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High staff turnover rates linked to increased patient deaths in NHS


More than 4,000 people could be dying per year because of high turnover rates of nurses and doctors in NHS hospitals, according to new research from the University of Surrey. The research has shown a clear association between high turnover rates of nurses and doctors in NHS hospitals and a troubling rise in patient mortality rates. The study, published in The BMJ, analysed nearly a decade of data from 148 NHS acute hospitals in England using anonymised patient and worker records. The researchers found that a one standard deviation increase in nurse turnover is associated with 35 additional deaths per 100,000 hospital admissions within 30 days. For senior doctors, a similar increase in the


turnover rates correlates with an additional 14 deaths per 100,000 admissions. With an average of 8.2 million hospital admissions occurring annually, the turnover rates of hospital nurses and senior doctors could translate to nearly 335 additional deaths each month across the NHS. Dr. Giuseppe Moscelli, Associate Professor in


Economics and lead researcher of the study at the University of Surrey, said: “Our findings underscore the vital role that stable staffing plays in ensuring patient safety. High turnover rates are not simply an administrative issue; they have real, life-or-death


implications for patients. It’s time for healthcare leaders to focus on retention strategies that prioritise workforce stability.” The research uses extensive datasets, which


include over 236,000 nurses and 41,800 senior doctors, as well as 8.1 million patient records. The findings suggest that as turnover rates


increase, the quality of care diminishes, leading to higher mortality risks for patients, particularly those admitted for emergency care. One area of high concern is high nursing


turnover, which seems to have a detrimental impact on surgical and general medicine wards. Notably, high turnover rates among senior doctors are linked to increased mortality in patients suffering from infectious diseases and mental health disorders. The research suggests that addressing the


root causes of turnover - such as job satisfaction, working conditions, and staff engagement - is essential for improving patient outcomes. In another recently published and related work, Dr. Moscelli and colleagues found that the retention of NHS hospital nurses is strongly associated with their engagement at work, whereas the retention of NHS hospital doctors is crucially associated with the retention of hospital nurses.


Surgical Royal College announces new UK-Malaysia trainee programme


A pilot programme to provide observership opportunities for Malaysian surgical trainees in the UK has officially launched. A ceremony at the British High Commission,


Kuala Lumpur, has marked the agreement (MoA) exchange between the Royal College of Surgeons of Edinburgh (RCSEd), Universiti Kebangsaan Malaysia (UKM), and Universiti Malaya (UM) for the Malaysia- United Kingdom Travelling Fellowship (MUTF). The Secretary of State for Scotland, The Rt Hon Ian Murray MP and the acting British High Commissioner to Malaysia, HE David Wallace witnessed the ceremony. As part of RCSEd’s ongoing commitment to promoting surgical collaborations between the UK and Malaysia, the MUTF will see Malaysian surgical trainees hosted at centres of surgical excellence in the UK. Ian Murray, Secretary of State for Scotland in the UK’s Foreign, Commonwealth & Development Office, congratulated the Royal College of Surgeons of Edinburgh, Universiti Malaya and Universiti Kebangsaan Malaysia on the signing of the agreement. He said: “The UK is recognised


10 www.clinicalservicesjournal.com I January 2025


Secretary of State commits to first ever Men’s Health Strategy


Health and Social Care Secretary, Wes Streeting, has announced plans for a Men’s Health Strategy at a Men’s Health Summit held in partnership with Movember, hosted by Arsenal and the Premier League. The strategy will consider how to prevent


and tackle the biggest health problems affecting men of all ages, which could include cardiovascular disease, prostate cancer and testicular cancer, as well as mental health and suicide prevention. It will form a key part of the Government’s


10 Year Health Plan to fix the NHS. A call for evidence on the strategy will seek views on what is working and what more needs to be done to close the life expectancy gap between men and women.


Health and Social Care Secretary, Wes


Streeting, said: “It can be hard to be a young man in today’s society, particularly for boys from backgrounds like mine. We’re seeing mental ill-health on the rise, and the shocking fact that suicide is the biggest killer for men under the age of 50. “Preventable killers like heart disease and


prostate cancer are being caught far too late. Just as we are determined to end the injustices women face in healthcare, we won’t shy away from the need to focus on men’s health too. This government will publish a men’s health strategy to tackle these problems head on. “I am pleased to have brought together leading campaigners, experts, and the Premier League to gather ideas and inform our strategy and our Ten Year Plan.”


for its longstanding and world-class professional healthcare education, and Scotland has some of the leading institutions in various surgical specialties and dentistry. The Fellowship which sees the Royal College of Surgeons of Edinburgh collaborating with top Malaysian universities is another testament of the modern partnership between both countries. There is a huge potential for cross-border cooperation in the healthcare sector, and I hope to see this Fellowship programme expand to different surgical specialties in the future.”


Heart disease is the leading cause of death for men in England; significantly more men die early from cardiovascular disease compared to women. On average, men die nearly four years earlier than women and are disproportionally affected by a number of health conditions including some cancers, heart disease and type 2 diabetes. Men tend to seek help for their mental health less than women. They are also more likely to die by suicide, with men accounting for three of four suicides. There are also significant health inequalities across the country, with those in the most deprived areas in England expected to live almost 10 years less than those in the least deprived. The strategy will be unveiled in 2025 and a call for evidence will be launched in due course.


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