The leader of the association that speaks to grown-up mind suppliers in England has blamed the legislature for surrendering obligation regarding social care and asserted that ageism is influencing treatment of the elderly.
Addressing the Guardian, Martin Green, the CEO of Care England, cautioned the care home part is at a tipping point and blamed the administration for lacking authority on the issue. . b1033 b1083 b1133 b1183 a1033 a1083 a1133 a1183 b1034 b1084 b1134 b1184 a1034 a1084 a1134 a1184 b1035 b1085 b1135 b1185 a1035 a1085 a1135 a1185 b1036 b1086 b1136 b1186 a1036 a1086 a1136 a1186 b1037 b1087 b1137 b1187 a1037 a1087 a1137 a1187 b1038 b1088 b1138 b1188 a1038 a1088 a1138 a1188 b1039 b1089 b1139 b1189 a1039 a1089 a1139 a1189 b1040 b1090 b1140 b1190 a1040 a1090 a1140 a1190 b1041 b1091 b1141 b1191 a1041 a1091 a1141 a1191 b1042 b1092 b1142 b1192 a1042 a1092 a1142 a1192 b1043 b1093 b1143 b1193 a1043 a1093 a1143 a1193 b1044 b1094 b1144 b1194 a1044 a1094 a1144 a1194 b1045 b1095 b1145 b1195 a1045 a1095 a1145 a1195 b1046 b1096 b1146 b1196 a1046 a1096 a1146 a1196 b1047 b1097 b1147 b1197 a1047 a1097 a1147 a1197 b1048 b1098 b1148 b1198 a1048 a1098 a1148 a1198 b1049 b1099 b1149 b1199 a1049 a1099 a1149 a1199 b1050 b1100 b1150 b1200 a1300 a1350 a1400 b1301 b1351 b1401 a1301 a1351 a1401 b1302 b1352 b1402 a1302 a1352 a1402 b1303 b1353 b1403 a1303 a1353 a1403 b1304 b1354 b1404 a1304 a1354 a1404 b1305 b1355 b1405 a1305 a1355 a1405 b1306 b1356 b1406 a1306 a1356 a1406 b1307 b1357 b1407 a1307 a1357 a1407 b1308 b1358 b1408 a1308 a1358 a1408 b1309 b1359 b1409 a1309 a1359 a1409 b1310 b1360 b1410 a1310 a1360 a1410 b1311 b1361 b1411 a1311 a1361 a1411 b1312 b1362 b1412 a1312 a1362 a1412 b1313 b1363 b1413 a1313 a1363 a1413 a1319 a1369 a1419 b1320 b1370 b1420 a1320 a1370 a1420 b1321 b1371 b1421 a1321 a1371 a1421 b1322 b1372 b1422 b1314 b1364 b1414 a1314 a1364 a1414 b1315 b1365 b1415 a1315 a1365 a1415 b1316 b1366 b1416 a1316 a1366 a1416 b1317 b1367 b1417 a1317 a1367 a1417 b1318 b1368 b1418 a1318 a1368 a1418 b1319 b1369 b1419 a791 a841 a891 a941 a991
b792 b842 b892 b942 b992
a792 a842 a892 a942 a992
b793 b843 b893 b943 b993
a793 a843 a893 a943 a993
b794 b844 b894 b944 b994
Stan can barely recollect his identity. It’s sad, soul-decimating
The administrator Dave Sexton focused on then what he called Rangers’ “mainland” football, enlivened by Dutch amusements, and Shanks places Bowles in the historical backdrop of what has happened to British football since. Shanks says: “Stan resembled players who originate from Europe now, before their chance: Costa, Agüero. A star, yet unselfish; he was a cooperative person … astonishing compatibility. We realized what Stan would attempt to do – the astounding thing is that he did it. Round the back of the guard, with pace – and enchantment.” a794 a844 a894 a944 a994
b795 b845 b895 b945 b995
a795 a845 a895 a945 a995
b796 b846 b896 b946 b996
a796 a846 a896 a946 a996
b797 b847 b897 b947 b997
Yet, it was Stan the man that Shanks – and QPR fans and players – cherished as well. “Everybody was equivalent to Stan,” he says. “It didn’t make a difference on the off chance that you were gathering waste or a pop star. On the off chance that QPR were up in Manchester, he may remain over and play for a Sunday association group.” Bowles would stop over at Shanks’ folks’ level on the White City home, by Loftus Road: “Constantly respectful – ‘Thank you Mr Shanks, thank you Mrs Shanks’ … I used to state: ‘It’s OK Stan – nobody else converses with them like that.'” a797 a847 a897 a947 a997
b798 b848 b898 b948 b998
a798 a848 a898 a948 a998
b799 b849 b899 b949 b999
a799 a849 a899 a949 a999
b800 b850 b900 b950 b1000
I recall Bowles joining fans in The Crown and Scepter close to QPR’s ground on Christmas Eve – his birthday. He was offered a bigger number of pints than even he could oversee, and purchased a couple of himself, for add up to – but revering – outsiders.
Most broadly: “Stan adored a wager,” says Shanks, who was additionally his accomplice at the White City canine track or bookmakers. “Not enormous cash – it was a side interest, 50 quid between two mutts, for the adrenaline surge. He barely went to a gambling club, however in the event that he did, he’d put £20 here, £20 there. Afterward, he’d go to those card schools and play for six hours.” A barman at the puppy track was John O’Mahony, now among fans crusading for a Bowles tribute. He says: “Stan dependably drew individuals round him, yet he never flaunted. He was constantly just himself.” a1000 a1050 a1100 a1150 b1001 b1051 b1101 b1151 a1001 a1051 a1101 a1151 b1002 b1052 b1102 b1152 a1002 a1052 a1102 a1152 b1003 b1053 b1103 b1153 a1003 a1053 a1103 a1153 b1004 b1054 b1104 b1154 a1004 a1054 a1104 a1154 b1005 b1055 b1105 b1155 a1005 a1055 a1105 a1155 b1006 b1056 b1106 b1156 a1006 a1056 a1106 a1156 b1007 b1057 b1107 b1157 a1007 a1057 a1107 a1157 b1008 b1058 b1108 b1158 a1008 a1058 a1108 a1158 b1009 b1059 b1109 b1159 a1009 a1059 a1109 a1159 b1010 b1060 b1110 b1160 a1010 a1060 a1110 a1160 b1011 b1061 b1111 b1161 a1011 a1061 a1111 a1161 b1012 b1062 b1112 b1162 a1012 a1062 a1112 a1162 b1013 b1063 b1113 b1163 a1013 a1063 a1113 a1163 b1014 b1064 b1114 b1164 a1014 a1064 a1114 a1164 b1015 b1065 b1115 b1165 a1015 a1065 a1115 a1165 b1016 b1066 b1116 b1166 a1016 a1066 a1116 a1166 b1017 b1067 b1117 b1167 a1017 a1067 a1117 a1167 b1018 b1068 b1118 b1168 a1018 a1068 a1118 a1168 b1019 b1069 b1119 b1169 a1019 a1069 a1119 a1169 b1020 b1070 b1120 b1170 a1020 a1070 a1120 a1170 b1021 b1071 b1121 b1171 a1021 a1071 a1121 a1171 b1022 b1072 b1122 b1172 a1022 a1072 a1122 a1172 b1023 b1073 b1123 b1173 b1031 b1081 b1131 b1181 a1031 a1081 a1131 a1181 b1032 b1082 b1132 b1182 a1032 a1082 a1132 a1182 a1023 a1073 a1123 a1173 b1024 b1074 b1124 b1174 a1024 a1074 a1124 a1174 b1025 b1075 b1125 b1175 a1025 a1075 a1125 a1175 b1026 b1076 b1126 b1176 a1026 a1076 a1126 a1176 b1027 b1077 b1127 b1177 a1027 a1077 a1127 a1177 b1028 b1078 b1128 b1178 a1028 a1078 a1128 a1178 b1029 b1079 b1129 b1179 a1029 a1079 a1129 a1179 b1030 b1080 b1130 b1180 a1030 a1080 a1130 a1180 b762 b812 b862 b912 b962
a762 a812 a862 a912 a962
b763 b813 b863 b913 b963
a763 a813 a863 a913 a963
b764 b814 b864 b914 b964
The Times revealed the story under the feature “Robots no superior to human specialists”. The Daily Mail, notwithstanding, ran with “Robots are superior to people at malignancy operations”, in light of the fact that the patients who had the robot surgery endured less agony promptly after the operation. Is the glass half-full? Or, on the other hand half-vacant?
I am immovably in the previous camp. As I wrote in the Lancet at the time, the way that the robot-helped surgery accomplished a proportional result ought to be viewed as a positive outcome. It demonstrates that the development has safeguarded the expected reason for the surgery. Advances in innovation, for example, this give the stage on which extra developments can be produced, to additionally enhance the quality and security of surgery. a764 a814 a864 a914 a964
b765 b815 b865 b915 b965
a765 a815 a865 a915 a965
b766 b816 b866 b916 b966
a766 a816 a866 a916 a966
The gadget, called the iknife, can identify in a split second whether tissue is destructive or not
Consider where we have originated from: in minimal over a long time since the two-section silver surgical blade, with handle and replaceable sharp edge, was created by Morgan Parker in 1915, it has progressively been supplanted by the electrosurgical cut – a test bringing an electric ebb and flow that consumes through tissue, fixing the little vessels as it cuts, diminishing blood misfortune, enhancing the specialist’s field of view and the speed of the surgery.
Presently a third progress is inevitable, with the development of an electronic “nose” appended to the electrosurgical cut. This ingests the smoke radiated as the edge consumes through tissue and investigations it in a mass spectrometer. The gadget, called the insightful blade or iknife, can identify immediately what sort of tissue the specialist is slicing through – whether, for example, it is harmful or not. Rather than sending tissue tests to the research facility and sitting tight days or weeks for them to be tried, the specialist will in future have the capacity to tell whether all the disease has been expelled before the operation is finished. b767 b817 b867 b917 b967
a767 a817 a867 a917 a967
b768 b818 b868 b918 b968
a768 a818 a868 a918 a968
b769 b819 b869 b919 b969
The Guardian Live
Da Vinci remote automated surgery. An other option to keyhole surgery where the specialist stands and takes a gander at a screen for the most part above them.
Robot Surgery Live
Fri 10 March, 7pm
Science Museum, London
Advances, for example, this are introducing another period of accuracy surgery, in which built up clinical and obsessive signs are connected with cutting edge atomic profiling, empowering us interestingly to tailor particular mediations to the individual science of the patient.
I was pleased with the intrigue and eagerness appeared by the Science Museum in showing the principal surgical robot at any point utilized as a part of Britain as a feature of their mechanical technology display. It will stay with the exhibition hall as a gift from the division of surgery at Imperial College London. a769 a819 a869 a919 a969
b770 b820 b870 b920 b970
a770 a820 a870 a920 a970
b771 b821 b871 b921 b971
a771 a821 a871 a921 a971
In any case, on the off chance that we are to keep pushing ahead, we require problematic trend-setters who are prepared to challenge stubborn practice and a situation in which they are allowed to try. What today looks progressive is tomorrow’s gallery display.
UK specialists record most reduced rate of wiped out days since records started
English specialists have revealed the most minimal level of disorder nonattendance since records started very nearly a fourth of a century back, as per official figures for a year ago.
Around 137m working days were lost from disease and damage in 2016, said the Office for National Statistics, identical to 4.3 days for every specialist, the most reduced rate since 1993, when it was 7.2 days. b772 b822 b872 b922 b972
a772 a822 a872 a922 a972
b773 b823 b873 b923 b973
a773 a823 a873 a923 a973
b774 b824 b874 b924 b974
Minor ailments, for example, hacks and colds represented very nearly a fourth of the days lost because of ailment in 2016, at 34m. The second most normal purpose behind not swinging up to work was musculoskeletal issues including back agony, neck and upper appendage issues, which represented 22.4% of days lost to infection.
Examination Over portion of NHS staff work unpaid additional time each week, study finds
Yearly review uncovers confidence is high however workloads, debilitated rates and extra time feature challenges
Emotional well-being issues including stress, misery, nervousness and more genuine conditions, for example, hyper gloom and schizophrenia brought about 15.8m days being lost or 11.5%. a774 a824 a874 a924 a974
b775 b825 b875 b925 b975
a775 a825 a875 a925 a975
b776 b826 b876 b926 b976
a776 a826 a876 a926 a976
The aggregate number of work days lost to infection and damage crested in the late 1990s at 185m. The figure achieved a low of 132m of every 2013 preceding rising again in 2014 and 2015, despite the fact that this was down to a lofty increment in the working populace.
The TUC general secretary, Frances O’Grady, said the fall in the disorder rate demonstrated that “it is a myth that UK specialists are continually tossing sickies”.
She stated: “We are truly a country of bodily fluid troopers, with individuals more prone to go to work when sick than remain at home when well.
“Affliction nonappearance rates have fallen relentlessly finished the previous decade, and how about we not overlook that functioning individuals put in billions of pounds of unpaid extra time every year.” b777 b827 b877 b927 b977
a777 a827 a877 a927 a977
b778 b828 b878 b928 b978
a778 a828 a878 a928 a978
The ONS said the gatherings with the most elevated rates of ailment nonattendance were ladies, more seasoned laborers, those with long haul wellbeing conditions, smokers, general wellbeing segment specialists and those working in the biggest associations.
“The gatherings that have seen the best diminishment in ailment nonappearance rates in the course of recent decades are specialists with long haul wellbeing conditions, laborers matured 50 to 64, and those in the general population segment,” it said.
Grains and Scotland endured the most astounding rates of affliction nonappearance in the UK, at 2.6% and 2.5% individually, while the least rate was found in London at 1.4%. b779 b829 b879 b929 b979
a779 a829 a879 a929 a979
b780 b830 b880 b930 b980
a780 a830 a880 a930 a980
b781 b831 b881 b931 b981
Representatives lost 2.1% of the year to infection contrasted and 1.4% for the independently employed and people in general segment lost 2.9% contrasted and 1.7% for laborers in private firms a year ago.
ONS analyst Brendan Freeman stated: “Since 2003, there has been a genuinely unfaltering decrease in the quantity of working days lost to infection, particularly amid the monetary downturn.
“As of late, there has been a little ascent in the quantity of days lost, yet because of an expanding number of individuals entering the workforce, the rate per laborer and general affliction nonattendance rate have remained to a great extent level.” a781 a831 a881 a931 a981
b782 b832 b882 b932 b982
a782 a832 a882 a932 a982
b783 b833 b883 b933 b983
a783 a833 a883 a933 a983
NHS boss request healing centers to start earnest redesign of A&E mind
NHS boss have requested clinics to push through an earnest redesign of A&E mind, with GPs surveying each patient when they swing up to enable the wellbeing to benefit stay away from another winter emergency.
The move comes as the NHS in England unveiled that it recorded its most exceedingly bad execution to date in January, missing crucial treatment targets covering A&E, malignancy and arranged doctor’s facility mind. The quantity of patients adhered in clinics because of lacking social care, for example, a deficiency of care home spots, likewise hit an unsurpassed high.
In a discourse on Thursday, Jeremy Hunt, the wellbeing secretary, included to the weight doctor’s facilities by instructing them to return to meeting the objective of treating 95% of A&E patients inside four hours. That tumbled to 77.6% in January as healing facilities clasped under extraordinary interest for crisis mind. b784 b834 b884 b934 b984
a784 a834 a884 a934 a984
b785 b835 b885 b935 b985
a785 a835 a885 a935 a985
b786 b836 b886 b936 b986
Gatekeeper Morning Briefing – join and begin the very first moment venture ahead
Be that as it may, doctor’s facility boss instantly censured Hunt’s proclamation as “implausible” and requested significantly more cash to enhance A&E mind than the £100m in Wednesday’s financial plan.
NHS bunches have voiced genuine questions with reference to whether there are sufficient GPs in England to work at each A&E unit. Dr Helen Stokes-Lampard, the seat of the Royal College of GPs, stated: “We feel that the best place for GPs is working with patients in their groups and the cash simply declared for new triage frameworks in crisis divisions would accomplish progressively if most was spent shoring up general practice.”
The NHS England CEO, Simon Stevens, and his partner at NHS Improvement, Jim Mackey, have kept in touch with all parts of the wellbeing administration laying out “solid changes” they should make to keep next winter from overpowering healing facilities. a786 a836 a886 a936 a986
b787 b837 b887 b937 b987
a787 a837 a887 a937 a987
b788 b838 b888 b938 b988
a788 a838 a888 a938 a988
Over the past winter, pictures of patients lying on trolleys in clinic passages and innumerable stories about sitting tight numerous hours for ambulances made immense shame clergymen and NHS boss.
Under the progressions set out on Thursday:
Rescue vehicle groups will treat numerous more wiped out individuals where they discover them, instead of conveying patients to doctor’s facility. In future, paramedics ought to be “passing on patients to healing center just when this is clinically essential”, the letter says.
Each doctor’s facility will have set up “thorough front entryway gushing” by October, under which family specialists and medical attendants will survey how unwell patients are to decrease the danger of A&E units getting to be plainly over-burden by the 1.5 million to 3 million individuals who turn up pointlessly consistently. b789 b839 b889 b939 b989
a789 a839 a889 a939 a989
b790 b840 b890 b940 b990
a790 a840 a890 a940 a990
b791 b841 b891 b941 b991
GP surgeries should offer numerous more arrangements at ends of the week and in nighttimes, eventually giving these to everybody in England by 2020.
Specialists and attendants should give better therapeutic care to the 400,000 more seasoned individuals living in mind homes, to stop them ending up so unwell that they should be admitted to clinic.
NHS bodies will work substantially more intimately with nearby gatherings to decrease “bed obstructing” in healing centers. Committees will utilize the £1bn additional for social care in 2017-18 declared in Wednesday’s financial plan to give more at-home care administrations and places in mind homes.
The NHS 111 phone guidance administration will be redesignd to empower more guests to address a specialist, nurture, emotional wellness pro or other sort