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31 Mart 2017 Cuma

NHS to fast-track nurses as record EU staff leave service after Brexit vote

NHS England is to launch a new nursing training programme to help plug the gap created by the record number of Europeans leaving the service in the wake of Britain’s vote to leave the European Union.


Simon Stevens, the chief executive of NHS England, acknowledged that the service relies on international staff, including more than 12,000 nurses who are EU nationals out of the 315,000 nurses on its payroll.


Speaking on the BBC Radio 4’s Today programme before the launch of a five-year plan for the NHS, he announced a training programme to “grow the workforce from within this country”.


The moves comes after new figures revealed that a record 17,197 EU nationals, including doctors and nurses, left the NHS last year.


Asked if he was worried about the impact of Brexit, Stevens said: “The NHS has always relied on international staff as well as staff from this country. It is about 4% of our nurses who come from the rest of the European Union. We are grateful for the work that they do.”


But he suggested newly trained British nurses could help fill the gap left by EU nationals once Britain leaves the bloc.


Stevens said: “We have got a curious situation where many more people in this country would like to train to be nurses than we have nurse training places. So we want to expand the number of nurse training places and the routes into nursing so that we can grow the work force from within this country as well.”


He said the new training programme would be modelled on an initiative to recruit more teachers.


“We are announcing a new programme called Nurse First, which is the equivalent of the Teach First programme, whereby new graduates can fast-track into nursing alongside other apprenticeship routes … so that we can expand the number of nurses we have.”


The programme will boost the number of newly qualified nurses by up to 2,200 more a year in 2019 when the UK is due to leave the EU.


In a wide-ranging interview, Stevens denied he was abandoning the 18-week waiting time target for non-urgent operations by relaxing the deadline for hospitals to meet the deadline.


He said: “Fifteen years ago you might be waiting 18 months for your hip or your knee operation, now for nine out of 10 people it’s 18 weeks. The average wait for an operation is 10 weeks. Over the next couple of years we want to have more funded operations on the NHS, but we recognise that the rate of growth is probably going to have to be a little bit slower than it has at points in the past, because we also want to make big improvements in cancer care, in GP services and in mental health services as well.”


The Royal College of Surgeons said the new guidelines amounted to “waving the white flag on the 18-week target”.


Asked if the target had been jettisoned, Stevens said: “It hasn’t. The reality is that there are pressures right across the health service. Under those circumstances we have to make a start on sorting out particularly those pressures in A&E departments which we have seen over the course of the last winter. But over the course of the next several years we want to continue to expand the amount of surgery that is being done, so that waiting times stay low.”


He also announced that all major A&E hospital departments will have to provide GP services to help emergency medics focus on the sickest patients. Steven said: “You can find about 60 hospitals right now that have got this arrangement. This is going to be rolled out to all major A&Es.”


Stevens confirmed that the NHS wanted to stamp out an estimated £4m spent on homeopathic medicine. He dismissed homeopathy as a “placebo at best” and said it was a “classic example of what we want to see less of”.



NHS to fast-track nurses as record EU staff leave service after Brexit vote

16 Şubat 2017 Perşembe

House vote paves the way for states to defund Planned Parenthood

The House on Thursday approved a resolution that would permit states to withhold federal family-planning funds from affiliates of Planned Parenthood and other healthcare providers that offer abortions. Abortion foes immediately hailed the measure, which is expected to pass the Senate, as a critical victory, while public health advocates worried that the cuts would blow a hole in the nation’s fragile family planning safety net.


The measure would overturn a rule, issued by Obama’s department of Health and Human Services, prohibiting states from withholding federal family-planning dollars from groups that provide abortions. States can only withhold those funds for reasons related to a provider’s ability to deliver family planning services, the rule says.


The Obama administration finalized the rule during his last weeks in office, and it took effect just two days before the inauguration of Donald Trump.


Planned Parenthood on Thursday seemed open to taking the issue to court. The group argues that because family planning grants are competitive – that is, they are supposed to be awarded based on a provider’s demonstrated abilities to distribute care – excluding Planned Parenthood is illegal under federal law.


“To date, every court to consider the issue on the merits has ruled that state politicians cannot block access to care at Planned Parenthood” through these types of cuts, a Planned Parenthood spokeswoman said.


The resolution targets Planned Parenthood’s participation in Title X, the federal program that allows medical providers to offer reproductive healthcare to millions of low-income Americans at little to no cost. States receive Title X funds as block grants and distribute the money on a periodic basis to the healthcare providers that are best qualified to provide family planning services.


Planned Parenthood receives more than $ 500m annually from the federal government, and about a quarter of that comes from Title X.


Planned Parenthood says it serves 1.5 million people through Title X, or more than one-third of the 4 million people who receive Title X services. Seventy-eight percent of those Planned Parenthood patients earn 150% or less of the federal poverty level, and about a third are black or Latina. The organization does not spend the funds it receives from states on abortion, but on services such as pap tests, HIV and STI screenings, breast exams and contraception.


What is the ‘global gag rule’, and why does Trump support it?

Title X is a popular target for conservative lawmakers looking to slash government budgets. Republican governors in several states have attempted or succeeded in cutting the state’s family planning budget to nearly zero. And in 2015, Republicans on a House appropriations subcommittee offered a budget that would have eliminated Title X funds completely.


Healthcare providers are prohibited from spending Title X funds on abortion by federal law. But by choosing to single out Planned Parenthood, Republicans on Thursday portrayed the resolution as a referendum on abortion. The resolution’s sponsors, congresswoman Diane Black of Tennessee and Senator Joni Ernst of Iowa, have both cited misleading videos, which were edited to look like Planned Parenthood sold fetal parts for a profit, as a reason to strip Planned Parenthood of its federal funding.


The resolution is based on a little-used law that allows Congress, on a fast-tracked timetable, to overturn a new federal rule. It requires only 51 votes to pass the Senate, where Republicans control 52 seats, and Donald Trump is expected to sign.


Supporters of the measure denied that it would impact people who rely on Title X, because the money Planned Parenthood received would be rerouted to “comprehensive healthcare clinics”.


But public health advocates are skeptical that other providers are primed to absorb Planned Parenthood’s millions of patients.



Supporters of Planned Parenthood rally outside a clinic in Detroit, Michigan.


Supporters of Planned Parenthood rally outside a clinic in Detroit, Michigan. Photograph: Rebecca Cook/Reuters

Community health centers “have wait lists for the people they’re serving today, much less having to absorb all of Planned Parenthood’s patients as well,” Sara Rosenbaum, a professor of health policy at George Washington University, said recently. “The notion they can suddenly ramp up their capacity to absorb all of the services Planned Parenthood can offer … is absurd.”


A recent study of community health centers and similar clinics found that only about one in five large centers prescribe and dispense the full range of contraception. More often than not, these centers don’t stock common methods of contraception, such as birth control.


Healthcare providers are already prohibited by federal law from spending Title X funds on abortion. In 2000, under pressure from anti-abortion groups, the Clinton administration approved a rule requiring Planned Parenthood and other providers offering abortion to keep Title X funds “separate and distinct” from abortion activities.


Republicans have since then sought to cut Title X funding to Planned Parenthood altogether, arguing that organizations that provide abortions should not receive any material support from the government. Several proposals introduced to the House of Representatives under George W Bush failed. But those efforts gained steam under Obama, and in 2011, then-congressman Mike Pence attached a rider to defund Planned Parenthood to a critical spending bill and nearly triggered a government shutdown.


Many states controlled by Republicans have also taken action to strip Title X funds from Planned Parenthood.


The governors of Tennessee and New Hampshire, respectively, stripped $ 1.04m and $ 1.8m in Title X dollars from Planned Parenthood in 2011. The same year, the Kansas legislature blocked Title X dollars to the group.


Just as Republicans argued on Thursday, the governors in those states claimed that other healthcare providers would step up to care for Planned Parenthood’s patients. But those are questionable claims. A year after Kansas kicked Planned Parenthood of its Title X program, the number of Kansans receiving contraception, STI tests, and cancer screenings subsidized by Title X had fallen by more than 14,000.


Some efforts to kick Planned Parenthood out of Title X have proved vulnerable to challenges in court.


A federal judge ruled last summer that Florida could not block Title X funds to Planned Parenthood. Planned Parenthood’s Florida affiliates had been using the funds to provide healthcare screenings and finance a school dropout prevention program.


But others states have managed to make their cuts stick.


In Texas, eliminating Planned Parenthood from the public safety net had a particularly profound effect on rural communities. “I hate to say it, but I think an awful lot of women just opted to go without care,” said Mike Austin, the chief executive of Midland Community Healthcare Services. His clinic emerged as the only major alternative to Planned Parenthood in Midland-Odessa in west Texas after the cuts.


“We are seeing a subsequent rise in STDs and a subsequent rise in unplanned pregnancies,” Austin recently told the Guardian. “And I’m sitting here going, ‘See? I told you so. This is what happens.’”



House vote paves the way for states to defund Planned Parenthood

19 Ocak 2017 Perşembe

German MPs vote to legalise cannabis for medicinal purposes

Germany’s lower house of parliament has passed a law legalising the use of cannabis for medicinal purposes.


People with serious illnesses such as multiple sclerosis and chronic pain, or a lack of appetite or nausea, could be offered marijuana under the law.


Patients will only have the right to be treated with cannabis “in very limited exceptional cases” and they will not be allowed to grow their own cannabis, according to the bill.


The health minister, Hermann Gröhe, said: “Those who are severely ill need to get the best possible treatment and that includes health insurance funds paying for cannabis as a medicine for those who are chronically ill if they can’t be effectively treated any other way.”


A health ministry spokeswoman said cannabis would only be used as a last resort. She said a scientific study would simultaneously be carried out to assess the effects of cannabis use in such cases.


Until now, patients had only been able to access cannabis for medicinal purposes by special authorisation –which had made it complicated. Now they will be able to get a prescription from their doctor and a refund for the upfront cost from their health insurance, she said.


The spokeswoman said the law was likely to take effect in March after a procedural reading by the upper house of parliament.


Until state-supervised cannabis plantations are set up in Germany cannabis will be imported.


Other countries that allow cannabis to be used for medical purposes include Italy and the Czech Republic.



German MPs vote to legalise cannabis for medicinal purposes

5 Ocak 2017 Perşembe

Long-time residents left in limbo by Brexit vote | Letters

With growing unease I read the story about fellow EU citizen Monique Hawkins, whose application for a document certifying permanent residency was rejected by the Home Office even though she seems to have fully complied with the rules when submitting her application (Report, 29 December). I am German, 61 years old, married to a British husband and 16 years in the UK. Throughout these years I did my best to integrate. I worked, never claimed any benefit and participated in community life through voluntary work. The people around me never let me feel “foreign” or unwelcome and genuinely treat me like a fellow citizen. Like Mrs Hawkins, I never thought it was necessary to have my immigration status certified. This changed after the Brexit vote, because the life my husband and I have built together entirely depends on my right to remain in the UK. Consequently, I also decided to apply for British citizenship, which requires certification of permanent residency.


Like Mrs Hawkins, we discovered that our marriage is treated differently to non-EU/UK marriages and that it is discounted as a reason for certifying my status because I am an EU national. So I ploughed through the 85 pages of the application form and submitted it, together with the required evidence as advised in the guidance notes, feeling confident that I had done everything right. But after reading Mrs Hawkins’ story, I began to think that decisions made by the Home Office involve more unspoken rules and processes than can possibly be foreseen by applicants. My application is still being processed and I will let you how I get on.
Regina Erich
Stonehaven, Aberdeenshire


My wife is Swedish and has lived in the UK for 60 years, while proudly retaining her Swedish citizenship. She has been married to me for 57 years, is as English in her social and cultural experience as any English person and probably speaks our language more correctly than most native English speakers. She now suffers from dementia and is physically more or less immobile. She would be unable to conduct the defence of her right to be here herself, but if I were to write to the Home Office on her behalf would we receive a similarly disgraceful and insensitive letter as others, whose experiences you have reported, have done? Or maybe, even, immigration officers would turn up on our doorstep at 5am and cart my wife off to the nearest detention centre.
Name and address supplied


The case of the Dutch mother of English children being advised by the Home Office to leave Britain after living here for 24 years perfectly legally, is not going to be an isolated one. Either in the UK or the rest of Europe. Significant numbers of internal refugees will be created because people are resident by virtue of EU citizenship while not necessarily meeting local residency rules. Many of these people will also fail to qualify for services, such as health, if they return to their country of origin.


A typical example would be a UK citizen who has spent modest life savings on an apartment in the Spanish Costas and has been surviving there on the British state pension for a year or two. Registering for Spanish residence can be daunting without the language skills and resources to pay for advice. Some like the Dutch mum would not be eligible and, should they be asked to leave once the protection of EU citizenship is removed, would arrive in Britain without the right to use the NHS and would also be ineligible for the house benefits needed to secure accommodation. The number of people displaced across Britain and Europe could run into millions. HMG and the EU negotiators will have to find a way of preventing what could become a significant internal refugee crisis among their own citizenship.
Olly Cooper
Cambridge and Algarrobo, Spain


Re EU citizens applying for British citizenship and the long processing times, the Home Office’s pathetic response was to say that they had launched an express passport check-in service. They failed to say that the cost of nationalisation is over £1,000 plus all the add-ons, eg biometric residences permit, medical checks etc, and the process takes six months or more. A super premium service is £8,750.
Margaret King
Polegate, East Sussex


It would seem that some EU citizens when applying for permanent residence in the UK are being subjected to requirements concerning comprehensive health insurance that the NHS clearly states they do not need to have (Call to scrap rule barring some EU citizens from the UK, 31 December). If a person from the EU, EEA or Switzerland is moving to England, a quick check of the NHS website reveals that: “Provision of free NHS treatment is on the basis of being ordinarily resident and is not dependent upon nationality, payment of UK taxes, national insurance (NI) contributions, being registered with a GP, having an NHS number or owning property in the UK.” Furthermore, “ordinarily resident means, broadly speaking, living in the UK on a lawful and properly settled basis for the time being.”


Is the Home Office trying to take away the rights of some EU citizens that the Department of Health states that they are entitled to?
Paul Tattam
High Peak, Derbyshire


Join the debate – email guardian.letters@theguardian.com


Read more Guardian letters – click here to visit gu.com/letters



Long-time residents left in limbo by Brexit vote | Letters

1 Kasım 2016 Salı

Why do one in seven US citizens still have to fight to vote? | Mary O’Hara

The spectacle of Donald Trump repeatedly demeaning and insulting just about every minority group in the US during his campaign for the presidency has been toxic and unprecedented. High up on the long list of ignominious behaviour was the contempt he displayed for people with disabilities in his mocking of a disabled reporter, captured on video.


As with the battles disabled people have fought in Britain against austerity policies from the bedroom tax to the work programme, Trump’s casual disdain is a potent reminder of how fragile inclusion and hard-fought-for disability rights can be.


Beyond the media focus on the race for the White House a new report explores evidence that, regardless of political rhetoric, people with disabilities in the US routinely encounter barriers within the broader electoral process. There are at least 35 million voting-age people [pdf] with disabilities in the US – one in seven of the electorate. According to the study, co-authored by Norman Ornstein of the American Enterprise Institute for Public Policy Research, many are treated like “second-class citizens” as a result of obstacles to voting. The wide-ranging paper points out how “despite a patchwork of legislation” to ensure access to voting serious problems persist.


Donald Trump mocks reporter with disability – November 2015

Pulling on an array of research and interviews it details the scope of the issue, including how in parts of the US people with disabilities are unable to reach polling stations because of a lack of public or adapted transport and inaccessible buildings. Alternative options such as absentee ballots or assistance with casting a vote aren’t adequate substitutes for a fully accessible, inclusive system it argues because, among other things, these can impede a voter’s right to choice and privacy.


Other hurdles it lists involve election materials and online voter registration (for example for people with visual impairments), poll workers who are poorly trained in disability access and limited resources to improve services. In 2013, the US Government Accountability Office [pdf] estimated that in 2008 73% of polling stations had “a potential impediment”, something this latest report rightly concludes is “stunning and troubling”. Almost three-quarters translates as millions of disabled voters possibly being denied their vote.


The report also says stigma is a huge problem, especially for people with learning and mental disabilities. According to research, in 27 US states large numbers of people in these groups are barred from or have restrictions placed on voting.


It might be tempting to think of voting access for people with disabilities as a predominantly US problem but as the last UK general election showed, it is far from alone. During that election activists including Operation Disabled Vote, which campaigned on voter registration, highlighted the obstacles in place across Britain. Meanwhile a report from the charity Scope, found two-thirds of polling stations had at least one significant barrier to access. Research published in 2014 by Mencap revealed that 60% of people with a learning disability reported difficulties registering to vote.


When it comes to mental health, charities including Mind and Rethink Mental Illness have argued for years that vulnerable people such as those who are homeless with mental health problems can face multiple barriers to voting. None of these problems, be they in Britain or the US, are universal or irreversible. During the 2016 presidential campaign it has been encouraging to see positive perspectives on disability. Hillary Clinton has repeatedly highlighted disabled people’s employment rights and other areas where exclusion and underrepresentation are common.


And in the run-up to next week’s election, activists in the US have been mobilising and political engagement is high. The American Association of People With Disabilities launched a successful campaign in the summer promoting voting accessibility and registration among the millions of people with disabilities who are eligible to vote. Grassroots activism has also been spurred into action with networks such as SignVote, for people who are deaf and hard of hearing, and Crip the Vote, an online campaign encouraging disabled people to participate in local and state elections as well as voting for president.


The right to vote, and not being precluded from exercising that right, is fundamental to citizens in any society wishing to call itself democratic or inclusive. It is intolerable that people continue to face barriers to voting because of their disability.



Why do one in seven US citizens still have to fight to vote? | Mary O’Hara

25 Ağustos 2016 Perşembe

EU nationals working for the NHS: how do you feel after the Brexit vote?

What does Brexit mean for the NHS? One risk, highlighted by a leading thinktank on Thursday, is the loss of 57,000 European workers. The Institute of Public Policy Research (IPPR) suggest in a report that British citizenship should be offered to EU nationals to avoid a collapse in the service.


Chris Murray, who compiled the report, said: “It is critical to public health that these workers do not seek jobs elsewhere. All EU nationals who work for the NHS, or as locums in the NHS system, should be eligible to apply for British citizenship. This offer should be organised by the regional NHS and mental health trusts, who would be responsible for writing to all NHS staff who are EU nationals to inform them of their eligibility.”


Are you an EU national working for the NHS? How do you feel, after the Brexit vote, and what are your plans? How vital are you to the health service? And how would you feel about being offered British citizenship? Tell us, using the form below.



EU nationals working for the NHS: how do you feel after the Brexit vote?

4 Temmuz 2014 Cuma

What is so excellent about tough function? I vote for a fixed, 3-day weekend for all | Andrew Martin

man in deckchair not working

I’m miserable most of Sunday, since Monday is round the corner. Half the weekend, in fact, is the finish of the weekend




Professor John Ashton, president of the United kingdom Faculty of Public Overall health, caused a stir this week by advocating a 4-day working week. This would improve our mental and physical well being, reduce tension and we would all ”enjoy ourselves much more”.


One particular purpose to bring in a 4-day week is that we function the longest hours in Europe. But this lamentable workaholism is also the cause it won’t happen. Our schoolchildren are among the most-tested in the world. We, alone in Europe, have an opt-out from the 48-hour optimum on the operating week. And the political left is much more committed to assisting the three million Britons who want to operate a lot more rather than less, even however a four-day week could balance this inequality.


The government also launched an extension of the right to request versatile working this week, but, as the TUC pointed out, “there is practically nothing to stop the employer saying no”, and their spokesperson presented me with a acquainted scenario: “A woman requests versatile functioning in the sense of wanting to function a number of hours a week less. Her spouse then compensates for the loss of income by operating a couple of hrs a week a lot more.” As for the political appropriate, if the Confederation of British Sector (CBI) can be so described (which I feel it can), their press officer stopped me in my tracks when I named to ask its response to Ashton’s concept: “I never think we’re going to go for it, Andrew.”


Later, he named back to request no matter whether the concept was that folks would cram five days’ well worth of work into the four days, or simply for a shorter working week. I will not know regardless of whether the CBI is aware that the former was experimented with, apparently successfully, in Utah a number of years ago the latter is nearly the norm in Holland, exactly where a single in three males have an added day off. (“Daddy days.”) I mentioned I would like to know what the CBI thought of either. I heard absolutely nothing more.


I relayed all this depressing news to Prof Ashton, who replied with spirited sarcasm, “I’ve place forward my idea! It is your occupation to shoot it down!” I explained I quite much liked the thought, as a challenge to the inelegance – the uncoolness – of getting a nation of try-hards a country that puts in the hrs only to obtain reasonably low productivity, most likely as a perform of individuals identical extended hours.


The identify of the game is to be in the office even if you’re not carrying out anything: the blight of presenteeism. “Presente!” Ashton barked down the phone when I stated this. He explained that he was invoking Franco’s Spain, the place this was the necessary utterance not just when the college register was taken, but for adults also at public gatherings. (“It truly is nonetheless a extremely emotionally loaded word in Spain.”) There looks to be a prevailing neurosis by which we as a nation agonise and strain but never supply. Our World Cup humiliation, for instance, would have been lessened if we hadn’t been quite so bothered about progressing to the knockouts – and we may have played much better.


I asked Ashton how we’d come to be so wedded to more than-function. “Pass!” he mentioned, in his enjoyably forthright way. “It is a matter for conjecture. I’m confident you can conjecture.”


Appropriate then: protestant function ethic, allied to publish-imperial crisis of self confidence a weakened trade union motion and worry of unemployment the want for downsized workforces to do much more the Americanisation of our business culture (most Americans get two weeks vacation a 12 months) failure to counteract the Gove-ite notion of everyone obtaining to make sacrifices – some a lot more than others – in see of a frantic scramble for survival in a globalised world. (“A race to the bottom,” Ashton calls this).


What is so excellent about tough operate that it affects our entire discourse? We have that creepy Labour formulation, “challenging-operating households”, which suggests dogged morons with their heads down. Why have a loved ones if everyone’s going to be slogging their guts out all the time? The phrase “work in progress” is worn out by overuse. Any variety of guide club or literary seminar is not reading and talking about a guide they’re “exploring” it. And any individual undertaking almost anything at all is “on a journey”, seemingly with no finish in sight, if you happen to be reckless ample to request them about it. For the record, Scott of the Antarctic was exploring he was also on a journey, and look how it finished up. But every little thing should be presented as difficult work, which is why, when the chattering lessons have a chat, they often get in touch with it a “workshop”.


Somewhere along the line, we came off the rails. The most admired Victorian legislation diminished working hours. The Factory Act of 1847, for illustration, restricted the working day for ladies and kids to ten hrs. Tom Hodgkinson, founder of the Idler magazine and Academy, traces the honourable background of not functioning all the time. “Till the Reformation, existence was supposed to be about contemplation, philosophy and the intelligent use of leisure. In ancient Athena, the notion was to be a philosopher in your spare time. In Greek, the word college [skole] means leisure.”


The aspiration lingered in our politics. Hodgkinson cited Oscar Wilde’s essay of 1891, The Soul of Guy Below Socialism (“It is mentally and morally injurious to guy to do something in which he does not discover pleasure”) and John Maynard Keynes’s essay of 1930, Financial Possibilities for Our Grandchildren. That means us, by the way, given that the essay was a prediction of society in 2030. “Science and compound curiosity,” Keynes believed, would guarantee we could “dedicate our energies to non-economic functions.” Some may possibly still want to work, but a 15-hour week “would be really sufficient to satisfy the previous Adam in most of us!” I will throw in Winston Churchill, who, in the booming 50s, predicted “a four-day week, then three days’ exciting” for British workers.


The 4-day doing work week implies the three-day weekend. The weekend Ashton foresees would be a movable feast. “Husbands and wives may possibly want to get off a various added day.” “To keep away from every single other, you imply?” I said. ”I meant for the youngsters,” Ashton chasteningly replied, “so they can see more of their parents.”


I advised him I favored a universal, fixed three-day weekend. We need the formal reduce-off. I’ve been freelance for many years, but I am even now enthusiastic on Fridays, like when I was a child, when Leslie Crowther on BBC1 would shout, “It’s Friday! It’s 5 to five, and it’s Crackerjack!” (Younger readers, Google it). I’m also miserable most of Sunday, because Monday is round the corner. Half the weekend, in fact, is the end of the weekend. And I’m even far more miserable now that everything’s open on a Sunday than I was when every little thing was closed. The present day Sunday is like a man trying to get pleasure from himself at a get together, but he has one thing weighing on his mind (Monday morning).


The added day would make all the difference. It could have something in widespread with the old sabbath, not in the sense of getting tremendously boring, but in being a various kind of day. Ashton suggests a neighborhood services choice, in return for tax credits.


No doubt this is all like these schemes I’d dream up although watching the rain fall on the old Sundays: unlikely to be realised. In which situation we can fall back on the Charwoman’s Epitaph, as quoted by Keynes in that essay of 1930: “Do not mourn for me, friends, don’t weep for me by no means/ For I am going to do nothing for ever and ever.”




What is so excellent about tough function? I vote for a fixed, 3-day weekend for all | Andrew Martin

23 Haziran 2014 Pazartesi

Medical doctors to vote on cigarette sale ban for these born following 2000

Teenage girls smoking

In 2012, 23% of pupils in England aged eleven-15 had attempted smoking at least when (picture posed by designs). Photograph: Catchlight Visual Companies/Alamy




Doctors are to vote on whether or not to push for a long term ban on the sale of cigarettes to any person born right after the year 2000 in an try to shield the next generation of children from the deadly effects of smoking.


If the movement is passed at the British Healthcare Association’s annual representatives’ meeting on Tuesday, the medical professionals union will lobby the government to apply the policy in the same way it efficiently pushed for a ban on lighting up in public locations and on smoking in autos carrying young children, after votes in 2002 and 2011 respectively.


Tim Crocker-Buque, a expert registrar in public wellness medicine who proposed the movement, explained the thought was that “the 21st-century generation do not require to endure the hundreds of hundreds of thousands of deaths that the 20th-century generation did”.


“Cigarette smoking is particularly a option manufactured by youngsters that outcomes in addiction in adulthood, that is very challenging to give up. Eighty percent of people who smoke start as teenagers. It truly is very uncommon for men and women to make an informed decision in adulthood. The concept of this proposal is to avoid those youngsters who are not smoking from taking up smoking.”


In 2012, 23% of pupils in England aged 11 to 15 had tried smoking at least once, according to official figures, despite the fact that the proportion has been reducing given that 1996, when it was 46%. Of present smokers or these who smoked frequently at some point in their lifestyle, 66% explained they commenced smoking prior to they have been 18. The age at which a person can be legally offered cigarettes rose from 16 to 18 in 2007.


George Butterworth, Cancer Investigation UK’s tobacco policy manager, explained measures to tackle the a hundred,000 lives a 12 months misplaced to smoking must continue and described the proposal as an fascinating thought.


“There are much more than ten million smokers in the Uk, and it’s just not practical to ban smoking. But we do want to encourage and support smokers to quit, and to do all we can to end kids from starting up in the initial spot.”


Similar proposals have been place forward in Singapore and in Tasmania, Australia, exactly where, in 2012, the upper home passed a ban on marketing cigarettes to anybody born following 2000 but it has not been passed by the reduced house.


Simon Clark, the director of the smokers’ group Forest, argued that criminals would basically consider in excess of the supply of cigarettes to folks who could not get them legally.


“We previously have legislation made to quit children smoking. Enforce individuals laws and ban proxy buying,” he said. “The notion that totally free-contemplating grownups could be barred from purchasing cigarettes simply because of the year in which they are born is both preposterous and discriminatory. It really is arbitrary, unenforceable and completely illiberal.”


A spokesman for the Tobacco Manufacturers’ Association described the proposal as “a poorly thought by means of tobacco handle measure. The BMA need to reject this nonsensical measure and as an alternative emphasis on measures probably to minimize young people’s accessibility to tobacco.”


The movement proposed by Crocker-Buque was passed at the BMA’s public health conference in February.




Medical doctors to vote on cigarette sale ban for these born following 2000

18 Haziran 2014 Çarşamba

Nurses vote against charge for GP services

GP

Medical doctors debated the concern of charging for GP appointments last month. Photograph: Cultura RM/Alamy




Top nurses have shot down the prospect of charging individuals for GP services, saying that the most vulnerable men and women would endure if this kind of an initiative was rolled out.


The Royal School of Nursing’s (RCN) yearly conference in Liverpool debated whether or not sufferers need to be charged for seeing their family medical professionals.


Historically, the RCN has stood behind the belief that the NHS must be free at the level of delivery, but nurses put forward the movement, saying NHS finances have been “not infinite”.


More than nine in ten delegates voted towards the motion, which named for a fixed fee for GP appointments.


Presenting the movement, Andy McGovern, from the RCN’s north-east London branch, mentioned: “As the NHS faces one of the most considerable economic issues in its historical past, this is a debate that we have to have.


“At some level in the potential, regardless of which United kingdom country we live in, there will have to be a option among elevated taxation or paying for public services like well being that we have hitherto expected by proper.


“Consequently the debate for fees for NHS companies like GP appointments has reignited.


“The NHS demands far more sources and the question has to be asked, in which will these resources come from?


“While having to pay for NHS providers is a difficult, and for numerous a taboo topic to debate, we genuinely do have to feel about how we move issues forward.”


Speaking towards the motion, Dave Dawes from the Manchester central branch of the RCN said: “We do not require to imagine some hypothetical world exactly where people seem in their pockets, see how much cash they have got and make a decision regardless of whether or not they can see their GP.


“We utilised to live in that country. We decided we didn’t want to dwell there any far more so we invented the NHS – free at the stage of delivery.”


Lisa Reith, from the south-west London outer branch, added: “When we previously pay for this support via standard taxation it appears unreasonably unjust.”


Heather Henry, also from the Manchester central branch, said he was “shaking with horror” at the imagined of the resolution.


“It would be the worst factor for well being inequalities that we could perhaps propose. The vulnerable would endure. What would occur with screening and immunisations? Our most vulnerable patients would be presenting later on, sicker, or worse and A&ampE attendances will rocket.”


Dr Peter Carter, RCN’s chief executive and common secretary, explained: “Charging individuals for GP visits is a controversial issue – one particular that goes to the heart of what the NHS is and need to be.


“Right now, nurses and healthcare assistants have reaffirmed their passionate belief that the NHS should be cost-free at the point of delivery.


“The potential funding of the NHS is shrouded in uncertainty and we require clear course from our politicians about the way ahead so that clinicians and commissioners can strategy for the future.


“As the general election approaches, the public require to know the place the parties stand on this crucial concern.


“Nurses are passionate about guarding the overall health support and its founding ideas, but they know that it faces problems, that its finances are finite and so they will carry on to address the challenging inquiries.”


Recently, doctors debated the exact same issue. Generating certain patients pay a charge for some companies would “emphasise the worth” of GPs, the British Healthcare Association’s (BMA) neighborhood medical committees conference was advised in Might.


But the proposal was dismissed by a amount of major medics like the former chairman of the BMA’s GP committee Dr Laurence Buckman, who explained it would lead to “survival of the richest, not treatment of the sickest”.


Commenting on the RCN’s debate, a BMA spokesman mentioned: “Charging sufferers for GP appointments is not the way to fix issues dealing with our overall health service.


“Not only would a charging method be complex and pricey to set up, it would also area a restrictive economic barrier to care in front of some of the most vulnerable members of our society.


“A patient’s access to healthcare must be primarily based on their clinical want, not the dimension of their bank stability.”


A Department of Overall health spokesman explained: “We are absolutely clear that the NHS ought to be totally free at the level of use, and we will not charge for GP appointments.


“We know GPs are underneath strain, which is why we’re cutting GP targets by far more than a third to totally free up much more time with sufferers, and are rising trainees so that GP numbers carry on to increase quicker than the population.”




Nurses vote against charge for GP services

30 Mayıs 2014 Cuma

It really is our NHS - why can not we vote for what kind of hospitals we want?

It is not tough to understand why: surgeons who had previously worked in isolation – in people little, nearby, general hospitals – are now doing work with each other, and studying from 1 yet another. It’s 1 of also couple of very good information stories from NHS Wales, whose record underneath the principality’s Labour administration is far from globe-class.


Why mention Labour at all? Due to the fact we must be in no doubt that our new NHS chief is political. He was advisor to Frank Dobson and Alan Milburn, when they have been Labour health secretaries. He recommended Tony Blair for three many years. He was part of the staff that generated that most deleterious Labour imposition on the NHS: targets. Targets for waiting instances, targets for ward cleansing, targets for everything.


Targets that led to boxes demanding a tick, targets that squeezed out each health-related judgment and widespread humanity. Targets that had been implicated in the horror of Mid-Staffs. Mr Stevens now says: “The target culture, in some essential cases, grew to become an impediment not a driver of higher-quality care.” That is 1 way of placing it. Presumably targets, like the drive to regional centres of excellence, are now consigned to the past.


Am I currently being unfair? Even though I fret about the long term for centres of excellence, and that inexorable stress on politicians to help inadequate neighborhood hospitals, Mr Stevens did say that the NHS ought to “experiment” with distinct provision versions. And, like so a lot of households up and down the country, our experience of the at times disjointed nature of wellness and social care for the elderly leaves me glad that he chose to mention this as one particular of his priorities.


And the stress between little, nearby and “general” (and intimate), versus large, regional and “specialised” (and impersonal) the stress in between paying on social care for the elderly, versus that on preventative measures for these at risk of diabetes and heart ailment: these tensions are real. My scepticism about Mr Stevens arises largely simply because I have no faith in the idea of a Large Guy at the Centre becoming ready to resolve them any time soon. Indeed, there is no this kind of resolution obtainable, which is why “postcode lottery” is such a well being service cliche.


No permanent resolution, but there is 1 machine offered that we use to deal with these tensions in other areas of public services. We get in touch with it “voting”. Should council tax go up, or can the borough be a lot more efficient? We vote to decide that. We likewise vote to elect police commissioners, to handle the analogous tensions in police force priorities.


Why cannot we elect county-based well being commissioners, to make transparent our (patient and payer) opinion on how to prioritise local NHS investing? I wonder if Mr Stevens would approve of an “experiment” like that.



It really is our NHS - why can not we vote for what kind of hospitals we want?

22 Mayıs 2014 Perşembe

GPs vote towards charging individuals for appointments

GPs vote against charging patients for appointments

GPs at the BMA annual regional health-related committee conference back portion of the movement that says ‘general practice is unsustainable in its present format’. Photograph: RayArt Graphics/Alamy




GPs have voted towards a proposal to charge sufferers for appointments in a bid to assist money-strapped surgeries.


A motion advocating expenses was defeated at the British Healthcare Association’s yearly regional healthcare committee (LMC) conference in York on Thursday. GPs, nonetheless, backed part of the motion that stated “basic practice is unsustainable in its recent format”. A large quantity of GPs queued up to examine the proposal, with twice as numerous wanting to communicate to oppose it as to back it.


London-based GP Dr Laurence Buckman, a former chair of the BMA’s standard practitioners committee (GPC), described the proposal as harmful.


“We do not control demand by producing individuals pay,” he explained. “You then get survival of the richest.” He stated the proposal, if adopted, would lead to reduce pay for GPs, who would be anticipated to prime up their earnings with fees paid by sufferers. The present chair of the GPC, Dr Chaand Nagpaul, also opposed the motion, arguing that it would lead to a less equitable NHS. “In the United kingdom we don’t tax sickness, that is what charging would do,” he said.


But Dr John Grenville, from Derbyshire, mentioned supporting the movement would give the government a essential “kick up the backside”, incorporating: “It grieves me to have to communicate in favour of this motion but we have heard an awful whole lot about what is incorrect with the NHS and general practice.”


Dr Lee Salkeld, from Avon, also favoured the movement, arguing that charging would facilitate much better entry and longer appointments.


The most contentious part of the five-element movement proposed by the BMA’s Avon LMC called on the GPC “to discover nationwide charging for common practice services with the Uk governments” and was not passed. But a less contentious element that criticised the “inadequate help for several practices” was carried by delegates. The motion did not specify a charge but a fee of £25 was believed to be under consideration.


There has been a growing clamour for folks to be charged for utilizing some NHS companies, amid worries that the standing quo is financially unsustainable. Former Labour overall health minister Lord Warner, who served under Tony Blair, has proposed that absolutely everyone pay out a £10-a-month NHS “membership charge” to save it from sliding into a decline. The King’s Fund has stated charges for hospital and GP appointments may need to have to be launched. But health service campaigners have expressed alarm about the affect charging would have on accessibility.


The Department of Well being stated prior to the vote that it was “definitely clear that the NHS should be totally free at the point of use, and we will not charge for GP appointments”.


Motions to charge for GP providers have been rejected by the BMA in prior years. A ComRes poll in March discovered that even though one in 4 (27%) men and women mentioned they would be ready to pay out £10 to visit their GP rather than see the practice shut down, far more than double that – 56% – had been towards any charges.




GPs vote towards charging individuals for appointments

6 Mayıs 2014 Salı

GPs to vote on charges for visits to surgical procedure

The movement, place to conference by the agenda committee and set to be proposed at the Nearby Healthcare Committees Conference in York, suggests general practice is “unsustainable in its current format” and that “it is no longer viable for standard practice to give all sufferers with all NHS services free at the level of delivery”, Pulse Today trade magazine reported.


The motion, from Wiltshire LMC, concludes: “That conference… calls on GPC to investigate national charging for general practice providers with the United kingdom governments.”


A survey by Pulse of 440 GPs final July showed that just over half of GPs are in favour of the NHS charging a little charge for program appointments, with several believing it is the only way of managing their workload and curbing rising patient demand.


Well being policy experts have stated the flat rate, which could incorporate exemptions for groups like the elderly and unemployed, would bring British well being care in line with effective methods in France, Germany and Scandinavia.


Last 12 months, Andrew Haldenby, director of the Reform consider tank, mentioned payments for GP appointments were frequent elsewhere in Europe, which includes France exactly where the costs are recognized as “responsibility payments”.


“The thought is that individuals are a lot more responsible about the want to pay a visit to their doctor,” he stated. “Of program it seems practically like an unthinkable move, but in the current circumstances it is realistic to think the unthinkable.”


But some top medical professionals advised the measure could put off individuals with a genuine want for assist, and could “hinder the doctor-patient romantic relationship”.


Dr Chaand Nagpaul, chairman of the BMA’s GP Committee, mentioned in July: “I entirely sympathise with the disappointment GPs have with feeling their workload is unmanageable and demand is exceeding their capability to give care … but we believe charging individuals is not the remedy.”



GPs to vote on charges for visits to surgical procedure

17 Mart 2014 Pazartesi

Conservatives must stop attacking Europe or individuals will vote Ukip

He stated: “If you are a single of our colleagues who spends his daily life telling absolutely everyone Europe is terrible and we must depart it, not surprisingly he has a high Ukip vote in his constituency, and half his members consider that is way the Tory party must go.”


He added: “The first lesson is that if you go all around telling absolutely everyone your opponents are correct, do not be surprised when the electorate vote for your opponents.”


He produced his remarks as ministers said the Conservatives would be “foolish” to demand complete treaty change ahead of a referendum on Europe in 2017.


Ken Clarke, the minister without portfolio and former Chancellor, said that a lot more “strident” and “eccentric” backbench Conservative MPs had been drowning out the voices expressing the far more popular professional-European views that the “majority” of the cabinet holds.


Mr Clarke explained that the Conservatives would be “foolish” to push for treaty adjust to get crucial reforms on Europe by way of ahead of any referendum in 2017 if other alternatives had been open to them. Instead, he said, they should “concentrate on the substance of reform” whichever way it was accomplished.


Damian Green, the policing minister, stated that it was “not obvious” that treaty adjust would be necessary to attain several of David Cameron’s planned reforms on Europe.


He additional that it while it is simpler for pro-European Conservatives to “keep your head down” it would indicate “handing democracy” to a lot more vocal individuals who want to pull out of the EU.



Conservatives must stop attacking Europe or individuals will vote Ukip

12 Mart 2014 Çarşamba

MPs will be offered cost-free vote on "three mother or father babies"

The ideas have attracted criticism with MPs suggesting that the procedure will create “genetically modified children” and could be noticed as tantamount to eugenics.


Speaking at a debate named by MPs concerned by the consultation Miss Ellison said: “As Parliament has debated advances in science like IVF ahead of, and considered and weighed in the balance their considerations towards the prospective advantages, so that will happen yet again.


“I am really particular that individuals will come to their own conclusion on these issues – these issues are normally determined as votes of conscience and I would be really stunned if this wasn’t the exact same. In reality I am confident it will be.”


Jacob Rees-Mogg, the MP for North East Somerset, who named the debate on the problem, stated young children born with donor DNA would be “genetically modified young children” and that making it possible for the process would sum to “tampering with human souls”.


He added that the consultation on three parent infants was a “fundamentally unsafe” street to go down. He recommended it could lead to families demanding designer babies with “blue eyes and blonde hair” and should be halted although much more evidence was gathered.


Mr Rees-Mogg explained: “Once this line has been crossed the argument towards going further is merely a matter of degree it is not absolute.


Bob Stewart, the Conservative MP for Beckenham, stated folks could unknowingly marry their brothers or sisters if they did not know they had more than two parents.


Most health specialists and scientists have backed the government claiming it heralds a new era in genetic medicine.


Professor Peter Braude, head of obstetrics and gynaecology at King’s School London, said: “I am pleased that the Government has been brave adequate to comply with by means of on their promises given during the 2008 revision of the Human Fertilisation and Embryology Act, to deliver before Parliament an choice to help a small but deserving portion of society blighted with the spectre of transmitting mitochondrial disease to their youngsters.



MPs will be offered cost-free vote on "three mother or father babies"

13 Şubat 2014 Perşembe

Belgian MPs vote to lengthen euthanasia to young children of all ages

“It should be the only country in the globe the place the minister of well being is not interested in this kind of a debate,” said Catherine Fonck, a Christian Democrat parliamentary leader, who opposed the law.


Euthanasia, usually by a lethal injection administered by physicians in Belgium, will only take location with parental consent and following medical and psychiatric counselling.


Supporters of the legislation argued that the legislation would only apply to a small amount of children, no greater than 15 a 12 months, who would mainly be teens with “a capability of discernment”.


“This is not about lethal injections for young children. This is about terminally ill children, whose death is imminent and who endure greatly,” mentioned Carina Van Cauter, Flemish Liberal Democrat MP.


Sonja Becq, a Christian Democrat, disagreed. “We can not accept that euthanasia be presented as a pleased ending,” she stated.


Among 2006 and 2012, there was only one particular case of euthanasia involving a Belgian beneath the age of 20 requesting euthanasia.


In 2012, 1,432 adults died by euthanasia and improve of 25 per cent. Apart from Belgium, euthanasia is also legal in the Netherlands and Luxembourg.


Earlier this 12 months, Belgium’s euthanasia laws provoked debate after disabled twins and a guy disfigured botched sex change operation elected to be killed by lethal injection to finish their “unbearable psychological struggling”.



Belgian MPs vote to lengthen euthanasia to young children of all ages

11 Şubat 2014 Salı

Spain"s tough new abortion law advances right after secret vote

abortion demo spain

Spain’s proposed new abortion law has generated key protests in Spain and across the planet. Photograph: Antonio Navia/Demotix/Corbis




Spanish MPs narrowly voted on Tuesday to proceed moving forward with legislation to significantly limit entry to abortion in the country.


In a secret ballot, initiated by the Socialist Parliamentary Group, MPs voted 183 to 151 towards abandoning the proposed modifications to the abortion law.


Tabled in late December by the governing People’s party, the legislation seeks to enact some of the toughest abortion legislation in Europe. Widely attacked by women’s groups as a stage backwards, the alterations will make abortion unlawful except in the case of rape or when there is a threat to the physical and mental overall health of the mom. Any lady wanting an abortion would need two doctors to verify these circumstances had been becoming met.


The secret vote was an try to thwart the bill ahead of it is place to a general vote. The idea, explained Carmen Montón of the Spanish Socialist Employees celebration, came from considerations above the legislation that she and other opposition members heard in parliamentary corridors.


“We want PP’s [People"s party] parliamentarians – particularly the girls – to have the freedom to express how they really feel about the problem,” she mentioned prior to the vote. “We’re attempting to consider away the excuse that they would be penalized by the barons of the get together.”


The secret vote was meant to inspire MPs to vote with their constituents rather than get together allegiances in thoughts, she said. “The majority of Spaniards do not want this reform.”


The Spanish prime minister, Mariano Rajoy, has constantly defended the modifications, arguing they fulfilled an electoral promise. The Catholic Church, which has historical ties to the People’s party and remains an influential force in Spain, had championed the adjustments.


Amid Spanish citizens, even though, the thought is deeply unpopular. Polls present in between 70% and 80% are opposed to rolling back the country’s abortion laws.


Organised action against the proposed legislation has been taking location almost every single other day across Spain. Petitions have been signed and and letters delivered to parliamentarians. A platform, Wombastic, has been developed specifically to share professional-selection drawings.


Demonstrations, backed by throughout the world demonstrates of solidarity , culminated in a display of force earlier this month as tens of 1000′s demonstrated in Madrid, waving indications that demanded “MP and rosaries, out of my ovaries”.


This week saw hundreds of females stroll into regional government offices demanding that their bodies be entered in business registries, generally reserved for automobiles and airplanes. Activists explained to puzzled bureaucrats that they needed official certification that their bodies belong to them.


The government is adamant it will push ahead with the reform. “You have my word that no screams or insults could provoke me to abandon my dedication to comply with the [party] platform to regulate the rights of girls and the unborn,” Justice Minister Alberto Ruiz-Gallardón explained at the People’s celebration convention earlier this month. “We are not talking about moral issues or electoral benefits, but alternatively the defense of basic rights.”


But his comments masked inner dissent inside the celebration on the situation. Infighting broke out right after many regional leaders spoke towards the modifications, while dozens of municipalities – which includes these governed by Men and women get together leaders – have also stated they will reject the modifications.


Isabel Serrano, spokeswoman for Decidir Nos Hace Libres, which opposes the proposed legislation, attributes the result of Tuesday’s vote to MPs voting along party lines. She explained the end result at least showed that the People’s get together is alone in pushing it forward. “The end result was damaging, naturally, but the process was optimistic,” she explained.


Since the majority of Spaniards are against the alterations, she saidPeople’s party MPs have to now “evaluate regardless of whether they want to continue forcefully governing their bulk or whether or not they want to listen to the folks”.


Right up until that happens the platform would continue to battle towards the proposed adjustments, she additional. “Our aim is to get the People’s celebration to act in favour of girls. Our objective is to get them to withdraw this legislation.”




Spain"s tough new abortion law advances right after secret vote

8 Şubat 2014 Cumartesi

David Cameron urged to help auto smoking ban ahead of vote in Commons

Smoking in cars

Parliament will vote on Monday on a attainable ban on smoking in autos the place kids are present. Photograph: Clive Gee/PA




David Cameron was below pressure on Saturday night to clarify whether he would support a ban on smoking in vehicles carrying kids, as overall health specialists raised new concerns above back links among his chief election strategist Lynton Crosby and the tobacco industry.


In advance of a important Commons vote on Monday, Philip Morris Global – which strongly opposes a ban on smoking in vehicles – confirmed to the Observer that it was nevertheless receiving advice from Crosby’s lobbying firm, the London-primarily based Crosby Textor Fullbrook.


On Saturday evening Dr Nicholas Hopkinson, senior lecturer in respiratory medication at Imperial School London, who last week organised a letter to MPs signed by 700 professionals operating in respiratory wellness, which demanded a ban, voiced concern that someone so shut to the tobacco lobby was operating at the heart of government. “Given the massive burden of unwell health induced by tobacco smoke, any suggestion that tobacco lobbyists have access to the heart of government determination creating would be incredibly disturbing,” Hopkinson said.


A spokesman for Philip Morris explained: “CTF advises us on a selection of concerns in the United kingdom”, and explained its place on banning smoking in autos was spelled out in detail on its web site.


Monday’s vote on no matter whether to ban smoking in autos carrying youngsters below 18 is getting held right after the Property of Lords backed a Labour amendment in favour of the move. The Conservative get together has granted its MPs a free of charge vote on the situation, which seems to be specific to divide the cabinet. Several senior ministers which includes Kenneth Clarke, Eric Pickles and Chris Grayling have indicated they will vote against a ban. Health secretary Jeremy Hunt has declined to comment. A spokesman for the prime minister mentioned that he would make up his thoughts when he had heard the arguments in the Commons. Final week’s letter organised by Hopkinson explained that a ban should be introduced due to the fact secondhand smoke was a “main lead to of unwell health in kids” specifically amid disadvantaged groups.


On Saturday night, Labour asked why Cameron was even now undecided when overall health experts have been united. The shadow overall health secretary Andy Burnham said: “David Cameron is plainly conflicted on tobacco policy and one can only wonder what advice his correct-hand man is whispering into his ear in the runup to this important vote.


“Come Monday evening we will find out whether or not Cameron and the Tory party are prepared to wean themselves off their tobacco links and do the appropriate point by children’s overall health.”


Labour will vote for a ban and, with support from some Tory and Liberal Democrat MPs, it is probably to be approved. But the problem has reignited debate over the Australian lobbyist’s position at Cameron’s side and his company’s lucrative function for Philip Morris. On its website, Philip Morris says smoking ought to be prohibited “in hospitals and wellness institutions, as well as schools and other services for youth”. But it adds: “We do not believe that banning smoking in outside public spots or in personal areas such as vehicles and properties is the right technique.


“We think smoking need to be permitted in outside public spaces, except regions meant primarily for kids or exactly where smoking could be harmful. For private areas, we feel that schooling, rather than legislation, is a a lot more appropriate way forward.”


Final July, right after the government had appeared to drop plans to introduce plain packaging of cigarettes (a move strongly opposed by the tobacco market), the prime minister refused repeatedly to deny that he had ever talked about the concern with Crosby, who was then doing work component-time for the Tory get together.


Crosby then took the heat out of the controversy when he issued a straight denial saying that “at no time have I had any conversation or discussion with or lobbied the prime minister, or certainly the wellness secretary or the health minister, on plain packaging or tobacco troubles.”


Late final year, fearing a defeat in parliament, the government changed tack again and opened the door to a potential choice in favour of plain packaging.


In November it was announced that Crosby had taken up a full-time position as election strategist to the Tories in a deal mentioned to be worth £500,000.


Deborah Arnott, chief executive of well being charity ASH explained that simply because of Crosby’s presence, and his links to Philip Morris, the government was in the odd position of getting to demonstrate its independence from the tobacco industry. “The huge sum Philip Morris spent placing Lynton Crosby’s company on its books has to be the worst investment they’ve ever made. Not only did it fail in the initial aim of stopping standardised packaging, it is truly encouraged the government to go more and enable a free vote on smoking in vehicles to show its independence from the tobacco business.”




David Cameron urged to help auto smoking ban ahead of vote in Commons

2 Şubat 2014 Pazar

Smoking in automobiles: two Tory cabinet ministers program to vote towards ban

Speaking to BBC One’s Query Time, Mr Clarke, who has worked in the tobacco market, mentioned: “I was smoking on the way right here in my vehicle. It’s possibly extremely wise to advise individuals will not do it when you have got kids in the automobile.


“We do preserve generating new visitors offences. I never consider our traffic police are going to be concentrating massive efforts on racing up and down the motorway peering into vehicles, trying to see whether or not there is a child in.


“We do generate too a lot of visitors offences, I really do believe it’s gesture politics. We’ll most likely locate two or three people fined a 12 months. It tends to make the lobbyists feel better.”


Eric Pickles told BBC Radio 4′s Any Concerns: “It is 35 years given that I was last in automobile that any individual smoked a cigarette. To me it’s anathema for any person to smoke a cigarette in a vehicle with a youngster. It’s 11 occasions a lot more likely to influence the little one than in a house.


“The government has been running a quite powerful advertising campaign about the effect of smoke on kids in the automobile.


“If we end the automobile, and a man or woman is smoking, what transpires following? Do we fine them? Are their young children place on the at chance register? Do we need to have to involve social companies? Is this one thing considerably diverse from smoking at residence? Should we be dealing with that?


“We need to make issues criminal if we come to feel that they are enforceable. If there are other techniques to get rid of this dreadful, anti-social and damaging issue we must do so. For as soon as my vote is open to persuasion. My initial intention is to vote towards it.”


David Cameron has stated he will “pay attention very carefully” to the debate just before determining on no matter whether to vote in favour of the ban. Patrick McLoughlin, the transport secretary, is anticipated to adhere to Mr Hunt’s lead on the problem.



Smoking in automobiles: two Tory cabinet ministers program to vote towards ban

29 Ocak 2014 Çarşamba

Ban on smoking in vehicles in front of youngsters moves closer following Lords vote

Man smokes in car

The prime minister would like to ‘listen to the arguments’ on banning smoking in cars with youngsters, No ten said. Photograph: Phil Noble/Reuters




A ban on smoking in vehicles in front of youngsters has moved a phase closer right after the Home of Lords voted to bring in new laws and Downing Street explained the prime minister was ready to “listen to the arguments”.


The thought will now be debated by MPs, who will be given a totally free vote on the situation – providing it a actual possibility of making it into legislation. It comes following Labour proposed an amendment to the youngsters and households bill that would give ministers a electrical power to carry in laws that would make it an offence for a driver to “fail to stop smoking in the motor vehicle when a kid or children are present”.


Sources said the prime minister was open-minded about the concern, as peers defeated the government by a slim margin of 25. It is the 89th time Labour and crossbench peers have inflicted a defeat on the coalition.


Asked what the prime minister thought of smoking in automobiles with young children, his spokesman mentioned: “This is an concern that is going to be discussed and debated in parliament right now, and the prime minister’s view is that he would like to listen to the arguments.”


In the morning, the Division of Health said it did not consider legislation was the most efficient way of stopping grownups smoking in front of children in autos. This was reiterated in the Lords by Earl Howe, a health minister, who said it would be complex to police and the government preferred “behaviour adjust”.


“Smoking in autos and in the property is most likely to be a consequence of a lack of understanding about the dangers of 2nd-hand smoke,” he mentioned, adding that the government was “spreading awareness”.


However, he also explained the government had not ruled out legislation and would take into account a overview of the evidence if the publicity campaign failed to have an impact. In closing remarks, Howe said: “We all want to eradicate smoking in automobiles carrying youngsters.”


The baffled position echoes Cameron’s selection to back plain packaging for cigarettes, ahead of dropping the policy, and then saying it would be adopted if there was proof it would be successful.


Andy Burnham, the shadow overall health secretary, said Britain need to comply with the instance set by Australia, Canada and some US states. Underneath Labour’s programs, it would be an offence to expose kids to tobacco smoke in cars and a breach would carry a £60 fine.


“When it comes to improving the well being of kids, we are duty bound to think about any measure that might make a variation,” he advised Sky News.


“Adults are totally free to make their own options but that usually does not apply to kids and which is why society has an obligation to defend them from preventable harm.


“Evidence from other nations displays that stopping smoking in the confined area of a vehicle carrying kids can avoid damage to their wellness and has strong public help.”


Smoking in workplaces and enclosed public spaces has been banned considering that 2007.


Nonetheless, Simon Clark, director of the smokers’ rights group Forest, told BBC Radio Four’s These days programme that the ban would be a slippery slope in the direction of a ban on all smoking in automobiles.


“I consider this legislation is extremely heavy-handed, entirely needless and, according to surveys, 84% of grownups wouldn’t dream of lighting a cigarette in a auto, in a modest enclosed area, with a little one current,” he explained.


“So grownups currently know how to behave. They will not need the state interfering in their lives like this. If there are nevertheless some folks who smoke in a vehicle with youngsters, then let us educate them, but let’s not legislate.”




Ban on smoking in vehicles in front of youngsters moves closer following Lords vote