Hundreds of seriously ill patients discharged too early

8 Aug 2017

Miles Briggs Choice

Hundreds of patients last year were discharged from intensive care and high dependency units too early, and a lack of resources are to blame.

An audit into critical care in Scotland analysed outcomes for people released from ICUs and HDUs in 2016, including those who were readmitted within 48 hours, their discharge having been deemed a mistake.

According to the figures, 438 were discharged prematurely from HDUs, as well as 298 from ICUs.

The total figure represents around two per cent of all discharges from ICUs, and 1.4 per cent from HDUs, the official report by NHS Scotland concluded.

It stated: “High rates of early discharges are a concern as they reflect a discharge that is felt by the clinical team not to be in the patient’s best interest. This is due to underlying pressure of beds or staff reflecting a lack of available resource.”

The report showed a variation in performance across the country.

46,000 patient episodes were recorded in critical care units last year.

Aside from those discharged too early, auditors found nearly a quarter of those patients were actually delayed – for at least four hours – in their discharge.

Scottish Conservative shadow health secretary Miles Briggs said:

“While it is only a small percentage of those who are discharged too early, it still represents hundreds of patients.

“The report is stark in its admission that these patients are not being discharged early because of clinical error, but due to a lack of resources and staffing.

“This is yet another indication that poor stewardship of the NHS by the SNP government is having a very real impact on patient safety.

“When dealing with tens of thousands of admissions to critical care units, it’s obvious some people will end up having mistimed discharges.

“But for several hundred of these to occur is unacceptable, and the reasons set out in the report worse still.

“Ministers need to get a grip of this situation as a matter of urgency.”

Notes to editors:
The full report is here:
http://www.sicsag.scot.nhs.uk/docs/2017/2017-08-08-SICSAG-Report.pdf?22
It states there were 14,908 ICU patient episodes, and 31,297 HDU episodes.
Of the ICU episodes, the report stated two per cent of these resulted in “early” discharges, equating to 298 people.
Of the HDU episodes, 1.4 resulted in “early” discharges, equating to 438 people.

News story: UK Government bids to unlock new markets for scotch whisky

Scottish Secretary David Mundell met with representatives of the Scotch Whisky Association and Diageo at the iconic Caol Ila distillery on Islay, to discuss how the UK Government is laying the groundwork to reduce export tariffs on Scottish produce.

Whisky is worth around £5 billion to the UK economy, and accounts for three quarters of Scotland’s total food and drink exports. The UK Government is ensuring that, as we leave the EU, the industry is able to tackle tariffs and boost overseas sales.

The Department for International Trade has already established 11 working groups to strengthen trade and commercial ties with key trading partners around the world, including the United States, Australia, China, India, Mexico, South Korea and the Gulf Cooperation Council. Ministerial trade dialogues have also been established with Taiwan, Vietnam, India, Kazakhstan and Brazil.

Mr Mundell said:

Scotch whisky is a world-class product, globally recognised for its quality and heritage, and the industry employs thousands of people in Scotland and around the rest of the UK.

We are determined to open up new markets around the world for the very best whisky our distillers have to offer – and to drive down any tariffs they face.

By strengthening ties with key partners, identifying new markets and tackling tariffs, the UK Government is paving the way towards an even brighter future for Scotland’s whisky industry.

David Mundell tours the Caol Ila Distillery

International Trade Secretary Dr Liam Fox said:

With the recent uplift in trade, we should raise a glass to our exporting success and further help UK businesses make the most of an ever-growing demand for top-selling British products such as scotch whisky as part of a Global Britain.

Reducing the costs for companies to sell overseas will become one way of further opening up free trade routes and boosting sales, and that’s why I’ve tasked my international economic department to look at how we can support more businesses to build their brands abroad.

For scotch whisky, export tariffs currently range from zero to over 150 per cent. The UK Government is looking at how future trade agreements could reduce export tariffs for iconic Scottish goods such as scotch, smoked salmon and gin.

Mr Mundell also visited the building site of the Ardnahoe distillery, set to be the ninth distillery operating on Islay when it opens in 2018. Overlooking the Sound of Islay and Paps of Jura, it will bring even more jobs to Scotland’s third biggest industry, which already employs more than 7000 people in Scotland’s rural communities.

Touring the site of the Ardnahoe Distillery

Karen Betts, Scotch Whisky Association chief executive, said:

The scotch whisky industry is delighted that the Scottish Secretary, David Mundell, is visiting Islay. He’ll see the fascinating Islay distilleries, famous for their smoky malts. He’ll see too the importance of the scotch whisky industry to Islay’s local communities, and how whisky production there contributes more broadly to the Scottish and UK economies.

Notes:

The Scotch Whisky Association published a report at the beginning of this year on its economic impact in the UK, estimating that:

  • Scotch Whisky adds £3.2 billion of value to the UK economy and a further £1.7 billion through indirect and induced impacts
  • 10,800 people are directly employed in the industry with a further 29,300 indirect and induced jobs
  • Around 90-95 per cent of these impacts are in Scotland with 5-10 per cent in the rest of the UK.

Press release: Takeaway director disqualified for 6 years after employing illegal workers

India Gate was the trading name of Chi Spice Limited.

On 6 July, the Secretary of State accepted a disqualification undertaking from Mr Ahmed, effective from 27 July 2017, for six years.

The disqualification prevents Mr Ahmed from directly or indirectly becoming involved in the promotion, formation or management of a limited company until July 2023.

Mr Ahmed’s disqualification follows an investigation by the Insolvency Service, which found he had failed to comply with statutory obligations under immigration law; specifically that he failed to ensure relevant immigration checks were completed and documents retained, resulting in the employment of an illegal worker and consequently in a penalty notice of £15,000 being issued by the Home Office.

Chi Spice Limited and was placed into Liquidation on 18 August 2016, with an estimated deficiency to creditors in excess of £55,000.

Robert Clarke, Senior Investigator, said:

The Insolvency Service rigorously pursues directors who fail to pay fines imposed by the government for breaking employment and immigration laws. We have worked closely in this case with our colleagues at the Home Office to achieve this disqualification.

The director sought an unfair advantage over his competitors by employing individuals who did not have the right to work in the UK in breach of his duties as a director.

The public has a right to expect that those who break the law will face the consequences. Running a limited company, means you have statutory protections as well as obligations. If you fail to comply with your obligations then the Insolvency Service will investigate you.

A Home Office spokesperson said:

Illegal working is not victimless. It undercuts honest employers, cheats legitimate job seekers out of employment opportunities and defrauds the taxpayer.

Businesses should be aware that they have a duty to check that their staff have permission to work in the UK.

We are happy to work with employers who play by the rules but those who do not, should know that they will not go under our radar.

Notes to editors

Mr Ahmed’s date of birth is 31 March 1973 and he resides in Portsmouth.

Chi Spice Limited (CRO No. 08220932) was incorporated on 19 September 2012 and latterly traded as a restaurant from 14 St Pancras, Chichester, West Sussex, PO19 7SJ.

Mr Ahmed was a director from incorporation to liquidation. The company went into creditors voluntary liquidation on 18 August 2016 with an estimated deficiency of £55,720.

The matters of unfitness, which Mr Ahmed did not dispute in the Disqualification Undertaking, were that:

  • Masum Ahmed failed to ensure that Chi Spice Limited complied with its statutory obligations under the Immigration, Asylum and Nationality Act 2006, by employing an adult Mr Ahmed knew or ought to have known was subject to an immigration control condition preventing him from accepting the employment in question.
  • following a visit from Home Office Immigration Officers on 21 November 2015, during which this breach was discovered, Chi Spice Limited was issued with a penalty notice in the sum of £15,000. This amount remained outstanding at the date of liquidation.

A disqualification order has the effect that without specific permission of a court, a person with a disqualification cannot:  * act as a director of a company * take part, directly or indirectly, in the promotion, formation or management of a company or limited liability partnership * be a receiver of a company’s property

Disqualification undertakings are the administrative equivalent of a disqualification order but do not involve court proceedings. Persons subject to a disqualification order are bound by a range of other restrictions.

The Insolvency Service, an executive agency sponsored by the Department for Business, Energy and Industrial Strategy (BEIS), administers the insolvency regime, and aims to deliver and promote a range of investigation and enforcement activities both civil and criminal in nature, to support fair and open markets. We do this by effectively enforcing the statutory company and insolvency regimes, maintaining public confidence in those regimes and reducing the harm caused to victims of fraudulent activity and to the business community, including dealing with the disqualification of directors in corporate failures. Further information about the work of the Insolvency Service, and how to complain about financial misconduct, is available.

BEIS’ mission is to build a dynamic and competitive UK economy that works for all, in particular by creating the conditions for business success and promoting an open global economy. The Criminal Investigations and Prosecutions team contributes to this aim by taking action to deter fraud and to regulate the market. They investigate and prosecute a range of offences, primarily relating to personal or company insolvencies. The agency also authorises and regulates the insolvency profession, assesses and pays statutory entitlement to redundancy payments when an employer cannot or will not pay employees, provides banking and investment services for bankruptcy and liquidation estate funds and advises ministers and other government departments on insolvency law and practice.

Media enquiries for this press release – 020 7596 6187

You can also follow the Insolvency Service on:

This is truly appalling and an all new low in this government’s treatment of refugees – Abbott

Diane
Abbott MP, Shadow Home Secretary,
in response to figures that show just five per cent of refugees resettled under the
Governments refugee scheme have disabilities, despite estimates that more
than 1 in 5 escaping Syria is disabled, said:

“This is
truly appalling and an all new low in this government’s treatment of refugees.

“Just
over a year ago when Theresa May made her first speech as Prime Minister she
said “ a disability or a health condition should never dictate the path a
person is able to take
”, but this has clearly been a factor blocking the
legitimate right of vulnerable refugees to seek asylum in this country.  

“We know
that offers from councils to host refugees have not been taken up in full, the
Dubs scheme has been halted and now this. This Tory government’s treatment of
refugees is simply not in line with British values.”

Wales a popular choice for day trips

The number of tourism day visits made to Wales in the 12 months ending June 2017 has increased by 9% compared to the 12 months previous, while the amount spent has increased by 34%.

In the 12 months ending June 2017, there were 100.7 million tourism day visits to Wales, with an associated spend of £4,711 million. 

Economy Secretary, Ken Skates, said: 

“In what is an extremely competitive market place, tourism in Wales is in a strong position.  In 2016 the total number of visits to Wales – taking into account tourism day visits, international visitors as well GB overnights visits – was 15% up.  It’s excellent news that the day trips market is performing strongly into the early summer of 2017.  Added to this, 87% of respondents in our tourism barometer survey said they were confident about how their business will perform over the summer. 

“We will continue with our campaign work to ensure that we make the most of the opportunities to attract overseas visitors and those looking to holiday at home due to the weak pound.  Visit Wales’ London marketing campaign has been targeting London and the South East over the summer to entice Londoners to Wales during the Year of Legends.  This includes a huge motion screen at Waterloo station to showcase Wales at its best with a specially edited film.”