Retired hospital consultants are to be drafted in to help the NHS clear the backlog of care, health leaders have announced.
Newly retired specialists will be able to offer virtual consultations from anywhere in England to help hospitals across the country clear the record 7.4 million people on the NHS waiting list.
Those requiring a face-to-face appointment or follow-up will be seen in the usual way, a spokesperson said. “And we have continued to bring back staff through the NHS Reservists Programme to respond to surges in demand or emergency situations when they arise.“So as part of that I can announce today that from this autumn, newly retired doctors will be offered the chance to keep caring and to continue tackling the elective backlog.
“Creating this new route back has the potential to help us see patients quicker, give regular doctors more time to spend on the most complex cases and give trusts an alternative to using expensive agency staff.
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Birthweight is associated with clinical characteristics in people with recently diagnosed type 2 diabetes - DiabetologiaAims/hypothesis Low birthweight is a risk factor for type 2 diabetes but it is unknown whether low birthweight is associated with distinct clinical characteristics at disease onset. We examined whether a lower or higher birthweight in type 2 diabetes is associated with clinically relevant characteristics at disease onset. Methods Midwife records were traced for 6866 individuals with type 2 diabetes in the Danish Centre for Strategic Research in Type 2 Diabetes (DD2) cohort. Using a cross-sectional design, we assessed age at diagnosis, anthropomorphic measures, comorbidities, medications, metabolic variables and family history of type 2 diabetes in individuals with the lowest 25% of birthweight (3700 g), compared with a birthweight of 3000–3700 g as reference, using log-binomial and Poisson regression. Continuous relationships across the entire birthweight spectrum were assessed with linear and restricted cubic spline regression. Weighted polygenic scores (PS) for type 2 diabetes and birthweight were calculated to assess the impact of genetic predispositions. Results Each 1000 g decrease in birthweight was associated with a 3.3 year (95% CI 2.9, 3.8) younger age of diabetes onset, 1.5 kg/m2 (95% CI 1.2, 1.7) lower BMI and 3.9 cm (95% CI 3.3, 4.5) smaller waist circumference. Compared with the reference birthweight, a birthweight of |3000 g was associated with more overall comorbidity (prevalence ratio [PR] for Charlson Comorbidity Index Score ≥3 was 1.36 [95% CI 1.07, 1.73]), having a systolic BP ≥155 mmHg (PR 1.26 [95% CI 0.99, 1.59]), lower prevalence of diabetes-associated neurological disease, less likelihood of family history of type 2 diabetes, use of three or more glucose-lowering drugs (PR 1.33 [95% CI 1.06, 1.65]) and use of three or more antihypertensive drugs (PR 1.09 [95% CI 0.99, 1.20]). Clinically defined low birthweight (|2500 g) yielded stronger associations. Most associations between birthweight and clinical characteristics appeared linear, and a hig
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