Future healthcare journalPub Date : 2025-04-25eCollection Date: 2025-06-01DOI: 10.1016/j.fhj.2025.100253
D Atraszkiewicz
{"title":"Redesigning a general surgery foundation doctor rota to improve shift equity, staffing levels, doctors' pay and patient care.","authors":"D Atraszkiewicz","doi":"10.1016/j.fhj.2025.100253","DOIUrl":"10.1016/j.fhj.2025.100253","url":null,"abstract":"<p><p>Inefficient rota design is a key cause of rota gaps, additional work hours and poor rest among doctors. These are major factors in declining NHS doctor workforce retention rates and compromised patient care. Eighteen improvements were made to the Broomfield Hospital General Surgery foundation doctor rota to improve shift equity, staffing levels, doctors' pay and patient care. The rota can be used as a template by rota coordinators across NHS trusts. Doctors should be actively involved with improving local rota design.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 2","pages":"100253"},"PeriodicalIF":0.0,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12137149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144236034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2025-04-11eCollection Date: 2025-06-01DOI: 10.1016/j.fhj.2025.100251
Ana Raquel Nunes, Jeremy Dale
{"title":"Global trends in sustainable healthcare research: A bibliometric analysis.","authors":"Ana Raquel Nunes, Jeremy Dale","doi":"10.1016/j.fhj.2025.100251","DOIUrl":"10.1016/j.fhj.2025.100251","url":null,"abstract":"<p><strong>Introduction: </strong>This study maps the development of sustainable healthcare research, identifying key contributors, collaborative networks and emerging trends.</p><p><strong>Objective: </strong>To provide a comprehensive overview of the sustainable healthcare research landscape, offering insights to inform strategic planning, resource allocation and future research.</p><p><strong>Methods: </strong>A bibliometric analysis of 842 publications up to May 2024 was conducted using the Web of Science Core Collection. The analysis examined publication year, authorship, countries, journals, citations, research fields, subjects and methodologies. VOSviewer was used to visualise knowledge networks and research priorities.</p><p><strong>Results: </strong>Over 70% of publications emerged in the last 5 years, with the USA, England and Australia as leading contributors. Key trends include integrating environmental sustainability into healthcare and advancing green technologies.</p><p><strong>Conclusion: </strong>The findings highlight the rapid growth of sustainable healthcare research, offering valuable insights for policymakers, researchers and healthcare professionals seeking to enhance the resilience and sustainability of healthcare systems.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 2","pages":"100251"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12133695/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2025-04-10eCollection Date: 2025-06-01DOI: 10.1016/j.fhj.2025.100250
Laura Pickup, Nancy Redfern, Emma Plunkett, Suzy Broadbent, Mark S Young
{"title":"Healthcare staff fatigue: The unrecognised risk for patient safety.","authors":"Laura Pickup, Nancy Redfern, Emma Plunkett, Suzy Broadbent, Mark S Young","doi":"10.1016/j.fhj.2025.100250","DOIUrl":"10.1016/j.fhj.2025.100250","url":null,"abstract":"<p><p>Fatigue among NHS staff is rarely acknowledged as a risk to the quality of healthcare delivery and patient safety. Other safety-critical industries have systematic approaches to managing and accounting for the known risks of staff fatigue within their organisations. These provide individual staff with clear expectations, and require an organisation-wide approach to fatigue risk management and national oversight by a regulatory framework. Fatigue in health and social care is not managed in the same way. This paper describes why fatigue is a risk to patient safety and the core components of fatigue risk management systems, and includes reflections from the authors' experiences in healthcare. This paper makes the case for healthcare organisations to acknowledge and seek to pragmatically manage the risk of fatigue among healthcare staff to support patient safety.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 2","pages":"100250"},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12434943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2025-04-10eCollection Date: 2025-06-01DOI: 10.1016/j.fhj.2025.100249
Georgia Lada, Amy L Rathbone, Andy Coley, Jane Cummings, Cecil Kullu, Raj Kumar, Joe Rafferty, Rajan Madhok, Sir Cary L Cooper, C Elise Kleyn
{"title":"Enhancing mental health resilience in the healthcare workforce during COVID-19: lessons from The North West Offer.","authors":"Georgia Lada, Amy L Rathbone, Andy Coley, Jane Cummings, Cecil Kullu, Raj Kumar, Joe Rafferty, Rajan Madhok, Sir Cary L Cooper, C Elise Kleyn","doi":"10.1016/j.fhj.2025.100249","DOIUrl":"10.1016/j.fhj.2025.100249","url":null,"abstract":"<p><p>During the COVID-19 pandemic, the NHS Clinical Leaders Network (CLN) developed 'The North West Offer' for Enhancing Mental Health Resilience (EMHR) in the north west of England. The EMHR programme aimed to reinforce psychological resilience in the healthcare workforce; that is, enhance the mental, emotional and behavioural adaptation processes of the workforce to pandemic challenges. The present paper describes the EMHR programme, reviews its evaluation outcomes and proposes a series of recommendations regarding promoting psychological resilience in the healthcare workforce. Recommendations include establishing reflective support for leaders, promoting knowledge sharing between leaders and organisations, collaborating with a variety of internal and external partners to maximise staff access to psychological services, ensuring uninterrupted access to clinical psychologists for staff use and monitoring of at-risk staff. These recommendations are expected to strengthen mental health workforce resilience for stressors during business as usual as well as future pandemic planning.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 2","pages":"100249"},"PeriodicalIF":0.0,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12277468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683647","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2025-03-31eCollection Date: 2025-03-01DOI: 10.1016/j.fhj.2025.100236
Melanie My Chan, Omid Sadeghi-Alavijeh, Rhys Dr Evans, Andrew Davenport, Dorothea Nitsch
{"title":"The future of nephrology in 2050.","authors":"Melanie My Chan, Omid Sadeghi-Alavijeh, Rhys Dr Evans, Andrew Davenport, Dorothea Nitsch","doi":"10.1016/j.fhj.2025.100236","DOIUrl":"https://doi.org/10.1016/j.fhj.2025.100236","url":null,"abstract":"<p><p>As medicine advances at an unprecedented pace, the field of nephrology is poised for transformative change. By 2050, breakthroughs in kidney disease prevention, dialysis, transplantation, and omics-driven precision medicine could redefine patient care and outcomes. Here, we share our perspectives on the challenges faced and how changes in health policy, emerging technologies, novel therapies, and data-driven approaches might shape the future of nephrology. From innovative dialysis solutions to xenotransplantation and AI-powered diagnostics, we explore the possibilities that could revolutionise kidney health in the decades to come.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 1","pages":"100236"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998293/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060246","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2025-03-31eCollection Date: 2025-03-01DOI: 10.1016/j.fhj.2025.100231
Shireen Kassam, Laura-Jane Smith
{"title":"Why is the medical profession reluctant to talk about diet change?","authors":"Shireen Kassam, Laura-Jane Smith","doi":"10.1016/j.fhj.2025.100231","DOIUrl":"https://doi.org/10.1016/j.fhj.2025.100231","url":null,"abstract":"<p><p>The intertwined crises of poor health, climate change, biodiversity loss and social injustice demand urgent action. Human activities, particularly fossil fuel use and the current food system, are key drivers of these crises. A transition to a plant-based diet, especially within healthcare systems, offers a significant opportunity to address these challenges. Diets high in animal products and ultra-processed foods are leading causes of chronic ill health and environmental degradation, while plant-based diets reduce greenhouse gas emissions, conserve biodiversity and promote human health. Evidence shows that plant-based diets can prevent and manage conditions such as cardiovascular disease, type 2 diabetes and cancer, while addressing global food insecurity and resource inefficiency. Healthcare systems, such as the NHS, can lead this transition by offering plant-based meals, promoting education and advocating for policy changes. Embracing plant-based diets is now an ethical imperative, with benefits spanning individual health, environmental sustainability, equitable resource distribution and global health justice.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 1","pages":"100231"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144044114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2025-03-31eCollection Date: 2025-03-01DOI: 10.1016/j.fhj.2025.100240
Mark Maslin, Raina D Ramnath, Gavin I Welsh, Sanjay M Sisodiya
{"title":"Understanding the health impacts of the climate crisis.","authors":"Mark Maslin, Raina D Ramnath, Gavin I Welsh, Sanjay M Sisodiya","doi":"10.1016/j.fhj.2025.100240","DOIUrl":"https://doi.org/10.1016/j.fhj.2025.100240","url":null,"abstract":"<p><p>The climate crisis is the greatest threat to global health. Anthropogenic greenhouse gas emissions have increased the temperature of the Earth by over 1.5 °C and caused sea levels to rise by over 24 cm since the beginning of the 20th century. 2024 was the warmest year on record and the last 10 hottest years have all occurred in the last 10 years. Climate models suggest that global surface temperature could rise between 1.5 °C and 5.5 °C compared with the pre-industrial period by 2100, and sea-level rise could be between 0.5 m and 1.3 m. Climate change is already causing significant shifts in weather patterns and an increase in extreme weather events around the world, including droughts, heatwaves, wildfires, storms and floods. These are having an impact on the spread of infectious diseases and the severity of non-infectious diseases. Climate change is already causing food and water insecurity, increasing levels of malnourishment and the burden of disease. The unpredictable impacts of climate change and the perceived inaction from local, national and international leaders, is creating anxiety that is contributing to deteriorating mental health, particularly in young people. The health impacts of climate change will increase in the future if nothing is done to curb greenhouse gas emission. We need action to deal with the climate crisis while improving the health, security and income of the very poorest people in our global society. We must plan for a net zero world that provides healthy, safe and low environmental impact lives for 10 billion people by 2050.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 1","pages":"100240"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144013637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2025-03-31eCollection Date: 2025-03-01DOI: 10.1016/j.fhj.2025.100241
Rosa Montero, Isaac Chung, Mark Wright
{"title":"Healthcare resilience in the climate crisis: Do we have any?","authors":"Rosa Montero, Isaac Chung, Mark Wright","doi":"10.1016/j.fhj.2025.100241","DOIUrl":"https://doi.org/10.1016/j.fhj.2025.100241","url":null,"abstract":"<p><p>The UK is increasingly being affected by unpredictable weather events with flooding, heatwaves and storms impacting on physical and mental health and livelihoods. All of these will become increasingly common as the climate crisis accelerates. Efforts made to reduce greenhouse gas (GHG) emissions are slow. Healthcare systems must meet the growing demands of a multi-morbid and ageing population, while simultaneously reducing their environmental impact. The NHS is already under significant pressures and currently is ill-prepared to deal with these changes unless adaptive and resilient measures are introduced urgently and at pace. Hospital infrastructures require urgent vulnerability climate crisis assessment; however, fundamentally the models of care we currently use are dated and in need of innovative solutions that embrace digital technologies to help develop new models of care in the community. Failure to introduce resilience will lead to future preventable deaths. We must act now and do so collaboratively.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 1","pages":"100241"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2025-03-31eCollection Date: 2025-03-01DOI: 10.1016/j.fhj.2025.100239
Christina Petridou, Amy Belfield
{"title":"Impact of climate change and infectious diseases: Implications for healthcare providers in the UK.","authors":"Christina Petridou, Amy Belfield","doi":"10.1016/j.fhj.2025.100239","DOIUrl":"10.1016/j.fhj.2025.100239","url":null,"abstract":"<p><p>Rising temperatures and changes in precipitation and humidity may affect the geographic ranges and habitats of pathogens and their animal hosts, and directly influence the reproduction, replication and transmissibility of certain pathogens and their vectors. These changes can lead to novel diseases presenting in new places, and a change in the seasonality of vector-borne diseases such as malaria, dengue and Lyme disease. Here we discuss the changing epidemiology of vector-borne diseases in the UK and abroad, and give some case examples. We will also discuss the importance of, and how to take, a detailed travel history and the impact of climate change on travel-associated infections.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 1","pages":"100239"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12702691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Future healthcare journalPub Date : 2025-03-31eCollection Date: 2025-03-01DOI: 10.1016/j.fhj.2025.100238
Matthew Rd Lee, Mark Harber
{"title":"The climate crisis is a global health emergency: A call to arms.","authors":"Matthew Rd Lee, Mark Harber","doi":"10.1016/j.fhj.2025.100238","DOIUrl":"10.1016/j.fhj.2025.100238","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"12 1","pages":"100238"},"PeriodicalIF":0.0,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11998292/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045968","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}