This has been our experience too - dealing with NHSE has often been focussed on political messaging rather than dealing with the issues that affects patients @AliveLeder
London CEO: “NHS England has got to manage the politics...and therefore the conversations I have with them [are] roughly weighted 60 per cent finance, 30 per cent access, and 10 per cent to do with the quality and safety agenda.” 🫣 hsj.co.uk/policy-and-regulat…
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Our #LeDeR deep dive on genetic and chromosomal conditions in people with a learning disability is now available. kcl.ac.uk/ioppn/assets/pdfs/… Further work in terms of academic publications is under way and will be updated. @KingsIoPPN
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This thread from the US about the negative impact of reduction in doctor autonomy and administrative centralisation of care rings true here in the UK as well, despite the difference in health systems.
To me, one of the greatest causes of the deterioration of medical care is the consolidation of clinics into centralized administrative units. Clinics have been taken away from departments throughout healthcare systems in the name of administrative efficiency. Throughout my career I’ve seen this transition occur in many different settings and in each case the quality of care deteriorated substantially. Unfortunately, this is difficult to study and hard to prove, but I think everyone who works in such a setting and the patients who get their care in these centralized clinics, believe that this is the case
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Andre Strydom retweeted
What matters in Early Years “Early childhood represents a critical window in which families first navigate their child's health needs and developmental supports following diagnosis. However, families describe difficulty reconciling clinicians’ focus on chronic health problems
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She highlights some important issues, but why single out “medical professionals” when the issues are systemic? And NHSE and DHSC should not defund LeDeR national reporting when there are ongoing issues with care of ppl with an intellectual disability apple.news/Ab7Crm4swSSOEYPve…
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Andre Strydom retweeted
I watched C4’s “ADHD myth” programme. You can save time by going straight to the closing credits which reveal the unfortunate child has gone back on medication after poor exam results, negating the previous 45 minutes.
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We found that two-thirds of avoidable deaths in people with severe or profound intellectual disability are from treatable conditions, particularly pneumonia and epilepsy, suggesting that better access to timely healthcare could save lives.
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Andre Strydom retweeted
#Oliverscampaign @andyburnham @YvetteCooperMP can you explain why you are disbanding LeDeR Learning from lives and deaths review into the avoidable deaths of people with a learning disability & autistic people It is essential that we learn & progress from @AliveLeder findings
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Familiar story. These national audits / reports / investigations should be independent of the NHSE if we are to learn from them.
🚨 EXC: NHS England has suppressed the work of investigators carrying out dozens of national clinical audits. NHSE has stopped investigators alerting media, watered down recommendations and limited the way their reports are written, published and used: thetimes.com/uk/healthcare/a…
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In collaboration with the Staying Alive and Well Group, full Easy Read and video versions of the new LeDeR 2024 Annual Report are available now Accessible report (Long easy read): kcl.ac.uk/ioppn/leder/leder2… Accessible report (Long video): media.kcl.ac.uk/media/t/1_81….. #LeDeR 1/4
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Newest LeDeR figures show 39.0% of deaths reported to LeDeR were considered avoidable. The figure is trending down (41.4% last year) but it remains unacceptably high, nearly 2x the rate seen in the general population (21.1%). Full breakdown in Chapter 1: kcl.ac.uk/ioppn/leder/leder2…
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The new LeDeR report outlines clear priorities for implementation, including strengthened vaccination care, better caregiver guidance on respiratory infection signs, and clear escalation pathways. See the recommendations: kcl.ac.uk/ioppn/leder/leder2… #LeDeR
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Reviewers should be paid - it’s slave labour otherwise. I have stopped accepting most requests to review some time ago; it may be the only way to change the system
Major academic publishers' revenue and what they pay authors and reviewers: Revenue: Elsevier: $3.9 billion Springer Nature: $2 billion Wolters Kluwer: $1.6 billion Wiley: $1.8 billion Taylor & Francis: $800 million Sage: $500 million They pay: Authors: $0 Reviewers: $0
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Andy Kulina explaining how our @kingsioppn trial for ppl with PMS was funded by @lifearc1
When Andy's daughter Olivia was diagnosed with rare Phelan-McDermid Syndrome, he made it his mission to make a clinical trial happen. This is their story.
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Our updated analysis shows a change in mortality patterns for 2023. Diseases of the circulatory system are now identified as the most common cause of death, rather than respiratory diseases or neoplasms. (1/3)
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An updated version of the LeDeR 2023 annual report is now available kcl.ac.uk/ioppn/assets/pdfs/…. The revised report includes fully updated cause-of-death information that was inadvertently excluded due to a data-processing error that occurred before we received the data. (1/2)
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New post-doc position @KingsIoPPN. Looking for a researcher with qualitative expertise and experience working with people with neurodevelopmental conditions (autism, learning disability) to join our team and deliver an NIHR-funded project. Deadline 22/12! my.corehr.com/pls/kclrecruit…
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