zilongwang/ReadingBank huggingface dataset:
11 Lourdes González Carmona Ejecutiva Sectorial, Subdirección de Agente Financiero Nacional Financiera, S.N.C. Mexico 12 Alexandra Alarcón Cisneros Subdirectora para América del Norte Secretaría de Hacienda y Crédito Público Mexico 13 José Ortiz Gómez Subdirector de Asuntos Haciendarios Bilaterales con América Latina y el Caribe Secretaría de Hacienda y Crédito Público Mexico 14 Carlos Raúl Delgado Aranda Director general Adjunto de Organismos Financieros Internacionales Secretaría de Hacienda y Crédito Público Mexico 15 Guillermo de la Sierra Subdirector de Multilaterales Comisión Nacional de Vivienda Mexico 16 Luis Ismael López Jefe de Departamento para Proyectos de Infraestructura Secretaría de Hacienda y Crédito Público Mexico
official remains concerned about providing the information, it would be open to the responsible minister to make a PII claim in the manner outlined in . In some instances it might be possible to meet a committee’s request by removing information that identifies individuals. Officials may wish to seek legal advice when a request for information covered by secrecy provisions is pressed by a committee. In camera evidence Witnesses may seek a committee’s agreement to give evidence in a private session (i.e. in camera). Senate estimates committees, however, must conduct hearings in public. It would be unusual for an official witness to seek to give evidence in camera, but it may be necessary in situations where: (a) a case could be made for a PII claim but the minister considers, on balance, that the public interest lies in making information available to the committee; (b) similar or identical evidence has previously been given in camera to other hearings of the committee or other committees of the parliament and has not been made public. Requests for an in camera hearing would normally be made by the minister or by a witness after consultation with the minister and departmental secretary or agency head. Such consultation might not be appropriate, however, in the case of officials giving evidence of events or conduct, as described in . It is important to be aware that committees (or the Senate or House of Representatives) are able to decide that evidence taken in camera or provided in confidential submissions should be published. Committees would usually inform a witness before publication, and possibly seek concurrence, but there is no requirement for that to occur. If a committee seeks an official witness’s concurrence to publish in camera evidence, the witness should ask the committee for time to allow him or her to consult the minister or the departmental secretary or agency head (noting that this may not be necessary if the witness is appearing in a personal capacity – see ). Requests for evidence ‘off the record’ There is no category of ‘off the record’ provision of information to a committee and officials should not offer to brief committees or members in this way. In the event that an official is asked to provide information to members of a committee ‘off the record’ or in any manner that would not appear to be covered by parliamentary privilege, the official should request a postponement until the minister can be consulted, unless the possibility has been clearly foreshadowed with the minister and the official has been authorised to provide the information.
The Trust notes that the above does not include attendance allowances or reimbursement for any loss of earnings. 3) BASIS AND RATES OF PAYMENT 3.1 For any meetings that come within the provisions of paragraph 2, the Trust has agreed to adopt the following scheme of payments: travel by rail – 2nd class fare; travel by bus – the fare actually paid; travel by the member’s own private motor vehicle where its use results in a substantial saving of governors’ time or is in the interest of the Trust / Governing Body or is otherwise reasonable. Rates payable and expenses incurred through the use of private cars and motor cycles shall be at a rate not exceeding Her Majesty’s Revenue & Customs Approved Mileage Rates which are published on the following website www.hmrc.gov.uk/rates/travel.htm; subsistence – Re-imbursement for food and drink items bought on the day claimed; other eligible expenses agreed. As there are no national or local rates set for these expenses the Trust will determine rates of payment based on provision of a receipt. 3.2 All expense claims should be made in the same financial year as the expenses have been incurred. 4) METHOD OF PAYMENT Reimbursement Car and Motor Cycle Mileage (including parking fees) These are made via the school’s finance system. b) Reimbursement of Actual Costs for Bus, Rail Fares, Subsistence and Other Expenses etc. Reimbursement of actual costs incurred for expenses, including parking fees that are not incorporated within a claim for car or motorcycle mileage, may be made out of petty cash, as there is no profit element. Appropriate receipts, including those for VAT, must be provided. 5) CLAIM FORMS 5.1 Claims that relate to car and motorcycle mileage should be submitted on the standard form (appendix A of this policy) that is certified by the Chair of the Governing Body, Headteacher or Chair of the Trust. Completed
St Nicholas' School Governing Body Governors Name Category Committee Appointing Body Term of Office Positions of Responsibility Details of Business Interests Declared Date of declaration Vicky Balfour Co-opted LCS GB Chair of LCS. Use of TAs at St Nicholas School as PAs. Oct 2016 Paul Butler Co-opted GB None Oct 2016 Heidi Dawson Parent F&R Parents Use of TAs at St Nicholas School as PAs. Oct 2016 Jemma Edmunds Co-opted LCS GB TA contract with St Nicholas School. Oct 2016 Alison Ekins Co-opted LCS GB Chair of GB Director of SEN at VIAT Academy Trust, Maidstone. Oct 2016
Sharon Godden Parent F&R Parents Sister is a TA at St Nicholas School. Oct 2016 Craig Heskett Parent LCS Parents None Oct 2016 Daniel Lewis Headteacher F&R LCS 31.08.95 Headteacher Director of Brogdale CIC. Governor at Orchard School. Oct 2016 Janet MacGregor Co-opted LCS GB Member of U3A, Canterbury & District. Oct 2016 Erica Nurmsoo Co-opted LCS GB None Oct 2016 Vanessa Oakes Co-opted LCS GB Trustee of Snaap. Use of TAs at St Nicholas School as PAs. Oct 2016
about such things as perspective, composition, and the beholder’s standpoint, all of which reveal themselves as inner-worldly constructions, not as divinely ordained for nature. Goya seems to have been deeply engaged with such questions in spite of the fact that, roughly from Alberti onwards, the reigning principles of image-making assumed the naturalness of a secular point of view. As Norman Bryson pointed out in Image and Gaze, Albertian perspective served to normativize the set of techniques by which painting could support the fiction of a “natural standpoint.”3 To understand that the “naturalness” of the beholder’s standpoint is itself constructed implied something quite different from the acceptance of Albertian principles. In Goya (though certainly not in Goya alone) the representation of “natural looking” image carries with it an awareness of the fact that the image was itself a product of invention, and that it has a social and material base. It is hardly surprising to see Goya move rapidly away from the picturesque naturalness that informs the tapestry cartoons, since that aesthetic was designed to conceal these very facts. Moreover, the process of secularization is one that seems never to be complete. Various forces that may be associated with the “spirit” seem to persist, in many forms, even within an apparently autonomous, fully secular space. The spirit-world has a demonic Nachleben that invariably throws the secular world off-kilter, reminding it of its own precarious status as a contradictory collection of provisional and sometimes obscure, even irrational practices and beliefs. As Goya was also quick to recognize, this was something that the members of secular society seemed surprisingly unable to see. The persistence of “official” religion within an increasingly secular world tells only part of the story; equally important is the way in which the
The Miracle of St. Anthony, San Antonio de la Florida, detail. The Miracle of St. Anthony, San Antonio de la Florida, central dome, partial view.. Giambattista Tiepolo, The Triumph of Zephyr and Flora, Palazzo Labia, Venice, detail. Giambattista Tiepolo, The Four Continents, Treppenhaus, Residenz, Würzburg. Treppenhaus, Residenz, Würzburg Giambattista Tiepolo, The Glory of Spain, Throne Room, Royal Palace, Madrid. Courbet, Burial at Ornans. St. Ambrose. Betrothal of the Virgin, Aula Dei, Zaragoza. Adoration of the Name of God” coreto, Basilica of the Virgen del Pilar, Zaragoza. Mary, Queen of Martyrs (Regina Martyrum), cupola, Basilica of the Virgen del Pilar, Zaragoza. Burial of Christ. Flying Witches. Christ Crucified. Las Meninas, etching after Velásquez, detail. Velásquez, Crucified Christ. Ribera, Crucifixion. The Taking of Christ, oil sketch, detail. Saint Bernardino of Siena preaching before Alfonso of Aragón, side altar, San Fernando el Grande, Madrid.
"GO BAG" List for 72 hour Deployment *These items are supplied by AK Respond. Item Packed Check Check AK Respond Identification (ID) Badge* Copy of Professional License Driver’s License or State Identification Card AK Respond Scrub Top* Professional Comfortable Clothing /can be layered (at least 1 change) Outer Wear Clothing (Jacket, Pants, Gloves, Hat, Boots) Shoes – additional pair Shower shoes Sleep Wear and Sleep Mask Sleeping bag (as necessary) Ear plugs Personal Care Items Prescription Medications (personal) - 7 day supply Personal Reading Material Snack Food Pre-Packaged (72 hours) Gloves (Non latex)* Flashlight with Extra Batteries Smashlight* Tumbler or Drinking Cup* Bottled Water Bug Repellent (as needed) Cell Phone and Charger (utilities may be disrupted initially) Watch (with second hand) Paper/Pen Whistle*
Guidance Document - GO Math! Grade K Grade K / Chapter 1: Represent, Count, and Write Numbers 0 to 5 Lesson Action Details for the Action Rationale 1.0.1 Add Introduce routine to practice rote counting to 100 that will continue throughout the year: Additional Resource: K.CC.A.1 requires students to count to 100 by ones. “Students need experiences practicing and learning to count so that they can learn to say numbers before they are able to use the numbers to count objects or to tell the number of objects” (). 1.0.2 Add More practice with rote counting up to 20: 1.0.3 Add Practice counting up from a number other than 1: 1.1 Model and Count 1 and 2 Modify Spend more time on counting objects as opposed to counting out a given number of objects (Share and Show). K.CC.B.4a requires students to focus on counting objects, not writing numerals. Standard asks students to say number names, not write them. 1.2 Count and Write 1 and 2 As is 1.3 Model and Count 3 and 4 Modify Spend more time on counting objects (Share and Show directions: questions 1 and 2) as opposed to counting out a given number of objects (questions 3, 4, 5). K.CC.B.4a requires students to focus on counting objects, not writing numerals. Standard asks students to say number names, not write them. 1.4 Count and Write 3 and 4 As is
11.4 Two-Dimensional Shapes As is 11.5 Angles in Shapes As is 11.6 Sort Two-Dimensional Shapes As is 11.7 Partition Rectangles As is 11.7.1 Add Practice with partitioning a rectangle into squares: [Note: The tick marks on the rectangle provided are not evenly spaced. If using this task, create a rectangle template with evenly spaced tick marks.] 2.G.A.2 requires students to partition a rectangle into rows and columns of same-size squares and count to find the total number of them. In the previous lesson, students tiled a rectangle with unit squares; an additional lesson is required to meet the depth of this standard. 11.8 Equal Parts As is 11.9 Show Equal Parts of a Whole As is 11.10 Describe Equal Parts As is 11.11 Equal Shares As is *Some editions of GO Math! Grade 2, like the Florida-specific version, have a slightly different sequence for Chapter 11. Please use the lesson titles to help determine the adaptations that need to be made. Chapter 11 Rule of Thumb Rationale Focus instructional time and discussions on shapes specifically mentioned in the standard. 2.G.A.1 requires identification of triangles, quadrilaterals, pentagons, hexagons, and cubes.
Chapter 7 Rule of Thumb Rationale Don’t tell students to use a specific strategy or model to solve division problems. The goal is fluency, so students should be building on facts they know and may use different strategies to develop fluency. 3.OA.C.7 does not require specific strategies to develop fluency Grade 3 / Chapter 8: Understand Fractions Lesson Action Details for the Action Rationale 8.1 Equal Parts of a Whole Delete More aligned to 2.G.A.3 than Grade 3 expectations 8.1.1 Add Lesson about naming fractions that builds on grade 2 work and extends to denominators of sixths, eighths: [Note: Teachers may need to skip the number line representation, as this doesn’t connect to 2nd grade work.] Need to make connection between Grade 2 work and aligning to 3.G.A.2. 8.2 Equal Shares Delete Aligns to 5.NF.B.3 8.3 Unit Fractions of a Whole As is 8.4 Fractions of a Whole As is 8.5 Fractions on a Number Line As is 8.5.1 Add Lesson about placing fractions on a number line between 0 and 1: 6 3.NF.A.2 includes working with fractions greater than 1, which are not fully addressed in other lessons.
10.2 A.M. and P.M. Delete Aligns to 2.MD.C.7 10.3 Measure Time Intervals As is 10.4 Use Time Intervals As is 10.5 Time Intervals Delete Aligns more to 4.MD.A.2. 3.MD.A.1 limits to problems that do not cross the hour marks. 10.6 Measure Length As is 10.7 Estimate and Measure Liquid Volume As is 10.8 Estimate and Measure Mass As is 10.9 Solve Problems About Liquid Volume and Mass As is 10.9.1 Add Condense two lessons to give students more practice with one-step word problems involving measurement: Teachers should mix up problems from the two lessons to give students practice with all four operations at once. Students need more work on the second sentence of 3.MD.A.2 that requires solving word problems involving measurement. Chapter 10 Rule of Thumb Rationale
Part Four: Chapter-Level Guidance for GO Math! (Grade 4) How can teachers implement each chapter of Grade 4 to make instruction more aligned by making minor modifications and supplementing Open Educational Resources (OER)? Grade 4 / Chapter 1: Place Value, Addition, and Subtraction to One Million Lesson Action Details for the Action Rationale 1.1 Model Place Value Relationships As is 1.2 Read and Write Numbers As is 1.3 Compare and Order Numbers As is 1.4 Round Numbers As is 1.5 Rename Numbers As is 1.5.1 Add Practice recognizing that a in one place represents ten times what it represents in the place to its right: 4.NBT.A.1 requires students to recognize that in a multi-digit whole number, a digit in one place represents ten times what it represents in the place to its right Lessons 1.1 and 1.5 aren’t enough to fully address standard. 1.6 Add Whole Numbers As is 1.7 Subtract Whole Numbers As is 1.8 Comparison Problems with Addition and Subtraction Modify Modify lesson to include multi-step word problems involving addition and subtraction. Additional Resource: Lesson only includes one problem type. Modify lesson to give students more practice solving multi-step word problems, as per 4.OA.A.3.
7.5.1 Add Lesson about solving word problems involving addition and subtraction: [Note: Change mixed numbers in lesson to fractions greater than one. Do not expect students to rename yet.] 4.NF.3d requires application problems. 7.6 Rename Fractions and Mixed Numbers Modify Make connections to decomposing fractions work students did for 4.NF.3b in prior lessons by switching “Example” and “Unlock the Problem” so that “Example” is introduced first. 4.NF.B.3 requires that students understand a fraction a/b with a > 1 as a sum of fractions 1/b. 7.7 Add and Subtract Mixed Numbers As is 7.8 Subtraction with Renaming As is 7.9 Fractions and Properties of Addition Delete 4.NF.B.3c gives suggested strategies; this lesson only allows students to use one given strategy based on a specific property, rather than use their understanding to add and subtract mixed numbers 7.10 Multistep Fraction Problems Delete Aligns to 5.NF.B.7 7.10.1 Add Practice with application problems involving adding and subtracting fractions: 4.NF.B.3d requires application problems Chapter 7 Rules of Thumb Rationale
Grade 5 / Chapter 6: Operations with Fractions Lesson Action Details for the Action Rationale 6.1 Addition with Unlike Denominators As is 6.2 Subtraction with Unlike Denominators As is 6.3 Estimate Fraction Sums and Differences As is 6.4 Common Denominators and Equivalent Fractions As is 6.5 Common Denominators and Equivalent Fractions As is 6.6 Add and Subtract Mixed Numbers As is 6.7 Subtraction with Renaming As is 6.8 Patterns with Fractions Delete 5.NF.A.1 does not require students to reduce fractions to the simplest form. 6.9 Practice Addition and Subtraction As is 6.9.1 Add Lesson for more practice solving word problems: 5.NF.A.2 is part of the Major Work of the grade. This additional day provides students with more practice solving word problems.
Council and to external customers to facilitate the achievement by the Council of its strategic and operational objectives Outcome: Provision of a comprehensive and value for money advisory, assurance, regulatory and information technology service that has measurably improved the effectiveness of the Council’s frontline and corporate services. What does success look like? No client service or corporate deadlines missed as a result of failure from G&I Service Number of justified formal complaints over service delivery standards Council Strategy theme Being efficient, effective and innovative, Partners Working Together Organisational Framework Theme Positive Governance Strategy Cross service activity? N/A Measure(s)of success Current position 2020 proposed Benchmark Frequency (M / Q / A) Currently avail (Y/N) G&I_PI_11b Number of justified formal complaints over service delivery standards Green 0 N/A Quarterly N
Dr J Sheward Dr L Adams Dr C Martin Appointments: 01655 882708 Prescriptions: 01655 883922 Fax: 01655 882977 Ref: 80491 Maybole Health Centre MAYBOLE KA19 7BY .uk EXCELLENT GP PARTNER REQUIRED 6 SESSIONS FOR FORWARD PLANNING GP PRACTICE An exciting opportunity has arisen for a Part-Time GP Partner to join our progressive and friendly Practice. Partnership will be flexible. Six sessions approximately/negotiable. Start date negotiable. The Practice is very well organised, with few house visits per day (AVG < 2 total), and based within purpose-built Health Board rented premises, with no Capital ingoing. The Practice is one of two within the Maybole area and serves a mixed rural and urban population, with a current list size of 4,200. The Practice uses EMIS and DOCMAN. Out of Hours Services are covered by NHS 24. The team consists of three Partner General Practitioners, Advanced Nurse Practitioner, Practice Nurse, Healthcare Assistant, and is supported by attached multidisciplinary staff including, Pharmacist, Community Link Practitioner and Community Psychiatric Nurse. The Practice boasts a high standard of staff retention. Maybole is a rural town 10 minutes south of Ayr in South Ayrshire, with excellent transport links and within commuting distance from Glasgow. You will also find that property prices are more affordable than in other parts of the UK, should you wish to relocate. Local education standards are very high at primary and secondary level, and private education is also available in the area. Applications should be accompanied by a CV and a covering letter and returned by email to Or by post to: Mrs Tracey Malone Practice Manager Drs Sheward & Partners Maybole Health Centre 6 High Street MAYBOLE KA19 7BY Closing date for applications: Friday 30th November 2018. Further information about the Practice can be found on our website: www.maybolemedicalpractice.co.uk Informal enquiries and visits welcome. For more information please contact: Mrs Tracey Malone Practice Manager In promoting equal opportunities, we welcome applications from all sections of the community.
1. Document information 3 2. Introduction 4 Purpose 4 Background 4 3. The Governance Committee 5 Members of the Governance Committee 5 Role of the Governance Committee 5 4. Roles and Responsibilities 6 Role of the Chairperson 6 Role of Governance Committee members 6 Role of the TTC Manager / Co-ordinator 7 Role of the executive officer 7 Role of attendees 7 5. Conduct 8 Conflicts and Confidentiality 8 Committee principles 8 6. Delegation of Authority 9
CATARACT SURGERY Date of referral _ _ / _ _ / _ _ _ _ Patient Name: …………………………… NHS No: ………………… D.O.B: ... /... / …. Referring GP and Practice Name: …………………………………………………………………. Indication Delete as appropriate Reduced visual acuity documented to be at best 6/12 or worse in the affected eye (corrected) Please also confirm which is the affected eye Meets criteria: Yes / No Right eye/ Left eye / Both AND The patient is willing to have cataract surgery. The referring optometrist or GP has discussed the risks and benefits using an approved information leaflet (national or locally agreed) and ensured the patient understands and is willing to undergo surgery before referring. Yes / No AND impairment of lifestyle such as: The patient is at risk of falls, or The patient’s vision is affecting their eligibility to drive, or The patient’s vision is substantially affecting their ability to work, or The patient’s vision is substantially affecting their ability to undertake leisure activities such as reading, watching television or recognising faces Yes / No Yes / No Yes / No Yes / No OR The patient has best corrected visual acuity of better than 6/12 in the worst eye but they are working in an occupation in which good visual acuity is essential to their ability to continue to work e.g. watchmaker, microsurgeon. (Please specify overleaf) Yes / No OR The patient has bilateral cataracts, neither of which fulfils the threshold for surgery, but which together reduce binocular vision below the DVLA standard for driving. (Binocular vision of 6/12 or worse) Cataracts are binocular Yes / No Binocular vision as Snellen chart: OR Patients with diabetes in whom the removal of cataract is considered necessary to facilitate effective digital retinal photography. Yes / No OR The patient has best corrected visual acuity of better than 6/12 in the worst eye but they are experiencing some other significant impact on their quality of life, as a result of their visual symptoms. A description of this impact must accompany the referral information. Yes / No
Refuse/withdraw consent to the sharing of your health records: we are authorised to process, i.e. share, your health records ‘for the management of healthcare systems and services’. Your consent will only be required if we intend to share your health records beyond these purposes, (e.g. research Request your personal information to be transferred to other providers on certain occasions. Where can I find further information? If you would like to know more about how we use your information or if you do not wish to have your information used in any of the ways described above, please contact Holmes Chapel Health Centre at end of this leaflet. If you would like to know about more general information about the Data Protection Act 2018, or if you have a complaint, you can contact the Information Commissioner’s Office. Information Commissioner’s Office Wycliffe House Water Lane Wilmslow Cheshire SK9 5AF T: 0303 123 1113 If you would like a copy of your health record please contact: FAO Office Manager Holmes Chapel Health Centre Please use the Subject Access Request Form Who is the Data Protection Officer? As part of compliance with GDPR, the Practice has appointed a Data Protection Officer – Mr Craig Walker, Head of Information Governance & Quality Assurance St Helens and Knowsley Teaching Hospitals NHS Trust St Helens, Merseyside. WA10 3TP T: 0151 676 5698 e: ig@sthk.nhs.uk Practice Contact Details Holmes Chapel Health Centre London Road Holmes Chapel CW4 7BB Telephone : 01477 533100 E-Mail : holmeschapel.healthcentre@nhs.net How we use and protect your personal information. .
Demonstrate due regard for safeguarding and promoting the welfare of children. Equality and diversity: The post-holder will support the equality, diversity and rights of patients, carers and colleagues, to include: Acting in a way that recognises the importance of people’s rights, interpreting them in a way that is consistent with Trust procedures and policies, and current legislation Respecting the privacy, dignity, needs and beliefs of patients, carers and colleagues Behaving in a manner which is welcoming to and of the individual, is non-judgmental and respects their circumstances, feelings priorities and rights. Personal/professional development: In addition to maintaining continued education through attendance at any courses and/or study days necessary to ensure that professional development requirements are met, the post-holder will participate in any training programme implemented by the Trust as part of this employment, with such training to include: Participation in an annual individual performance review, including taking responsibility for maintaining a record of own personal and/or professional development Taking responsibility for own development, learning and performance and demonstrating skills and activities to others who are undertaking similar work Complete mandatory training defined by the Trust Have an annual ‘external’ appraisal and complete revalidation Undertake training and develop familiarity with the various IT systems used by the organisation involved in the Urgent Treatment Centre Quality: The post-holder will strive to maintain quality within the Trust, and will: Alert other team members to issues of quality and risk Assess own performance and take accountability for own actions, either directly or under supervision Contribute to the effectiveness of the team by reflecting on own and team activities and making suggestions on ways to improve and enhance the team’s performance Work effectively with individuals in other agencies to meet patients’ needs Effectively manage own time, workload and resources. Communication:
History of medication and other treatments for mental illness Consider: Past referrals Effectiveness of previous treatments Side-effects and complications associated with previous treatments Patient’s preference for medications Allergies Relevant physical examination and other investigations Results of relevant previous psychological and developmental testing Other care plan e.g. GP Management Plans and Team Care Arrangements; Wellness Recovery Action Plan; Family Care Plan Yes, Specify: No Comments on Current Mental State Examination Consider: Appearance, cognition, thought process, thought content, attention, memory, insight, behaviour, speech, mood and affect, perception, judgement, orientation. Appropriateness of Mini Mental State Examination for patients over 75 years or if otherwise indicated Risk assessment If high level of risk indicated, document actions taken in Treatment Plan below Consider: Does the patient have a timeline for acting on a plan? How bad is the pain/distress experienced? Is it interminable, inescapable, intolerable? Ideation/ thoughts Intent Plan Suicide Self harm Harm to others Comments or details of any identified risks Assessment/outcome tool used, except where clinically inappropriate. Date of assessment
PLAN Actions Identified issues/problems Consider: As presented by patient Developed during consultation Formulated by GP Goals Consider: Goals made in collaboration with patient What does the patient want to see as an outcome from this plan? Wellbeing, function, occupation, relationships Any reference to special outcome measures Time frame Treatments & interventions Consider: Suggested psychological interventions Medications Key actions to be taken by patient Support services to achieve patient goals Role of GP Psycho-education Time frame Internet-based options Referrals Consider: Practitioner, service or agency—referred to whom and what for Specific referral request Opinion, planning, treatment Case conferences Time frame Referral to internet mental health programs for education Any role of carer/support person(s) Consider: Identified role or task(s), e.g. monitoring, intervention, support Discussed, agreed, negotiated with carer? Any necessary supports for carer Time frame Issue 1: Issue 2: Issue 3: Intervention/relapse prevention plan (if appropriate at this stage) Consider:
GP MENTAL HEALTH Treatment PLAN – Version for children Notes: This form is designed for use with the following MBS items. Users should be familiar with the most recent item definitions and requirements. MBS ITEM Number: 2700 2701 2715 2717 Major headings are bold; prompts to consider lower case. Response fields can be expanded as required. Underlined items of either type are mandatory for compliance with Medicare requirements. This document is not a referral letter. A referral letter must be sent to any additional providers involved in this mental health treatment plan. CONTACT AND DEMOGRAPHIC DETAILS GP name GP phone GP practice name GP fax GP address Provider number Relationship This person has been my patient since and/or This person has been a patient at this practice since Was patient involved in discussion with GP about treatment plan? Yes No Was parent/guardian involved in discussion with GP about patient’s treatment plan? Yes No Was the parent considered for a mental health treatment plan? Yes No Patient surname Date of birth (dd/mm/yy) Patient first name(s) Preferred name Gender Female Male Self-identified gender: Patient address Patient phone Preferred number: Can leave message? Yes No Alternative number: Can leave message? Yes No Medicare No. Healthcare Card No. Parent/guardian details Has patient consented for this Treatment Plan to be released to parents/guardians? First parent/guardian: Relationship: Phone number 1: Phone number 2: Yes With the following restrictions: No
PLAN Actions Identified issues/problems Consider: As presented by patient Developed during consultation Formulated by GP Goals Consider: Goals made in collaboration with patient What does the patient want to see as an outcome from this plan? Behavioural or symptomatic goals Wellbeing, function, occupation, relationships Any reference to special outcome measures Time frame Treatments & interventions Consider: psychological interventions face to face internet based Program (anxiety only) Websites Mobile Applications pharmacological interventions Key actions to be taken by patient and by guardians Support services to achieve patient goals Parent Management Training Role of GP Psycho-education Time frame Referrals Consider: Practitioner, service or agency—referred to whom and what for Specific referral request referral to internet mental health programs for education and/or specific psychotherapy Program (anxiety only) Websites Mobile Applications Opinion, planning, treatment Case conferences Time frame Any role of carer/support person(s) Consider: Identified role or task(s), e.g. monitoring, intervention, support Discussed, agreed, negotiated with carer? Any necessary supports for carer Time frame Issue 1: Issue 2:
How would you like the information to be provided, if possible? Please indicate your preferred option: □ Email – please supply an up to date secure email address □ Email address: □ Printed □ Online access to the medical record □ Other – please specify: Please note, it may not always be possible to supply the information in your preferred format. Please note that you might be contacted by the practice for further information, or clarification about the request, if needed. Any questions? Please contact the Practice Manager
Sickness leave Pay is affected by sickness leave according to length of service. In order to ascertain when sickness pay should be applied please refer to the guidance available here: The practice will complete the Pay2 form and send that and the sickness certificate to the local HEE office. GPR submits sickness certificate to practice manager. Pay2 form completed by Practice Manager with GPR where possible. Pay2 sent to local HEE office to be checked. HEE will send the forms to PCSE dedicated HEE email address Mileage and Medical Defence Union Claims These forms are submitted directly from the practice to Mileage claim form All mileage claims need to be submitted on the template. GPRs will submit the form monthly to their practice for authorisation. GPRs will use the same form every month to be able to ascertain correct mileage rate (regular user / standard user) Please ensure all mileage claims include the car engine size Claim forms cannot be accepted from anyone except the practice staff. Mileage claim form is completed by the trainee. The practice manager / trainer authorises the payment and signs the form The form is sent by the practice manager directly to: Clearly indicate in the subject line that they are: GP registrar expenses and which area they are for.
responsibilities will be clearly defined in all job descriptions and there are nominated leads for safeguarding adults. 15.2 The Practice Lead for Safeguarding Adults (MCA/DoLS and PREVENT) is: Insert name and contact The Deputy Practice Lead for Safeguarding Adults is: Insert name and contact The Administration Lead for managing Safeguarding data is: Insert name and contact 15.3 The Practice Lead for Safeguarding Adults is responsible for ensuring that they are fully conversant with the practice safeguarding adult policy, the policies and procedures of SAB and the integrated processes that support safeguarding: Facilitating training opportunities for staff groups Acting as a focus for external contacts on safeguarding adult and MCA matters; this may include requests to contribute to sharing information required for SARs, Domestic Homicide Reviews (DHRs), multi-agency/Individual Management Reviews (IMRs) and contribution to safeguarding investigations where appropriate Disseminating information in relation to safeguarding adults/MCA to all practice members Act as a point of contact for practice members to bring any concerns that they have, to document those concerns and to take any necessary action to address concerns raised Assess information received on safeguarding concerns promptly and carefully, clarifying or obtaining more information about the matter as appropriate Facilitate access to support and supervision for staff working with adults at risk and families Ensure that the practice team completes the practice’s agreed incident forms and analysis of significant events forms which are available state where in practice Is required to contribute to DHR/SAR and IMRs specifically Will respond to and write reports for LA Section 42 enquiries Will disseminate and develop action plans to ensure lessons learnt are embedded in best practice following publication of SAR and DHRs 15.4 The Practice Manager is responsible for ensuring that safeguarding responsibilities are clearly defined in all job descriptions. For employees of the practice, failure to adhere to this policy and procedures could lead to action under the disciplinary policy. The Practice Manager has a responsibility to ensure that the Practice has a clear safer recruitment policy and that this is adhered to 15.5 Partners are responsible for ensuring that:
GP update on MSK provision by Healthshare. We are conscious that there have been questions raised about some aspects of the new MSK service. This update will address these questions particularly around imaging requests, Rheumatology appointments, and the arrangement of physiotherapy, the Pain clinic and consultant to consultant referrals. MSK Diagnostic requests. With the new Healthshare MATT service there has been a lot of correspondence about GP’s access to imaging as part of their patient’s clinical pathway. Plain x-rays These can be ordered by GPs through ICE as previously. 1.2 Limited MRI lumbar spine (to exclude malignancy and infection) GPs order through ICE as previously. Some MRI scans are listed on ICE as ‘limited access’ e.g. for thoracic spine and can be ordered after discussion with the Radiologist via e-mail as indicated on ICE 1.3 MRI knees: For patients less than 55 MRI can be ordered on ICE . For patients over 55 (with normal plain film): patients where it is felt the clinical pathway may include the need for MRI should be referred to Healthshare. They will assess the patient, organise the imaging where needed, act on the results and either treat the patient or refer on to secondary care . The same is true of full MRI of the lumbar spine. The Notable exceptions are MRI scans for potential bone malignancy which should be organised as part of the 2ww pathway. 1.4 MSK Ultrasound If MSK ultrasound is indicated as part of a clinical pathway the patient should be referred to Healthshare. They will assess the patient, arrange the imaging where needed, act on the results and either treat the patient or refer on to secondary care where appropriate. If a GP wants to order a MSK ultrasound refer to the independent provider (currently Global). Do not refer to OUH for MSK ultrasounds. As part of the clinical pathway for patients referred to them, Healthshare will arrange a range of diagnostics including plain x-ray, MRI, and ultrasound imaging, act on the result and treat the patients.
Dying Matters to us In a recent audit led by the Royal College of Physicians “End of Life Care – dying in hospital” , the Trust achieved scores between 82% and 96% compared to the national average of 56% to 84% across 5 indicators. Mindful that every patient is someone’s loved one, the Trust has invested in end of life care training across clinical and support staff. There is a close relationship with local community health and social care providers (including GP and district nursing, palliative care teams and hospice care providers), to give patients who do want to die at home, the chance to do so. Susi Lund is the Trust’s End of Life Care lead. She puts the Trust’s performance in this emotive area down to our staff’s focus on delivering excellent quality of end of life care. Susi explains “Ultimately, when you lose someone close to you, you remember the people around you in hospital at that time and it is important to those who work at the Trust that we are remembered for our compassion, and our care, for the patient and for the families. “Our End of Life Governance Group includes clinical, pastoral and support staff. The group focussed on what we thought was important at the end of a person’s life and the care we would want to see given. That is the standard we set ourselves: what care would we want for ourselves or our family.” It should also be noted that the Trust has good Hospital Standardised Mortality Ratios (HSMR) which means that fewer people die at the hospital than would be expected according to the last reported annual data for 2015/15. We are delighted to be identified as a national leader in delivering end of life care in Next day RACOP appointments for the elderly Please consider referring elderly patients to the Rapid Access Clinic for Older People (RACOP) whenever possible, rather than sending them to A&E. Referrals can be made by telephone conversation with the registrar or consultant covering RACOP from 8.30-16.30 via switchboard (0118 322 5111) and then asking for bleep 510. In this way patients can be seen on the next working day if necessary.
Compliance with the Emissions Limitations and/or Control Requirements specified in section b) of these terms and conditions shall be determined in accordance with the following methods: Emission Limitation: Fugitive VOC emissions shall not exceed 0.27 tons per month, averaged over a rolling period. Applicable Compliance Method: Compliance with the VOC emission limitation shall be demonstrated based upon the following calculation using the records maintained in d)(1): VOC (tons/month) = sum of the following for each VOC component: = [molecular weight x ((volume of gas emitted/month) x (mole % of each VOC component/month)) / molar volume conversion] x (1 ton/2,000 pounds) Where: molecular weight = constant, in lb/lb-mole; volume of gas emitted/month = from records specified in d)(1)c, in scf; mole % of each VOC component/month = from analysis required in d)(1)b, in %; and molar volume conversion = 379.4 scf/lb-mole, at 60 deg F and 1 atm. Compliance with the monthly average VOC emissions, for each rolling 12-month period, shall be determined by adding the result to the emissions calculated for the previous 11 months. Miscellaneous Requirements None. Compressor Maintenance Blowdowns Operations, Property and/or Equipment Description: Uncontrolled compressor maintenance and blowdown releases from periodic maintenance blowdown activities from equipment in natural gas service. This permit document constitutes a permit-to-install issued in accordance with ORC 3704.03(F) and a permit-to-operate issued in accordance with ORC 3704.03(G). For the purpose of a permit-to-install document, the emissions unit terms and conditions identified below are federally enforceable with the exception of those listed below which are enforceable under state law only. None.
Schedule 3 – Emissions and monitoring Table S3.1 Point source emissions to air – emission limits and monitoring requirements Emission point ref. & location Parameter Source Limit (incl. unit) Reference period Monitoring frequency Monitoring standard or method high velocity roof fan outlets on poultry houses 1 to 4 as shown on the sitelayout/drainage plan in schedule 7 None set Poultry houses 1 to 4 None set --- --- --- gable end fan outlet on poultry houses 1 to 4 as shown on the sitelayout/drainage plan in schedule 7 None set Poultry houses 1 to 4 None set --- --- --- vent from LPG tank as shown on the sitelayout/drainage plan in schedule 7 None set LPG Tanks None set --- --- --- exhaust from generator as shown on the sitelayout/drainage plan in schedule 7 None set Generator None set --- --- --- vent from oil tank as shown on the sitelayout/drainage plan in schedule 7 None set Diesel Tank None set --- --- --- Table S3.2 Point Source emissions to land – emission limits and monitoring requirements Emission point ref. & location Parameter Source Limit (incl. unit) Reference Period Monitoring frequency Monitoring standard or method Two soakaways to east of poultry houses as indicated on the drainage plan in schedule 7 None set Rainwater draining from the roofs of poultry houses 1 to 4, and yard areas None set --- --- ---
paragraph 2.12 shall also be suitably extended. A tenderer may refuse the request without forfeiting its tender security. A tenderer granting the request will not be required nor permitted to modify its tender. 2.14 Format and Signing of Tender 2.14.1 The tenderer shall prepare two copies of the tender, clearly marking each “ORIGINAL TENDER” and “COPY OF TENDER,” as appropriate. In the event of any discrepancy between them, the original shall govern. 2.14.2 The original and all copies of the tender shall be typed or written in indelible ink and shall be signed by the tenderer or a person or persons duly authorized to bind the tenderer to the contract. All pages of the tender, except for unamended printed literature, shall be initialed by the person or persons signing the tender. 2.14.3 The tender shall have no interlineations, erasures, or overwriting except as necessary to correct errors made by the tenderer, in which case such corrections shall be initialed by the person or persons signing the tender. 2.15 Sealing and Marking of Tenders 2.15.1 The tenderer shall seal the original and each copy of the tender in separate envelopes, duly marking the envelopes as “ORIGINAL” and “COPY.” The envelopes shall then be sealed in an outer envelope. The inner and outer envelopes shall: (a) Be addressed to the ODPP at the address given in the invitation to tender (b) Bear, tender number and name in the invitation to tender and the words: “DO NOT OPEN BEFORE 23rd JANUARY, 2018. 2.15.2 The inner envelopes shall also indicate the name and address of the tenderer to enable the tender to be returned unopened in case it is declared “late”. 2.15.3 If the outer envelope is not sealed and marked as required by paragraph 2.15.4 The ODPP will assume no responsibility for the tender’s misplacement or premature opening. 2.16 Deadline for Submission of Tenders
Pre-Health Professions Advisory Committee 320 Washington Street Easton, MA 02357 Tel: (508) 565-1840 Fax: (508) 565-1119 www.stonehill.edu/offices-services/pre-health-advising GPA & MCAT Score Information Sheet Your Name Year of Graduation Program Applying To MD DO POD VET Test Date 1 Test Date 2 MCAT Sections MCAT Score 1 & Percentile MCAT Score 2 & Percentile MD Matriculants for AY2018 DO Matriculants for AY2018 Chemical & Physical Foundations of Biological Systems 127.6 SD = 2.2 125.2 SD = 2.4 Critical Analysis & Reasoning Skills 126.7 SD = 2.3 124.8 SD = 2.4 Biological & Biochemical Foundations of Living Systems 127.9 SD = 2.1 125.4 SD = 2.4 Psychological, Social, & Biological Foundations of Behavior 127.9 SD = 2.1 125.7 SD = 2.4 Total 510.1 SD = 6.7 Your GPA Information Mean for 2018 MD Matriculants Mean for 2018 DO Matriculants Mean for 2015 Podiatry Matriculants Science GPA* 3.65 SD = 0.30 3.33 SD = 0.40 3.31 Non-Science GPA* 3.81 SD = 0.21 3.58 SD = 0.30 N/A Cumulative GPA 3.71 SD = 0.25 3.45 SD = 0.32 3.37 *Utilize the GPA calculator on the Registrar’s website to determine your science and non-science
GROUPES SOLIDAIRES en Fc (1$ = 900 Fc) N° Nom de Groupe Nombre de membres du groupe Nombre de ceux qui ont quitté le groupe Ristourne – de membres contribue Montant en caisse d'épargne de groupe Montant dans la caisse de solidarité Nombre de membres qui épargnent de l'argent Prêts Prêts impayés Le groupe a une AGR d’ensemble ? Oui/non Si oui, d’AGR Nombre des ayant un compte à la Coopec ou à la banque Axe : KILIBA 01 UMOJA 25 0 25 201 500 57 300 25 2 317 500 94 000 Oui Artisanat et beignets 2 02 MWANGAZA 25 0 25 500 000 28 200 23 1 200 640 60 560 Oui Artisanat et beignets 1 03 MAPENDO A 25 0 25 200 000 67 800 21 1 041 500 51 000 Oui Artisanat et beignets 1 04 MAPENDO B 25 0 25 165 800 16 400 22 915 360 41 440 Oui Artisanat et beignets 1 05 AMANI 25 0 25 329 600 102 800 19 1 978 800 86 800 Oui Artisanat et 1
Nom du groupe NGUVU et TUWE UMOJA et UMOJA NI NGUVU (Kadutu) TU AMKE et UPENDO (Burhiba) BAZIRE et 1 et 2 (Nguba) KAZINI et (Mater Dei) Nombre de membres du groupe 15 et 15 15 et 15 20 et 15 18 et 20 15 et 15 15 et 15 Nombre de ceux qui ont quitté le groupe 1 & 1 0 et 0 1 & 1 0 et 0 2 & 0 0 & 1 Ristourne: combien de membres qui 15 et 15 6 et 9 9 et non ristourne 18 et 20 13 et pas de 7 et pas de Montant en compte d’épargne de groupe 193$ 182$ 132$ 104$ 154$ 100,5$ Montant de la caisse sociale 41$ et 72$ 0 et 28$ 15,2$ et 7$ 20$ et 13$ 12$ et 35$ 30$ et 20$ Nombre des qui épargne de l’argent 10 et 14 7 et 2 8 et 0 0 et 0 0 et 4 8 et 6 Prets remboursés 200$ 220$ 180$ 240$ 140$ 180$ Prets impayés 0$ 0$ 25$ 30$ 20$ 0$ AGR de groupe Oui ou Non Non Oui Oui Non Non Non Si Oui, genre d’AGR Cantine (vente des vivres vivres et braises) champs Commentaire : lors des descentes sur terrain pour l’évaluation du projet, plusieurs membres bénéficiaires étaient empêchés, vu que nous faisions l’évaluation pendant les
Si oui, genre d’AGR agriculture agriculture agriculture Agriculture non agriculture agriculture Non non Nom de Groupe Abahuje Mabera Bumbogo nyamugari Ruhango1 Ruhuha Bumbogo Ruhango Ntungamo murinzi Gataka 1 Nombre de membres du groupe 17 10 6 20 6 20 10 8 8 Nombre de ceux qui ont quitté le groupe 3 3 0 10 1 4 1 1 0 Riztourne – combien de membres contribue 0 0 0 0 0 0 0 0 0 Montant en compte d'épargne de groupe 20540 174335 50030 166250 10000 100300 151440 54000 15240 Montant dans la caisse sociale 0 5750 9550 0 900 17000 7000 10000 0 Nombre de membres qui épargnent de l'argent indépendamment 4 4 0 8 3 5 5 3 5 Prêts remboursés 0 6660 24050 0 0 0 0 0 0