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Issue Date:- 30 June 2008

AINTREE HOSPITAL SCOPES OUT UK FIRST FOR NHS

PATIENTS at the University Hospital Aintree are the first in the country to routinely benefit from a new mini TV camera, which transmits images of your insides, thanks to the Liver Cancer Appeal.

SpyGlass is a pioneering tool which is fed through the mouth and down into the stomach (endoscopy).  The University Hospital Aintree is one of the first hospitals in Europe to be using the device.  The miniature 6,000 pixel fibre optic probe, attached to a camera head, provides the clearest internal images yet, allowing clinicians to directly see the bile ducts and liver during operations.  It also allows them to take biopsies and to treat blockages due to cancers and gallstones in the bile duct.

“This equipment allows us to visualise the insides of the bile duct and liver gland on a routine basis,” said Clinical Director of Gastroenterology, Richard Sturgess.  “Previously we have relied on x-ray images of the structures.  We will now be able to see directly inside the organs, access disease, take biopsies and deliver therapy.  SpyGlass will be used to diagnose and treat around 50 patients this year, none of whom would previously have had the benefit of such sophisticated equipment.”

Early treatment is of the utmost importance for cancer patients and SpyGlass will help surgeons diagnose and treat complex digestive cancers, such as those in the liver and bile ducts.

“These 2 cancers are on the increase and less than 15% of patients can be operated on,” said Mr Sturgess.

University Hospital Aintree has a long-standing relationship with the Liver Cancer Appeal, which was set up by a former patient.  “This state-of-the-art endoscopic equipment will enhance the lives of those suffering from cancer,” said Sheila Scott (76), founder of Liver Cancer Appeal.  “I was diagnosed with bowel and liver cancer 13 years ago.  The surgeons at Aintree saved my life and I started the charity in 1996 to give something back.  My operation took over 10 hours, today the same brilliant surgeons are doing similar operations in 4 because of new equipment and technology. 

The Liver Cancer Appeal is a true charity; none of our members are paid or take expenses.  We all work to raise as much money as possible so that Richard and his team can continue to provide patients with the best possible care.

I am in close contact with Richard and we often talk about what the charity can do to support the hospital and raising money for SpyGlass, is our latest success. 

We receive donations throughout the year and also host several events, once before we locked a surgeon in jail and raised money to ‘bail him out.’

In October we hosted a cabaret dinner at a Thai restaurant, which was attended by 250 patients and their families and there is a gala day planned for June.”

Clinicians have been able to see internal images for over 30 years.  Traditional equipment requires 2 clinicians to operate 2 scopes, 1 transmitting images and the 2nd to perform procedures.  In addition, the internal telescopes have a limited lifetime, and cannot perform any diagnostic or therapeutic work.  The other option uses x-rays to visualise blockages in the bile and pancreatic ducts, producing only two dimensional, black and white images.  This means that repeat operations are often required for both diagnosis and treatment making it costly and time / labour intensive, consequently limiting its availability to patients. 

In contrast one clinician can perform both tasks with SpyGlass.  The equipment is also compatible with other treatment and diagnostic devices, is very durable and benefits from 4 way steering allowing surgeons to identify conditions, take biopsies, or operate during the first procedure.  The enhanced internal images and accuracy of this equipment will also reduce the need for expensive repeat operations, which account for a significant percentage of current endoscopic procedures.  It will also be a great benefit to patients who will get an accurate diagnosis quicker.

Young people suffer mental health problems because of finances

AS many as 25% of 16 to 24 year olds have suffered mental health problems because of their finances, suggests a new report by Citizens Advice and young people’s charity YouthNet.  The results of thePenny for your thoughts report will shape a programme of financial support by the 2 organisations on YouthNet’s guide to life for 16 to 24 year olds, TheSite.org.  Financial advice will be made available via online content, podcasts, audio content and on mobile phones.  The charities estimate that the project could reach as many as 500,000 young people, ensuring they’re in a better position to manage their money and make informed choices about their finances.  The report, which is being launched as part of a Young People and Finance seminar by YouthNet, HM Treasury and the FSA in London this morning, highlights a number of concerning trends in young people’s borrowing and budgeting behaviour:-

· 20% of the 16 to 24 year olds surveyed admitted that crossing their fingers and hoping they don’t run out of money at the end of the month was how they managed their finances

· 90% of respondents named parents as the source they’re most likely to have used for financial advice.  Friends came a close 2nd with 76% and the internet 3rd at 67%

· 80% of respondents had access to some form of credit or had done in the past

· 68% of respondents had been encouraged to take out credit they did not want or could not afford

· 87% of respondents thought there were too many adverts on TV for loan companies and credit cards

· 47% had experienced debt problems

· 64% thought more information was needed to help people struggling with debt.

The survey also reveals worryingly low levels of understanding of common financial terms such as APR.  As well as helping with basic budgeting skills, the pioneering 3 year project - funded by £300,000 from the HBOS Foundation - will help young people understand commonly misunderstood terms such as APR, so they can compare credit and understand what a loan might mean for them.   Janet Roberts, Grants Manager at HBOS Foundation, commented:- “This report highlights the serious strain bad financial decisions can put on people’s mental health as well as on their pockets.  But it also points out how and where young people want to be supported with their finances.  Over the next three years we’ll work closely with Citizens Advice and YouthNet to use the internet to help young people make informed choices about their finances, giving them the information they want, where they want it."  

Information on money issues specially tailored to young people’s needs will be hosted in the Money section of YouthNet’s young people’s website, www.TheSite.org – the guide to life for 16 to 24 year olds.  Audio versions of the same money advice will be available for young people to listen to online or download to their mp3 players.

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