03 March 2013

KING EDWARD VII -SISTER AGNES HOSPITAL

Food
King Edward VII's Hospital Sister Agnes offers a wide range of meals suitable for every dietary requirement. Patients are provided daily menus with a wide selection of food to choose from which is then delivered directly to your room.
A member of our catering team is happy to visit patients to discuss their menu choices and dietary requirements, for example diabetic, gluten-free or Kosher food.
Our Head Chef maintains an immaculate kitchen with his committed team achieving the highest standards in all areas of food preparation. The Hospital was awarded the five star award from the Food Standards Agency's 'Scores on the Doors' scheme which is the highest accreditation for food safety, hygiene

01 March 2013

TORONTO: Dr.Thomas STEWART took $436,000 from ORNGE HELICOPTER SERVICE Company

From,TORONTO STAR
Dr. Thomas STEWART resigns (ER CHIEF) as hospital announces it will now disclose publicly all third-party contracts to increase transparency following probe into contract with ORNGE founder Dr.Christopher MAZZA.

Dr. Tom Stewart will continue his clinical practice at Mount Sinai.
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Dr. Tom Stewart will continue his clinical practice at Mount Sinai.
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Mount Sinai’s top doctor has quit (as ER CHIEF -$607,000)amid revelations his Toronto hospital paid ORNGE founder Dr C. MAZZA $256,000 in public money — wih no proof Mazza did some of the work for which he was paid.
“We regret this unfortunate situation,” Mount Sinai president Joseph Mapa said in a statement to the Star on Wednesday. He sent an internal note to hospital colleagues saying it was with a “heavy heart” he accepted Dr. Tom Stewart’s resignation as physician-in-chief and director of the medical/surgical intensive care unit.
Stewart will continue his clinical practice at Mount Sinai.
The hospital has also announced it will now disclose publicly all third-party contracts to increase transparency.
As part of its investigation into the ORNGE air ambulance service, the Star earlier reported that Mazza and Stewart, who are friends, had an unusual relationship. Each had a sort of consulting contract with the other’s publicly funded agency.
ORNGE paid Mount Sinai’s Dr.T.STEWART roughly $75,000 annually over seven years (a total of $436,000) to advise Dr.C.MAZZA and ORNGE on medical issues — work that the air ambulance firm’s new managers said they could not confirm was done because the relationship was primarily between Mazza and Stewart.
Over a similar time period, Mount Sinai paid Dr.Mazza $256,000. Both men were already well compensated by their own agencies: Dr.Mazza earned $1.9 million in his last year at ORNGE and Mount Sinai paid Stewart $607,000 in salary and benefits in 2011.
After the Star’s initial stories, Mount Sinai began a review, which was recently completed. According to the hospital, it found that Mount Sinai had two separate contracts with ORNGE president Dr.Mazza, both “under the auspices” of Dr.Stewart.
First, between 2006 and 2008, the hospital paid Dr. Mazza $108,000 “for providing a variety of clinical and advisory services to the intensive care unit (at Mount Sinai),” according to a hospital statement. The hospital said “these services were in fact rendered.”
Secondly, between 2009 and 2011, Mount Sinai paid Dr.Mazza $148,000 “for a variety of advisory services to the critical care response team and the department of medicine.” The hospital’s review “concluded that there was no evidence that the full services for these payments were in fact rendered.”
Mount Sinai said in its release that "Dr. Stewart acknowledged that this was an error in judgment on his part." Stewart's lawyer told the Star that Dr. Stewart "looks forward to concentrating full time on his clinical work."
Mount Sinai will not release the report and has not said whether it will seek from Dr.Mazza any of the monies paid to him. The hospital said the review has provided recommendations “designed to ensure accountability.” The hospital said it will begin disclosing annually all third-party relationships “to enhance oversight of outside contracts.”
According to an earlier statement from Stewart, he met Mazza in 2003 when both doctors “led the effort against the SARS outbreak.” They became friends and, according to a former colleague of Dr.Mazza’s, Dr.Stewart was very supportive when Mazza lost his son in 2006 in a skiing accident in Ontario.
Dr.Mazza’s expense reports show the two men occasionally dined together, and parking receipts show Mazza occasionally visited Stewart at Mount Sinai hospital.
That both men had contracts with the other’s agency was not generally known at either ORNGE or the hospital.
At Mount Sinai, Dr. Gary Newton, head of cardiology, has been appointed as interim physician-in-chief and other managers will fill Dr.Stewart’s other role as director of the medical/surgical intensive care unit.

Kevin Donovan can be reached at kdonovan@thestar.ca or 416-312-3503 .

Der SPIEGEL: ZOOPHILE GROUP - ZETA

UK PRIVATE EYE (#1331) quoting Der Spiegel (26/11/2012.)

"Germany to criminalise zoophilia ( legalised in 1969)"
"Legal in BELGIUM & DENMARK".
"100,000 Zoophiles in Germany"

(An extra question for the Medical Record for diagnosis of ZOONOSES)



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
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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
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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
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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.’
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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.