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Salford's million pound rugby match

Tonight Rugby league's Million Pound game takes place. So called because that's the value placed on a spot in Super League. Salford will defend their seat at the sport's top table in a winner take all - loser goes down clash with Hull KR. One Rovers player has branded the concept 'a disgrace' that's potentially damaging to the mental health of the losing players. Chris Hall reports on one of the most stressful fixtures in sport.



Urgent and emergency care at Aintree Hospital is downgraded

Urgent and Emergency Care Department at Aintree Hospital 'requires improvement' Credit: PA

Inspectors have downgraded the Urgent and Emergency Care Department at Aintree Hospital in Liverpool and ordered it makes improvements.

The unit has lost its "Good overall' rating, and has now has been labeled as "Requires Improvement"

But the Trust says it's already responding to the safety concerns.. and in the meantime the hospital's overall rating remains as "Good":-

We were concerned upon inspection, that the processes in place for recognising and escalating the care of deteriorating patients were not always followed which put people at risk. We reported these urgent concerns to senior staff at the trust at the time of inspection and actions were put in place to address this issue. We have been monitoring these actions regularly to make sure improvements were being made.

We also saw that nurse staffing levels were lower than the safe recommended amount. We do acknowledge that the trust was taking action to address the nurse vacancy rate but it remained evident during our visit that the wards were not always staffed as they should be.

– The Chief Inspector of Hospitals, Professor Sir Mike Richards

We are aware of the pressures on our nursing staff who look after patients admitted via A&E and, at the time of the inspection, we had some gaps in nursing cover arising from staff sickness and vacancies. However, we have plans in place to do all we can to ensure we continue to provide high quality care – these plans include deploying experienced staff to the areas which need them most and recruiting new nurses to Aintree, both temporary and permanent.

We have focussed on the accurate recording and calculation of MEWS, which determines the degree of illness of a patient, and recent audits have demonstrated improvement. In terms of sepsis management - we are in fact the best performing hospital in the North West for this, despite not meeting our aspirational target. We continue to work on this under the Advancing Quality programme to ensure we improve on this performance.

We have a new approach to mandatory training which includes the use of block training sessions, and this has seen an increase in compliance.

Aintree aims to provide the highest quality health care and this report helps us to achieve that vision.

– Dr Steve Evans, Medical Director

The key findings included the following:

CQC found that staff were using a national Modified Early Warning Score (MEWS) tool to help monitor a patient's condition and identify signs of deterioration in their condition. However inspectors found that this was not being used correctly in line with the trust’s own procedures and caused concern that this may not appropriately identify patients who were deteriorating.

Nurse staffing levels were not always filled to the safe staffing establishment, and staffing was below this threshold on the surgical assessment unit, ward 31 and in the accident and emergency department at the time of the inspection. There were periods of understaffing over a number of days prior and post inspection and there was evidence that staff had raised staffing concerns using the incident reporting process.

Inspectors found there was poor staff compliance with the trust’s mandatory training target. The trust had a plan in place to reach 85% compliance by March 2017. However, patients could be at risk if staff were not adequately trained in a timely manner.

More Grammar schools will "widen division"

Creating more grammar schools could lead to a bigger gap between rich and poor, according to a new report.

The warnings come ahead of the Government's controversial plans to expand the current grammar school system.

The findings suggest rather than aiding social mobility, current grammars are widening division.

Ian Fenn is Headteacher at Burnage Academy for boys in Manchester.

Files on codebreaker Alan Turing to go on show

Historic court files revealing the details of World War Two enigma codebreaker Alan Turing's convictions for homosexual behaviour are to go on public display for the very first time. He was recognised by many for his role in helping crack the Enigma code and bringing an end to World War Two. He took his own life after undergoing experimental chemical castration following a conviction for gross indecency in 1952 after he admitted a sexual relationship with a man.

Codebreaker Alan Turing Credit: ITV Granada

The sentence was eventually repealed and Turing was given a posthumous royal pardon after a major national campaign in 2013. The official court documents - on display as part of Chester Pride which launches on October 1 - list the charges, pleas and sentences passed on Turing during his sentencing hearing in Knutsford. They will be on public view at Chester Town Hall until Sunday, October 9.

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