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J Laryngol Otol ; 135(10): 855-857, 2021 Oct.
Article in English | MEDLINE | ID: covidwho-1434031


OBJECTIVE: Recurrent acute otitis media is common in children. The preferred treatment measures for recurrent acute otitis media have a mixed evidence base. This study sought to assess baseline practice across ENT departments in England. METHODS: A national telephone survey of healthcare staff was conducted. Every ENT centre in England was contacted. A telephone script was used to ask about antibiotic and grommet use and duration in recurrent acute otitis media cases. RESULTS: Ninety-six centres (74 per cent) provided complete information. Recurrent acute otitis media treatment across England by ENT departments varied. The antibiotic first- and second-line prophylaxis offered varies, with trimethoprim used in 33 centres and 29 centres not offering any antibiotics. The timing or choice about when to use grommets also varies, but 87 centres (91 per cent) offer grommet surgery at one stage. CONCLUSION: The treatments received by children in England for recurrent acute otitis media vary by centre; collaborative research in this area is advised.

Middle Ear Ventilation/statistics & numerical data , Otitis Media/drug therapy , Otolaryngology/statistics & numerical data , Surveys and Questionnaires/standards , Acute Disease , Anti-Bacterial Agents/administration & dosage , Anti-Bacterial Agents/therapeutic use , Anti-Infective Agents, Urinary/administration & dosage , Anti-Infective Agents, Urinary/therapeutic use , Child , Drug Resistance, Microbial , England/epidemiology , Humans , Middle Ear Ventilation/methods , Otitis Media/surgery , Otolaryngology/organization & administration , Personal Health Services/statistics & numerical data , Recurrence , State Medicine/organization & administration , Surveys and Questionnaires/statistics & numerical data , Trimethoprim/administration & dosage , Trimethoprim/therapeutic use
Br J Nurs ; 30(15): 941, 2021 Aug 12.
Article in English | MEDLINE | ID: covidwho-1357667


Although the latest report on workforce equality shows positive changes, some improvements are marginal and the issue must be kept high on the agenda, says Sam Foster, Chief Nurse, Oxford University Hospitals.

Health Workforce , Racism , State Medicine , Health Workforce/organization & administration , Humans , Racism/prevention & control , State Medicine/organization & administration , United Kingdom
Nurs Older People ; 33(5): 20-25, 2021 Oct 05.
Article in English | MEDLINE | ID: covidwho-1234917


During the first wave of the coronavirus disease 2019 (COVID-19) pandemic, older people were discharged from hospitals to care homes to release NHS beds. This influx of new residents whose COVID-19 status was largely unknown added to the many challenges already experienced by care homes, with serious consequences including an increased number of deaths among residents. The social care sector has been fragile for several years and the pandemic has brought the challenges experienced by care homes to the forefront, prompting renewed calls for improved funding and reform. This article describes the ongoing challenges and additional challenges caused by the pandemic in the care home sector. The authors argue for urgent reform to enhance the status and education of care home staff, move towards registration of the social care workforce in England, and achieve integration of health and social care services for older people.

COVID-19/epidemiology , Homes for the Aged/organization & administration , Nursing Homes/organization & administration , Nursing Staff/education , Pandemics , Aged , England/epidemiology , Humans , State Medicine/organization & administration
Br J Nurs ; 30(9): 565, 2021 May 13.
Article in English | MEDLINE | ID: covidwho-1231600


Sam Foster, Chief Nurse, Oxford University Hospitals, considers the question of a single NHS uniform for England, with the launch of a consultation on the idea.

Clothing , Organizational Policy , State Medicine , England , Humans , State Medicine/organization & administration