zilongwang/ReadingBank huggingface dataset:
Bladder scanner for Health AMU and Inpatient Ward, Ayrshire Central Gynaecology clinic £ 18,000 TBC TBC Cell Saver shared between Operating Department, UHC and Ayrshire Maternity Unit £ 15,600 TBC TBC Topographer for Day Surgery Ophthalmology, UHA £ 13,300 TBC TBC Microscope for Pathology, Laboratories, UHC £ 10,200 TBC TBC Bladder Scanner for Day Surgery Ward, UHA £ 8,000 TBC TBC integrated fitting system and audiometer, Audiology Service, East Ayrshire Community Hospital £ 8,000 TBC TBC integrated fitting system and audiometer, Audiology Service, Girvan Community Hospital £ 8,000 TBC TBC Monitor for endoscopic Endoscopy, UHA £ 7,100 TBC TBC Visual Analyser for Eye OPD UHA £ 35,900 TBC TBC Defibrillator for primary care GPs £ 220,000 TBC TBC Colonoscopes for endoscopy suite UHA £ 70,000 TBC TBC Gastroscopes for endoscopy suite UHA £ 63,000 TBC TBC Patient monitors for station 10/11 UHA £ 24,000 TBC TBC Transfer Ventilator for ICU, UHA £ 18,200 TBC TBC Patient monitors for station 4 UHA £ 18,000 TBC TBC Bladder scanner for Ward 2c, orthopaedics high care UHC £ 10,000 TBC TBC Patient communication aid, SLT Dept - Augmentative & Alternative Communication Service £ 7,500 TBC TBC In addition to this, information on planned participation in collaborative National contracts (Frameworks) is attached in Appendix 3. Reference Documents / Appendices Appendix 1- Regulated Procurements January 2017 to March 2018
Red Cross Minibus in designated area in short stay car park forecourt At weekends you will be expected to pay for transport to the airport and seek reimbursement via your own Health You should ensure that your Claims Form has been signed by hospital staff to confirm your attendance. Remember to keep your receipt Only patients who have been assessed as meeting the Scottish Ambulance Service (SAS) eligibility criteria will have their return journey arranged through this service. SAS transport will be allocated only on medical grounds, for example if the patient has restricted mobility, is unwell, mentally incapable or has a specific health problem that makes it unsuitable for them to travel by their own or public transport. DISRUPTED FLIGHTS If you are travelling home following an in-patient stay or outpatient appointment and you know your flight has been cancelled: You should still go to the airport so that alternative travel arrangements can be made. It is important that you check-in at the appropriate time As you have been assessed as being fit to return home there should be no expectation that you would return to hospital unless you are en route to Balfour or Gilbert Bain Hospital or to a Care Home or if you have identified clinical or care needs and you require ongoing medical support. If this is the case you should inform the airline staff. They will contact the appropriate person within NHS Grampian on your behalf.
Extended Writing Activity Writing Prompt Why might you personally feel graffiti is vandalism? Why wouldn’t you consider it “art”? Justify your answer using information from the text. You should write at least a paragraph of 5-8 good sentences or more.
Section 2: Requirement for licence – Provision of health care service(s) for the purposes of the NHS Do you provide healthcare service(s) for the purposes of the NHS? If yes, go to question 2.1.1 If no, go to 3.1 Do you provide healthcare service(s) for the purposes of the NHS through a contract directly with a clinical commissioning and/or NHS England? If yes, go to question 2.1.1.1 If no, go to question 2.1.2 Do you provide any healthcare service(s) for the purposes of the NHS through a multi-party contract with clinical commissioning group(s) and/or NHS England and other provider(s)? If yes or no, go to question 2.1.2 Do you provide healthcare service(s) for the purposes of the NHS through an arrangement with another provider? If yes, go to question 3.1 Section 3: Requirement for licence – Licence exemptions 3.1 Are one or more of the healthcare services you provide for the purposes of the NHS, regulated activities for the purpose of registration with the Care Quality Commission Chapter 2 of Part 1 of the Health and Social Care Act 2008? If no, go to question 3.2 If yes, got to question 3.1.1 3.1.1 Are you registered with the Care Quality Commission in accordance with Chapter 2 of Part 1 of the Health and Social Care Act 2008 in respect of the carrying out of all regulated activities? If yes, go to question 3.2
Davis P, Scott A. Health Research Sampling Methods. In: Allsop J, Saks M, editors. Researching Health qualitative, quantitative and mixed methods. London: SAGE Publications Ltd; 2007. p.155-173 Alderson P. Governance and Ethics in Health Research. In: Allsop J, Saks M, editors. Researching Health qualitative, quantitative and methods. London: SAGE Publications Ltd; 2007. p.283-300 Portlock J, Holden M, Patel S. A community pharmacy asthma MUR project in Hampshire and the Isle of Wight. Pharm J 2009;282:109-112 Blenkinsopp A, Celino G, Bond C, Inch J. MURs: the first year of a new community pharmacy service. Pharm J 2007;278:218-223 Blenkinsopp A, Bond C, Celino G, Inch J, Gray N. Medicine Use Review: adoption and spread of service innovation. Int Journal of Pharm Prac 2008;16:271-276 Morrison J, Short D, Raja S, Otomewo I, Heatlie H. Can a partnership programme of support help to empower pharmacists to initiate or increase the number of patient medicines use reviews? Pharm J 2011;287:1-3 STOPP/START Toolkit Supporting Medication Review. NHS Cumbria CCG. 2013 available at: <accessed 11/5/14> The Pharmaceutical Journal. Community Pharmacy Future Project estimated to save £470 million if rolled out across England. Pharm J 2014;292:250 Scottish Intercollegiate Guidelines Network (SIGN) 71 Management of Osteoporosis. A National Clinical Guideline. June 2003. NHS England. 2014/15 General Medical Services (GMS) Contract Quality and Outcomes Framework (QOF) Guidance for GMS Contract 2014/15. NHS England. 2014
Pharmacists performance “Very easy to understand and helped with other problems” “Pharmacist was exceptionally helpful and explained everything in detail. This made me feel more confident” “Very informative” “The pharmacist was very helpful and friendly” Inhaler use “Felt improved technique” “I will endeavour to use my inhaler correctly” “Surgery have never commented on how I used inhaler” “No one ever corrected technique before. Very useful service” “First time using inhaler” “Excellent service - be advantageous for health professionals to revise there technique” “The pharmacist agreed my technique was good” Use of In-check device “Like breathing tube - understanding” “Good to be able to check way inhalers are used” “Everyone should be tested it is important” “Size of mouthpiece on inhaler tester completely different to on inhaler uses - much bigger” Patient education/increased knowledge “Didn’t know should be using brown inhaler daily” “Too much blowing - now know I should breathe in” “Didnt realise MDI/ turbohaler should be used differently” “Very informative, learnt something new today” “Never been told to rinse mouth before” “Useful information about rinsing mouth” “Useful information”
Implementation meeting held local partners and national representative Shared understanding across local organisations of how the DPP complements ambitions for improved Health and Wellbeing of STP footprint population Leadership Identification of clinical champions within partner organisations Identification of local governance lead within lead organisation to lead the partnership Identification of key local stakeholders to support implementation Service Specification Primary Care Narrative Initial Planning Project initiation workshops held Project initiation plan developed Defined governance arrangements and processes agreed (Local) Readiness Toolkit Memorandum of Understanding National programme overview slides Governance Slide Set Understanding of contract details and staffing details for all existing or planned local services that are aimed at diabetes prevention (CCG / LA). Information provided about available or planned local services supporting diabetes prevention covering all of the below: Service specification Contract length Contract value Details of existing staff (specific details tbc) Agreed decision on whether this service would be continued or amended / decommissioned in light of implementing the NHS DPP Local legal advice taken about whether TUPE applies Prospectus Memorandum of Understanding Preparation of Local Prospectus Develop local prospectus Prospectus Delivery Infrastructure Delivery resources agreed and secured from across partnership to support: Development of registers of high risk patients (if robust registers do not already Incentives to support CCG engagement Prospectus Memorandum of Understanding
How to complete the NHS GGC Palliative Care Education Template Click into each box in input the data as per the table below: Description Action Information Required Example Training Period This is the period in which the training was captured. Click on arrow at side of box and choose appropriate training period. Please choose the 3 month period the training covers. Jan/Mar 16 Lead Training Team with Lead Facilitator This is the Lead Training Team/setting with the name of the Lead Facilitator organising the training or education event on arrow at side of box and choose appropriate team Please choose appropriate team facilitating training and type in the name of the Lead Facilitator If palliative care study day was being organised in the community setting with Shirley leading this training it would be for example, ‘PCPCT – Shirley Byron’ Collaborative Setting This is if there has been any joint working with other teams/settings. Those teams/settings being asked to help with the facilitation do not include this information in their submissions. Click on arrow at side of box and choose appropriate team/setting. If more than one please type in manually. See below for key descriptions. Please choose appropriate team/setting. If more than one please type in manually If there was joint working between the acute setting(lead) and Accord Hospice and PCPCT, this would be, Accord Hospice/PCPCT. If there was no collaboration then choose N/A Theme This is the theme in which the training comes under Click on arrow at side of box and choose appropriate theme for your training course to sit under. See below for key descriptions. Please choose appropriate theme for your training to sit under If the course is DNACPR, this will come under the theme of ‘Palliative and End of Life Care Training’ so choose ‘P&EOLC
length the training education session takes discount time for lunch and tea breaks No of Attendees Number of Attendees Click in box and input total number of attendees on course Figures only. Total number of attendees 40 Each Designation Number of each designation attending the training, education course in the boxes and input the number of appropriate designations attending the training, education course Figures only. Input the number of appropriate designations attending the training, education course Ie, if 3 registered nurses and 2 HSWS attended, input this into the respective boxes. Please note if there were no attendees for a particular designation please enter 0 in the box. Key - Themes Education Concept/Themes Examples of Training Education Sessions
Appendix 1 – Service Specification Service Specification No. Service Locally Commissioned Service (LCS) Specification for NHS Health Checks in Pharmacy setting Commissioner Lead Nina Chauhan-Lall Dr Paulette Myers Provider Lead Period April 1st 2017 – March 31st 2018 Date of Review October 31st 2017 1. Population Needs National/local context and evidence base Cardiovascular disease (CVD) is the second largest cause of death in England, being responsible for 29% of all deaths. In Walsall, were 639 deaths from CVD during 2013-15 amongst people aged under 75 years. The Direct Standardised Rate per 100,000 population rate is 95.4, which is higher than regional and national rates (78.9 and 74.6 respectively). During 2013-15, 439 of the 639 under 75 CVD deaths were considered avoidable, which is higher than the regional and national rates (avoidable DSR for Walsall = 64.3; West Midlands = 51.0; England 48.1). therefore remains a high priority for Walsall to address. Cardiovascular disease () results from the interaction of a number of causative factors, most of which are modifiable. There is also strong evidence to support key actions to reduce these CVD risk factors Early intervention is crucial because reducing risk (e.g. stopping smoking) and early detection of disease will reduce morbidity and mortality. Strategies for prevention, early diagnosis and intervention are also likely to be more cost effective than strategies for long term treatment. Since 2011/12, the NHS in England has been implementing a standard, universal vascular risk assessment and management programme called ‘NHS Health Checks’ for people aged between
Manipulation for internal disorders (Applied Kinesiology) Manipulation under anesthesia MEDEK therapy Meditation/transcendental meditation (except as part of IAPT services) Megavitamin therapy (also known as orthomolecular medicine) Meridian therapy Mesotherapy Micronutrient testing Millimeter wave therapy Mirror box therapy Moire Contourographic Analysis Moxibustion (except for foetal breech presentation) MTH-68 vaccine Music therapy Myotherapy Network Technique Neural Organizational Technique Neural therapy (neural tension technique/electro-neuromodular medicine) Neuro Emotional Technique Neurocalometer/Nervoscope NUCCA procedure Ozone therapy Para-spinal electromyography (EMG)/Surface scanning EMG Spinoscopy Pfrimmer deep muscle therapy Polarity therapy Primal therapy Psychodrama Purging Qigong longevity exercises Ream's testing Reflex Therapy Reflexology (zone therapy) Regenokine therapy Reiki Remedial massage Revici's guided chemotherapy Rife therapy/Rife machine Rolfing (structural integration) Rubenfeld synergy method (RSM) Sacro-Occipital Technique Sarapin injections Shark cartilage products SonoKinesthesia treatment Spinal adjusting devices (ProAdjuster, PulStarFRAS, Activator) Telomere testing Therapeutic Eurythmy-movement therapy Therapeutic touch Thermography Thought therapy (TFT) (Callahan Techniques Training) Traditional Chinese Medicine Trager approach Traumeel preparation Trichuris suis ova therapy Tui Na Upledger Technique and Therapy Vascular endothelial cells (VECs) therapy Vibrational essences Visceral manipulation therapy Webster Technique (for breech babies) Whitcomb Technique Whitcomb technique Whole body vibration Wurn technique/clear passage therapy Yoga
criterion will be considered first, but will not be the sole basis of membership selection. Scholarship The scholarship aspect of member ship will be based upon a student’s current weighted grade point average or GPA from freshman year forward. The minimal GPA for students to be considered for or maintain membership in the NHS is an unrounded 3.8 or higher. Leadership The leadership criterion is considered highly important for membership selection. The faculty council will consider the offices a student has held in school or community organizations. However, the council will also carefully consider the leadership that exists outside elected positions such as effective participation in other co-curricular activities offered on campus. Service Service is generally considered to be those actions undertaken by the student which are done with or on behalf of others without any direct financial or material compensation to the individual performing the service. When the faculty council is considering service, the contributions this candidate has made to school, classmates, and community, as well as the student’s attitude towards service can be reviewed. Character A person of character demonstrates the following six qualities: respect, responsibility, trustworthiness, fairness, caring, and citizenship. A candidate will be able to demonstrate an outstanding record of conduct and behavior with regard to school and community rules, guidelines, and policies or be able to demonstrate sufficient growth and improvement to compensate for previous inadequacies. Article VI SCHEDULE OF MEETINGS The National Honor Society of Allen High School will hold regular class meetings both semesters each school year. The junior and senior classes will hold at least four meetings throughout the school year, and the sophomore class will hold at least three meetings each school year. These meetings will be held on dates, times, and places designated by the student executive council and class sponsor for each class. These meetings will be held in accordance with school policies and regulations. The regularity of meetings will be designated by the chapter coordinator, faculty council, and executive committee of each class. Special meetings approved by the executive committee or faculty council may be called by the president, other designated student leader, or class sponsor. Article VII DUTIES AND RESPONSIBILITIES Duties of Members
Modelled Numbers at risk of Type 2 diabetes Total ‘at risk’ population in SE England = 11.1% (Cardiovascular Intelligence Network – August 26th 2015) Data source Health Survey for England 2009, 2010, 2011, 2012 and 2013 012-based Subnational Population Projections. Clinical commissioning groups in England, mid-2012 to
NHS England has confirmed the dates and times that pharmacies throughout North East Lincolnshire will be open over the Christmas and New Year period. They are as below: Pharmacy Address Postcode Minor Ailment Scheme Provider Sunday 24.12.2017 Monday 25.12.2017 Tuesday 26.12.2017 Sunday 31.12.17 Monday 01.01.18 Asda Pharmacy Holles Street, Grimsby DN32 9DL 01472 243217  10:00-12.30 And 14.30-16:00 09:00-18:00 10:00-12.30 And 14.30-16:00 10:00-18:00 Boots Pharmacy 43 Friargate Freshney Place, Grimsby DN31 1EL 01472 351451  10.30-16.30 08:30-17:30 10.30-16.30 Lloyds Pharmacy 208 Littlecoates Road, Grimsby DN34 5SU 01472 871112  10.00-16.00 10.00-14.00 10:00-16:00 10.00-16.00 Birkwood Pharmacy Birkwood PCC Westward Ho, Grimsby DN34 5EN 01472 753164  09.00-16.00 09.00-16.00 Tesco Pharmacy Market Street, Grimsby DN31 1QS 01472 306647  11.00-17.00 11.00-17.00 Tesco Pharmacy Hewitts Avenue, Cleethorpes DN35 9QR 0345 6779164  10.00-16.00 10.00-16.00 Boots Pharmacy St Peter’s Avenue, Cleethorpes DN35 8HF 691684  15.00-16.00 Source: NHS England
Faccini House 64 Middleton Road Morden SM4 6RS CCG On Call Director for EPRR : Pager service 08448 222 888 – SWL6 Accountable Officer Dr Chris Elliot Telephone: 0208 646 5480 E mail: Wandsworth CCG 2nd Floor, Watershed House, 1 Adelaide Road London SW18 1HR SLCSU On Call Director for Surge: Pager service 08448 222 888 – SWL1 CCG On Call Director for EPRR : Pager service 08448 222 888 – SWL6 Accountable Officer James Olweny Telephone: 0208 871 5178 Mobile: 07904 857 866 E mail: ACUTES Croydon Health Services NHS Trust Croydon University Hospital 530 London Road Croydon CR7 7YE Main Switchboard Number 020 8401 3000 Main fax Number 020 8401 3656 On-call Manager/Director: 08448 222 888 pager call sign MAYDAY1or switchboard Satellite Phone number: 008707 72210575 Major Incident Control Centre: Phone: 0208 401 3204 Fax: 0208 401 3215 Email: Emergency Planning: Lynn Taylor Telephone: 020 8401 3916 E mail: lynn.taylor@croydonhealth.nhs.uk Emergency Planning: Mark Jenkins Mobile: 07877493929 Email: Epsom and St. Helier’s Hospital Wrythe Lane Carshalton SM5 1AA Main Switchboard Number 020 8296 2000 Main fax Number 020 8296 3508 (A&E) Fax main reception 0208 641 4546 On-call Manager/Director: 08448 222 888 pager call sign EPSOM1 or Phone via switchboard and ask for the on-call manager Major Incident Control Centre: Phone: 020 8296 3090 Fax: 020 8644 4383 Email: EPLO Lead Clinician Suresh Kumar Telephone work 0208 296 2000 Mobile 0797 5232341 Email EP Lead: Deborah Frodsham Mob: 07975 232330 E mail: EPLO: Michelle Bello Email: Mobile: 07584 589277 Guy’s & St Thomas’ NHS Foundation Trust Guy’s Hospital Switchboard: 02071887188 On-call Manager/Director: 222 888 pager call sign GUYS1
& Downs Road Sutton Surrey SM2 5PT Major Incident Control Centre: Phone: Fax: Email EP Lead Liz Bishop Email: EPLO: Platt Tel: 0207 811 8298 Mob: 395434 Your Healthcare Hollyfield 22 Hollyfield Rd Surbiton KT5 9AL Main Switchboard number 0208 339 8000 Main fax Number: 020 8339 8100 On-call Manager/Director: 08448 222 888 pager call sign:YHC1 or Call: 07699 113300 Bleep Number: 756887 Incident Room: Phone: 0208 339 ext: 18106 Fax: 0208 339 8103 E-mail: EPLO: Phil Coutie Mobile: 07717 727 551 Email: EP Executive Lead Moira Ford Tele: 020 8339 8119 Mobile: 07825078379 E-mail: MENTAL HEALTH Oxleas NHS Foundation Trust Pinewood House Pinewood Dartford Kent DA2 7WG On-call Manager/Director: 08448 222 888 pager call sign OXNHS1 Or Phone via switchboard Control Room: Telephone: 01322 621 063 Fax: 01322 555 491 Email: EPLO Jacqueline Lo Telephone: 01322 625700 Email: Alternative EPLO Stephen Bethlehem Hospital Monks Orchard Road Beckenham BR3 3BX On-call Manager/Director: 222 888 pager call sign SLAM1 Or Phone via switchboard Control Room Telephone: 020 3228 3632 Fax: 020 7703 7239 Email: EPLO: Patrick Halloran Telephone: 020 8869 7408 Mobile: 07795 248936 Email:
SERVICE CONDITIONS SC1 Compliance with the Law and the NHS Constitution SC2 Regulatory Requirements SC3 Service Standards SC4 Co-operation SC5 Commissioner Requested Services/Essential Services SC6 Service User Booking and Choice and Referrals SC7 Withholding and/or Discontinuation of Service SC8 Unmet Needs SC9 Consent SC10 Personalised Care Planning and Shared Decision Making SC11 Transfer of and Discharge from Care SC12 Service User Involvement SC13 Equity of Access, Equality and Non-Discrimination SC14 Pastoral, Spiritual and Cultural Care SC15 Services Environment and Equipment SC16 Places of Safety SC17 Complaints SC18 Service Development and Improvement Plan SC19 HCAI Reduction Plan SC20 Venous Thromboembolism SC21 Not used SC22 Not used SC23 Service User Health Records
SC24 NHS Counter-Fraud and Security Management SC25 Procedures and Protocols SC26 Clinical Networks, National Programmes and Approved Research Studies SC27 Formulary SC28 Information Requirements SC29 Managing Activity and Referrals SC30 Emergency Preparedness and Resilience Including Major Incidents SC31 Force Majeure: Service-specific provisions SC32 Safeguarding SC33 Incidents Requiring Reporting SC34 of a Service User SC35 Duty of Candour SC36 Payment Terms SC37 Local Quality Requirements and Quality Incentive Schemes SC38 Commissioning for Quality and Innovation (CQUIN) GENERAL CONDITIONS GC1 Definitions and Interpretation GC2 Effective Date and Duration GC3 Service Commencement GC4 Transition Period GC5 Staff GC6 Not used GC7 Partnership Arrangements GC8 Review GC9 Contract Management GC10 Co-ordinating Commissioner and Representatives GC11 Liability and Indemnity GC12 Assignment and Sub-Contracting GC13 Variations GC14 Dispute Resolution GC15 Governance, Transaction Records and GC16 Suspension GC17 Termination GC18 Consequence of Expiry or Termination GC19 Provisions Surviving Termination GC20 Confidential Information of the Parties GC21 Data Protection, Freedom of Information and Transparency GC22 Intellectual Property GC23 NHS Branding, Marketing and Promotion GC24 Change in Control GC25 Warranties
SCHEDULE 4 – QUALITY REQUIREMENTS Operational Standards Not applicable National Quality Requirements National Quality Requirement Threshold (2014/15) Method of Measurement (2014/15) Consequence of breach Monthly or annual application of consequence Applicable Service Category Duty of candour Each failure to notify the Relevant Person of a suspected or actual Reportable Patient Safety Incident (as per Guidance) Pharmacies must have an “Open and Honest” policy, Report suspected or actual patient safety incidents into Superintendent Pharmacist and the Lead Commissioner at the CCG. Recovery of the cost of the episode of care, or £10,000 if the cost of the episode of care is unknown or indeterminate Monthly All
Cruiser Destroyer Escort Frigate Gunboat Landing Craft Launch Minesweeper Monitor Petrol Boat Pinnace Ship-of the-line Sloop Submarine Tender Torpedo Boat Warship Fishing vessel Fishing vessel Dredger Drifter Long Liner Ring-netter Trawler Research Vessel Research Vessel Service Vessel Customs vessel Fire Float Hopper/Dredger Icebreaker Inspection Launch Lifeboat Lightvessel Pilot Vessel Sewage Disposal Vessel Tender Training ship Tug Victualling Hull type Timber Steel Aluminium Ferro-cement Composite Other Hull construction method Carvel Clinker Double diagonal Triple diagonal Double planked Cold moulded Plate Other Hull fastenings Treenail Iron nails Copper nails Roved Clenched Iron/Steel rivets Rivets Welded Adhesives Other
Bow shape Bluff Pointed Clipper Other Stem shape Plumb Straight Plumb Curved Plumb Hollow Plumb Reflex Straight Raked Curved Raked Hollow Raked Reflex Stern shape Pointed Transom Cruiser Primary propulsion method Sail Engine Towed Manpower (e.g. rowed) Rig type Ketch Schooner Yawl Cutter Brig Brigantine Full rigged ship Barque Barquentine Other Sail type Gaff Lug Bermudian Sprit Square Other Type of engine/s 2 Stroke 4 Stroke Petrol Semi-diesel Diesel Electric Steam turbine Steam reciprocating Type of engine/s (2) 2 Stroke 4 Stroke Petrol Semi-diesel Diesel Electric Steam turbine Steam reciprocating Other
Region East Heart of England North England Northern Ireland Scotland South East West Wales Vessel’s present use is Private leisure craft Houseboat Sail training Laid up Undergoing restoration Commercial trade Commercial Premises (Static) Museum Operational Other Owner Type Charitable trust Commercial None Private Public Body Unknown
Gender Male Female Transgender I do not wish to disclose this Race relations (Amendment) Act 2000 I would describe my ethnic origin as: Asian or Asian British Bangladeshi Chinese Indian Pakistani Vietnamese Any other Asian background Please specify: Black or Black British Caribbean Somali African Other African Any other Black background Please specify: Mixed White & Asian White & Black African & Black Caribbean Any other mixed background Please specify: White British Irish Any other White background Please specify: I do not wish to disclose this Please state your Nationality Please state your Country of Birth Disability Discrimination Act 2005
I do not wish to disclose this I do not wish to disclose this Locality: Walthamstow / Chingford / Leyton and Leytonstone / Which health conditions do you have experience of? Chronic Obstructive Pulmonary Disease / Diabetes / Dementia / Cardiovascular Disease / Cancer / Mental Health problems / Prefer not to say Other:
The Partnership of East London Cooperatives (PELC) Derbyshire Health United (DHU) East of England Ambulance Service (EEAST) Coast Medical Service (FCMS) Herts Urgent Care (HUC) IC24 (South East Health/Cleo) / Isle of Wight Ambulance Service (IoW) North East Ambulance Service (NEAS) North West Ambulance Service (NWAS) Staffs. Doctors Urgent Care (SDUC) South East Coast Ambulance Service (SECAMB) Serco (Cornwall) No NHSmail – Call 01872 222400 South Central Ambulance Service (SCAS) South West Ambulance (SWAST) West Midlands Ambulance Service (WMAS) Yorkshire Ambulance Service (YAS) Finally: Q I’ve found this Guide and FAQ helpful, but I still have a few unanswered queries If you have any queries, please initially contact your DOS team (details on front page). If the query cannot be resolved, then you can contact the author of this guide – details below: Dr Shanker Vijayadeva –
REFLECTIVE ACCOUNTS FORM You must use this form to record five written reflective accounts on your CPD and/or practice-related feedback and/or an event or experience in your practice and how this relates to the Code. Please fill in a page for each of your reflective accounts, making sure you do not include any information that might identify a specific patient, service user or colleague. Please refer to our guidance on preserving anonymity in Guidance sheet 1 in How to revalidate with the NMC. Reflective account: 1 MAINTAINING PATIENT DIGNITY (PRF) What was the nature of the CPD activity and/or practice-related feedback and/or or experience in your practice? 4/06/15 on duty this morning Mrs X called me over after she had received a and thanked me for keeping her well covered as she had been dreading having a wash in the hospital ward. What did you learn from the CPD activity and/or feedback and/or event or experience in your practice? bath
RA Agent contacts across London AT Boroughs Contacts AT Boroughs Contacts AT Boroughs Contacts North Central & East London Barking & Dagenham 020 8430 7007 – North West London Brent 02089661013 & 02089661040 - South London Bexley 0208 298 6166 - Barnet 020 3688 1414 – Ealing 0208 962 4903 - Bromley 0208 315 8702 Kingston Your Healthcare HR Dept 0208 339 8168/8169/8184 Email: Camden 020 3688 1881- Hammersmith & Fulham 0208 962 6591 - Croydon 020 3049 6000 - City & Hackney 020 3688 1414 – Harrow 02089661013 & 02089661040 - Greenwich Enfield 020 3688 1414 – Hillingdon Merton Haringey Hounslow 020 8630 1159 Lambeth Havering 020 8430 7007 – Kensington & Chelsea 0208 962 6591 Lewisham Islington 020 3688 1414 – Westminster Southwark Newham Sutton Redbridge 020 8430 7007 – Richmond Tower Hamlets 020 3688 1414 – Wandsworth Waltham Forest 020 8430 7007 –
Judges will ask questions, and Team B will answer for up to 10 minutes. You may need to remind the judges to keep their questions as brief as possible. Thank you. Judges, please score Team B’s responses to your questions and finish up your score sheets. Thank you to both teams for a great round. Teams, you can relax for a few minutes while we collect the cases and scrap paper. Volunteer can help collect scrap paper and cases from both teams – the tables should be totally clear of materials in front of the teams. Thank you, teams. When the judges are done, I will double check the totals and announce the winner of the match. Remember that the winner will be the team that has the highest number of judges’ votes out of three. Check the math to make sure that the judges added up their scores correctly. Then determine which team got the highest number of judge votes. Teams, let’s thank the Judges. Now to the results: _____ has won this match. Again, congratulations to both teams for a great match. Please head to ______ for (your next match/lunch/…) and thank you. Place all materials into the envelope: the three score sheets, copies of cases and questions, scrap paper, etc. Give the envelope to the volunteer who will then return it to Bowl HQ. Keep your other materials for the next round. At the end of your final round, please return those materials to HQ.
Meeting: NHSGGC Bereavement Steering Group Date: Tuesday 6th June 2017 Time: 1.30pm – 3pm Venue: Eastwood Health and Care Centre, Drumby Crescent, Clarkston, G78 7HN (Hoskins Room) AGENDA Welcome/Apologies Professor Bridget Johnston Minutes of Previous Meeting (7th Feb 2017) Professor Bridget Johnston Matters Arising - CRUISE All Views of Care Claire O’Neill Communication Skills Updates from HSCPs and Acute Sectors All Policy Updates E O’Donnell Update on Website Paul Corrigan Bereavement bags – update Claire O’Neill Review of NHSGGC Bereavement Literature E O’Donnell AOCB Date and time of next meeting TBA
Vision and values 3. What objectives does the board have for developing the organisation’s culture? 4a. To what extent do staff at all levels understand the vision of the organisation? 4b. Why have you given that score? How do leaders at all levels reinforce the vision? 5a. To what extent do organisation values influence the board’s strategic decisions? 5b. How frequently and openly does the board use organisation values to influence their strategic decisions? Goals and performance 6a. To what extent are staff managed effectively, eg clear objectives, helpful feedback on performance, manageable workloads, appropriate training, effective appraisals and opportunities to contribute to decisions that affect their work? 6b. Why have you given this score? How does the board assure this? Support and compassion 7. How is the board assuring itself that staff feel valued, have high levels of wellbeing, good work-life balance, stress management and resilience? 8. How does the board assure itself that the organisation is making progress in promoting diversity and inclusivity at all levels? 9. How does the board include patients in its day-to-day business? Learning and innovation 10a. To what extent are innovation, learning and improvement frequently and effectively fostered in the organisation? 10b. Why have you this score? Teamwork 11. Is there effective team, inter-team and cross-boundary working in the organisation and with other organisations?
How effectively do we do leadership development for key leadership roles (rate and explain)? Not at all A little Moderately Very Outstanding 1 2 3 4 5 Do we have career structures in place to attract and retain people in key leadership roles? (rate and explain) Not at all A little Moderately Very Outstanding 1 2 3 4 5 How effectively do we currently career management guidance to people in key leadership roles (rate and explain)? Not at all A little Moderately Very Outstanding 1 2 3 4 5 How do we currently develop all other staff in terms of their leadership behaviours and ability? How effectively do we do leadership development for all other staff (rate and explain)? Not at all A little Moderately Very Outstanding 1 2 3 4 5 Not at all A little Moderately Very Outstanding 1 2 3 4 5
Shortlisted options (including ‘do minimum’; three or four is the recommended number) and a description of how these have been shortlisted Consideration should be given to a public sector comparator (PSC) as part of the option appraisal where appropriate The basis of costs and assumptions should be set out Have all relevant capital and relevant costs been identified and properly assessed in line with Her Majesty’s Treasury (HMT) Green book? Have sunk costs, transfer payments, VAT, capital charges and depreciation been excluded from the net present cost (NPV)? Is the appraisal period appropriate to the life of the Benefits Have appropriate and credible cash and non-cash releasing benefits been identified? Risk Have the risks been quantified and costed? Have the assumptions and impact of risk been explained? NPV, optimism bias and sensitivity analysis discounted cash flow model should be used, such as the generic economic model (GEM) to calculate an NPV as part of the economic appraisal Have costs, benefits and risks been adjusted for optimism bias? Has an appropriate sensitivity analysis been included? Summary Is there a clear conclusion and clear recommendation for a preferred option? Tables 5 to 9 are examples that can be included in the recommendation report as appropriate. Describe the long-list options and how they were developed, by completing Table 5. Table 5: Summary of long list of options
Table 10: Cash-releasing benefits Option Year £’000 Year £’000 Year £’000 Year £’000 Year £’000 Year £’000 Year £’000 Total £’000 Table 11: Non-cash releasing benefits Option Year £’000 Year £’000 Year £’000 Year £’000 Year £’000 Year £’000 Year £’000 Total £’000
15: Impact on the statement of comprehensive net income (incremental) Activity Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Total £'000 Revenue costs X X X Depreciation PDC dividends Cash- releasing benefits Incremental impact on I&E surplus/ (deficit) Table 16: Impact on Cash Flow (incremental) Activity Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Total £'000 Capital costs Revenue
Table 10: Cash-releasing benefits Option Year £’000 Year £’000 Year £’000 Year £’000 Year £’000 Year £’000 Year £’000 Total £’000 Table 11: Non-cash releasing benefits Option Year £’000 Year £’000 Year £’000 Year £’000 Year £’000 Year £’000 Year £’000 Total £’000
Table 15: Whole-life cost of the project Whole-life costs Year £000s Year £000s Year £000s Year £000s Year £000s Year £000s Total £000s X X X X X Total capital cost X X X Total revenue Total whole life cost
17: Impact on the Statement of Comprehensive Net Income (incremental) Activity Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Total £'000 Revenue costs X X X Depreciation PDC dividends Cash-releasing benefits Incremental impact on I&E surplus/(deficit)
Table 18: Impact on Cash Flow (incremental) Activity Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Year £'000 Total £'000 Capital costs Revenue costs PDC Cash Releasing Benefits Incremental impact on Cash Flow Cumulative impact on Cash Flow Table 19: Statement of financial position
Confirmation of the governance and business case sign off arrangements that have been made at trust/foundation trust level, eg the business case has received NHS trust/foundation trust board sign off before being submitted to NHS Improvement for approval. Recommendation The NHS Improvement director of finance/Resources Committee is asked to approve the OBC/FBC for XXX NHS Trust/Foundation Trust for capital expenditure of £X million and the associated revenue costs. Summary of the full business case Strategic case Provide a short organisational overview, including current financial performance. Table 1 provides guidance on areas to include in this section of the report. For further guidance, refer to the document Capital regime, investment and property business case approvals guidance for NHS trusts and foundation trusts. 1: Recommendation report guidance: Strategic case Area Guidance Approvals and support Has the business case been approved by the trust board? Rationale and objectives for the scheme of the disposal and any subsequent re-investment Case for change. What is the driver for the disposal and any subsequent re-investment and what will it achieve? What will be the consequences if it does not go ahead? Spending objectives Existing arrangements Business needs – current and future Expected benefits of the disposal Strategic and policy context including: Current strategies Impact on existing service configuration and wider health system Evidence of support from other bodies, eg commissioners
Table 9: Cash-releasing benefits Option Year £’000 Year £’000 Year £’000 Year £’000 Year £’000 Year £’000 Year £’000 Total £’000 Table 10: Non-cash releasing benefits Option Year £’000 Year £’000 Year £’000 Year £’000 Year £’000 Year £’000 Year £’000 Total £’000
IVAC: Basic case 1 (Case 7) In this case, criteria for IVAC are met by the Tmax of 39.0o C on MV day 4 and the 4 days of QAD starting on MV 5. The IVAC is on MV day 6 because this is the VAC day. NOT IVAC: Exception (Case 8), 4 day event window In this case, criteria for VAC are met. However, the criteria for IVAC are not. While the QADs meet criteria, the Tmax of > 38.0o C is on MV day 2. Day 2 is not within the VAE Event Window. In this case the event window is only 4 days long because while MV day 2 is included in the determination of whether or not there is a VAC, information from day 2 can’t be included in the determination of IVAC, Possible VAP or Probable VAP. NOT IVAC: Exception (Case 9), 3 day VAE event window In this case, criteria for VAC are met. However, the criteria for IVAC are not. the QADs meet the criteria, the Tmax of > 38.0o C is on MV day 1. Neither day 1 or 2 are within the VAE Event Window because the event window is only 3 days long. While MV days 1 and 2 are included in the determination of whether or not there is a VAC, no information from either of those 2 days can be included in the determination of IVAC, Possible VAP or Probable VAP. Determination of QADs
AND One of the following Positive culture of endotracheal aspirate, ≥ 105 CFU/ml or equivalent result Positive culture of a bronchoalveolar lavage, ≥ 104 CFU/ml or equivalent result Positive culture of lung tissue, ≥ 104 CFU/ml or equivalent semi-quantitative result Positive culture of protected specimen brush, ≥ 103 CFU/ml or equivalent result Excludes the following Normal respiratory flora, mixed respiratory/oral flora or equivalent Candida species of yeast, not otherwise specified Coagulase-negative Staphylococcus species Enterococcus species OR Criteria 2: One of the following – without the requirement for purulent respiratory secretions: Positive pleural fluid culture (where specimen was obtained during thoracentesis or initial placement of chest tube and not from an indwelling chest tube) Includes these otherwise excluded organisms Candida species or not otherwise specified Coagulase-negative Staphylococcus species Enterrococcus species (including VRE) Positive lung histopathology Includes these otherwise excluded organisms Candida species or yeast not otherwise specified Coagulase-negative Staphylococcus species Enterrococcus species (including VRE) Positive diagnostic test for Legionella spp. Positive diagnostic test on respiratory secretions for influenza virus, respiratory syncytial virus, adenovirus, parainfluenza virus, rhinovirus, human metapneumovirus and coronavirus. Probable VAP: Case 23, Basic Case 1 (Criteria 1)
Detailed results This section reports on the findings for each of the elements in the outcomes framework in detail. Where appropriate these are reported from the perspective of the participants followed by the feedback from the facilitators. Resource NES coordinated and in some cases commissioned, 7 facilitators to deliver a total of 9 programmes to 67 participants. Activities The format of the 8 programmes 6 -Living Life to the Full (LLTTF) courses over 8 sessions each 1-health literacy single event 1-creative writing course over 6 sessions 1 –reading activity over 1 session Location/Group What activity was delivered Date Number of participants Were they the intended people ASD (People with Autism Spectrum Disorders) Living Life to the Full (LLTTF) course. May-July 2013 6 Yes Carers Organisation Living Life to the Full course 2 days- April 2014 5 Yes Centre for Integrative Care Creative writing November 2013 - January 2014 6 Yes Glasgow Women’s Aid Living Life to the Full (LLTTF) course March-May 2014 10 Yes GP Practice Lanarkshire Living Life to the Full February 2014 6 Yes
End of programme reactions and feedback Programme 1 How did the activity make you feel? Question 2. Please tell us your overall reaction to the activities you did in sessions Question 3 Did attending these sessions have any positive effects? Question 4 Did you have any negative effects? Question 5. After the activity have you noticed any change in the following? A) Awareness of your health and B) Attitudes to your health and well-being C) Behaviour or decisions about your health or well-being Question 6 Would You recommend activity or do it again? Any other or notes See sheet Total number of users feedback forms received ASD Group (Autism Spectrum Disorders 4 Smiley faces 1 neutral n/a Yes-5 5 Carers organisation 4 smiley faces 3 very satisfactory; 1 satisfactory Yes 5 No 5 A)Yes 5 B) Yes 4 No 1 C) Yes 4 No 1 Yes 5 5 Centre for Integrative Care Smiley faces – 3 Plus 1 with ‘mostly’ Satisfactory -1 very satisfactory - 3 Yes-4 Yes-1, Yes-1 No- 2 A)Yes -4 B) Yes-4 C) Yes 4 Yes-4 4 Glasgow Women's Aid Smiley 6 7 very satisfactory Yes 7 No 7 A)Yes -7, No-0 B) Yes- 7 C) Yes 6- Don't know-one Yes 7
in the chair or a V-shaped groove at least ¾ inch in depth molded into the upper surface to receive the steel bar at the point of support. Precast concrete chairs shall be moist at the time concrete is placed. TABLE 1 – STANDARD REINFORCEMENT BARS Bar Size No. 2 3 4 5 6 7 8 Wt. (lb/ft) 0.167 0.376 0.668 1.043 1.502 2.044 6.670 2 – SQUARE WELDED WIRE FABRIC1/ Style Designation Wt. in Lb. Per 100 Sq. Ft. Style Designation Wt. in Lb. Per 100 Sq. Ft. 2 x 2 – 10/10 60 4 x 4 – 14/14 11 2 x 2 – 12/12 37 6 x 6 – 0/0 107 2 x 2 – 14/14 21 6 x 6 – 1/1 91 2 x 2 – 16/16 13 6 x 6 – 2/2 78 3 x 3 – 8/8 58 6 x 6 – 3/3 68 3 x 3 – 10/10 41 6 x 6 – 4/4 58 3 x 3 – 12/12 25 6 x 6 – 4/6 50 3 x 3 – 14/14 14 6 x 6 – 5/5 49 4 x 4 – 4/4 85 6 x 6 – 6/6 42 4 x 4 – 6/6 62 6 x 6 – 7/7 36 4 x 4 – 8/8 44 6 x 6 – 8/8 30 4 x 4 – 10/10 31 6 x 6 – 9/9 25 4 x 4 – 12/12 19 6 x 6 – 10/10 21 4 x 4 – 13/13 14 1/ Style designation is defined in ACI Standard 315 of the American Concrete Institute.
South West Medicines Management Training Scheme Post Course Assessment - Module 1 Item Log (Appendix 5) Assessment of Patient's Own Candidate Name……………………………………..Trust……………………………………….. Item no Patient initials or number Medicine Name & Strength Form Prescription Record error if found (enter code) Label Record error if found code) Contents Record if found (enter code) Quality/Other Record error if found (enter code) Intervention or Referral (I/R) Approve or Reject/ Other (A/R/0) Candidates initials/ signature Checkers initials/ signature Error Found (see code) 1 2 3 4 5 6 7 8 9 10 Error codes: 1. Prescription Errors Medicine name Medicine strength Medicine form Frequency Medicine not prescribed 2.Label Errors Medicine name Medicine strength Medicine form Directions Additional warnings Patients name Missing label 3. Contents Errors Identity of medicine Medicine strength Medicine form Excess quantity Expired contents Mixed tablets / brands Insufficient quantity 4. Quality Problems Inappropriate container / closure Medicine stored inappropriately Damaged / deteriorated Unclean There is no scope for error within this module
Competency Based Assessment Feedback Form Candidate Name…………………………………………………………………………….. Assessment 1 Date: Comments signature/initials Assessment 2 Date: Comments signature/initials Assessment 3 Date: Comments signature/initials Assessment 4 Date: Comments signature/initials Assessment 5 Date: Comments initials Final work-based assessment of competence Candidate's Name…………………………………..…………. You must demonstrate that you have the following skills Competent = C Competency = working towards Comments Person / Communication
Endorse drug chart clearly and legibly Candidate Sign Assessor Sign No 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 Date Med Type Rx Legal & Correct Rx clear / legible Accurately order medication for individual patients Correct Patient Name Correct Drug Name Appropriate Drug Form Correct strength Correct Quantity Correct instructions Correct medicine brand Correct ward Formulary compliance Deal with a variety of supply issues Check before making duplicate supplies Identify repeat supplies Identify items to be relabelled Identify newly prescribed items
Remove/return meds no longer required Identify inappropriate usage Take action to remedy supply problems: Out of stock MCS Facilitate the timely process of orders Complete all relevant documentation accurately Complete order clearly and legibly Endorse drug chart clearly and legibly Candidate Sign Assessor Sign No 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 Date Med Type Rx Legal & Correct Rx / legible Accurately order medication for individual patients Correct Patient Name Correct Drug Name Appropriate Drug Form Correct strength Correct Quantity Correct instructions
PROMs – primary knee replacement The tables show average adjusted health gain on PROMs reported by the Health and Social Care Information for independent providers compared to the national average. PROMs – groin hernia The tables below show average adjusted health gain on PROMs reported by the Health and Social Care Information for independent providers compared to the national average. Rate of assessment for VTE (blood clots) All providers of acute adult inpatient care are required to provide information on the percentage of admitted patients who are risk-assessed for venous thromboembolism (blood clots). The graph below shows data for the past year. The average rate for independent providers is 98.7% compared with a national average of 96.1%. Source: