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16 Temmuz 2014 Çarşamba

Hunt: Also many care homes not very good adequate for my loved ones

The new regime means from October all 25,000 care properties and care home companies in England will be inspected, and offered an Ofsted-fashion rating, ranging from excellent to inadequate.


From April, the worst care houses will put on “special measures” meaning they could be forced out of organization if they fail to satisfy CQC inspectors.


Mr Hunt told the Commons on Wednesday that the actions followed from “a moral duty” to shield the most vulnerable.


He mentioned his family’s experience of care residences had been “mixed” and said he had been unhappy about some of the care meted out to his family members.


“There are nevertheless far too many care properties that I wouldn’t be satisfied to see my own mothers and fathers or grandparents in,” he stated.


“The public have been genuinely shocked by stories of abuse and neglect we want to give the public self-confidence that in which these factors occur they will be spotted rapidly and acted on.”


Andrea Sutcliffe, CQC’s chief inspector of adult social care, explained terrible failings were found each and every week in care homes across the country.


She warned: “Week in and week out men and women tell me and my crew, and inspectors discover some truly awful care which need to not be occurring. At times it’s abuse older individuals treated roughly worrying bruises that have no explanation.”


“Sometimes it is neglect – individuals residing with dementia not supported to consume and drink so they end up with malnutrition or daily life-threatening dehydration.


“Sometimes it is a shocking lack of respect for people’s dignity – dressed in a person else’s clothing that do not match, males not having a regular shave due to the fact workers are also hectic, no a single taking the time to discover out what tends to make you happy or just talk to you,” she added.


Ms Sutcliffe explained the appalling care meant too numerous vulnerable folks have been forced to endure “a thoroughly miserable and scary experience”.


She explained households had been left wracked with remorse when they found out how their loved ones had been handled.


“The worst element of the letters I read occasionally is the distress and the guilt that families come to feel it can be genuinely heartbreaking: people illustration of failing care just reinforce my determination to make sure that we call time on bad care,” she explained.


CQC explained current assessments of care homes had previously recognized scores of care homes in which issues stay, despite repeated investigations.


Ms Sutcliffe said: “What I asked the staff to pull out for me is what is the quantity of solutions that we have been into over 3 occasions over the last year, because that would give me some indication that they are the ones that we continue to have a substantial degree of concern about – and it is just significantly less than a hundred.”


“I wouldn’t say that’s an absolute specific number, but it just offers you an indication of the places the place we have continued to have issues and gone back, in which I consider will almost certainly be focussing our efforts in long term.”


Final yr Mr Hunt explained British families should find out from Asia, by taking in elderly family members as soon as they can no longer reside alone.


The overall health secretary, whose wife is Chinese, mentioned he was struck by the “reverence and respect” for older folks in Asian cultures, where it is expected that older grandparents will go to dwell with their children and grandchildren rather than enter a care house.


In the speech last October he said: “In these countries, when living alone is no longer attainable, residential care is a final rather than a first selection. And the social contract is stronger simply because as kids see how their very own grandparents are looked soon after, they produce higher expectations of how they as well will be handled when they get outdated.”



Hunt: Also many care homes not very good adequate for my loved ones

6 Temmuz 2014 Pazar

EU working time rules a "mistake" that prevents junior medics obtaining adequate experience, says top surgeon

He has now written a guide about his career as a neurosurgeon, entitled Do No Harm, and earlier this yr disclosed he had made the decision to retire from the NHS soon after management banned him from sporting his wristwatch.


When asked no matter whether younger doctors had been offered sufficient expertise in coaching right now, Mr Marsh informed an audience said: “No, they’re not.


“It is a fear. What is indicates is the new generation of young consultants are a lot less skilled.


“At the minute I’m fairly positive junior medical professionals are not working enough. The European operating time directive is a blunder.”


He additional: “The difficulty is now my students face is that they operate 48 hours a week and are significantly, significantly much less experienced than I was at their stage.


“They don’t have continuity of care, they don’t comply with individuals via in the way we used to. I believe that’s all very undesirable.


“But they invest the entire night on the phone. My juniors are used as a brain scan reporting services for the whole location, so they get no sleep at all.


“Most of their time is spent handing out very simple health-related advice to quite inexperienced casualty physicians.”


Mr Marsh, who plans to continue educating around the globe when he retires, stated he also believed physicians improved in their later career, gaining empathy and insight into the patients’ own maladies as they aged.


“I like to think they’re like a good red wine,” he added. “They get far better with age.”


His memoir, Do No Harm: Tales of Daily life, Death and Brain Surgery, is out now.



EU working time rules a "mistake" that prevents junior medics obtaining adequate experience, says top surgeon

20 Mayıs 2014 Salı

Sofa potato Australia: only 19% of kids get adequate exercising every day

Australia is raising a generation of couch potatoes, according to a new study which has found that only 19% of children get the recommended amount of exercise each day.


The study by Active Healthy Kids also found that despite Australia’s love of sport, the level of participation among kids in organised sport is not enough, with children still spending too much time in front of screens.


The study used a Canadian-developed international ranking tool to match Australian school children against those from 14 other countries and released the results in the first of an intended annual report card.


Researchers concluded that Australia only “narrowly” avoided a “Fail” grade, scoring a D- grade in overall physical activity, ranking 11th ahead of Canada, Ireland, the USA and Scotland. New Zealand and Mozambique scored highest, with a B grade, indicating 61-80% of children achieving the goal.


Australian kids also scored a D- for “sedentary behaviour”.


Among the key findings was the discovery that just 19% of children aged five to 17 are getting the recommended hour of moderate to vigorous physical activity (MPVA) each day. Almost half of the reported MVPA is taken up by organised sport.


The results were better for toddlers, with 72% of parents reporting their children aged two to four years old do reach the 180 minutes of physical activity recommended for good health.


The report’s author, Natasha Schranz, PhD, from the University of South Australia, said participation in organised sport was not enough, and kids need to be more active the rest of the time.


“Things like walking to school, playing outside and turning off televisions and computers also contribute to overall health and physical activity levels – and these things are being forgotten,” said Schranz.


“We’re raising a generation of couch potatoes and if we don’t start to reverse this trend this will drive up health problems in the future – obesity, high blood pressure and heart disease,” said Professor Trevor Shilton, the Heart Foundation’s national lead on active living.


A big issue was screen time – as children spend more time using an increasing range of electronic devices, including computers, phones, games, tablets and TV – damaging in itself as well as replacing valuable activity time.


“It’s a double edged sword,” Shilton told Guardian Australia.


“[Children and young people] are sitting too much and not moving enough. The window of opportunity – between when they finish school and dinner’s on the table … we all know that’s when televisions, Facebook, computer games, DVDs – screens are dominating time in a way that a decade ago wasn’t the case.”


“The other important thing about that is that it doesn’t just have a sedentary dimension, it has a social dimension as well.”


The report called for a proactive, coordinated response from communities, parents, schools and governments.


“Outside of the home environment, school is a setting that imposes large amounts of sedentary time onto children and young people,” said the report.


“The possibility of breaking up sedentary time (i.e. prolonged periods of sitting) with regular physically active breaks and active/non-sedentary learning time should be explored in both primary and secondary schools.”


David Morgante’s two children both play football and swim, but enjoy their TV and online time as well, spending about half an hour each night on “electronic time”.


“There’s a lot of temptation with all the media and iPads etc,” Morgante told Guardian Australia.


“They do get their fair share of playing their gadgets, but me and their mum limit that quite a lot. It’s more important that they get their schoolwork done.”


Morgante said Madeline, 12, and Dylan, 8, both walk or ride their bikes to their school in North Fitzroy, Melbourne if the weather is fair, contributing to their daily incidental activity.


Madeleine is also encouraged to play guitar, with the promise of an electric instrument next year. “We make sure she focuses on that,” he said.


“It’s to keep her away from the electronic gizmos, we’ve got to give them something to strive to.”


The report also found Australia led the rankings for “community and built environment” and came second behind New Zealand for organised sport participation with a score of B-.



Sofa potato Australia: only 19% of kids get adequate exercising every day

17 Mart 2014 Pazartesi

Fabrice Muamba: We"re even now not doing adequate to avoid cardiac deaths

Fabrice Muamba

Fabrice Muamba taking part in for Bolton at Tottenham shortly prior to his collapse on 17 March 2012, two years in the past today. Photograph: Richard Heathcote/Getty Photos




Fabrice Muamba has known as for more defibrillators to be manufactured obtainable at football grounds across the country, two many years soon after the former midfielder suffered a significant cardiac arrest at White Hart Lane when his heart stopped beating for 78 minutes.


Muamba, who retired following the incident but made a complete recovery, at the moment operates alongside the Specialist Footballers’ Association to increase awareness of cardiac health and believes elevated numbers of automated external defibrillators (AEDs) – which supply an electric shock to the body to restore a standard heartbeat – will save far more lives.


The Football Association and the British Heart Foundation joined forces last yr to co-fund a campaign generating 900 AEDs offered to football clubs outside the skilled game – from steps one to 6 of the national league system and the Women’s Super League.


The scheme, which price around £4m, has seen 360 clubs signal up so far and the BHF is currently in the procedure of distributing defibrillators to these teams. Even so, Muamba believes far more can be done to avoid potential fatalities.


“My incident occurred at the proper area at the correct time,” mentioned Muamba, who collapsed on the pitch in March 2012 in the course of an FA Cup match amongst Tottenham and Bolton Wanderers. “People were ready to help me rapidly but at decrease league it would have been a entirely various story. It truly is about currently being ready to boost the emergency treatment method in the decrease leagues so if it happens there gamers can have the exact same therapy that I had.


“Entry to defibrillators is crucial and being in a position to train everyone to do CPR (cardiopulmonary resuscitation). That’s what needs to be carried out. A lot of sports folks die from sudden cardiac arrests so I feel it truly is essential to train little ones, train every person involved in football clubs to be in a position to do CPR. Entry to defibrillators is extremely crucial.


“Much more products [is necessary] and to educate children about CPR. Teaching requirements to be accessible to everyone, all over the place. It fees but you just need to have entry to defibrillators.”


Muamba, 25, was provided 15 defibrillator shocks following his collapse on the pitch at Tottenham and ambulance journey to the London Chest Hospital in Bethnal Green right after struggling ventricular fibrillation – fast chaotic electrical activity within the heart.


Twelve people aged 35 and below die each week from sudden cardiac problems according to the charity Cardiac Risk in the Younger, and the head of sports medication at Liverpool, Dr Zafar Iqbal, has campaigned for 18 months in an attempt to secure legislation that would make it mandatory to have defibrillators in colleges and public areas across the country.


Dr Iqbal, who previously worked at Spurs exactly where he set up a amount of emergency protocols, explained: “The Fabrice Muamba incident highlighted the problem but not sufficient was done to increase our investigation in this area in contrast to nations such as America and Norway.


“There they’ve received an out of hospital survival rate of a lot more than 50% for sudden cardiac incidents but here it only ever goes up to 25%, depending on exactly where you are in the nation. AEDs need to be at all sports clubs and all fitness centres. In Italy they have reduced particular kinds of cardiac deaths by a lot more than 90% by doing yearly screening on people who do any sport.”


Muamba additional: “I am just thankful that I had the proper individuals at the right time, who did a excellent work on me. I am really thankful for that.”




Fabrice Muamba: We"re even now not doing adequate to avoid cardiac deaths