Tag Archives: hospitals

Elderly ‘being trapped’ in hospital, says Age UK

Elderly people are “trapped” in English hospitals in ever greater numbers as there is nowhere else for them to go, the charity Age UK has warned.

Its analysis shows patients spent a total of nearly 2.5 million days stuck in a hospital over the past five years.

Age UK said it was bad for patients’ health, a waste of NHS resources and a huge cost to taxpayers.

NHS England said extra funds allocated to councils would help give care and support to patients leaving hospital.

Age UK says there is a crisis in social care ranging from a shortage of care home places to a lack of district nurses to help people in their own home.

It says the situation has got worse and the number of people being kept in hospital in 2014-15 increased by 19% on the previous year.

The charity’s analysis of NHS England data for the last financial year showed the days spent stuck in hospital included:

  • 174,000 waiting for a residential home place
  • 216,000 waiting for a nursing home place
  • 206,000 waiting for help from social care workers or district nurses to get people back into their own home
  • 41,400 waiting for ramps or stairlifts to be installed into patients’ homes.

Caroline Abrahams, from Age UK, said: “These figures show that year-on-year, older people are being trapped in hospital in ever greater numbers because of a delayed assessment, care home place, home care package or home adaptation.

“Without decent social care when discharged, whether to their own home or to a care home, hospital stays are often much longer than they need to be and older people are more likely to be readmitted because their recovery stalls.”

She said this was a waste of NHS resources because it cost nearly £2,000 per week for an NHS bed in comparison to around £560 per week in residential care.

“Everyone agrees the way to go is to integrate social care and health much more effectively, but unfortunately our report shows we’ve got a long way to go before really the reality lives up to the rhetoric,” she told the BBC .

“And if we can’t get it right for such an important group of people, older people stuck in hospital waiting to get out, really we have to redouble our efforts and do much better.”

An NHS England spokesperson said: “We continue to need strong joint working between hospitals, community services, care homes and home care, which is being further helped by the extra £35 million allocated to local councils for social care so patients leaving hospital get the care and support they need.

Source BBC News

Hospital bugs ‘spread by use of wet wipes to clean wards’ according to first study of its kind

Medical wet wipes used to clean hospital wards are helping spread deadly superbugs, the first study of its kind has revealed.

The majority of UK hospitals support the use of clinical detergent wipes in the routine cleaning of wards.

But the study discovered that in ‘every instance’ the wet wipes actually spread the superbugs from one surface to another. Cardiff University scientists said the wipes were ‘not up to the job’ of eliminating superbugs.

They tested seven clinical detergent wipes on three common hospital infections, including the deadly MRSA and C. difficile.

Their study, published in the American Journal of Infection Control, found that the wipes were very inconsistent in their ability to remove spores of the bacteria from hospital surfaces following a wiping procedure that lasted ten seconds.

Even more concerning was that all the wipes repeatedly spread significant amounts of bacteria over three consecutive surfaces.

Bacteria found on hospital surfaces leads to infections and results in longer and more expensive patient stays and treatments.

But until now there has been no information about the efficacy of clinical detergent wet wipes in removing disease-causing bacteria from these surfaces without spreading them.

Professor Jean-Yves Maillard, from Cardiff University, said: ‘Although the detergent wipes succeed in removing superbugs, they transfer them when the wipe is used on a different surface.

‘Hospital staff must be educated to ensure these products are used properly – a single wipe should not be used on multiple surfaces.’

In 2012 there were 1,646 deaths involving Clostridium difficile infection in England and Wales, and 292 deaths related to MRSA.

Source Mail Online

Hospitals will display CQC inspection ratings under new Health Department proposals

NHS hospitals will have to display their inspection rating at the entrance or in waiting rooms under new proposals unveiled by Jeremy Hunt.
The Health Secretary said that “putting the scores on the doors” would help “inform people’s choices” about where they had treatment, but health experts warned that the signs could cause unnecessary anxiety to patients.
Hospital watchdog the Care Quality Commission will begin formally rating all NHS trusts, GP surgeries and care homes from next month. 
Inspections have already been carried out which give hospitals an Ofsted-style overall rating of Outstanding, Good, Requires Improvement or Inadequate.
A enhanced inspection regime was introduced last year in response to the Francis Inquiry into care failings at Mid Staffordshire. 
Ratings are based on five themes, but do not contain detailed information about individual services, the quality of which often varies even within a single hospital.
In plans set out in a new consultation paper, hospitals, would have to display the ratings in a “conspicuous place”. The plans would also apply to GP surgeries, private hospitals and care homes.
The consultation document says the plan would “provide an incentive for poor providers to aspire to the standards of the best”.
However, Catherine Foot, assistant director of policy at the King’s Fund health think-tank, said that the signs risked “potentially misleading” patients.
“A major acute hospital could have a poor rating on its front door, but that poor rating could be driven by a community hospital down the road, or by a very small subset of services within a big hospital,” she said. “Hospitals offer such a huge range of services. It’s hard to sum up quality at this level.
“Say you’re going to your local hospital for a hip replacement, your hospital might be rated ‘requires improvement’ because of a poorly performing maternity unit, while their hip operations could be of the highest standard. A hip patient would see the overall rating, and would be anxious or want to go to a different hospital for no reason whatsoever.”
A Department of Health source said: “The intention is not to scare people but to inform people. We want [hospital] chief executives at hospitals to walk in the door and see that work needs to be done.”
Source The Independent

Patients still being sent home at night: Hospitals break NHS pledge to protect frail and elderly

Hospitals have been told to end the ‘unacceptable’ practice of sending thousands of frail patients home late at night or in the early hours.

An analysis of figures from around half of England’s NHS trusts showed that more than 150,000 patients, including 18,500 over the age of 75, were recorded as being discharged from hospital between 11pm and 6am in the past year.

One stroke victim was sent home in freezing temperatures in the early hours without a coat and was later discovered by police wandering around a cricket pitch.

Hospitals have been told to end the ¿unacceptable¿ practice of sending thousands of frail patients home late at night or in the early hours

Senior doctors questioned the figures – saying they may include patients being transferred or those sent home earlier in the day but only recorded as being discharged at night when nurses complete the paperwork.

Nonetheless, NHS England says the practice is unacceptable and that patients should be discharged only if they want to go home and it is safe for them to do so.

Campaigners say hospitals are under pressure to discharge patients at night so they can free up beds for more urgent cases coming from A&E units.

Dr Mike Smith, chairman of the Patients Association, said: ‘They have people in A&E lying in corridors, they have got to be admitted and they have no beds.

‘It’s for the convenience of staff and the person they are admitted but at the gross detriment to the person they are chucking out.’

NHS medical director professor sir bruce keogh told hospitals to end the practice two years ago

Concerns have also been raised that dementia patients are being sent back to care homes at times when the staff on duty are unable to notify the homes of possible changes in care. Nadra Ahmed, chairman of the National Care Association, said: ‘They are going back without any relevant information about what the diagnosis might have been because people are off duty.’

NHS medical director Professor Sir Bruce Keogh told hospitals to end the practice two years ago but the latest figures – obtained by Sky News – suggest that in half of trusts the problem has actually got worse.

Among the 72 trusts that supplied figures – out of 160 – there had been no improvement over the past two years in the number of patients discharged between 11pm and 6am – 152,479 in 2013/14. At 41 of the trusts the number had increased.

In one case, Michael Atkinson, 64, who had suffered a stroke, was discharged from the A&E unit at Royal Bolton Hospital at 3.30am.

He was later found in a cricket field in sub-zero temperatures in a confused state. The hospital said he left before transport could be arranged but has since undertaken a review to find out why he was discharged at that time.

An NHS England spokesman said: ‘Discharging patients at night without appropriate support is unacceptable, particularly if a patient is vulnerable. Where a patient wishes to leave late at night it should be accommodated only where it is clinically appropriate and with the support of family, friends or carers.

‘The decision to do this should always be based on what is best for the patient.’

Dr Mark Temple, of the Royal College of Physicians, who works at Heartlands hospital in Birmingham, queried the data.

‘We need to know whether this is the time when patients are actually leaving hospital or whether it is when nurses are getting round to recording their discharge on the system.’

He added that it might also include patients being allowed to go home from A&E or medical assessment units having been rushed in during the night with a possible heart attack.

Article was taken from Daily Mail Online

Princess of Wales hospital suspended nurses inquiry ‘alarming’

Calls have been made for “no stone to be left unturned” in a hospital’s investigation of seven nurses suspended amid allegations of falsifying patient records.
On Monday, officials from Bridgend’s Princess of Wales Hospital confirmed an inquiry was under way.
Three other nurses from the hospital have previously been arrested and bailed on suspicion of neglect after claims notes had been falsified.
A criminal inquiry is continuing.
On Monday evening, Abertawe Bro Morgannwg University Health Board confirmed seven nurses had been suspended.
The BBC understands the action was taken some time ago.
Conservative Shadow Health Minister Darren Millar called for all local health boards to “examine their procedures for protecting personal medical records against abuse and falsification”.
“These are alarming and serious allegations surrounding the integrity of patient medical records,” he said.
“No stone must be left unturned in getting to the bottom of this scandal to restore patient confidence.”
In a statement the health board said in early 2013 “internal systems” had “picked up alleged anomalies regarding the record keeping of a small number of nurses”.
“The health board notified the police and a criminal investigation (still ongoing) was then launched,” it read.
“As a result, three nurses were arrested and bailed and a further seven were suspended on suspicion of falsifying records.”
Review
Meanwhile, on Tuesday, the findings of a review called Trusted To Care which was set up by the Welsh government over concerns about standards of care at two hospitals run by the health board was published.
It found there were a number of failings in the care offered at both Neath Port Talbot Hospital and the Princess of Wales Hospital. Health Minister Mark Drakeford offered “an unreserved apology to those individuals and families whose care has fallen so far short of what they would expect while being looked after in these two hospitals”.
“I have been shocked by some of what I have read in this report. I am determined that nothing of this sort will be tolerated in Abertawe Bro Morgannwg University Health Board or indeed anywhere else in Wales in the future,” he said.
However he added: “Despite the failings it identifies, I am reassured that the report makes it absolutely and repeatedly clear that what has happened in these hospitals is not, and never has been, the same as that at the Mid Staffordshire NHS Trust in England.
“Prof Andrews and Mr Butler (report’s authors) say that, throughout the review, the key question posed by others was: “Is Abertawe Bro Morgannwg University Health Board another Mid-Staffs?” The report answers that question directly and unequivocally: “It is not”.”
The report made 18 recommendations for improvement which Mr Drakeford said had all been accepted.
An investigation by BBC Wales last summer highlighted significant concerns about the care of pensioner Lilian Williams, of Porthcawl, at the Princess of Wales and Neath Port Talbot hospitals.
Her family claimed she suffered “appalling” neglect between 2010 and her death in November 2012.
The health board subsequently apologised and claimed the case had been “completely unacceptable”.

Hospital care for Parkinson’s patients ‘frustrating and scandalous’

Patients with Parkinson’s disease are being subjected to a “frustrating and scandalous” level of care when admitted to hospital, a charity has warned.

According to Parkinson’s UK, some people with the condition even feel forced to smuggle their regular medication onto wards.

The research was released as the charity launched an awareness campaign to help Scots with the degenerative condition to feel more in control of their lives.

In the survey, 47% of patients said they were denied regular access to the medication that keeps their condition under control. This has led to some smuggling their drugs onto wards.

The charity said 59% claimed this situation had a significant impact on their health, and seven in ten reported increased anxiety while in hospital because of the difficulties around getting their medication.

Meanwhile, over a third (35%) of people with Parkinson’s reported that hospital staff had a poor understanding of the importance of giving medication for the condition on time

Gerry McCann, from Easterhouse in Glasgow, was diagnosed with the condition 17 years ago at the age of 35. He now takes medication nine times a day to keep his Parkinson’s under control.

If he misses a dose even by ten minutes, Gerry says his symptoms increase severely. Speaking to STV, he said that in the past hospital staff have failed to understand the critical nature of this timeframe.

Steve Ford, chief executive at Parkinson’s UK, said: “Nurses tell us they receive an hour, at most, of specialised Parkinson’s training.

“This fundamental lack of education has resulted in people with the condition being so terrified by their previous experiences in hospital that they smuggle in their medication.”

The charity is now calling for hospitals to allow patients to self-administer their medicines.

Mr Ford added: “Around 70% of hospitals and health boards across the UK have a system in place that would allow people with Parkinson’s to do just that.

“Yet it is clear that these processes simply aren’t being implemented.”

The campaign, Get It On Time, is being highlighted throughout Parkinson’s Awareness Week (April 7-13) and comes just days after the death of veteran Scottish politician Margo MacDonald, who had the condition.

Source STV

Four elderly patients a week are dying of hunger and thirst ‘utterly scandalous’ figures reveal

More than 2,100 patients have died from conditions related to hunger and thirst in hospitals and care homes in the last decade, figures reveal.

Last year there were 186 deaths – almost four a week – many involving elderly people too frail or confused to feed themselves.

More than 2,100 patients died from conditions related to hunger and thirst in hospitals and care homes in past decade

Figures from the Office for National Statistics show that since 2003 there have been 1,323 deaths in hospitals where dehydration was the underlying cause, and a further 273 in care homes.

Over the same period 499 hospital patients and 67 care home residents died from conditions linked to malnutrition.
 
There were many more cases in which patients were severely dehydrated or malnourished when they died, but it was not the underlying cause of their death.

Officials said that illnesses such as dementia make patients prone to dehydration and malnutrition.

Nonetheless Norman Lamb, the minister for care, said: ‘Failings of care that may contribute to people being malnourished or dehydrated are entirely unacceptable.

‘The law requires that care homes must ensure residents receive enough to eat and drink and we expect the Care Quality Commission to take swift action when this is not the case.’

Government figures show that 273 people have died from dehydration in care homes and 67 from malnutrition

Government figures show that 273 people have died from dehydration in care homes and 67 from malnutrition

A Department of Health spokesman said: ‘Every NHS patient should expect to be looked after properly in hospital.

‘It is utterly scandalous if patients go hungry or thirsty.’

The spokesman said the CQC will bring in nutrition inspections with fines for the worst hospitals.

Norman lamb said the failings of care were 'utterly unacceptable'

Norman Lamb said the failings of care were ‘utterly unacceptable’

The figures show there have been 61,355 deaths tied to falls in hospitals and care homes since 2003. There were 18,499 deaths from superbug C Difficile and 2,649 from MRSA.

Last month a report by the CQC watchdog revealed that one in ten inspections of hospitals and care homes found neglect.

Inspectors came across some care homes where nurses failed to check if patients needed help with food or had lost weight.

In one home in East London they came across five bedbound patients left in their rooms with no drinking water.

Liz Kendall MP, Labour’s spokesman for care and older people, said: ‘Every elderly person deserves the high standards of care that we’d all want for our own mum or dad.

‘It is unacceptable for anyone to be denied dignified and compassionate support at a time when they need it the most.

‘But we will never get the care we aspire to from a social care system that has been stretched to the limit and cut to the bone.’

Source Mail Online

Weekend hospital care: ‘Seven-day week’ for senior doctors

Hospitals in England will have to ensure senior doctors and key diagnostic tests are available seven days a week under new plans.

The measures form part of a vision unveiled by NHS England to tackle higher death rates at weekends.

The changes, proposed by medical director Prof Sir Bruce Keogh, will be applied to urgent and emergency services over the next three years.

Sir Bruce said the case for change was clinically and morally “compelling”.

The British Medical Association, which represents doctors, said the case for seven-day services had been made and the focus needed to shift to delivering it.

‘Expect more’

Research suggests death rates are 16% higher for patients with emergency conditions admitted on Sundays compared with those admitted on Wednesdays.
   

Why do more patients die at weekends?

    Variable staffing levels
    Fewer decision-makers of consultant level and experience
    Lack of support services, like diagnostics
    Lack of community and primary care services to prevent unnecessary admissions and support discharge

Source: NHS England

Sir Bruce told BBC One’s Andrew Marr show “society has moved on and people expect more and more from services at the weekend”.

“It seems strange in many ways that we should start to wind down on a Friday afternoon and warm up on a Sunday… and [in the] meantime people are waiting for diagnosis and treatment,” he said.

He said that, historically, the NHS had been good at providing a five-day-a-week service but medicine had advanced.

Sir Bruce said junior doctors felt particularly stressed at weekends because of the complexity of cases, and often felt “unsupported”.

“We worry about that, not only because it may relate to the higher mortality rates, but also because it implies that we could be training the next generation of doctors better,” he said.

The proposals, which will be discussed by the board of NHS England on Tuesday, set out 10 new clinical standards for hospitals.

These include:

    All emergency admissions to be seen by a consultant within 14 hours
    Seven-day access to diagnostic tests, such as X-rays, ultrasound, MRI scans and pathology
    Patients in intensive care and other high dependency units to be reviewed by a consultant twice a day
    Weekend access to multi-disciplinary teams, which include expert nurses, physios and other support staff

Sir Bruce said organisations would need to be “absolutely transparent” about whether they were meeting these standards.

He said the changes would be contractually binding. It is possible a clause in consultants’ contracts stating organisations could not compel them to work at the weekend could be removed, he said.

Anyone who has been in hospital will be aware of the change of pace the weekend brings.

Theatres lie empty, equipment is turned off and there are noticeably fewer staff around.

It is, therefore, no surprise that many believe a truly seven-day service is long overdue.

This review has provided a vision for what services could look like. But the big question now is how it can be implemented.

The NHS is in the middle of its biggest savings drive in history and there remains much work to be done to get hospital consultants fully signed up.

This promises to be just the start of a long process.

“These are pretty radical changes with some pretty hard levers behind them,” he said.

He had earlier said a system of incentives, rewards and sanctions would be built into contracts by 2016-17 to encourage hospitals to follow the new standards.

Breaches could cost hospitals up to 2.5% of their annual income of up to £500m, and they could face losing their right to use junior doctors.

Sir Bruce told the Marr show the changes would cost about 1.5-2% of the annual running costs of the hospital and said he was confident about finding money from other parts of the NHS to pay for the plans.

More consultants working weekends would stop inappropriate admissions and diagnoses would be speeded up, in turn helping hospitals run more efficiently financially, he said.

“We believe the arguments for this are absolutely compelling both clinically and morally,” he said.

‘Calendar lottery’

Dean Royles, of NHS Employers, which represents hospitals, told BBC Breakfast the review “seals the deal” on the case for seven-day working.

Dr Mark Porter, chairman of the British Medical Association Council, backed the changes, saying “there should be no calendar lottery when it comes to patient care”.

He said the BMA was in negotiations with NHS Employers and the government to find an “affordable, practical model for delivering this care” while safeguarding doctors’ work-life balance.

But Prof Chris Ham, of health think tank the Kings Fund, said there were concerns over funding because many hospitals were already struggling and financial pressures would only grow.

The Patients Association said: “Our lives and health are totally dependent upon this vital service and we look forward to its implementation with the least possible delay.”

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Dean Royles, chief executive of NHS Employers: “The clinical case for change is now overwhelming”

Health Secretary Jeremy Hunt has commended the move, while shadow health secretary Andy Burnham said the government needed to clearly set out how it will be paid for.

The Welsh government has not ruled out seven-day working, while the Scottish administration has committed to having consultants in wards seven days a week.

A review in Northern Ireland earlier this year found disparities in out-of-hours hospital care, compared to weekdays, and said specialist consultant ward rounds and formal weekend handovers were needed.

Source BBC News

NHS told to ban smoking near hospitals

All hospitals should have an on-site stop-smoking service and staff should be instructed not to assist patients who want to smoke.
Measures should be implemented to help patients stop smoking while they are being cared for and “preferably help them to stop for good”, the National Institute for Health and Care Excellence (Nice) said.
While individual NHS trusts will have the final say, staff and people using NHS services, including clinics, should be told not to smoke on the hospital grounds, Nice said.
Trusts should ensure “there are no designated smoking areas, no exceptions for particular groups and no staff-supervised or staff-facilitated smoking breaks for people using secondary care services”.
Professor Mike Kelly, director of the Centre for Public Health Excellence at Nice, described the guidance as a “culture shift” as opposed to creating a “penal culture” and said it is needed to end “the terrible spectacle of people on drips in hospital gowns smoking outside hospital entrances”.
“It’s clearly absurd that the most lethal set of toxins to the human body are being passively encouraged in hospitals”, he said.
“We’ve known since the 1950s that smoking kills you and 61 years have passed and we’re now tackling the problem in hospitals. That’s too long.
“Smoking is the most important health problem facing the NHS. It’s the leading cause of premature death in England: nearly 80,000 lives are lost each year due to smoking.”
Figures released by Nice suggest continuing to smoke throughout pregnancy has contributed to up to 5,000 miscarriages and still-births and increases the risk of a premature labour.
The figures also show patients with mental health issues are more likely to smoke. One in five people in the general population smoke, but this figure rises to one in three among people who have long-term mental health issues. Seventy per cent of patients in psychiatric units smoke.
Professor Sue Bailey, president of the Royal College of Psychiatrists, said: “There is a common but mistaken belief among some mental health professionals that it’s all right for patients in their care to smoke.
”This is wrong. Patients with mental health problems are far more likely to smoke than the general population, they suffer disproportionately higher rates of physical illnesses and they die earlier.”
Dr Keith McNeil, chief executive of Cambridge University Hospitals NHS Foundation Trust, is backing the initiative and said smoking will not be allowed anywhere on its grounds from the New Year.
He said: “I have spent a large part of my professional life dealing with the terrible effects of smoking: deaths from cancer, emphysema and lung transplantation. As well as this, smoking costs the NHS and society billions of pounds each year.
“As a leading healthcare organisation we should be encouraging a healthy lifestyle, and smoking is not part of that. I know how hard it is to quit and I want to do everything I can do to support staff and patients to give up.”
However, smokers lobbying group forest said banning patients from smoking outside was “heartless and inhumane” and argued it would be impossible to enforce without installing CCTV cameras and wardens to monitor the area.
“Many smokers are in hospital for reasons that have nothing to do with smoking. Why should they be told they can’t nip outside and have a cigarette in the open air?
“Tobacco is a legal product and a lot of people smoke to relieve stress. A cigarette break at work or while they are in hospital is something they look forward to.”
Source The Independent

Jimmy Savile: 19 more hospitals to investigate links

A further 19 hospitals are to carry out investigations after receiving police information about serial sex attacker Jimmy Savile, the government has said.
The Metropolitan Police have passed material about Savile to the Department of Health, which has given it to the 19 hospital trusts to investigate.
Health Secretary Jeremy Hunt said he expected reports on visits by the late DJ to those hospitals by next June.
It brings the total number of hospitals under investigation to 32.
Savile is believed to have abused hundreds of victims.
The former BBC presenter of Top Of The Pops and Jim’ll Fix It died aged 84 in October 2011 – a year before allegations that he had sexually abused children were broadcast in an ITV documentary.
The revelations prompted hundreds of victims to come forward, including those who said they were attacked at a number of institutions.
Inquiries into Savile’s alleged abuse of patients at NHS hospitals had originally focused on Broadmoor and Stoke Mandeville and Leeds General Infirmary, with a further 10 trusts added in January.
‘Further investigation’
The Met passed information on the 19 additional hospitals to the Department of Health after completing a “document review”.
Scotland Yard said this did not mean its own investigation was over.
“Inquiries are ongoing, and we continue to work with the Department of Health. Inquiries into criminal offences are not concluded yet,” the Met said.
Jeremy Hunt said he expected all NHS trusts to produce their reports by June 2014 at the latest
Mr Hunt said the NHS trusts responsible for each of the 19 hospitals would investigate the information provided by the Met.
In a written statement, he said Kate Lampard – a former barrister asked to oversee the Department of Health’s investigations into Savile – would ensure the inquiries were properly carried out.
“Names of the hospitals are taken from the information received,” Mr Hunt added.
“These include hospitals that may have closed in which case the information has been passed on to the legacy organisation.”
‘Long time ago’
Mr Hunt said he expected final reports by June next year, with publication “sooner if that is possible”.
Jessica Standley, a solicitor from a firm representing more than 70 of Savile’s victims, said she was concerned about delays in the Department of Health’s investigation.
She said victims gave their statements a “long time ago” and are “eagerly” awaiting the results of investigations.
“What is concerning me is that the Department of Health have taken until now to include those additional hospitals,” she said.
The 19 hospitals extra to carry out investigations are Barnet General Hospital, Booth Hall Children’s Hospital, De La Pole Hospital, Dryburn Hospital, Hammersmith Hospital, Leavesden Secure Mental Hospital, Marsden Hospital, Maudsley Hospital, North Manchester General Hospital, Odstock Hospital, Pinderfields Hospital, Prestwich Psychiatric Hospital, Queen Victoria Hospital, East Grinstead, Royal Free Hospital, London, Royal Victoria Infirmary, Newcastle, Seacroft Hospital, Leeds, St Mary’s Hospital, Carshalton, Whitby Memorial Hospital and Wythenshawe Hospital.
The 13 hospitals already carrying out investigations are Leeds General Infirmary, Stoke Mandeville Hospital, Broadmoor Hospital, High Royds Psychiatric Hospital, Dewsbury Hospital, Great Ormond Street Hospital, Moss Side Hospital (previously part of Ashworth Hospital), Exeter Hospital, Portsmouth Hospital, St Catherine’s Hospital Birkenhead, Cardiff Royal Infirmary, Rampton Hospital and Saxondale Hospital.
Source BBC News