Vaccinations, One-to-one midwives, Leg ulcers, Asthma inhalers
Inside Health
BBC
4.4 • 575 Ratings
🗓️ 15 October 2013
⏱️ 29 minutes
🧾️ Download transcript
Summary
How would you feel if your child's immunisations were linked to benefits or child care? In Australia, a full set of vaccinations is now a requirement for accessing most types of child care and claiming family tax credit worth around £500 a year. The only exception is if parents ask to be registered as conscientious objectors. Dr Steve Hambleton is President of the Australian Medical Association and explains how well these measures have been received.
University of Sydney researchers have just published a new study adding to a body of evidence that pregnant women who see the same midwife require less intervention, have safer outcomes and are more likely to breastfeed their babies. They also save the healthcare system over £300. Professor Cathy Warwick, chief executive of the Royal College of Midwives, tells Inside Health that adoption of this "caseload" model in the UK has been slow.
Around half a million people in the UK have some form of leg ulcer, and up until recently many would have them dressed in the community for years, without the underlying cause ever being diagnosed and treated. But this now looks set to change, as new guidance published by NICE recommends that if ulcers last more than two weeks, patients should be referred to a specialist vascular clinic. Like the one at Addenbrooke's Hospital in Cambridge, run by consultant vascular surgeon Mr Paul Hayes.
Last year the NHS spent around £800 million on asthma medicines, but research suggests that at least half of people given the most common type of inhaler do not use them properly. This means their asthma remains poorly controlled and the NHS is wasting hundreds of millions of pounds. Mike Thomas is Chief Medical Advisor to Asthma UK.
Transcript
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| 0:00.0 | Hello, I'm Greg Jenna and good news, Your Dead to Me is back for a new series. Here we go. Yes, we'll explore Emperor Nero's notorious reign with Professor Marybeard and Patton Oswald. I would not want my daughter having the remote control, not alone an empire. We'll dissect the decadent life of Philippe Duke-Dor-Leon with Tom Allen. I've often tried to pretend I'm an aristocrat and being very quickly knocked down. And there'll be so much more with comedians like Olga Koch, Mike Mosniak and Ria Lina. I'm excited. You're dead to me, the comedy podcast that takes history seriously. Listen first on BBC Sounds. Hello, I'm Dr Mark Porter and thank you for downloading this edition of Inside Health. |
| 0:37.8 | I hope you enjoy it. |
| 0:39.1 | Coming up in today's program, allocating pregnant women a named midwife to oversee their care seems to improve outcomes and cut costs. |
| 0:47.5 | So when's it going to happen? |
| 0:49.2 | I'll be finding out why a small fortune is being wasted every year on aspirin inhalers that people can't use |
| 0:55.6 | and new guidance from Nice that could transform the lives of the half million people in the UK |
| 1:00.8 | with leg ulcers. |
| 1:02.6 | The wound actually covered from my knee to my ankle all the way around. |
| 1:07.9 | There was no skin. |
| 1:08.4 | No skin at all, no. |
| 1:10.0 | It was dripping with exudate. |
| 1:12.3 | It was really wet most of the time. |
| 1:14.6 | My legs were like tree trunks. |
| 1:17.5 | They were huge for the first two years, |
| 1:21.6 | and I had them bandaged up, |
| 1:24.1 | and I've had them more or less ever since. |
| 1:26.6 | I don't think I've ever had pain like it and it kept |
| 1:31.1 | me awake most nights. But first, vaccinations have been making the headlines again following the |
| 1:37.1 | High Court judgment that two children be given the MMR vaccine against their will and the wishes |
| 1:42.8 | of their mother because it's good for them. |
| 1:45.7 | It's an unusual and extreme example, but far more subtle forms of coercion to boost uptake |
| 1:51.0 | rates of vaccines like the MMR were raised at least one of the party conferences last month. |
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