amount.

Own brand packs of bacon on sale at Sainsbury’s, Tesco and Waitrose all contain more salt than the future 2.88g per 100g limit for bacon.

Andrea Martinez-Inchausti, Deputy Food Director for the British Retail Consortium (BRC) said it was “pointless” to put huge efforts into reducing salt if only left consumers adding large amounts themselves at the dinner table.

“Our members have made fantastic progress reducing the levels of salt in food in recent years,” she said. “In some cases we’ve come as far as we can without help from science. If salt is reduced further there’s a danger that products will no longer taste the way customers want them to.”

The BRC and the Food and Drink Federation have drawn up a list of eight foods for which it is proving difficult to reduce salt content without losing flavour or risking safety. In addition to bacon and sausages, the list also includes soft cheeses, cakes, and sauces such as pesto.

Research will be conducted from next month to see if any new processes or ingredients can be found to overcome the problems.

In total, 62 retailers and manufacturers, including Sainsbury’s, Tesco, Marks & Spencer, Waitrose and Asda have pledged to meet dozens of salt reduction targets by next year.

Their promises were part of a ‘public health responsibility deal’ set by the Coalition before it handed responsibility for nutrition policies from the Food Standards Agency (FSA) to the Department of Health.

It is aimed at helping consumers follow health advice to limit their salt intake to 6g a day, in order to prevent high blood pressure that can lead to strokes and heart disease.

Previous targets, brought in last year, have provoked a backlash from fans of HP sauce who said their favourite brand had been left tasting “bland” and “disgusting” after a drastic cut in salt content.

The sauce used to contain 2.1g of salt per 100g, as well as malt vinegar, molasses, dates and tamarind, but the content was reduced to 1.3g to meet last year’s targets.

Internal FSA documents, dated May 2009, state: “Maintaining product binding and succulence in sausages has proved challenging whilst reducing levels of sodium.”

It says some reductions had been achieved, though they fell well short of next year’s commitment.

The same analysis warns of the difficulties of attaining an even dispersal of salt in bacon, and the impact of laws restricting the use of nitrates as a preservative.

Maureen Strong, nutrition manager for the British Pig Executive, said: “When the work first started on these targets, it was led by statisticians, not microbiologists.

“Research showed that the initial targets they drew up would have caused a rise in salmonella, botulism and E.coli.

“They have been altered since then, and we have all tried to work together, but some of the targets for next year are nigh on impossible – at least without too great a compromise.”

She added: “If you want to reduce the salt in sausages, that often means a whole lot more additives. I don’t know if that is what customers are asking for.”

Those most affected by the changes are food suppliers to major retailers. Independent butchers not signed up to the responsibility deal do not have to meet hit the targets, but some feel failure to meet the new standards could be viewed badly by health-conscious customers.

Mick Norkett, founder of the East London Sausage Company, based in Walthamstow, said he would try to meet next year’s targets.

“We do our best to keep the levels low, but salt is a preservative, and in sausages, it is in the skins as well as the sausage meat,” he said.

“If you are having a fry up, and trying to be keep salt levels down, I think the best thing is to stop adding salt at the table, and to avoid slathering on ketchups and beans that are packed full of the stuff.”

Mr Norkett, a butcher for almost 40 years, said reaching the targets would be more difficult for supermarkets that need a long shelf life for their products.

Stuart Higginson, from Grange-over-Sands, Cumbria, has run his butchers with his wife Pauline for 28 years.

His sausages meet current Government limits of 1.4g per 100g, which came in last year, but he is not prepared to sacrifice flavour in order to meet next year’s demands.

Mr Higginson, 61, from said: “I’ve never had anyone come in and ask for sausages or bacon with less salt in them.

“I think the government are overdoing this; most of us don’t have bacon and sausages every day, and we want to get some enjoyment from our food when we eat it, not just eat to live.”

From: http://www.telegraph.co.uk/Whitehall-targets-threaten-the-Great-British-Breakfast

Health lottery launched to raise £50 million

A new health lottery is launched today with the aim of generating up to £50 million a year for health causes.Health lottery launched to raise £50 millionThe Health Lottery – run by Northern & Shell, which owns Channel 5 and Express newspapers – offers a £100,000 top prize for matching five numbers from 50.

The launch was hosted by television presenter Eamonn Holmes, who will also front the live draw to be shown on ITV1 and Channel 5 each Saturday from October 8.

He said: “It’s such a great idea, I am really excited about being part of something that not only makes people smile every week, but also has the ability to change lives in the longer term.

“In these difficult economic times, the Health Lottery will inject a sizeable amount of new money into that local network, and the projects that are supported will help people live longer, healthier lives.”

Twenty pence from tickets, which cost £1, will go towards health-related good causes.

Matching three numbers wins £50 and four numbers £500.

No matter how many people win, everyone will get the advertised prize, the Health Lottery said.

John Hume, chief executive of the People’s Health Trust, said: “We will be working directly with communities to identify practical and sustainable ways in which funding from the Health Lottery can have real impacts on health and well-being in communities experiencing significant disadvantages.”

Martin Hall, chief executive of the Health Lottery said: “The Health Lottery game is a fresh new alternative which has one single good cause at its heart – health.

“We will be offering people the opportunity to win a life-changing amount of money while at the same time contributing to tackling real health issues in their own communities.

“It is an exciting new launch which will benefit every community in Great Britain.”

But the launch attracted criticism from Sir Stephen Bubb, of the Association of Chief Executives of Voluntary Organisations, who dubbed it a “disgraceful new development”.

He wrote on his blog: “He (Northern & Shell owner Richard Desmond) intends to only give 20p in the pound to health, whereas the National Lottery is giving 28p to good causes.

“So if people switch to Desmond from the National Lottery charities will lose out.”

Health Direct also notes that the marketing and admin charges are higher for the new lottery than the national Camelot lottery.

NHS hospitals crippled by labour’s PFI scheme

Patient care is under threat at more than 60 NHS hospitals which are “on the brink of financial collapse” because of costly private finance initiative schemes the Health Secretary warns.NHS hospitals crippled by labour's PFI schemeAndrew Lansley says he has been contacted by 22 health service trusts which claim their “clinical and financial stability” is being undermined by the costs of the contracts, which the Labour government used extensively to fund public sector projects.

The trusts in jeopardy include Barts and the London, Oxford Radcliffe, North Bristol, St Helens and Knowsley, and Portsmouth.

Between them the trusts run more than 60 hospitals which care for 12 million patients.

There is already evidence that waiting lists for non–urgent operations have begun to rise as hospitals delay treatment to save money. Adding to this are growing fears over the impact of the financial crisis on care this winter.

Under the PFI deals, a private contractor builds a hospital or school. It owns the building for up to 35 years, and during this period the public sector must pay interest and repay the cost of construction, as well as paying the contractor to maintain the building.

However, the total cost of the deals is often far more than the value of the assets. As a result, Mr Lansley says, the 22 trusts “cannot afford” to pay for their schemes, which in total are worth more than £5.4billion, because the required payments have risen sharply in the wake of the recession.

Mr Lansley said: “Over the last year, we’ve been working to expose the mess Labour left us with, and the truth is that some hospitals have been landed with PFI deals they simply cannot afford.

“Like the economy, Labour has brought some parts of the NHS to the brink of financial collapse. Tough solutions may be needed for these problems, but we’ll help the NHS overcome them. We will not make the sick pay for Labour’s debt crisis.”

He said hospitals would not be allowed to collapse financially.

“There are many hospitals that are well run, do not have a legacy of debt and do have projects which are perfectly sustainable. My point is that we have looked since the election and are working together with individual trusts to arrive at a place where they are financially, and in terms of the quality of their services, sustainable for the future. We can only do that if we work closely with them,” he said.

“This is about making very clear that we are not only working on unsustainable PFIs, but also working with legacy debt that the NHS has been left with, working on the IT programmes which were on an unsustainable scale of contractual commitments that didn’t meet the need of the NHS’s customers.

“Across the board, we have to tackle Labour’s legacy of poor value formoney and debt.”

Over the next few weeks, Department of Health officials and executives at the 22 trusts will develop detailed plans for dealing with the crisis. Their proposals are expected to include significant cost–cutting and the renegotiation of PFI contracts.

Money will also be moved from NHS trusts that are in better financial shape to cover the debt costs at those that are struggling. However, officials are braced for the need to use Whitehall funds to bail out some hospitals.

Among the trusts which have contacted Mr Lansley to inform him of their severe financial problems are several London institutions, including South London Healthcare, Barking, Havering and Redbridge, and North Middlesex.

Outside the capital, other trusts to have approached the health department include Wye Valley, Worcester Acute Hospitals, Mid Yorkshire, and Walsall.

After the general election last year, Mr Lansley ordered officials to establish why some NHS hospitals were under–performing. The health department is assessing the financial position of every hospital. It is understood that the PFI costs have emerged as a leading factor in poor patient care in some areas.

The Health Secretary decided to disclose the list of hospitals in difficulty and is expected to announce the rescue plans for each trust next month.

Taxpayers are having to pay more than £200 billion for schools, hospitals and other projects whose capital value is little more than £50 billion.

In one example, a hospital in Bromley, south east London, will ultimately cost the NHS £1.2 billion, more than 10 times what it is worth. Another hospital was charged £52,000 for maintenance that cost £750. The annual cost of the schemes is almost £400 for each household.

The public payments for PFI deals are typically linked to inflation and therefore the cost to taxpayers has increased by up to a third since the beginning of the credit crisis, according to the National Audit Office. Last month, MPs on the Treasury select committee effectively called for a moratorium on new PFI projects, which it said were “like a drug” as the costs were not apparent at the outset.

George Osborne, the Chancellor, has tightened the rules on the deals.

Earlier this year, John Healey, the shadow health secretary, admitted in an interview that Labour ministers had failed when negotiating the multi–million pound schemes for hospitals.

“There is definitely a case for saying we were poor at PFI, poor at negotiating PFI contracts at the outset,” he said.

Companies who run PFI schemes boast profit margins of up to 71 per cent on the projects, but have come under growing pressure from MPs and ministers to return some of their “windfall profits”.

From: http://www.telegraph.co.uk/NHS-hospitals-crippled-by-PFI-scheme

Gastric band weight loss ops on the rise for under 25s

The number of under 25s being given weight loss surgery on the NHS in England has quadrupled over the last three years.Gastric band weight loss ops on the rise for under 25sThat includes people being fitted with a gastric band, having their stomach stapled, or having a gastric bypass.

Between 2006 and 2007, 55 people under the age of 25 had one of these operations, but between 2009 and 2010 the number had risen to 210.

That included 34 teenagers, some as young as 15.

Doctors and eating disorder groups say they are worried about the rise, claiming the NHS in many cases is not giving young people the support they need before and after the surgery.

Gastric bands are given to overweight people to help them lose weight quickly. They work by reducing the size of a patient’s stomach, therefore limiting the amount of food they can eat.

The eating disorder charity Beat says too often this is not being treated as a life-changing procedure.

Beat’s chief executive Susan Ringwood says: “Having a gastric band fitted is a very serious operation that has long-term, permanent consequences, yet we know young people are not always being given this information and that is very concerning”.

The group says patients aren’t getting the support they need after the surgery, when their bodies are likely to be struggling to adjust to the change in diet.

Patients can also be vulnerable to anxiety and depression, says the charity.

Dr Samantha Scholtz, an NHS psychiatrist who prepares people for gastric band surgery, admits aftercare across the NHS is ‘patchy’.

“Every single patient that has bariatric surgery should have some sort of psychological intervention”, she says.  “We are essentially removing food from someone’s life, doing something artificial”.

The Department of Health says people are only given bariatric surgery after being assessed by a doctor, who will decide on the best type of weight-loss treatment for each individual.

From: http://www.bbc.co.uk/newsbeat/14948716

An apple or pear a day keeps strokes at bay

Eating lots of fruit and vegetables with white flesh may help to protect against strokes, says a study in the journal Stroke.An apple or pear a day keeps strokes at bayBut Dutch researchers say they do not know why people with a high intake of apples, pears, bananas or cauliflower reduce their risk of stroke by 52%.

The study followed more than 20,000 adults over 10 years.

Stroke experts said people should not be put off eating other colours of fruit and veg.

At the start of the study, carried out in The Netherlands, participants were asked to fill in a detailed questionnaire on diet and lifestyle for the previous year.

By using this information and tracking the health of participants over the next decade, researchers were able to examine the link between the colour of fruit and vegetables consumed and stroke risk.

The study found that a 25g per day increase in white fruits and vegetables was linked to a 9% lower risk of stroke.

Of the white fruit and veg eaten, over half was apples and pears. An average apple weighs 120g.

But no link was found between stroke incidence and green (dark leafy vegetables, cabbages and lettuces) orange/yellow (mostly citrus fruits) or red/purple fruits and vegetables.

Linda Oude Griep, lead author of the study and postdoctoral fellow in human nutrition at Wageningen University in The Netherlands, said more research was needed to find out why white flesh was important.

“It is difficult to say which nutrients are responsible in white fruits and vegetables. We know that apples and pears are high in dietary fibre, but there may be other explanations.”

She said it might be useful to consume considerable amounts of white-flesh fruit and veg to prevent strokes.

“Eating one apple a day is an easy way to increase white fruits and vegetable intake.”

Dr Sharlin Ahmed from The Stroke Association said the findings should not deter people from eating other colours of fruit and vegetables.

“All fruit and vegetables have health benefits and remain an important part of a stable diet. A lot more research is needed before the colour of our groceries alone is used to determine what health benefits they may have.”

“Everyone can reduce their risk of stroke by eating a healthy balanced diet that is low in saturated fat and salt, exercising regularly and ensuring that your blood pressure is checked and kept under control.”

From: http://www.bbc.co.uk/news/health-14931634

NHS staff’s poor English is potential danger to patients

The General Medical Council (GMC) says some overseas doctors come to the NHS with ‘little or no preparation’ for working in the UK.NHS staff's poor English is potential danger to patientsAlong with the Nursing and Midwifery Council, it wants the right to test the English language skills of applicants from within the EU in the same way they test applicants from outside of Europe.

But an EU red tape Directive prevents any systematic testing of language skills of doctors from the European Economic Area (EEA).

The GMC says UK legislation – the Medical Act 1983 – ‘gold plates’ the directive and prevents the GMC from doing any language-testing of doctors from the EEA at all.

Employers are allowed to assess the language skills of applicants from the EEA, but it is thought many do not.

A spokesperson from the GMC said: “Doctors who come to work in the UK make a vital contribution to our healthcare system, but we must make sure they receive the support they need to practise safely and to conform to UK standards.”

“It is unacceptable that the current system enables doctors to practise in the UK without a sufficient grasp of English.”

The GMC says some overseas doctors come to the NHS with “little or no preparation” for working in the UK and those trained under different cultural and professional standards need more support.

The GMC is planning a basic induction programme for all doctors – including those who qualify in the UK – to help understand how healthcare is practised in the UK.

A spokesperson from the Department of Health said: “This government is determined to make sure that foreign healthcare professionals are not allowed to work in the NHS unless they have proven their competence and language skills.”

“We do think the Directive needs updating and we are in the process of responding to the EU proposals, but we can’t pre-empt that response.

“We have already taken steps to strengthen the current system by introducing a duty for responsible officers to check the qualifications, experience and references of all doctors, including foreign doctors.”

But poor English language standards are not just an issue among some European NHS staff, for whom English is not their first language.

Asian nurses said they found it difficult to understand European colleagues – particularly those from Eastern Europe.

But when one was asked what a patient meant if they said they wanted to ‘spend a penny’ – slang for go to the lavatory – she replied “they want to spend money”.

A spokesperson from Imperial College Healthcare NHS Trust, said: “We take patient experience and patient complaints very seriously.”

“We care for a diverse patient population and employ a diverse workforce, and understand the importance of staff being able to talk to patients and their families in an appropriate way.”

From: http://www.bbc.co.uk/news/health-14921565

Midwife shortages in England risking lives

Parts of England are facing big midwife shortages putting mothers and babies at risk midwives have warned.Midwife shortages in England risking livesThe Royal College of Midwives says a 22% rise in births over 20 years has led to shortfalls across England, but some areas are worse than others – it highlights the East Midlands and East.

The RCM wants 4,700 more midwives and says the prime minister has backed away from a pledge to raise numbers.

The Department of Health said record numbers of midwives were now being trained.

Midwives say births are becoming increasingly complex because of growing numbers of obese and older mothers-to-be, who often need extra support.

The Royal College of Midwives says the extra 4,700 midwives are needed across England to keep pace with the added pressures.

And it says a new analysis of midwife numbers across England reveals big variations – with limited shortages in some areas and serious shortfalls in others.

The calculations were done by measuring the number of midwives in an area against the number of babies born there. The RCM estimates that one midwife is needed for every 28 hospital births and 35 births in a midwife-led unit or at home.

The North East and North West of England had a shortfall of less than 10%.

But according to the figures, the East Midlands and East of England need 41% more midwives, and the South East is also more than a third short of staff.

The college says the disparity is down to different levels of investment in different areas; women living in places with bigger shortfalls are at risk of having less choice over how and where they give birth.

It says Scotland, Wales and Northern Ireland do not have midwife shortages at the moment.

“This is a real problem in England,” said Cathy Warwick, RCM General Secretary. “We believe women should have the same choice over giving birth wherever they live. Once you get to really critical shortfalls, maternity services won’t be safe.”

It’s a sentiment echoed by the head of midwifery at Wansbeck hospital in Northumberland, where they say they have enough staff to offer high-quality care.

Janice McNichol has delivered more than 1,000 babies in her career, and prides herself on making sure every mother has a positive experience.

“It’s about safety and quality of care,” she said. “Making sure midwives are there when mum needs them, to answer questions and help her through the process.”

The charity Action against Medical Accidents, AVMA, said the situation in some areas was desperate.

“Having a baby should be the happiest time in a couple’s life, but failure to deal with this problem is all too often turning it into a tragedy,” said AVMA chief executive Pater Walsh.

“Maternity services should be the NHS’s first priority for improving patient safety and having enough trained midwives is an absolute must.”

From:  http://www.bbc.co.uk/news/health-14859228

NHS Hospitals failing to report serious safety incidents

NHS Hospitals are breaking the law by failing to report incidents that result in severe harm to patients a charity has warned.NHS Hospitals are breaking the law by failing to report incidents that result in severe harm to patients a charity has warned.Peter Walsh, chief executive of the charity Action Against Medical Accidents (AvMA), said many were failing to own up to such incidents despite a law that had been in force since April 2010, requiring them to do so.

He was commenting on National Patient Safety Agency (NPSA) figures, showing an 8.5 per cent increase in the total number of reported incidents in the NHS in England, between April to September 2010 and October to March 2011.

The vast majority of such incidents result in “no harm” (69 per cent), “low harm” (24), or “moderate harm” (six).

However, one per cent result in “death or severe harm”. Since April 2010, health trusts have had to report these incidents.

Between the two most recent six-monthly periods for which data are available, the number of such reported incidents rose by 13 per cent – from 4,358 to 5,012.

While significant, Mr Walsh believed if all trusts were reporting as they should, the rise would be larger still.

He said: “Given that there was a new set of rules that came in, in April 2010, that made it a statutory requirement for trusts to report incidents that cause severe harm or death, we would have expected a bigger increase.

“So we think some trusts might be holding back on reporting incidents that caused severe harm.”

He added: “We think work is needed looking at why trusts do not seem to be reporting at a rate we would expect.”

Individual cases that were known through clinical negligence claims should be checked back, to see if trusts had reported them to the NPSA, he recommended.

A spokesman for the NPSA said that overall new figures reflected an improving culture of reporting incidents in NHS trusts.

Sarndrah Horsfall, chief executive of the NPSA, said: “Identifying patient safety incidents and ensuring they are reported and analysed is at the heart of reducing risk in healthcare.

“NHS organisations should use the data and review the tools, guidance and support available to them. This will ensure patient safety incidents continue to be reported and learned from, strengthening the patient safety culture across all levels of the NHS.”

From:  http://www.telegraph.co.uk/Hospitals-failing-to-report-serious-safety-incidents