25 February 2013

UK DAILY MAIL: MORE IN UK WILL LIVE to 100

Experts warn older people get worse care than younger patients in the NHS
Experts warn older people get worse care than younger patients in the NHS
The Lords committee on Public Service and Demographic Change has been repeatedly warned that the Government has ‘not done enough to react to the challenge and ensure public services are organised in a robust and efficient way’.
By 2030 there will be 50 per cent more people over-65s, and the number of 85-year-olds will have doubled.
Half of babies born after 2007 will live beyond 103, Professor Sarah Harper from the University of Oxford said.
‘The combination of a bulge in our population taking advantage of increases in life expectancy means that I think 8 million people currently will make it to a century,’ she told the committee.
‘One of the things we did at Oxford was do some simple modelling to extrapolate it to Europe, which said there will be 127 million people who are going to make it to 100 throughout the EU.’
Official projections for the number of centenarians in the UK shows the number could reach 550,000 by 2065
Official projections for the number of centenarians in the UK shows the number could reach 550,000 by 2065

The number of people alive who could expect to see their 100th birthday, by age in 2010
The number of people alive who could expect to see their 100th birthday, by age in 2010

24 February 2013

$15,500 for SWISS DIGNITAS DEATH

From UK DAILY MAIL

Assisted suicide 'is legalised' by police: Secret new guidelines from senior officers mean deaths are not investigated

  • Dignitas suicide clinic helped 33 people from this country to die last year
  • That pushed total during past decade close to 250
  • Police gave only a handful of files to prosecutors and no one was charged
By Martin Beckford
|

Campaigners fear assisted  suicide is being legalised by the back door as record numbers of Britons end their lives at Dignitas (FORCH 6 m.S/E from ZURICH) – while their relatives escape investigation for helping them.
The Swiss suicide clinic helped 33 people from this country to die last year – the highest ever annual figure – pushing the total during the past decade close to 250.
But police passed only a handful of files to prosecutors over the assistance provided by loved ones, and no one was charged. A police worker even accompanied her mother to Switzerland but faced no sanction.
Secret: Campaigners fear assisted suicide is being legalised by the back door as record numbers of Britons end their lives at Dignitas, pictured, while their relatives escape investigation for helping them
Secret: Campaigners fear assisted suicide is being legalised by the back door as record numbers of Britons end their lives at Dignitas, pictured, while their relatives escape investigation for helping them
The Association of Chief Police Officers (ACPO) has recently issued new guidelines to every force in the country about how they should investigate assisted suicides.
Although the document is restricted, this newspaper has been shown the section that deals with deaths abroad. It highlights how tough such inquiries can be because of the difficulty in obtaining evidence from foreign authorities.
But the situation has prompted claims that the police are failing to uphold the law and protect vulnerable or disabled people, who could be pressurised to commit suicide.
Kevin Fitzpatrick, of the campaign group Not Dead Yet, said: ‘The idea is gaining hold that assisting someone to commit suicide is not prosecutable in practice.’
Graphic
Tory MP Mark Pritchard, who is vice-chairman of the Parliamentary Pro-Life Group, said: ‘I fear assisted suicide is being legalised by the back door. If the will of Parliament is being ignored, there should be an urgent review by the Justice Secretary.’
Alistair Thompson, of the Care Not Killing Alliance, said of the police guidance: ‘It is extremely worrying that police officers are saying they cannot investigate and are advising their members not to investigate deaths abroad.’
Aiding or encouraging a suicide remains illegal in England and Wales under the 1961 Suicide Act and punishable by up to 14 years’ imprisonment. But guidelines published in 2010 by the Director of Public Prosecutions spelled out that relatives would not be charged if they acted out of compassion to help a terminally ill person end their suffering.
New figures suggest that move  reassured Britons that they will escape punishment if they help loved ones travel to countries such as Switzerland, where assisted  suicide is permitted.
Sir Terry Pratchett is a known supporter of assisted suicide
Tony Nicklinson died a week after losing his legal battle for the right to end his own life
Support: Sir Terry Pratchett, left, is a known supporter of assisted suicide. Tony Nicklinson, right, died a week after losing his legal battle for the right to end his own life
Dignitas, set up in 1998, allows foreigners to use its services, and its own figures show that 248 Britons have now died there – with 33 deaths last year, up from 22 the year before. Anyone who wants the organisation’s help must become a member, pay about £10,000 and see a local doctor before being given a fatal dose of barbiturates to drink.
The Crown Prosecution Service’s statistics reveal that police passed them 44 files on assisted suicides and cases of euthanasia – where a doctor administers the fatal dose – between 2009 and 2011.
By October 2012, the total had reached 66, including deaths in England and Wales as well as abroad. Of these, prosecutors chose not to proceed with 45, nine were withdrawn and 12 were still being looked into. 
In previous years, police arrested some relatives and friends after they helped terminally ill people die at Dignitas. But those who made the trip last year said that they had not been questioned.
The new police guidelines say ‘there may be a lack of co-operation or even a legal impediment as to why the relevant foreign authorities cannot provide evidence as to how and why someone has died’.
Graphic
They also point out that ‘in a substantial majority of cases, the bodies are cremated in the country in which the suicide took place. If the body is not repatriated to England and Wales, the death does not come under the jurisdiction of the HM Coroner’.
Chief Constable David Crompton, ACPO spokesman on homicide, said: ‘It requires any UK police force to be able to prove beyond reasonable doubt the circumstances under which the person died, and this can be difficult, particularly if burial or cremation has already taken place. But whenever we receive information or intelligence about such a case, these investigations are pursued.’
A CPS spokesman said: ‘While no prosecutions have been brought since the 2010 guidelines were issued, each case is considered on its own merits. Any inference that the CPS has implemented a blanket policy of not prosecuting for this offence is wrong.’
Meanwhile, former Labour Minister Lord Falconer will later this year table a Private Member’s Bill that would legalise assisted suicide in England and Wales if a patient had less than a year to live.
Jo Cartwright, press manager for Dignity In Dying, said: ‘Some people will choose an assisted death even  if they have to travel abroad at great financial and emotional cost to themselves and their loved ones.
‘So a much better alternative would be a safeguarded assisted dying law here in the UK.’

Read more: http://www.dailymail.co.uk/news/article-2283561/Assisted-suicide-legalised-police-Secret-new-guidelines-senior-officers-mean-deaths-investigated.html#ixzz2Lput1toA
Follow us: @MailOnline on Twitter | DailyMail on Facebook

23 February 2013

UK:PRIVATE better than STATE management

From UK DAILY MAIL,

Transformed: The failing NHS trust taken over by private firm has one of the highest levels of patient satisfaction

  • Hinchingbrooke Hospital is ranked one of the highest for patient happiness and waiting times
  • It was on the verge of going bust when it was taken over by Circle last year
  • It is the first NHS trust to be run entirely by a private firm
By Peter Campbell and Sophie Borland
|

The first NHS trust to be run entirely by a private firm has one of the highest levels of patient satisfaction in the country.
Hinchingbrooke, a hospital in Cambridgeshire with 160,000 patients, was on the verge of going bust when it was taken over by Circle last year.
But NHS figures show it is now ranked as one of the highest for patient happiness and waiting times.
Hinchingbrooke Hospital, the first NHS trust to be run entirely by a private firm, is ranked as one of the highest for patient happiness and waiting times
Patient satisfaction: Hinchingbrooke Hospital, the first NHS trust to be run entirely by a private firm, is ranked as one of the highest for patient happiness and waiting times
The company running the trust has slashed losses at the hospital by 60 per cent and will soon begin to pay off burgeoning debts built up over years of mismanagement. The takeover deal, which saved the hospital from closing down, is seen as a blueprint for the future of many NHS trusts.
The George Eliot Hospital in Warwickshire is already considering adopting the model.
 
The NHS is attempting to improve patient care drastically in the wake of a damning report into the scandal at Mid Staffordshire, where up to 1,200 died needlessly.
It blamed the horrific care on a culture of targets across the health service with managers inclined to ignore the concerns of frontline staff.
The NHS is attempting to improve patient care drastically in the wake of the scandal at Mid Staffordshire, where up to 1,200 died needlessly
Damning report: The NHS is attempting to improve patient care drastically in the wake of the scandal at Mid Staffordshire, where up to 1,200 died needlessly
Experts say the system in place at Hinchingbrooke, which empowers doctors and nurses, could be used in dozens of other struggling NHS trusts.
Jim O’Connell, chief executive of the hospital, said: ‘We put more of the decision-making in the hands of the doctors and nurses.
He added: ‘There are still a lot of inefficiencies in the NHS because it is the bureaucracy that has built up over all these years, and we have to change that.
‘Any changes that we make have to be good for patients and good for efficiency as well.’
formula.jpg
Patient satisfaction has risen to 85 per cent, placing Hinchingbrooke in the top six of the East of England’s 46 hospitals. The feedback is calculated by asking families and patients whether they would recommend the hospital, then weighting the answers compared to local peers. 
Previously the trust was among the lowest ranking for satisfaction.
Figures also show that Hinchingbrooke has risen from being one of the worst performing trusts to one of the best under the private firm’s management.When Circle took over, the hospital was consistently near the bottom of the 46 trusts, with many patients waiting more than four hours in A&E.
It now tops the list for short waiting times, seeing 98.2 per cent of patients within the required window.
The hospital also ranks fifth for the proportion of patients with suspected cancer having tests within a fortnight. 
Before the takeover it had missed targets every month since June 2010.
It now treats 89 per cent of cancer patients within 62 days, beating the 85 per cent target.
Circle saved millions of pounds a year by cutting out arduous paperwork and middle management.
Under the former ownership, a lengthy form had to be filled out every time a lightbulb needed changing, in a process that often took more than a week.
The group, which runs independent hospitals in Reading and Bath, inherited debts of £39million with the project. 
The hospital had been expected to lose £10million last year, but this has been whittled down to  £3.7million by the Circle group.
It made up the deficit from its own coffers, rather than taxpayer funds, and is expected to break even in the current year.

CANADA: CHAGAS DISEASE

CANADA PUBLIC HEALTH:CHAGAS' DISEASE

http://www.phac-aspc.gc.ca/tmp-pmv/info/am_trypan-eng.php

Canada now testing blood supply for (INCURABLE) Chagas' Disease.

Imported by rural South American legal/illegal immigrants.

22 February 2013

UK: DEATH in STATE HOSP after DISC OP. "six-figure compensation"

From UK DAILY MAIL

Woman, 42, bled to death after routine back op in hospital where staff had warned bosses about 'grave risks to patients'

  • Andrea Green died hours after the operation at Barnsley District Hospital
  • Post-mortem report listed cause of death as internal bleeding
  • It later emerged she may not have needed the surgery after all
  • Staff had already warned about 'extreme pressure and stress' in department
By Anna Hodgekiss
|


Andrea Green bled to death after a routine back operation she may not actually have needed
Andrea Green bled to death after a routine back operation she may not actually have needed
A fit and healthy woman bled to death after having routine surgery for a back pain.
Andrea Green, 42, died just 14 hours after the operation at Barnsley District General Hospital.
Her death came after staff in the hospital's orthopaedic department warned managers about grave risks to patients 'extreme pressure and stress' in the department.
An inquest was halted and Sheffield coroner Chris Dorries asked police to investigate following the emergence of the letter outlining staff concerns.
Ms Green had started suffering from back pain in August 2009. The pain was so bad that she was bedridden for two weeks despite being prescribed with painkillers by her GP on numerous occasions.

She was referred to the orthopaedic clinic at Barnsley Hospital but by the time her appointment came round, her pain had subsided.

The clinic diagnosed her as suffering from a prolapsed (herniated) disc. Unbeknown to Ms Green, this condition quite often resolves itself over time without the need for further treatment.
Despite this, the hospital listed her for surgery and she was advised that the pain could return if the operation was not carried out.
Because she did not want the pain to return, she agreed to the procedure, which took place in March 2010.
When her sister Janette Allatt visited her in hospital later that evening, she found her very pale and complaining of stomach pain.
Nurses discovered she had very low blood pressure and because she was in pain, administered medication to relieve it.
At 2am the following morning, Ms Green's father received a telephone call from the hospital informing them that she was seriously ill. To their horror, by the time her family arrived at the hospital, she had died.
Mrs Allatt, 56, said: 'I just remember being in total and absolute shock. I never expected anything like this to happen. We have so many questions about what happened to Andrea and believe if it wasn’t for the surgery, she would still be here today.'
A report from the post mortem examination listed the cause of death as retroperitoneal haemorrhage (internal bleeding).

Read more: http://www.dailymail.co.uk/health/article-2282745/Woman-42-bled-death-routine-op-hospital-staff-warned-bosses-grave-risks-patients.html#ixzz2LdqgULs1
Follow us: @MailOnline on Twitter | DailyMail on Facebook


Andrew Harrison Andrew Harrison

Solicitor

Areas of work:
  • Medical Negligence
Accreditations/Memberships:
  • APIL accredited Litigator

Phone Number: 01226 603 128
Email: enq@raleys.co.u

19 February 2013

ONTARIO LIBERAL PREMIER SPEECH

from ONTARIO LIBERAL PREMIER SPEECH.with (comments)


Your government is committed to health promotion to combat smoking and obesity, and it believes strongly in patient-centred care and evidence-based health policy.(NOT DEFINED)
Along with all parties in the legislature, it understands the pressing need to expand access to HOME CARE in Ontario.
And so your government will continue to expand the support available to people in their homes, and to address the needs of men and women across Ontario currently waiting for the HOME CARE  services they require.(MD HOUSE CALL fee will be increased).
Your government will also continue to expand access to mental health services and support efforts to reduce stigma for men and women coping with mental illness.(TWO MENTAL HOSPITALS CLOSED in TORONTO)
It will work with partners in all related sectors to coordinate the best response to these challenges because Ontario's minds and spirits must be healthy, too.
It will also move forward with a Seniors Strategy to ensure that Ontario can best respond to the needs of its aging population.
It will promote partnership between health care providers - from hospitals and long-term care homes, to community support services and front line medical providers through Community Health Links - so that the care of our loved ones and our most vulnerable citizens is constant and cohesive.
To ensure the best treatment for our children, our parents, grandparents and our friends, your government believes the research community must be supported in its work.
And it is therefore announcing renewed support for the Ontario Brain Institute (655 BAY STREET @ Elm St) through a funding partnership with the PRIVATE  sector.
Every dollar your government contributes will leverage four additional dollars from its partners by 2018.
( GOVERNMENT RECOGNITION of the IMPORTANCE of PRIVATE EQUITY).

UK DEATH FROM CORONAVIRUS (NCoV)

From UK DAILY MAIL
 

Sars-like virus claims first UK victim after man, 39, dies at a Birmingham hospital

  • The patient, who was being treated at the Queen Elizabeth Hospital Birmingham, died on Sunday
  • Was a relative of patient being treated in Manchester after bringing back coronavirus from Middle East
  • Hospital says patient was already receiving treatment for long-term, complex health condition
By Anna Hodgekiss
|

A new Sars-like illness has claimed its first UK victim, health officials confirmed today.
The 39-year-old man, who was being treated at the Queen Elizabeth Hospital Birmingham, died on Sunday after becoming infected with the novel coronavirus, the hospital confirmed today.
Of the 12 confirmed cases worldwide four have been British and five have died as a result of the virus.
Scroll down for video
Coronaviruses are a large family of viruses known to cause illness ranging from the common cold to Severe Acute Respiratory Syndrome (SARS)
Coronaviruses are a large family of viruses known to cause illness ranging from the common cold to Severe Acute Respiratory Syndrome (SARS)
The patient in Birmingham caught the disease from a relation who became infected in the Middle East, and is still being treated at a Manchester hospital.
A third member of the same family is also being treated for the virus at the hospital which health officials fear could be spread from person to person.
Of the 12 people who have been confirmed as suffering from the virus across the globe, six have now died.
Three people have died in Saudi Arabia and two in Jordan.
A hospital statement released today said: 'The patient was already an outpatient at Queen Elizabeth Hospital Birmingham (QEHB), undergoing treatment for a long-term, complex unrelated health condition.
'The patient was immuno-compromised and is believed to have contracted the virus from a relative who is being treated for the condition in a Manchester hospital.
 
'QEHB is working closely with the Health Protection Agency which is currently following up other household members and contacts of this case.
Professor John Watson, head of the respiratory diseases department at the HPA, said: ‘This case is a family member who was in close personal contact with the earlier case and who may have been at greater risk of acquiring an infection because of their underlying health condition.
'To date, evidence of person-to-person transmission has been limited. Although this case provides strong evidence for person to person transmission, the risk of infection in most circumstances is still considered to be very low.'
Infected patients have presented with serious respiratory illness with fever, cough, shortness of breath and breathing difficulties.
The lining of the lung, or epithelium, represents an important first barrier against respiratory viruses
The lining of the lung, or epithelium, represents an important first barrier against respiratory viruses
Today, experts suggested the virus could potentially be treated by targeting the immune system.
The coronavirus (NCov) belongs to the same family as the coronavirus SARS, which surfaced in China more than a decade ago and infected 8,000 people worldwide, killing around one in 10 of them.
It's thought the virus can penetrate the lining of the passageways in the lung and evade the immune system as easily as a cold virus can.
The research also reveals that the virus is susceptible to treatment with interferons, components of the immune system that have been used successfully to treat other viral diseases, opening a possible mode of treatment in the event of a large-scale outbreak.
Now scientists at the Institute of Immunobiology at Kantonal Hospital in Switzerland, have tested how well the virus could infect and multiply in the entryways to the human lung using cultured cells manipulated to mimic the airway lining.

The lining of the lung, or epithelium, represents an important first barrier against respiratory viruses.
But, said co-author Dr Volker Thiel, this part of the body does not put up a big fight against NCoV. 

18 February 2013

UK:POOR PATIENT COMPLIANCE

From UK DAILY MAIL
 

One in three patients does not take medication properly putting their health at risk and costing the NHS half a billion pounds every year

  • Aston Medication Adherence Study analysed one million prescriptions
  • People often put off by side-effects and not understanding instructions
  • Certain groups more susceptible to a lack of adherence to guidelines
  • Those whose primary language is Urdu and Bengali struggled as did over-60s
By Mario Ledwith
|

One in three patients is putting their health at risk because they do not take their medication properly, costing the NHS an estimated £500 million every year.
Fears about potential side-effects and poor understanding of doctors' instructions are partly responsible for the issue, according to a study.
Researchers analysing one million prescriptions found that the absence of symptoms and a lack of trust in pharmacists also played a part in people deciding to stop taking their medication.
Understanding: The Aston Medication Adherence Study analysed one million prescriptions and found that a number of factors, such as side effects and poor instructions from doctors, were responsible for people not taking medication properly
Understanding: The Aston Medication Adherence Study analysed one million prescriptions and found that a number of factors, such as side effects and poor instructions from doctors, were responsible for people not taking medication properly
The Aston Medication Adherence Study, is thought to be the first research project looking at adherence to medication in the UK.
It found that certain ethnic groups are more likely to experience difficulties in understanding how to take medication.
People whose primary language is Urdu or Bengali are particularly susceptible, as are those living in poorer inner-city areas.
 
They found that people aged over 60 struggled with adherence to medication patterns.
The study, carried out by researchers at Aston University’s Pharmacy School, was centred on the Heart of Birmingham Teaching Primary Care Trust, looking at those suffering from type 2 diabetes, hypothyroidism and high cholesterol.
Health bodies are facing increasing pressure to manage treatable, long-term conditions in an attempt to reduce hospital admissions.
Findings: The study, carried out by researchers at Aston University¿s Pharmacy School, looked at those suffering from type 2 diabetes, hypothyroidism and high cholesterol
Findings: The study, carried out by researchers at Aston University¿s Pharmacy School, looked at those suffering from type 2 diabetes, hypothyroidism and high cholesterol
The report recommended that healthcare systems should take account of a patient's first language and offer more advice to those taking medication for long-term conditions.
Professor Chris Langley, principal investigator for the AMAS said: 'What is important about the AMAS is that it identifies adherence patterns within an ethnically diverse inner city area with high levels of deprivation; this is currently unchartered territory.
'The results from this study have provided an intriguing insight into adherence behaviour within an inner-city population, whilst the focus group data provided context and understanding of the barriers to adherence from the patients’ perspective.'
Dr Joe Bush, investigator for the AMAS added: 'We identified numerous groups in which adherence levels were lower than in the general population, but it is not possible at this time to identify why adherence is lower in these groups.
'Whilst the focus groups suggested possible reasons for non-adherence, we hope to explore these issues further and identify the primary reasons for non-adherence in these patient groups in future research.'

17 February 2013

NHS MISTAKES: 56 WRONG TESTICLES REMOVED

From UK DAILY MAIL

NHS pays out £1million in compensation to men who have had the wrong TESTICLE removed

  • Fifty-six claims made by men affected by medical blunders in four years
  • NHS pays out £20,000 if wrong testicle has been removed
  • Most common reason for payout is when testicular torsion is misdiagnosed
By Daily Mail Reporter
|

Blunders: The NHS can pay out £20,000 if the wrong testicle has been removed
Blunders: The NHS can pay out £20,000 if the wrong testicle has been removed
More than £1million in damages have been paid out by the NHS to men who have had the wrong testicle removed by surgeons. 
In the last four years there have been 56 successful claims made by men who have been affected by medical blunders, according to the National Health Service Litigation Authority.
In most cases the men didn't need surgery at all and in others surgeons also had to remove the second testicle. 
The NHS normally pays out around £20,000 if the wrong testicle has been removed.
Roger Goss, co-director of Patient Concern, told The Sun: 'It is amazing that surgeons don't always take enough care to guarantee that they are removing the correct testicle.
'Despite the huge total compensation bill, individual payments sound modest for wrecking men's lives.'
According to the figures £1.3million has been paid out since 2009. 
Men who have been left infertile can be rewarded up to £70,000. 
But the most common reason for payouts is when doctors misdiagnose testicular torsion — where the tubes inside the body get twisted, cutting off the blood supply.
Other claims result from hernia operations where the blood supply to the testicle is accidentally cut off.

15 February 2013

NHS: DANGEROUS STATE MEDICINE

If he won't quit just sack him! MPs and bereaved families demand NHS chief is axed

  • Sir David Nicholson is clinging to his £270,000-a-year job
  • It follows the Mid Staffordshire hospital disaster - costing 1,200 lives
  • He also ignored warnings about another hospital trust under investigation
  • A whistleblower has now spoken of the ‘Stalinist’ nature of the NHS
By Sophie Borland, Claire Ellicott and Tamara Cohen
|



Hanging on: The head of the NHS, Sir David Nicholson, was clinging to his job last night after fresh attacks from politicians and grieving families
Hanging on: The head of the NHS, Sir David Nicholson, was clinging to his job last night after fresh attacks from politicians and grieving families
The head of the NHS was clinging to his job last night after fresh attacks from politicians and grieving families.
They insist Sir David Nicholson should pay the price for presiding over the Mid Staffordshire hospital disaster that cost the lives of up to 1,200 patients.
Earlier this week it emerged he also ignored warnings about another hospital trust under investigation for the needless deaths of 670 people.
Health Secretary Jeremy Hunt increased the pressure on Sir David by condemning a culture of ‘institutional self-preservation’ within the NHS.
As the row intensified yesterday:
  • Whistleblower Gary Walker spoke of the ‘Stalinist’ nature of the Health Service and of ‘battlefield scenes’ at the hospital where he was forced to quit as chief executive
  • A second whistleblower broke his silence to say Sir David ignored written warnings about  failings in the same Lincolnshire hospital
  • Mr Hunt wrote to all trusts demanding they justify their use of gagging orders
  • Police revealed they would be investigating whether criminal charges could be brought against Mid Staffordshire staff
  • Relatives of the Stafford victims marched on Downing Street and called for Sir David’s resignation
  • Two MPs from the health select committee also suggested he quit.
Mr Walker revealed he had told Sir David targets were being put ahead of patients at United Lincolnshire hospitals four years ago – but he was removed, paid off and forced to sign a gagging clause.
On Wednesday, he ignored a threatening email from NHS lawyers to give an interview to the Daily Mail in which he attacked Sir David and said he was not interested in patient safety.
 
The second whistleblower is David Bowles, the former chairman of United Lincolnshire Hospitals Trust, and Mr Walker’s former boss.
He said he sent a letter in July 2009 to Sir David, warning that patients could die there because managers were being forced to meet unrealistic targets.
He claimed the NHS chief executive failed to investigate the detailed allegations properly.
Under pressure: Grieving families insist Sir David should pay the price for presiding over the Mid Staffordshire hospital disaster that cost the lives of up to 1,200 patients
Under pressure: Grieving families insist Sir David should pay the price for presiding over the Mid Staffordshire hospital disaster that cost the lives of up to 1,200 patients
Mr Bowles says he left his job in 2009 after being threatened with suspension when he refused to commit his organisation to meeting national waiting targets.
‘I was put under pressure by NHS bureaucrats to force Gary Walker to leave, but I refused because he was doing a good job of shielding the organisation under relentless pressure to put targets first,’ he said.
‘I wrote to Nicholson in the hope that the full weight of my concerns may be taken seriously. The allegations were serious – I actually referred to the possibility of becoming another Mid Staffordshire hospital calamity – but the inquiry did not look at safety or the breaches of the codes.’
Mr Hunt did not directly attack Sir David yesterday but called for a ‘culture change’ in the Health Service, which currently puts ‘targets ahead of everything else’.
Not happy: Whistleblower Gary Walker, pictured, spoke of the ¿Stalinist¿ nature of the Health Service and of ¿battlefield scenes¿ at the hospital where he was forced to quit as chief executive
Not happy: Whistleblower Gary Walker, pictured, spoke of the 'Stalinist' nature of the Health Service and of 'battlefield scenes' at the hospital where he was forced to quit as chief executive
Speaking on BBC Radio 4’s World at One he added: ‘Too much of the system is concerned with institutional self-preservation instead of actually getting to the bottom of whether there are patient safety issues.’
Mr Hunt said he had written to the chief executive asking why Mr Walker was gagged, adding: ‘The first thing a good organisation does when it hears of something that’s gone wrong is to investigate whether there’s any truth in the allegations and get to the bottom of it.’
Meanwhile two Tory MPs on the Commons health select committee have called on Sir David to consider his position. Chris Skidmore, MP for Kingswood, said: ‘I’m deeply uncomfortable that he remains in position.
‘I do feel moving forward that the only way in which we are going to get the changes needed is if there is a change in leadership at the very top. We’ve got to end this incessant culture of the revolving door of management leadership.’
Sarah Wollaston, a former GP who is MP for Totnes in Devon, said: ‘David Nicholson would set an example of leaders taking responsibility for their organisations, not scapegoating, if he stepped down.’
Yesterday a campaigner who helped expose the Mid Staffordshire scandal delivered a letter to the Prime Minister calling for Sir David to go. Julie Bailey, 51, who founded Cure the NHS after her mother died at the trust, said: ‘We believe Sir David has presided over the worst disaster in the history of the NHS.
‘He is the person in charge and he needs to be sacked. We need a leader that inspires and galvanises those working in the NHS and I’m afraid this man doesn’t. He’s a failure.’
Other campaigners have set up a petition on a government website calling for him to resign. More than 2,500 have signed it.
Sir David, whose annual salary package is £270,000, insists he is ‘not ashamed’ to still be in his post because the failure were ‘system wide’ rather than individual.
He has faced increasing calls to resign since a report into the Mid Staffordshire scandal was published last week. He was in charge of the regional body supposedly overseeing Mid Staffordshire but which failed to pick up on the horrific standards of care.
Sir David also appointed the trust’s chief executive – even though he had had no formal training – who axed more than 50 nurses.
As chief executive of the Department of Health he is said to have dismissed warnings from relatives of patients who died, saying they were ‘simply lobbying’.
Up to 1,200 patients are thought to have died unnecessarily at Mid Staffordshire between 2005 and 2009 and many others suffered ‘inhumane’ and ‘degrading’ neglect.
Health Secretary Jeremy Hunt
 Julie Bailey
Demands: Health Secretary Jeremy Hunt, left, increased the pressure on Sir David by condemning a culture of ‘institutional self-preservation’ within the NHS.  Campaigner Julie Bailey, right, has called for Sir David to go

DAILY MAIL COMMENT: THIS MODERN DAY APPARATCHIK  MUST GO

Wealthy: Sir David Nicholson earns £270,000 a-year as the chief executive of the NHS
Wealthy: Sir David Nicholson earns £270,000 a-year as the chief executive of the NHS
This month, the NHS has been rocked by two of the most serious scandals  in its history. And, at the centre of both, stands the ex-Communist Sir David Nicholson, its £270,000-a-year chief executive.
Most reasonable people, we suspect, will find it astonishing that he did not resign last Wednesday, when a public inquiry revealed the most appalling, inhumane neglect at Mid Staffordshire NHS Trust, when he was the bureaucrat in charge.
If anybody in the private sector had presided over a failure which led to the deaths of up to 1,200 people, they would have been sacked.
But Sir David is a man without shame. He only offered token contrition, and insisted he would not resign as it was a system failure.
Now – thanks to whistleblower Gary Walker – we are learning more shocking details of another cover-up involving Sir David, at the United Lincolnshire Hospitals Trust.
First, Sir David ignored warnings by Mr Walker that an obsession with targets was resulting in squalid conditions on the wards that were almost certainly costing lives.
Then Sir David’s side-kick, Barbara Hakin (later a dame), began a campaign which led to Mr Walker being sacked as the Lincolnshire Trust’s chief executive – and gagged with £500,000 of taxpayers’ money.
Who do these people think they are? They use our money to give themselves huge salaries. Then, when someone complains about their incompetence, they again use our money to gag them.
This paper believes it is incredible that – while hundreds of police are arresting journalists for hacking into celebrities’ phones – not a single NHS bureaucrat has had their collar felt over the countless deaths of terrifyingly vulnerable people.
But then these high officials and quangocrats – so reminiscent of the commissars in Stalin’s Russia – are Britain’s new elite.
They expect knighthoods. They demand the salaries and all the  perks of high-flying executives in the private sector.
But there is a crucial difference. In the private sector, when things go wrong, heads fall. In the NHS, it is the fault of ‘systemic failure’.
The Mail is not in the business of  calling for people in public life  to resign. But so egregious are the outrages that have taken place under Sir David that we support those victims’ relatives who demonstrated outside Number Ten yesterday to demand his head.
Every day this modern day apparatchik remains in post is an affront to morality, justice – and the patients whose lives he destroyed.
Sir David could face further pressure if MPs on the Commons public accounts committee decide to quiz him over his expenses next month. The Mail has revealed he has spent £6,000 of public money on trips to Birmingham – where his wife lives.
Many of the visits spanned long weekends, prompting speculation he was using taxpayers’ money for private purposes.
It emerged last night that doctors, nurses and managers responsible for the horrific neglect at Mid Staffordshire hospitals could be charged with manslaughter.
Police are to consider whether they have enough evidence to prosecute individual members of staff over the scandal. So far not a single member of staff has been prosecuted or even sacked over the deaths between 2005 and 2009.
Hard-hitting: This is the front page of last Thursday's Daily Mail
Hard-hitting: This is the front page of last Thursday's Daily Mail
An inquiry into the disaster published last week refused to scapegoat individual medical staff or managers – and instead blamed failures across the system.
But Mr Hunt has since urged police to investigate cases saying it was ‘outrageous’ nobody had been brought to book.
Last night Staffordshire police said they would be carrying out a joint probe with the Crown Prosecution Service to see if they had enough evidence to press for criminal charges.
A spokesman said charges could include manslaughter or criminal neglect. Officers will review the 1,900 pages of the inquiry published last week and cross reference it with existing evidence, he said.

13 February 2013

Toronto: Dr.J.PARIAG MD (Univ.West Indies-Jamaica & Trinidad),FRCSC(McMaster-Hamilton)

Dr. John K. Pariag, Mississauga. (Western Suburb of Toronto)
On March 22, 2012, the Discipline Committee found that Dr. Pariag committed an act of professional misconduct, in that he failed to maintain the standard of practice of the profession. The Committee also found that Dr. Pariag is incompetent. Dr. Pariag admitted to the allegations of professional misconduct and incompetence, as follows:
Regarding a review of 35 patient charts from his surgical practice:
  • improper placement of chest tubes in a CF patient;
  • performing cholecystectomy in the presence of evidence that the common bile duct was not clear;
  • failure to protect an anastomosis with a stoma where appropriate;
  • improperly discharging three post-surgical patients with elevated white blood cell counts and fevers;
  • unnecessary transfusion of one patient;
  • questionable decision to perform a targeted bowel resection in a patient with rectal blood loss when the point of bleeding was unknown, and failure to investigate a possible foreign body as indicated by x-rays of the patient;
  • incorrectly repairing a hernia, leading to recurrence;
  • unnecessary removal of three healthy appendices;
  • failure to obtain a right breast ultrasound despite a radiologist's suggestion in a cancer patient;
  • failed to give DVT [deep vein thrombosis] prohylaxis perioperatively to a patient with known breast cancer;
  • failure to properly control intraoperative bleeding;
  • improperly performing surgery without first addressing the patient's elevated INR;
  • perforating a patient's bowel while removing two 0.25 cm polyps;
  • improperly ordering blood transfusion of a 12-year-old with a haemoglobin count of 108, which order was subsequently cancelled by another physician, and failure to investigate percutaneous pelvic abscess drainage before proceeding to perform a laparotomy on that patient;
  • improperly performing an elective thyroidectomy without supervision when Dr. Pariag had never performed such a procedure at the hospital and had not reviewed thyroid surgery during his residency; and
  • dissecting a patient's portal triad during surgery to correct a bowel obstruction, which error resulted in the patient's death due to hemorrhagic shock.
Regarding patient A, who had surgeries for an intra-abdominal mass, later identified as a sarcoma:
  • failed to adequately document a differential diagnosis, treatment plan, or informed consent discussions with Patient A; and,
  • after the recurrence of the sarcoma, failed to solicit an opinion from the Regional Cancer Centre where the patient had been seen in the past, and improperly attempted to treat the sarcoma outside a multi-disciplinary care center.
On December 19, 2012, the Discipline Committee ordered a public reprimand, and directed that specified terms, conditions and limitations be imposed on Dr. Pariag's certificate of registration for an indefinite period of time, including that:
  1. Dr. Pariag is prohibited from engaging in any hospital-based surgical practice save and except as a surgical assistant when a College-approved certified surgeon is performing the surgery and is in attendance. At no time shall Dr. Pariag be the most responsible physician with respect to any patient in a hospital setting;
  2. Dr. Pariag is prohibited from performing surgery in an office-based setting save and except for minor surgical procedures under local anaesthetic involving the skin and subcutaneous tissues;
  3. At his own expense, Dr. Pariag shall undergo a comprehensive practice assessment (CPA) of the office-based practice described in paragraph (b) by an assessor selected by the College. Dr. Pariag shall abide by any and all recommendations made as result of the CPA; and Dr. Pariag shall promptly notify the College should he cease practising medicine before completion of the CPA.
  4. The terms, conditions and limitations on Dr. Pariag's certificate of registration under (a) and (b) are to be included on a written form and the written form is to be presented to any patient before Dr. Pariag sees the patient, and a copy signed by the patient is to be included in the patient's chart.
Dr. Pariag was further ordered to pay to the College costs in the amount of $3,650.

12 February 2013

UK: Locum GP fails to diagnose Diabetic keto-acidosis

From UK DAILY MAIL

Out-of-hours locum doctor who travelled from India to work in Britain failed to send seriously ill diabetic man, 42, to hospital hours before he died

  • Dr Bala Kovvali failed to recognise diabetic ketoacidosis
  • Andre Fellow had no history of diabetes but his body ran out of insulin
  • Kovvali, 64, admitted causing the death by gross negligence
By Anna Edwards
|


An out-of-hours doctor has been jailed for two-and-a-half years for manslaughter after he failed to send a seriously ill diabetic man to hospital - diagnosing him as 'depressed with a headache'.
Dr Bala Kovvali ignored the classic signs of diabetes-related poisonous acids building up in 42-year-old Andrew Fellows' body, a court heard.
Instead of dialling 999 for an ambulance, the on-call locum told Mr Fellows' mother that her son was depressed and had a headache and should see his own doctor the next day.
Less than nine hours later Mr Fellows died at home from diabetic ketoacidosis.

10 February 2013

UK NHS Hosp fails to diagnose WATERHOUSE-FRIDERICHSEN syndrome

Girl, 4, dies from 'meningitis' after being sent home by doctors who said she just had a virus

  • Morgan Phelan was sent home from Sutton Coldfield's Good Hope Hospital
  • She died a day later of suspected meningitis
  • A probe into the young girl's death is now underway
By Sam Webb
|

A four-year-old girl has died from suspected meningitis after being sent home by a hospital children’s ward.
Now an investigation is under way to discover why Morgan Phelan was discharged when she had a high temperature and was suffering from a rash all over her body.
Gemma Phelan’s daughter, Morgan, was seen in A&E at Sutton Coldfield's Good Hope Hospital in the West Midlands shortly after 7pm on Thursday, January 17 and admitted at 11.30pm.

But she was discharged just over an hour later at 12.47am the following day, diagnosed with a viral infection.

Read more: http://www.dailymail.co.uk/news/article-2276660/Girl-4-dies-meningitis-sent-home-doctors-said-just-virus.html#ixzz2KXvPZdVj
Follow us: @MailOnline on Twitter | DailyMail on Facebook

08 February 2013

Dr.Charles HANDY: founder LONDON BUSINESS SCHOOL

charles handy

Charles Handy - organizational and social development guru, Motivation Calculus theory, and modern ideas about work, fulfilment, globalization and life purpose

Charles Handy is regarded by many as the most advanced management thinker in the world. His early work, such as his 'Motivation Calculus' outlined below, has been steadily surpassed and extended by his more recent modern and sophisticated thinking about the purpose of work, business and organizations.
Handy was born in 1932 and is popularly regarded as Britain's greatest management visionary. He graduated from Oxford and worked for Shell International, and during two years at the Sloan School of Management became a protégé of Warren Bennis, the organizational and leadership guru.
Handy's first book, Understanding Organisations (1976, revised 1991) is well regarded. Gods Of Management (1978), is another highly regarded work, in which Handy uses a metaphor of the Greek Gods to explain different organizational cultures:
  • Zeus (power, patriarchy, 'the club' culture)
  • Apollo (order, reason, bureaucracy, the 'rôle' culture)
  • Athena (expertise, wisdom, meritocracy, 'task' culture)
  • Dionysus (individualism, professionalism, non-corporate, existentialist culture)
In the 1980's Charles Handy developed his thinking and writing on modern living and working in The Future Of Work (1984) and The Age Of Unreason (1989), which pioneered new ideas about the value of knowledge and self-determination.
Handy was one of the first to identify that 'careers for life' were destined to become a thing of the past, and as a thinker Handy seems able to predict trends and changes on a global and fundamental scale. He is visionary, rather than an analyst, and sees huge, 'big pictures' and trends, rather than small effects and details.
His book, The Making Of Managers (1988), jointly written with John Constable, criticised and advocated radical improvements to UK management standards, which gave rise to the Management Charter Initiative.
In the 1990's and 2000's Charles Handy increasingly focused on ethical and philosophical issues for business and society, as reflected in Inside Organisations (1990) and in his collection of observations, Waiting For The Mountain To Move (1991).
The Hungry Spirit (1997) can be seen to predict the zeitgeist of the early 2000's in which increasing numbers of people and leaders seek more fulfilling solutions to organizational purpose, against a background of globalization imbalances and conflicts affecting humankind, resulting from decades of corporate and individual greed enabled by unfettered free-market economics.
Later books include The Empty Raincoat: Making Sense of the Future (1994), and The New Alchemists: How Visionary People Make Something out of Nothing (1999), which further demonstrate Handy's capability and reputation as one of the great modern organisational commentators, and someone who sees far beyond the world of business.
Charles Handy's works are generally philsophical and insightful, rather than stacked with modular theories and diagrams, and as such will tend to appeal to intuitive humanitarian thinkers perhaps more than structured process-oriented types.
Here is a rare example of a Handy 'model' from his earlier writings, included especially because it illustrates his focus on the human individual perspective.

charles handy - motivation calculus

Charles Handy's Motivation Calculus is an extension of Maslow's Hierarchy of Needs, and an example of Handy's early clarity and interpretation of the human condistion and response to work.
The simple model addresses cognitive and external reference points in a way that Maslow's original Hierarchy of Needs five-level model of does not. Handy's Motivation Calculus attempts to cater for complexities and variations in people's situations beyond the reach of the original Hierarchy of Needs model. Briefly this is Handy's Motivation Calculus, which implies that our motivation is driven by a more complex series of needs than 'needs' alone, that is, our own interpretations and assessments form additional layers determining and determined by our response to our own needs and the effects of those responses:
Needs - Maslow Hierarchy of Needs factors, personality characteristics, current work environment, outside pressures and influences.
Results - we must be able to measure the effect of what our additional efforts, resulting from motivation, will produce.
Effectiveness - we decide whether the results we have achieved meet the needs that we feel.

PORTFOLIO CAREERS :

Portfolio Careers:
Creating a Career of Multiple Part-Time Jobs


by Randall S. Hansen, Ph.D.
Is it the career of the future or a passing fad? Will workers and employers in the U.S. embrace the concept as strongly as in Europe? Is it right for you?
The "it" is a portfolio career, in which instead of working a traditional full-time job, you work multiple part-time jobs (including part-time employment, temporary jobs, freelancing, and self-employment) with different employers that when combined are the equivalent of a full-time position. Portfolio careers offer more flexibility, variety, and freedom, but also require organizational skills as well as risk tolerance.

Portfolio careers are usually built around a collection of skills and interests, though the only consistent theme is one of career self-management. With a portfolio career you no longer have one job, one employer, but multiple jobs and employers within one or more professions.


Most experts attribute the concept of portfolio careers to management guru Charles Handy, who in the early 1990s predicted that workers will be more actively in control of their careers by working lots of small jobs instead of one big one.
And in his book, Job Shift: How to Prosper in a Workplace Without Jobs, William Bridges states that the lack of job security in today's workplace means that we are all temporary workers and that "all jobs in today's economy are temporary." And most other experts agree that the time is right for a rapid increase in portfolio careers -- especially among baby boomers searching for more challenges at the end of traditional careers.
An example of a person with a portfolio career is an accountant who works two days a week with one employer, teaches part-time at a local college, and has a consulting or tax practice on the side. But the jobs don't all have to use the same skills. For example, the accountant might also be an avid collector who spends two days a week selling his wares at the flea market. Or perhaps he/she serves on one or two corporate or advisory boards.
The reasons for considering a portfolio career are many. Some do it seeking a better work/life balance. Some do it for the variety and use of multiple skill sets. Some do it for the autonomy so that they -- rather than some corporate employer -- control their fate. Some do it to gain freedom form corporate agendas and politics. Some do it to follow multiple passions or for personal growth and fulfillment. Some do it for the pace and constant change. And some do it as a second career after retiring early from full-time employment, seeking new challenges and greater fulfillment.
But establishing and managing a portfolio career is not easy for many. Deciding on the types of jobs to seek, finding employers willing to hire, balancing competing demands for time, and managing the effort are key drawbacks mentioned. There's also the loss of benefits, possible drop in earnings, higher levels of uncertainty, lack of a regular routine, and feelings of isolation.
In one study of portfolio careerists (conducted by exec-appointments.com) -- executives who had left employers and gone into early retirement -- the majority, about two-thirds, reported they were very satisfied or satisfied with their success in establishing a portfolio career. The most rewarding aspects of a portfolio career were the ability to control own activities (27 percent), variety and unpredictability (21 percent), and freedom from corporate politics (19 percent). The biggest drawbacks include: difficulty in finding suitable roles (32 percent), uncertainty (25 percent), and constant need to network (21 percent). And not surprisingly, the two most important elements to their success were networking (57 percent) and self-marketing (20 percent).

UK: 2,016 cases of MEASLES in 2012

From UK DAILY MAIL
 

Measles cases at 18-year high because parents are failing to get children vaccinated

  • 2,016 confirmed cases in England and Wales in 2012, the highest annual total since 1994
  • Teenagers not vaccinated when they were younger are at particular risk of becoming exposed, say experts
  • Several smaller spreads have also occurred in travelling communities across the European Union
By Anna Hodgekiss
|


There were 2,016 confirmed cases of measles in England and Wales in 2012, the highest annual total since 1994
There were 2,016 confirmed cases of measles in England and Wales in 2012, the highest annual total since 1994
The number of measles cases in England and Wales has reached an 18 year high, it was revealed today.
There were 2,016 confirmed cases in England and Wales in 2012, the highest annual total since 1994, with most occurring in Merseyside, Surrey and Sussex where there were prolonged outbreaks
Several smaller spreads occurred in travelling communities across the countries, reports the Health Protection Agency.
Dr Mary Ramsay, head of immunisation at the HPA, said: 'Coverage of MMR is now at historically high levels but measles is highly infectious and can spread easily among communities that are poorly vaccinated, and can affect anyone who is susceptible, including toddlers in whom vaccination has been delayed.
'Older children who were not vaccinated at the routine age, who may now be teenagers, are at particular risk of becoming exposed, while at school for example.'
Vaccination rates are now high at 93 per cent in England and Wales, but in 2002, rates were less than 80 per cent. However, the cases may be in older children and teenagers who missed vaccines due to the scandal a decade ago.
 
The UK along with France, Italy, Spain and Romania accounted for 87 per cent of the total 7,392 measles cases reported throughout the European Union countries up to the end of November 2012.

MEASLES: THE SYMPTOMS

  • Cold-like symptoms, fever
  • Red eyes and sensitivity to light
  • Greyish-white spots in the mouth and throat
  • After a few days, a red-brown spotty rash will appear.
  • It usually starts behind the ears, then spreads around the head and neck before spreading to the legs and the rest of the body
Dr Ramsay said: 'Measles continues to circulate in several European countries that are popular with holidaymakers.
'Measles is a highly infectious disease so the only way to prevent outbreaks is to make sure the UK has good uptake of the MMR vaccine, and that when cases are reported, immediate public health action is taken to target unvaccinated individuals in the vicinity as soon as possible.'
Symptoms include cold like symptoms, red eyes and sensitivity to light, fever and greyish white spots in the mouth and throat.
After a few days a red brown spotty rash will appear. It usually starts behind the ears, then spreads around the head and neck before reaching the legs and the rest of the body.
The disease can cause brain damage or be fatal.
Dr Ramsay added: 'Measles is often associated with being a disease of the past and as a result people may be unaware that it is dangerous infection that can lead to death in severe cases.
Teenagers who were not vaccinated at the routine age are at particular risk of becoming exposed to the highly infectious viral illness (pictured)
Teenagers who were not vaccinated at the routine age are at particular risk of becoming exposed to the highly infectious viral illness (pictured)
'Parents should ensure their children are fully protected against measles, mumps and rubella with two doses of the MMR vaccine.
'Parents of unvaccinated children, as well as older teenagers and adults who may have missed MMR vaccination, should make an appointment with their GP to get vaccinated.
'If you are unsure if you or your child has had two doses of the vaccine, speak to their GP who will have a record.'