Vol
le jeudi
déc2013
209,édition
dition
Montréal
Vol4,8 No
No 172
354 jeudi
le 1 3Août
Montreal
2013年8月1日
209年12月3日 第354期
172期 ISN 1929-6320
Journal Chinois Sept Jours
w.septdays.com
Jours·Seven
Days Chinese Newspaper
T：514-861-6319
514-582-618 传真F：514-861-908
514-761-1259
ads7days@gmail.com
Giles Vincent）先生
1919年，可直
2013年7月26日，蒙特利尔植物园（Jardin
10年后的1929年他才千辛万苦地得到市长Camilien
Botanique de Montreal ）繁花似锦，游人如织，第五
Houde先生的首肯，把 Maisoneuve 公园的一半土地
Henry Teuscher前来担
Teuscher先生曾在他的名著《植物园的未来》一
80多
1931年，Teuscher
Giles Vincent）先生。
1935年开始动工；1936年，
Teuscher先生被任命为项目负责人和首席设计师；
1939年植物园初步建成。第二次世界大战期间，战局
Brother Marie Victorin，185-194年）曾经有一个
1 9 4 5 年 ， 二
6版）
Monk ѫᦉ
6418, Boul. Monk.
Montréal, QC H4E 3H9
Mcgil ࣉ˖ॶᦉ
125, Rue University, Suite 608.
Montréal, QC H3B 3V9
16/5"$"/"Ὃ
IBWBOBܸ˧Ὑ
Info@shanchahua.ca
02 广告
2013年8月1日
354期
SEPT DAYS .com
03 新闻
2013年8月1日
354期
SEPT DAYS .com
46届生殖研究学会（Society for the study
of reproduct ion；SR）年会于7月2日
26日在蒙特利尔举行，这是世界生殖
10多名生殖研究领域的专家和学
Palais des congrès de Montréal），全
207年—209年曾作
University of Otawa从
20多名该领域的中国专家和学
FATIMA HOUDA-PEPIN
Députée de La Pinière
fhoudapepin@asnat.qc.ca
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Adrese du Bureau de comté :
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Brosard (Québec) J4Z 1A7
Téléphone :
450 678-061
Fatima Houda-Pepin
Jacques-Cartier 港口变成东方老城
Chinese Language Teachers
Asociation of Canada)将于8月16
17日，在麦吉尔大学 (McGil
University)举办第五届“汉语桥”中
Festival Orientalys）新闻
Tribal-Fusi o n 艺 术 团 的 A n d r e a
Derviches Tourneurs舞蹈团的精彩
Fryet主演的现代版一千零一夜、凤凰
Moulay Damou的演唱；周六
8月9日（周五）晚上8点15分至9点15
Jacques-Cartier码头
7月25日，凤凰（华韵）艺术团在
Orientalys 文化节的新闻发布会上表
PHILIPE-OLIVIER CONTANT
AGENCE QMI）
7月25
8月9日到1日的蒙市老
UBC大学亚洲研究系的中文部主
Jacques-Cartier码头将变成东方文化
Ayrad，结合阿拉伯摇滚和电子音乐的
Gogle 地图上搜索 quai Jacques-
Yacine & The Oriental Grove的
Cartier寻找），所有活动均为免费，更
Concordia 大学
25日的新闻发布会上凤凰姑娘的中国古
htp:/festivalarabe.com。
Maning 教授将从宏观
Rebuild
Chinese Studies in Canada （重建加拿
htp:/w.
clta-ca.org/下载《会议回执》填好
conference.confirmation@clta-ca.org
21分局负责人Daniel Thifault先生等巡
7月30日下午蒙特利尔
40分钟过去还没见警察
Thifault警官再打电话取消报警，
Daniel
Thifault先生，以及华商会法律顾问、云
Daniel
Thifault警官对此表示支持，他同时谈
9月份向市、区两级政府递交书
Daniel Thifault警官巡视唐人街，正遇
30天内可以向移民局提出上诉。接下来
6－12个月时间，有
1.
2.
3.
4.
7月
24日举行了开幕仪式。伴
Arthur L’Aventurier带来
Paul Leduc 表示，欢迎市
Loraine Klasen表演的南
8月10日到博尔沙市
Juan
Poly-aréna公园来共同欢庆
Sebastian Larobina组团带
Zumba 表
Les B飓风
5.
6.
7.
8.
TEL：514-743-708
04 新闻
2013年8月1日
354期
SEPT DAYS .com
80万 铁路公司说没钱
96岁蒙市老人梦想成真
7月30日，蒙特利尔老人
Helen Ploude女士度过了愉快的96岁生
Ploude女士，现在
M M A 董 事
ED
Burkhardt）对媒体
7月5日油车出轨爆炸事件
Daniel Gardner 表示，他有
Lac-Megantic）镇长Colete
MA铁路公司是
Roy-Laroche女士在周二（7月30
MA）发出了第二封律师信，向
80万元的善后费用，这一
40万元提升了
MA宣
Ploude女士谈到自己60多年前第一次
Arian Langlois在蒙特利尔
Gazete图片）
6年之后，早年人们熟
Ploude女士的直升
Fous Truck）又重新出现在蒙特利
Arian Langlois是经过专业培训
croisant）。羊角面包是食
2块5。
The clasic BFT）只要6.95元。
20小时武装对峙 两枚橡弹解决战斗
71岁嫌犯通宵达旦地
no visible
20小时之后，由警察
injuries）。而嫌犯的家庭律师Jefrey Boro则说，他的
7月30日）上
Côte-St-Luc区的一户居民
182支枪，原来他是枪支收
71岁屋主持枪赶走。警察在接到报警后，
Havis有
71岁的持枪者把自己锁在
208年就曾因侮辱警察和拒捕被起诉。这一
Havis
Isidore Havis
Daniel Lacoursière表
05 新闻
2013年8月1日
354期
SEPT DAYS .com
1个加国最大城市。
7月29日在
40年来唯
29日下午，加拿大中国商会举行了
150位
140家中国企业组
2012
1%，
90%以上，
183家企业投资加拿
438亿美元。
2%。如此微乎其微的比例，哪里谈得上
50多亿美元。今年
4个月，两国贸易已近180亿美元，这在
86周年招待会
86周年。
7月26日深夜，多伦多一
13秒内击中9枪，最终
18岁叙利亚裔移民青年雅丁
Samy Yatim），公交车内的乘客称，雅
1927年８月１日
7月31日在士嘉堡
9下枪声。视频显示，
Highland Funeral Home举行，祷告仪式则
7月25日晚，中国驻加拿大使馆
8月1日上午进行。
9枪的警员，名叫霍西
James Forcilo），有6年警龄，已于周一
30多人一道，热烈庆祝
1,381
1.5倍。
3,780
Statistics
203年起，
Canada）和加拿大健康信息研究
Canadian Institute for Health
53.3%。而公共医疗保险的价钱更
The Fraser Institute）7月30
Information）的数据则显示出不同家庭
1.5倍以上，比家庭
1.5倍。另外，就今年
10%
2013年要为这个“免费”的
1,320的税款。而菲
10,989
482。
10%的收入达平均收入的家庭需要缴
1,320
5,364,10%的高收入家庭则要支付
35,309。
Nadem Esmail）表示，加拿大家庭
3,905
3,387
150加元，就可以参加
10多份
180人自动撤回了申
shoukang.cao@fredom5financial.com
2013/07/30）
facebok）上，开设专也“雅丁的
Peter Brauti说目前不
Samy’s Fight Back For
Justice”签名人数已过万人。
6月因
2012年的薪酬为106,80元，已婚，并育有
8
13日要再度发起讨公道集会游行，而当日
7月31日在士嘉堡
Sarah）
Highland Funeral Home举行，祷告仪式则
8月1日上午进行，至于葬礼时间则尚未确
06 七天人物
2013年8月1日
354期
Giles Vincent）先生
1版）也才有了后来的发展契机。所
10万左
2万人来。”
1980年举办国际花
198年决定兴建日本园，在
191年又建了中国园-梦湖园，把文化元
1978年毕业于蒙特利尔大学
1983年在同校取得植物学硕
1982年至194年期间任职于蒙特
195年担任植
195年至196年在
Theretra
1931年建园，就承
197
Quebec Native Flora）。先后有180多
clotho vincenti，2012年）；为了表彰他
203年再次被任命
Giles Vincent”命名（201
2010年，他荣获法国农业部颁发的
Ordre National du Merite
Agricole），这一奖项很少授予非法国籍人
73公顷，共有10
18年之后，辞职，去一个完全不熟悉
197）、拯救蝴蝶（198）、大型园
192年第一次去中国，从此，对
30个室外主题园区，共计20
198）、土耳其园（19）、
90万份植物标本，还
19）、感官庭院（20）、
203年，听说
75周年庆祝活动
206）、客服中心基础设施更新工程
207）、热带食用植物温室改建工程
208）、多样化植物中心建设工程
201）、秋海棠属植物和苦苣苔科
191年兴建的。其面积与198
201年建的原住民园一
2012），以及一
2.5公顷。园内的亭榭楼阁，都是
20分钟就到。蒙特利尔植物
20年来，蒙特利尔植物园一直是笔
JOBODF
2013年8月1日
354期
07版
15万元的保障方案，好
15万Whole life的保障方案，
10万Whole life+5万Term life的
20年固定的方式计算的，也就
1年到第
20年保费不变。
15万的保障方案，
5万Term life部分，也会有
Sunlife分红账户派息率
Sunlife会在孩子18岁的时候，只要
5万的Term life
2012年、2013年分别是7.15%，7.15%，
Non smoker, 就可以拿到non
insurance是life time guaranted，也就是
search
smoker rate。举例来说，10岁的孩子申请保
15万的guaranted的保障；
dividend scale interest rate 2013 sun
10-18岁的保费固定，18岁声明non
5万的Term life insurance也可以是10年
life”。
smoker 后保费下调。
guaranted的方案，对于这类方案而言，从
guaranted的保障额度是15
Sunlife的产品是非常有竞争力的好产品，
1年开始guaranted的保障额度变
sun life”替换成其它公司，就可以
10万。
Sunlife的分红型人寿保
514672658，我们将尽所能帮
514-67-2658
2期，更多投资理
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Ben Bernanke）两次的国会委员
25%）的时
Ron Paul）的
Senate
Banking Comite），还说他也
10年期间，
2012年致股东信中是这
10年期间，埃克
17万公
20.73米
16
10年内 17万公
1,750美元计算，全球所有库存黄金
9.6万亿美元。我们将这个全球
A组资产。
B组资产。
10年之后，当人们
9.6
9.6万
201年，伯南克就曾被
A组黄金资产在未来10年期间的
4亿英亩，年产值约2,0亿美元)和
B组耕地和股权资
16家埃克森美孚石油公司(ExonMobils)(全
4 0 0 亿美
1万亿美元可用
1,580美元，你怎么看？”保罗问
18美少女，也可以
9.6万
80废老翁。
A组资产而
B组资产？
1,60亿美元。
08 中国新闻
2013年8月1日
354期
SEPT DAYS .com
09 国际新闻
2013年8月1日
354期
SEPT DAYS .com
10
2013年8月1日
354期
SEPT DAYS .com
91恐怖袭击后的美
Naxalites）组织，约有4万多人，是印
60年代未开始，主张通过农民武装
Lal Salam）口号在
Chakravyuh）
3项罪行，即使奥巴马认为这
John Boener）干脆指控在俄罗斯寻求政
12票之差（205-217）失败；不过，
Nancy Pelosi）认为斯诺登不是一个英
Geofrey
Robertson）在该报7月24日指出，201年
Mitch McConel）希望他被依法起
2012年之间，20,909案子中，仅10宗
kangaro
court，不按照法律程序的非法庭）吗？
Glen Grenwald）和
5%对34%大幅度认为斯诺登是一个泄
7月30日
2013-07-30）
American Civil Liberties
Union，简称ACLU）。
80万人的香港，竟然每年有10
2013-07-27）
7月20日，美国黑人与人权积极分子
7月13日深
20年前在纽约所听到的，但这
stand your ground）法令，是根
castle
doctrine）—允许在自己的人身、家、
racial profiling）。
101个大中城
profile/画面”，然后有的放矢地
35年前的自己比作今天
20分钟的很不寻常的讲话，他说“马丁
35年
35年前的我”。
17岁黑人少年特雷翁·马丁是美国
25岁以下黑人—
20年前我去探望60年代在印度
2月一个晚上，
29（30—主编）岁的乔
16世纪开始欧洲白人
2016
6月佛罗里达州地方法院对
19
80余载致力于
40年，中英文著述15本，现定居
Mike Luckovich绘 2013-07-28
Monte Wolverton绘 2013-07-30
18至70周岁201年国民人均阅读传统纸质
4.35本，这是中国新闻出版研究院国民阅读
64本。中国近邻日本，人
40本。现在许多人津乐道养生，
3千名读者的
10名作品榜单：《红楼
2013-07-19）
1 社会聚焦
2013年8月1日
354期
SEPT DAYS .com
EVDBUJPO
2013年8月1日
354期
12版
EVDBUJPO
2013年8月1日
354期
13版
EVDBUJPO
2013年8月1日 第354期 第14版
2013季之十
208年4月因为加拿大舆
A：我现在的咨询公司越来越兴旺，
YouTube上的视频，而YouTube的创始人
75%的客户是埃及裔，但是我不能说
16.5亿美元的巨大成功。在他的
4.13集会之前，还组织到
B：你怎么能怨我呢？你小时候不爱
CTV等媒体抗议示威，呼吁媒体公正客观
A：那你为什么不坚持让我去学呢？
B：你不记得我说过你，甚至骂过
8岁以后就一
20个月赚130亿—YouTube创始人陈
A：那你为什么不绑着我去学呢？你看，
B：…(无语)
culture
McGil的医学院，中国传统的中医理念也会
shock(文化冲突),但是对于成年后移民的华
12册
culture shock其实更
A，和他的母亲B之间的对
2012年中国十三届华人少年作文竞赛中获三等奖】
12点半的样子，我和外
1点左右了，一般这个时候我又会牵着外
EVDBUJPO
2013年8月1日
354期
15版
6月25日-8月29日
9.5折，按年级及需求分班：
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16 娱乐
2013年8月1日
354期
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17 七天健康
2013年8月1日
354期
SEPT DAYS .com
Apiario Silvestre)
Apiario Silvestre)抓住增
50％以上的病人幷發肺炎、
1．綠蜂膠使放療如虎添
4．綠蜂膠抗氧化清除自由
10-30％。
2．綠蜂膠提高白細胞、增
92％；中國報道綠蜂膠對放
83％；中國和日本報
96％、降酶保護
72％。
90％以上。
5．提高食欲、增加體重與
NPN#806418·美國 FDA冊
3．防治感染，綠蜂膠是無
103285652
18 文汇园
2013年8月1日
354期
SEPT DAYS .com
Sarasate）那首弓法较难的《吉卜赛
1927年，由
Stacato，断奏)的弓法？”
17岁）
25
2个煤气罐说过：如果爆炸了，会把这块地
25米有两个煤气罐正冒着白烟。檐外一个
Let’s talk about Money for Life.TM
Lac Mégantique的遇难者
2013年的我们，什
2颗大树被连根拔起。我笑
10几个嗡
Hai Yi Huang 湫㴟ㆧġ
B. Ing., MA (Econ)
514 839-9076
haiyi.huang@sunlife.com
w.sunlife.ca/haiyi.huang
Life’s brighter under the sun
Financial security advisor,
Sun Life Financial Distributors (Canada) Inc.†, Financial services firm
Subsidiary of Sun Life Asurance Company of Canada.
Sun Life Asurance Company of Canada, 2013.
3个年龄段
10岁到
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25岁，斑的面积与数量
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20岁到29岁 新陈代谢开始出卖你！
25岁，生理机能开始溜滑梯，就算都
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2支等同一支价
1万块的玻尿酸。
30岁到39岁 老化也来参一脚！
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General Inquiries：514-861-6319
Advertising：514-582-618 编辑部Newsrom：514-246-3958 E-mail：ads7days@gmail.com
Editor-in-Chief: 佳音 编辑Editors: 胡宪 列夫 彦宏 美编Graphic Designers: 锦屏 小彭 罗椋文
514-284-232 地址：1010 Sherbroke West, Suite 20, Montreal, Qc H3A 2R7
20号爱德大厦61 电话010-68785058，传真010-6878568
5号粤海集团大厦12楼
86-20-8385-8502 8385853转130
86-20-8385-710 邮箱：chen@gkl.com.cn
19 2013 中国行
2013年8月1日
354期
SEPT DAYS .com
3）
4个县，可就这4
4个县的
208年奥运会奖牌的金
2013青洽会共
904亿
10大类50个项
1）和夫人（左1）和媒体团成员合影
20年开始
14年举
2百多万元，冬天则休息。
15元人民币。他说
20万元，政府配套了30万，他的
29
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La felicidad general de un pueblo descansa en la independencia individual de sus habitantes.” Feliz 4 de Julio
Año 8 * Edición 193 * Julio 16 - Julio 31 / 2013 *
Pág 2
Angel Ríos es
nombrado
Asistente del
Sherif Michael
J. Sposato
Pág 19
Gren Party
candidate in
Nasau
exec race
Pág 07
Crece el fantasma del “Plan B” de
la reforma migratoria
Saludamos a toda
la Comunidad Colombiana
en las Fiestas
de Indepenencia
NYC House reps sek action on
George Zimerman
Pág 05
The Christian Voice
Julio 16 - Julio 31 / 2013
Desea adelgazar? w.dantanaslimoriginal.com
Año8 Edición 193
02
Año 8 Edición 193
03
Desea adelgazar? w.dantanaslimoriginal.com
The Christian Voice
Julio 16 - Julio 31 / 2013
Año 8 Edición 193
The Christian Voice
ACTUALIDAD
Reforma migratoria impulsará la
economía
E
l sistema migratorio
de Estados Unidos
puede generar un
gran impulso a la recuperación económica, afirmó el
sábado el presidente Barack Obama.
En su mensaje semanal por radio e internet, Obama hizo referencia al apoyo del expresidente
George W. Bush para encontrar
una solución integral a la inmigración. Dijo que si demócratas
y republicanos pueden ponerse de
acuerdo en algo, ese es un buen
lugar para empezar, indicó The
Asociated Pres.
El Senado ya aprobó una iniciativa de ley bipartidista. Obama
dijo que ahora la Cámara de Representantes debe actuar. Agregó
que los estadounidenses deben
usar su coreo electrónico, la red
social Facebok y sus teléfonos
para decirle a sus representantes
que no se queden quietos.
La Cámara de Representantes
necesita actuar para que yo pueda
promulgar una reforma migratoria de sentido común”, aseguró
Obama, quien pidió a la opinión
pública que presione a los congresistas a través de lamadas,
coreos electrónicos o las redes
sociales como Facebok, citó por
su parte la agencia Efe.
Maltrecho’ sistema migratorio
Pero la Cámara baja ha dicho
que no estudiará la versión del
Senado y que su estrategia se decanta por una reforma limitada y
en retazos.
Si el Congreso aprueba la versión del Senado, el plan reformista
fortalecerá los logros históricos
que hemos tenido en la seguridad
fronteriza en los últimos cuatro
años”, aseguró Obama.
La legislación, aprobada el pasado 27 de junio, incluye un plan
de 46,0 milones de dólares que
estipula la duplicación a 40 mil
del número de agentes fronterizos, muros en 1,126 kilómetros de
la frontera sur, y el uso de aviones
no tripulados y demás recursos de
alta tecnología.
Obama reiteró que la reforma
ayudará a la recuperación económica mediante la creación de
empleos y la redución del déficit
por casi 850,0 milones de dólares en los próximos 20 años.
El presidente estadounidense
describió cómo, en un “maltrecho” sistema migratorio, habría
un declive de la fuerza laboral
conforme se jubilen los “baby
bomers” (aquelos nacidos durante la posguera, entre 1946 y
1964), una escasez de mano de
obra extranjera altamente cualificada, y un aumento del déficit por
no tener una base tributaria más
amplia.
Tras la renuncia de Napolitano
Su discurso se produjo un día
después de que Napolitano, de 5
años, anunciara su renuncia como
tercer titular del Departamento
de Seguridad Nacional (DHS, en
inglés), y la primera mujer en el
cargo, para asumir las riendas de
la influyente Universidad de California, acota Efe.
Napolitano ha encabezado los
esfuerzos de la Administración
Obama para presionar al Congreso a que apruebe la reforma migratoria.
Su tarea no ha sido fácil: por un
lado, grupos progresistas la atacan por la cifra récord de deportaciones desde que Obama legó al
poder en 209 -al son de unos 40
mil al año, o más de 1.5 milones
hasta la fecha- y, por otro, líderes
republicanos y grupos conservadores aseguran que el DHS no
hace lo suficiente por reforzar la
seguridad fronteriza.
consideró que la gestión de Napolitano se caracterizó “por la constante falta de respeto por el imperio de la ley” y, con su salida,
el Congreso debe ahora asegurar
que el Ejecutivo haga cumplir las
leyes plenamente “y no de forma
selectiva”.
Sesions y otros conservadores
participarán el lunes próximo en
una “Marcha por los Empleos”,
desde el centro de Washington
hasta el Senado, para destacar, a
su juicio, el efecto nocivo de la
reforma migratoria en la fuerza
laboral del país.
Reaciones a
la renuncia
Aunque la renuncia de Napolitano -efectiva a mediados de septiembre próximo- no significa en
absoluto una crisis, sí complica
las negociaciones para una reforma que legalice a once milones
de indocumentados.
El viernes, el senador republicano por Alabama, Jef Sesions,
Obama nombró al exdirector de
la Oficina de Servicios de Inmi-
Los republicanos quieren el Dream Act, y
ya no es suficiente
H
a pasado algo más
que tiempo, desde
diciembre de 2010,
cuando la Cámara
de Representantes votó el Proyecto de Ley del Sueño (Dream
Act.) para que luego muriera en
el Senado. Sólo ocho republicanos lo apoyaron entonces. Ahora,
el liderazgo conservador quiere
impulsar la propuesta, pero la diferencia es que para los jóvenes,
esto ya no es suficiente.
Ha sido una transformación
digna de la mejor novela política en Washington. Hablar del
destacaron historias de
dreamers en sus intervenciones.
Dream Act en la Cámara Baja
hace tres años era complicado.
Lincoln Díaz-Balart, Joseph
Cao, Charles Djou, Vern Ehlers,
Michael Castle, Bob Inglis, Ileana Ros-Lehtinen y Mario Díaz
Balart respaldaron el proyecto de
ley cuando se debatió en diciembre de 2010. Sólo los dos últimos
continúan en el Congreso.
Esta semana, sin embargo, el
ambiente pareció muy diferente.
A puertas ceradas en la reunión
de la Conferencia Republicana, liderada por John Boehner
R-OH), varios legisladores de-
Julio 16 - Julio 31 / 2013
batieron la estrategia a seguir
sobre inmigración. Congresistas
que participaron en el encuentro
aseguraron que varios miembros
Hubo una discusión
apasionada.
Varias
personas hablaron de
experiencias personales, casos con los que
se han familiarizado.
Pero no se puede extrapolar eso en la política
nacional”, aseguró el
congresista Steve King (R-TX).
gración y Ciudadanía, Alejandro
Mayorkas, como subdirector del
DHS, pero éste aguarda su confirmación en el Senado, que tendrá
una audiencia al respecto el 30 de
julio próximo.
De ser confirmado en el cargo,
Mayorkas “aportaría el liderazgo
firme y sensible que tanto necesita el DHS” y quien tome las
riendas de esa agencia debe estar
comprometido “con una reforma
migratoria centrada en la reunificación familiar y una vía hacia
la ciudadanía”, dijo Kica Matos,
portavoz del Movimiento por una
Reforma Migratoria Justa.
El nombre de Mayorkas se
baraja como posible director interino del DHS, creado a raíz de
los atentados de 201 y que reúne, bajo un mismo techo, a 2
agencias federales con unos 240
mil empleados y un presupuesto
anual de unos 60,0 milones de
dólares.
Pocas salidas
Representantes como Darel
Isa (R-CA) enfatizaron que el
nico “proyecto de ley con un
camino a la ciudadanía, que podría ser aprobado este verano en
la Cámara de Representantes es
el Dream Act”.
El líder de la mayoría republicana, Eric Cantor (R-VA) liderará esta porción”, dijo Isa. Ayer
el presidente del Comité Judicial
de la Cámara de Representantes
Bob Godlate (R-VA) confirmó
que está trabajando con Cantor
en un nuevo proyecto de ley lamado “KIDS” que legalizaría a
los Dreamers.
04
Año 8 Edición 193
The Christian Voice
Pas on to the paper.
By
Ed Horn, Esq.
W
hen
involved
in an acident,
any type of ocurence it is
the obligation of the injured individual to insure that they imediately notify the property owner,
their own insurance company if
motor vehicles are involved, the
police and sek medical atention.
It is important to understand
that a comunication from the
ofending party’s insurance company is not made to aid you but to
protect the interests of their policyholder, and ultimately themselves. At this juncture it is wise to
have consulted an atorney who is
experienced in how to handle these maters. An atorney retained
by a individual acquires expertise
that wil be of asistance to the in-
jured person and their family and
ofer protection from forfeiting
rights our laws guarante.
America has a system to resolve civil wrongs that is based upon
monetary compensation to the injured party. That is to return the
person to status quo, where they
would have ben but for the ac-
cident. An atorney has the education and hands on experience
to represent an injured person to
fulest extent of the law. To act in
the absence of legal representation at such times would be similar to fishing without a pole. You
may dangle your bait but chances
are a nible wil not result in a
fish diner.
Ed Horn, Esq.
82 Pine Stret, Suite 206
Freport, NY
516 42 730
Sumer health hazards:
Tick bites and diseases
W
ith recent atention on new
tick-borne ilneses,
these
persistent pests slide easily onto
Long Island’s list of sumer
health hazards.
ticks, come out around this time
of year. They come out mid-June,
and most Lyme disease - which
is much more comon in June,
July and August - is related to
a bite by this smal stage of the
lyme tick.”
Long Island is beautiful and
it’s very hospitable and it’s a very
nice place to live - particularly if
you’re a tick, because you don’t
have to pay real estate taxes if
you’re not a human being,” said
Bruce Hirsch, a physician at North Shore University Hospital who
specializes in diseases asociated
with ticks and other biting insects.
Nymph ticks (which are about
the size of a popy sed) won’t
hurt you when they bite, explained Hirsch, which means that
their bites are often mised unles
a person is actively searching for
them. However, it’s at this smal
stage that most transmisions of
Lyme disease ocurs.
Hirsch explained ticks make
their yearly Long Island debuts
during the sumer months.
These smal ticks, the nymph
But despite whether you fel
the tick’s bite or not, size is not
the only factor in the Lyme disease equation.
It requires that the tick realy
spend some time on us, atached
to us, and it’s estimated that the
risk of infection with an infected
tick is very unusual, unles that
tick has prolonged contact with
us - aproximately 24 hours,” he
explained.
when they have this rash fels
sick, they fel like they have some
kind of flu or virus infection, they
can be achy, they can have joint
pains, they can have low grade
fevers,” Hirsch said.
How do I know if I have Lyme
disease?
Later stages of Lyme disease include more serious efects such as
temporary heart blockage, brain
function impairment and nervous
system problems, he explained.
Lyme disease afects a human’s
body in stages, said Hirsch, one
of which includes a
rash. Sometimes caled a “target rash” or a
bul’s-eye rash,” it has
rings of circles, which
can vary in color and
patern.
But Lyme disease “responds
very wel to treatment,” said
Hirsch, who said doxycycline, the
antibiotic used in treatment, also
treats other infections related to
Lyme disease.
If you think that you have ben
biten by a tick, or may have Lyme
disease, contact your physician.
There
are
other
symptoms that can acompany these rashes.
A person sometimes
NYC House reps sek action on George Zimerman
merman in the
kiling of Trayvon Martin.
S
everal New York City
House members at a
Manhatan news conference Monday said
they wil push hard for a federal
civil rights trial for George Zim-
05
Trayvon
Martin did not
have a gun, a
knife or weapon. Al he
had was a
package
of
Skitles that
set into motion the events
that led him to
be shot dead
in cold blod,” said Rep. Hakem
Jefries (D-Broklyn), holding a
bag of candies like those Martin
had when he was kiled. “That
should not hapen in America.”
Zimerman was acquited Saturday of second-degre murder
charges by a Florida jury. The
verdict spured cals for a federal
trial to determine if Martin’s civil
rights were violated.
Monday, U.S. Atorney General Eric Holder caled the kiling
of Trayvon Martin a “tragic, unecesary shoting,” and said
the Justice Department wil folow “the facts and the law” to
se whether federal charges are
waranted.
Jefries and his House coleagues at the news conference,
in front of Manhatan’s federal
courthouse, said there is plenty of
evidence against Zimerman.
He saw Martin as a threat “and
that was being black and walking
in the wrong neighborhod. The
state of Florida failed to serve
justice,” said Rep. Jerold Nadler (D-Manhatan), the ranking
member on the House Judiciary
Subcomite on the Constitution and Civil Justice.
Martin was targeted because he
was African-American, said Rep.
Gregory Meks (D-St. Albans),
reminding those at the news conference that Zimerman, a neighborhod watch volunter, was
told by law enforcement oficials
to stay in his car and not pursue
the 17-year-old.
Julio 16 - Julio 31 / 2013
We ned to lok at the race isue,” Meks said.
Martin’s family “should know
there is a groundswel of Americans who want to do the right
thing,” said Rep. Charles Rangel
D-Harlem).
Later, Rangel said “the U.S.
Constitution protects people from
profiling whether its race, religion
or political. This is not just a black
and Hispanic caucus isue.” he
said. “I know when we get back
to Washington more representatives wil come forward with their
suport, including Florida.”
Año 8 Edición 193
The Christian Voice
ACTUALIDAD
CUENTA REGRESIVA …. CON EL CONCIERTO
QUE ESTREMECERÁ AL MUNDO
VIVES – DANGOND Y CELEDON
ESTE 20 DE JULIO EN EL ESPECTACULO DE CUMBIA
Y VALENATO MÁS GRANDE DE LA ÉPOCA
Reportaje
Exclusivo por
Edwin Henao
E
n una jugada maestra
como se hacen en las
grandes partidas de
Ajedres a nivel Mundial. las empresas más cótizadas
del Entretenimiento en la Capital
del Mundo la SBS Entertainment
y Felix Cabrera unen esfuerzos,
junto a los Consulados de Colombia de New York y New Jersey
para presentar el Concierto de
Cumbia y Valenato Más Grande
de la Época.
Reuniendo en un mismo día
y en un mismo escenario a las
Super Estrelas Colombianas de
la Cumbia y Valenato del Siglo
XI, CARLOS VIVES – SIlVESTRE DANGOND Y JORGE
CELEDON y la celebración no
puede ser mejor ya que se festeja ese mismo día la Independencia de Colombia el Sábado 20 de
Julio en un acontecimiento que
marcará por siempre los Corazones de los miles de fanáticos del
Rico Folklor Colombiano.
Conversamos con John Sepulveda de la Empresa Latin Events
responsables del Concierto de la
Década cuyo Presidente Felix
Cabrera mejor conocido como
El Rey Midas del Espectaculo” y nos comentó con mucho
entusiasmo.”Es para nosotros
un honor Producir éste Super
Concierto ya que por primera
vez tráemos a estos Íconos de la
Música Colombiana, los cuales
han lenado Estadios en sus resTHE CHRISTIAN VOICE
La Voz Cristiana
He aquí, yo estoy a la puerta y
lamo; si alguno oye mi voz y abre
la puerta entraré a él, y cenaré
con él, y él conmigo”
Apocalipsis 3:20
La Visión de The Christian Voice
es trabajar en dos frentes.
Primero ser un medio para
pectivas Giras y ahora tenemos
la oportunidad de traerlos juntos
a esta parte de la Costa Este de
los E.E.U.U, más concretamente
en el Prudential Center de la Ciudad de Newark, New Jersey, con
una capacidad para 17.0 Espectadores, pero el cual ya nos está
quedando pequeño por la gran
demanda de Boletas que estamos
recibiendo de todos los públicos
Hispanoamericanos especialmente el Colombiano que sentirán a
su Tiera, su Café, sus Mujeres
Espectaculares y sobre todo su
musica Valenata como nunca lo
habian sentido .esto nos ha motivado a abrir nuevos
espacios en el Prudential Center con
Precios acesibles
para toda las familias
que colmarán hasta
el último rincón del
Coliseo con sus Camisetas y Banderas
del tricolor Nacional
y ser parte del Concierto Más Grande
de la Época”, concluyó con una sonrisa, John Sepulveda.
hacen un lamado a todos los colombianos para que nos unamos
y vayan al Prudential Center de
Newark con sus familiares / amigos y mostremos la Idiosincracia
del Colombiano, su Beraquera ,
su Entusiasmo, su Alegría y sobre
todo el Amor que le tenemos a
Colombia el Mejor Pais del Mundo.
rá a su máxima expresión este 20
de Julio cuando celebremos La
Independencia de Colombia con
el CONCIERTO DE CUMBIA Y
VALENATO MÁS GRANDE
DE LA ÉPOCA.!
La Empresa Productora del
Concierto Latin Events, no ha
escatimado ni tiempo, ni dinero
para traerles una Super Produción digna de los más grandes
eventos, Pantalas Gigantes, So-
nido con Tecnología de Punta ,
Juegos de Luces de última Generación, Efectos Especiales y una
Escenografía que los espectadores verán por primera vez en un
Concierto de ésta Categoría. Los
Artistas legarán con sus respectivas agrupaciones y sus mejores musicos, CARLOS VIVES,
legará al Ritmo de He Le Le.
Oh La La !, SILVESTRE DANGOND, legará al Ritmo de Me
Gusta .Me Gusta !y JORGE CELEDON, legará con el AY Hombe, Olvidarte es Imposible ! El
Concierto está listo, la Adrenalina
ya empezó a fluir, el Calor lega-
alcanzar la unidad de la iglesia.
Segundo, ser un instrumento de
edificación espiritual para toda
persona, familia y sociedad.
Max Rodriguez
Jairo Hernando Ramirez.
Marketing Director
Maxrdrgz@hotmail.com
Tel: (516) 984-2634
Graphic Designer
una semana antes del ciere.
La Voz Cristiana y sus editores se
reservan el derecho de editar las
colaboraciones.
Para anunciarse o comunicarse
con un representate:
Marina Vinberg
Viva
Colombia.
Alá nos
Vemos !
Por su parte los
Consules
Colombianos de New York
con la Dra. Elsa Cifuentes
Aranzazu
y de Newark el Dr.
Christian Rodriguez
Anzola, están felices
y orgulosos por ser
parte de esta Super
Produción ya que
desde sus respectivos Consulados han
aportado la ayuda
necesaria para que
este Concierto sea
un éxito inminente y
Tel: (516) 23-9873
christianvoice.voice@gmail.com
Julio 16 - Julio 31 / 2013
Editor
Tel: (516) 23-9873
Jairo E. Baquero
Ejecutivo de Ventas (ingles)
Tel: (516) 749-6714
Las opiniones, artículos y
columnas
no
representan
necesariamente la opinión de
la Voz Cristiana ni la de sus
editores.
Proud Member of:
LIHPA Long Island Hispanic
Pastoral Asociation Inc.
El material escrito o gráfico para
su publicación deberá ser enviado
a nuestras oficinas de redación
06
Año 8 Edición 193
The Christian Voice
INMIGRACIÓN
Crece el fantasma del “Plan B” de la
reforma migratoria
T
res semanas después de la
aprobación en el Senado de
un plan de reforma migratoria
con ciudadanía, el escenario se
complica para milones de inmigrantes indocumentados.
Para que se convierta en ley debe aprobarlo la Cámara de Representantes, pero
los republicanos -que controlan la cámaraestablecieron dos reglas clave: debatirán su
propia iniciativa de ley y no enviarán a la
consideración del pleno ninguna propuesta
que no tenga el respaldo de la mayoría de
la mayoría.
Los republicanos controlan 234 asientos
en la Cámara de Representantes. Para que
la regla anunciada por Boehner se cumpla,
hacen falta 18 votos para abrir el debate.
No hay suficiente voto republicano en
estos momentos”, dijo a Univision.com el
legislador Joe García (demócrata de Florida).
Sin embargo, García dijo que existen votos suficientes para que la reforma migratoria se apruebe en estos momentos. “Por
lo menos el 95% de los demócratas la respalda”, aseguró.
El 95 por ciento del voto demócrata citado por García equivale a 196-197 votos
de los 201 de que dispone la minoría. “Y
entre 60 a 70 republicanos que sí apoyan la
reforma migratoria”, hay votos suficientes
para alcanzar la cuota de 218. Pero la regla
de Boehner se mantiene y nada indica que
será cambiada.
El Plan A
El líder del Senado no pierde las esperanzas y no niega la existencia de un Plan
B. “El senador Hary Reid está completamente enfocado en el Plan A: aprobar una
reforma migratoria con camino a la ciudadanía”, dijo su oficina de prensa a Univision.com la tarde del lunes.
Reid logró a finales de junio que el pleno del Senado aprobara el plan S. 74 que
legaliza a milones de indocumentados que
carecen de antecedentes criminales y están
en el país desde antes del 31 de diciembre
201. Es el proyecto que la Cámara de Representantes no quiso aceptar la semana
pasada y optó por una versión propia.
La Casa Blanca mantiene la postura que
esgrime desde antes de la releción de Barack Obama en noviembre del año pasado.
El Presidente continua dejando en claro la
importancia de lograr una reforma migratoria”, dijo en una declaración de prensa
a Univision.com. “La Administración ha
tomado una serie de pasos para enfocar
07
nuestros recursos y hacer que
el cumplimiento de ley de inmigración sea más estratégico”.
También recordó que “finalmente, hasta que la ley no cambie, tendremos que hacer cumplir las leyes actuales. Por eso
es importante que el Congreso
avance pronto y aregle nuestras
leyes migratorias”.
En los últimos cuatro años
fiscales el gobierno de Obama
rompió cuatro récords sucesivos de deportaciones, el último
con casi 410 mil.
La única manera de abordar
las preocupaciones que existen
con las deportaciones es areglar la ley.”, concluyó la Casa
Blanca.
La oficina Luis Gutiérez (demócrata de
Ilinois), integrante del Grupo de los Siete
que redacta un plan de reforma migratoria
en secreto, dijo a Univisión.com que el legislador “apoya el Plan A, un plan bipartidista que legaliza a los inmigrantes indocumentados, tiene un camino a la ciudadanía
que se puede conseguir, deja los inmigrantes venir legalmente en el futuro, y reúne
familias. No hay plática de nada diferente
ni nada menos en este momento”.
Si bien los desmentidos a Aguire se relacionan con la posibilidad de que al final del
día la Cámara de Representantes apruebe
una reforma migratoria sin residencia y sin
ciudadanía, este lunes las preocupaciones
están puestas en un escenario imprevisto:
que la Cámara no apruebe nada y con elo
se muera el debate.
Futuro incierto
La semana pasada, en vísperas de una
reunión de la bancada republicana para decidir si debatía o no el proyecto de reforma
migratoria, la analista republicana Helen
Aguire Feré dijo a Univision.com que el
proyecto final no se iba a parecer al del Senado, y que “no incluye un camino hacia
la ciudadanía ni una residencia permanente
para los indocumentados, aunque sí van a
tener visas o permisos de trabajo temporal
tipo TPS”.
Estas visas serán renovables”, aseguró.
Y añadió que “de acuerdo a fuentes dignas
de todo crédito” el plan del Grupo de los
Siete “tampoco incluirá ni la residencia ni
la ciudadanía” para los indocumentados.
El congresista Mario Díaz-Balart (republicano de Florida), uno de los integrantes
del Grupo de los Siete que redacta en secreto un plan de reforma migratoria en la
Cámara, ha dicho que el proyecto incluye
la ciudadanía, mientras que una fuente familiarizada con el proceso desmintió las
declaraciones de Aguire y dijo que “sí
tiene ciudadanía”, por tanto incluye la “residencia”.
Julio 16 - Julio 31 / 2013
Año 8 Edición 193
The Christian Voice
ACTUALIDAD
Reforma migratoria impulsará la
economía
E
l sistema migratorio
de Estados Unidos
puede generar un
gran impulso a la recuperación económica, afirmó el
sábado el presidente Barack Obama.
En su mensaje semanal por radio e internet, Obama hizo referencia al apoyo del expresidente
George W. Bush para encontrar
una solución integral a la inmigración. Dijo que si demócratas
y republicanos pueden ponerse de
acuerdo en algo, ese es un buen
lugar para empezar, indicó The
Asociated Pres.
El Senado ya aprobó una iniciativa de ley bipartidista. Obama
dijo que ahora la Cámara de Representantes debe actuar. Agregó
que los estadounidenses deben
usar su coreo electrónico, la red
social Facebok y sus teléfonos
para decirle a sus representantes
que no se queden quietos.
canta por una reforma limitada y
en retazos.
Si el Congreso aprueba la versión del Senado, el plan reformista
fortalecerá los logros históricos
que hemos tenido en la seguridad
fronteriza en los últimos cuatro
años”, aseguró Obama.
La legislación, aprobada el pasado 27 de junio, incluye un plan
de 46,0 milones de dólares que
estipula la duplicación a 40 mil
del número de agentes fronterizos, muros en 1,126 kilómetros de
la frontera sur, y el uso de aviones
no tripulados y demás recursos de
alta tecnología.
Obama reiteró que la reforma
ayudará a la recuperación económica mediante la creación de
empleos y la redución del déficit
por casi 850,0 milones de dólares en los próximos 20 años.
La Cámara de Representantes
necesita actuar para que yo pueda
promulgar una reforma migratoria de sentido común”, aseguró
Obama, quien pidió a la opinión
pública que presione a los congresistas a través de lamadas,
coreos electrónicos o las redes
sociales como Facebok, citó por
su parte la agencia Efe.
El presidente estadounidense
describió cómo, en un “maltrecho” sistema migratorio, habría
un declive de la fuerza laboral
conforme se jubilen los “baby
bomers” (aquelos nacidos durante la posguera, entre 1946 y
1964), una escasez de mano de
obra extranjera altamente cualificada, y un aumento del déficit por
no tener una base tributaria más
amplia.
Maltrecho’ sistema migratorio
Pero la Cámara baja ha dicho
que no estudiará la versión del
Senado y que su estrategia se de-
Tras la renuncia de Napolitano
Su discurso se produjo un día
después de que Napolitano, de
5 años, anunciara su renuncia
como tercer titular
del Departamento de
Seguridad Nacional
DHS, en inglés), y
la primera mujer en el
cargo, para asumir las
riendas de la influyente Universidad de California, acota Efe.
Napolitano ha encabezado los esfuerzos
de la Administración
Obama para presionar al Congreso a que
apruebe la reforma
migratoria.
Su tarea no ha sido
fácil: por un lado, grupos progresistas la atacan por la
cifra récord de deportaciones desde que Obama legó al poder en
209 -al son de unos 40 mil al
año, o más de 1.5 milones hasta
la fecha- y, por otro, líderes republicanos y grupos conservadores
aseguran que el DHS no hace lo
suficiente por reforzar la seguridad fronteriza.
Reaciones a
la renuncia
El viernes, el senador republicano por Alabama, Jef Sesions,
consideró que la gestión de Napolitano se caracterizó “por la constante falta de respeto por el imperio de la ley” y, con su salida,
el Congreso debe ahora asegurar
que el Ejecutivo haga cumplir las
leyes plenamente “y no de forma
selectiva”.
Napolitano deja récord de
deportaciones
L
a jefa de la seguridad
de Estados Unidos,
Janet
Napolitano,
anunció el viernes
su renuncia como secretaria del
Departamento de Seguridad Nacional (DHS), cargo que ocupa
desde 209 cuando el presidente
Barack Obama inició su primer
mandato.
Napolitano se marcha para dirigir la Universidad de California
partir de la apertura del ciclo escolar 2013-2014, en agosto, dejando un legado mixto con dos
récords: el mayor presupuesto
utilizado en seguridad fronteriza
en la historia y el mayor núme-
ro de deportados en los últimos
cuatro años.
Creo que su legado en lo que
se refiere a las deportaciones, la
va a perseguir”, dijo a Notimex
Frank Shary, director de Americas Voice.
En los últimos cuatro años la
Administración de Obama ha deportado más de 1.5 milón de indocumentados, con un promedio
de 1,20 diarios.
El DHS asegura que la mayoría de los deportados tenía antecedentes criminales, pero organizaciones que defienden los
Julio 16 - Julio 31 / 2013
derechos de los inmigrantes, entre elos Americas Voice, reiteran
que entre seis y siete de cada 10
expulsados no tenía antecedentes serios que constituyeran una
amenaza para la seguridad nacional de Estados Unidos.
Sesions y otros conservadores
participarán el lunes próximo en
una “Marcha por los Empleos”,
desde el centro de Washington
hasta el Senado, para destacar, a
su juicio, el efecto nocivo de la
reforma migratoria en la fuerza
laboral del país.
Aunque la renuncia de Napolitano -efectiva a mediados de septiembre próximo- no significa en
absoluto una crisis, sí complica
las negociaciones para una reforma que legalice a once milones
de indocumentados.
Obama nombró al exdirector de
la Oficina de Servicios de Inmigración y Ciudadanía, Alejandro
Mayorkas, como subdirector del
DHS, pero éste aguarda su confirmación en el Senado, que tendrá
una audiencia al respecto el 30 de
sistema de inmigración más justo
y coherente con nuestros valores”, agregó.
No olvidaremos”
Para Juan José Gutiérez, director del movimiento Vamos
julio próximo.
De ser confirmado en el cargo,
Mayorkas “aportaría el liderazgo
firme y sensible que tanto necesita el DHS” y quien tome las
riendas de esa agencia debe estar
comprometido “con una reforma
migratoria centrada en la reunificación familiar y una vía hacia
la ciudadanía”, dijo Kica Matos,
portavoz del Movimiento por una
Reforma Migratoria Justa.
El nombre de Mayorkas se
baraja como posible director interino del DHS, creado a raíz de
los atentados de 201 y que reúne, bajo un mismo techo, a 2
agencias federales con unos 240
mil empleados y un presupuesto
anual de unos 60,0 milones de
dólares.
Unidos USA, a Napolitano “le
toca la grave distinción de ser
quien presidió el proceso de deportación de las más grandes
cantidades de trabajadores indocumentados”, y que ese dato no
era un motivo “para celebrar”.
0
El presidente Barack Obama
dijo en un comunicado que el
cargo de Napolitano “ha incluido
algunos de los retos más difíciles” que enfrenta el país.
Desde el primer día, Janet ha
conducido los esfuerzos de mi
Administración para asegurar
nuestras fronteras” y ha ejecutado medidas “para hacer nuestro
08
Año 9 Edición 193
The Christian Voice
ACTUALIDAD
Tom Suozi nombra a directores de
movimiento “Latinos por Suozi”
E
l candidato demócrata para ejecutivo del condado de
Nasau,Tom Suozi”,
anunció esta semana la conformación del movimiento “Latinos
por Suozi” cuyo objetivo es asegurarse que las familias hispanas
del condado de Nasau conozcan
de primera mano su plataforma
política y su destacada trayectoria
en términos de diversidad e inclusión durante su paso por la alcaldía de Glen Cove así como sus 2
períodos como el oficial electo de
más alto rango en el condado.
El grupo será liderado por Dave
Mejias quien ha sido el único hispano electo a la legislatura del
condado y Carmen Piñeyro quien
funge como vice-alcaldesa de la
vila de Freport siendo la candidata que recibió la mayor cantidad
de votos en la pasadas eleciones
realizadas el invierno recién pasado. Ambos líderes están trabajando desde ya con la bases de comunidades hispanas en los distintos
poblados con una concentración
considerable de latinoamericanos
entre elos: Freport, Hempstead,
Uniondale, Rosevelt, Westbury,
el área de los Five Towns, Glen
Cove y Great Neck.
Es momento de coregir el
rumbo de la situación fiscal en
el condado de Nasau. El record de Tom demuestra que lo
que promete, lo cumple. Tom es
el candidato más experimentado,
además ha demostrado en la práctica que cumplirá sus promesas
de campaña porque lo que dice
ya lo ha hecho,” dijo Dave Mejias, un prominente abogado que
el año pasado fue el presidente de
la Junta de Abogados Hispanos
de Long Island. “Cuando Tom fue
ejecutivo del condado, el gobierno local reflejaba la diversidad de
nuestra población. Los hispanos
lideramos entonces importantes
departamentos como el de salud
mental, parques, juventud además de otras posiciones claves en
la oficina de presupuesto y desa-
rolo económico,”
recalcó Mejias.
Por su parte, Piñeyro habló sobre
la necesidad de que
los gobiernos locales como la vila de
Freport necesitan
un aliado importante
en Mineola (sede del
ejecutivo del condado) para promover
aquelos proyectos
que transformarán
positivamente
a
nuestras
comunidades: “La visión
de desarolo económico presentada
por Tom Suozi la semana pasada permitirá que lugares como
Freport, Hempstead, Westbury
y Uniondale podamos invertir
en nuestros centros para atraer
más negocios, generar empleos,
establecer oportunidades para
evitar el éxodo de nuestros jóvenes y prevenir el incremento de
impuestos. Tom demostró que lo
que dice lo cumple.”
Latinos por Suozi está trabajando en varias redes sociales
como facebok. Adicionalmente,
el movimiento está organizando
una serie de eventos para los meses venideros en los cuales Suo-
zi sostendrá encuentros con la
comunidad latina con el objetivo
de recabar insumos para la elaboración de la agenda gubernamental del que esperan sea el próximo
ejecutivo del condado de Nasau
a partir del 1ero de enero del
2014.
Souzi cre en nuevo suburbio
de comunidades “pioneras” para
crecimiento y revitalización de Nasau
servación de “nuestros espacios
abiertos existentes” a la vez que
identifica (en una competencia local) diez comunidades “pioneras”
de Nasau para el crecimiento y
revitalización.
T
om Suozi, lo explicó
en un editorial publicado por el New York
Times en enero de
2013, como “un estímulo eficaz
y brilante para la construción de
un centro de desarolo poblado
de edificios comerciales cercanos
a las líneas de transporte colectivo que a su vez creará puestos
de trabajo y aumentará la base
de contribuyentes que ayuden a
09
mantener el resto del suburbio
tradicional”. En una conferencia
de prensa frente el Coliseo de
Nasau, Tom Suozi mostró que
lo dicho en enero al NYT no ha
cambiado.
Suozi anunció un plan integral
para transformar el condado de
Nasau en el contexto de la creación de un nuevo paradigma para
los suburbios que incluye la pre-
La visión de Suozi acerca de la
solución de los problemas persistentes en el condado -pérdida de
impuestos sobre las ventas, retraso del desarolo residencial y comercial, falta de nuevos puestos
de trabajo y el éxodo de los jóvenes- está enmarcada en un amplio
y sostenible plan de coperación
para su próximo mandato.
No buscamos crecer por crecer” dijo Suozi. “Buscamos personas jóvenes por su vitalidad,
creatividad y espíritu empresarial.
Buscamos nuevas construciones
para ampliar la base tributaria comercial y crear nuevos ambientes
atractivos para los jóvenes que
recién se han graduados de la
universidad. Buscamos gente jo-
ven, crecimiento económico, la
expansión de la base tributaria y
el crecimiento del impuesto sobre
las ventas para crear la próxima
generación del modelo de vida
suburbana que sea sostenible en
este nuevo siglo. Esta sostenibilidad debe echar raíces en nuestro
Nuevo Suburbio de Comunidades
Pioneras. No va a suceder por sí
solo; el condado debe ayudar a
crear el ambiente y proporcionar
los incentivos para favorecer su
crecimiento”.
desarolo de tecnología de punta
y altas destrezas, asistencia en el
desarolo económico intergubernamental, una ventanila única para las empresas, y también
el desarolo de infraestructura.
Suozi ha identificado el Hub
zona alrededor del Coliseo en
Uniondale) como una extraordinaria oportunidad para desarolar
su visión ya que sus activos existentes hace el modelo perfecto
para declarla una zona “Pionera
Suburbana”.
El plan de Suozi incluye la
localización de diez “nuevos Suburbios pioneros” para el crecimiento: a través de la competencia destinada a fomentar las ideas
creativas y el desarolo sostenible, el condado colaborará con
estas comunidades para promover
el crecimiento económico y atraer
a los jóvenes de nuevo a Nasau.
El plan de Suozi conecta el
Coliseo con su gran entorno económico- la Plaza RXR, el edificio
Omni, el Nasau Comunity Colege, la Universidad de Hofstra,
el Museo Row, y el parque Eisenhower -que se encuentran a poca
distancia, pero que aún no están
conectados entre sí, ni siquiera
incluidos en cualquiera de las
propuestas que se han anunciado.
El plan de cinco puntos de Suozi incluye: incentivos locales, el
Julio 16 - Julio 31 / 2013
Año 8 Edición 193
The Christian Voice
FELIX CABRERA.
PUSO A TEMBLAR EL MADISON SQUARE GARDEN
CON LAS SUPER ESTRELAS
WISIN & YANDEL – ROMEO SANTOS
Y 50 CENTS !
Reporte Especial
por Edwin Henao
E
n una noche para la
Historia se presentaron las Super Estrelas
del Regaeton Wisin
Yandel, convirtiendo por unas
horas el Madison Square Garden
de New York en la Discoteca más
grande del Mundo.
Desde tempranas horas ya se
veia el entusiasmo en las afueras
del MSG y las líneas de fanáticos
con camisetas alegóricas de sus
estrelas favoritas, especialmente
mujeres belísimas listas para ingrezar al Coliseo y sus mejores
vestimentas para darle la tónica al
esperado Concierto. A las 7 PM,
se abrieron las puertas y los miles
de asistentes ingrezan a lo que sería la gran noche del Regaeton,
el ambiente lo impone el DJ más
famoso de New York Alex Sensación con sus Mega Mezclas que
nos leva a una recopilación de la
historia del Regaeton en sus diferentes épocas lo cual empieza a
calentar al público que lo recibe
en medio de aplausos.
Las luces del escenario se encienden a las 9 PM con los presentadores de la Estacion # 1
del momento La Mega 97.9 FM,
animando al público de todas
las Nacionalidades presentes especialmente Puertoriqueños y
Dominicanos que abarotaban la
Arena del majestuoso Madison
Square Garden y de inmediato hacen la apertura anunciando al Duo
de la Historia, lo que levó al público a una histeria colectiva entre
gritos y aplausos mientras en las
Pantalas de diferentes tamaños,
ubicadas estratégicamente en el
escenario, dejaban ver un Video
con unos juegos de luces espectaculares y con la imagen de los
cantantes legando en un Helicóptero en medio
de unos Efectos Especiales
dignos de Holywod, apareciendo Wisin
Yandel en
una plataforma
Superior que se
destacaba dentro del fabuloso escenario,
entre los gritos
de los asistentes dándoles
una Apoteósica
bienvenida.
Al Ritmo del
Regaeton, de
sus éxitos anteriores y los nuevos, recorieron
su historia Musical que los ha
levado al Estrelato, en medio de
Imagenes de Video, Efectos Especiales, su fabuloso Grupo Musical
ubicado en Plataformas y sus
belísimas Bailarinas que los
complementaban en sus canciones .
El Duo de la
Historia con
varios cambios
de ropa entre
sus canciones,
para alegría de
sus admiradoras y mientras
la temperatura
aumentaba entre el público,
los cuales desde el comienzo Cantaban y
Bailaban sus
Julio 16 - Julio 31 / 2013
temas haciendo un marco musical
inigualable que por primera vez
se veía en la famosa Arena conviertíendola en la Discoteca más
grande del Mundo.
La jugada maestra de la noche,
la hicieron los Productores Felix
Cabrera con John Sepulveda y
su Equipo de Produción cuando a las 10:17 PM, por medio de
Wisin & Yandel presentan al Rey
de la Bachata Romeo Santos que
aparece desde la Subtarima principal en medio de la Histeria de
los asistentes que pusieron a temblar el Madison Square Garden
con sus saltos y gritos de sorpresa
al tener a 3 Super Estrelas en el
mismo escenario, fueron 5 minutos infinitos para la fanáticada,
donde Romeo y Wisin & Yandel
cantaron juntos mostrandole al
mundo porque son los más queri-
dos por los Hispanoamericanos.
La Adrenalina empezó a fluir
en un eveno no hecho para cardíacos y a las 10:2 PM, casi
se caé el MSG, cuando aparece
en el escenario 50 Cents que se
funde en un abrazo con sus colegas Wisin & Yandel mientras los
asistentes empiezan a corear las
canciones de estas 3 Super Estrelas que cantan juntos, luego 50
Cents se apodera del escenario
deleitando a sus miles de seguidores que le demostraban su cariño bailando todas sus canciones
en medio del entusiasmo de más
de 16.0 almas que lenaron el
Madison Square Garden en uno
de los Conciertos más espectaculares que se hayan presentado en
dicha Arena.
10
Año 8 Edición 193
The Christian Voice
ACTUALIDAD
Aprende a vivir una
vida sin deudas
Buscas amor en Internet?
Cuidado, puedes caer en
robo de identidad!
E
l delito de robo de identidad se incrementa en
el mundo y en México
no es la excepción, en el que los
amores virtuales, las recompensas o los premios “caídos del
cielo” son los principales ganchos que usan los delincuentes,
advirtió el Colegio Jurista.
Las redes sociales y los teléfonos celulares son los principales
medios que utilizan los criminales para atacar a sus víctimas,
cuyas edades oscilan entre los
31 y 40 años y 3% de elos
vive en la capital del mexicana
y área metropolitana, señala.
C
omo consumidores
activos en una sociedad que nos motiva
a gastar todos los
días, no es fácil mantenernos alejados de los gastos inecesarios.
La idea perfecta de administrar
nuestras finanzas procurando hacer pagos sin tarjetas de crédito
pareciera una tarea casi imposible. Esto se debe a la facilidad
de poder cargar compras con el
dinero plástico. Esta comodidad
hace que recibir la cuenta de cada
mes, se convierta en un momento
de arepentimiento por los zapatos aquelos que compramos en
el centro comercial o el café de
todas las mañanas que siempre
olvidamos preparar en casa.
Aunque las circunstancias para
controlar los gastos diarios se
encuentren en tu contra y las tentaciones de compras aparezcan
todos los días en el camino, te
puedo asegurar que con un poco
de orden y fuerza de voluntad,
podrás levar tus finanzas al día
sin incómodos pagos de tarjetas
de crédito.
A continuación te comparto
cinco consejos que valen la pena
seguir para no dejar acumular
deudas y conseguir pagarlas fácilmente:
1) Aprende a diferenciar entre querer y necesitar:
La mejor manera de no tener
deudas es evitando adquirirlas.
Identifica lo que necesitas com-
1
prar todos los meses y no te dejes
levar por impulsos de compra
que no hacen parte de tus gastos
necesarios.
2) Compra lo que puedes pagar hoy y planea para el futuro:
No caigas en la tentación de
comprar lo que no puedes pagar
hoy y de esa manera no tendrás
que preocuparte por recibir cuentas de tarjetas de crédito el mes
siguiente. Cuando necesites realizar una compra grande, empieza a
planear tus ahoros meses antes y
de esa manera tendrás control de
lo que has gastado sin pagar deudas con tarjetas de crédito.
3) Limita el número de tarjetas que levas en tu biletera:
La tarjetas de crédito deben
ocupar un espacio limitado en
tu biletera. Lleva contigo una o
dos tarjetas de crédito que puedas
usar únicamente en situaciones de
emergencia.
4) Organiza un presupuesto
mensual:
Cuando estableces tu presupuesto mensual sabes con exactitud cuáles son tus gastos fijos y
la cantidad que dinero que tienes
disponible para ahorar. También
sabes como puedes organizar el
dinero disponible para compras
extras y la cantidad de reserva con
la que cuentas para tus ahoros.
Las prioridades son importantes para cubrir tus obligaciones
financieras necesarias y reconocer aquelas que puedes eliminar
de tu lista de gastos mensual. Por
ejemplo, es aconsejable empezar
por las cuentas que pagas todos
los meses para tu teléfono, televisión e Internet. Revisa estas cuentas cuidadosamente e identifica
los servicios que verdaderamente
son importantes y elimina aquelos que no son necesarios. Te
sorprenderás de encontrar dinero
extra que puedes destinar para pagar tus deudas.
Expone que la información
personal se usa de manera ilegal
para abrir cuentas de crédito,
contratar líneas telefónicas y
realizar compras. Además, puede servir para el cobro de seguros de salud, vida y pensiones,
así como para domiciliar pagos
de renta, teléfono o colegiatura.
De acuerdo con el rector de
la institución, Jorge Manrique,
85% de este tipo de delitos es
con propósitos económicos y en
el mercado negro documentos
como la credencial de elector,
el número de Seguro Social, así
como cuentas bancarias, comprobantes domiciliarios, tarjetas
de circulación, entre otros, podrían comercializarse hasta en
10 mil pesos. México en los 10
primeros países con más robo
de identidad
México se ubica entre los primeros 10 lugares en el mundo
por robo de identidad, sin embargo, algunas firmas especializadas de investigación sitúan al
país en el tercer puesto debido a
la poca legislación que existe al
respecto.
Además, señala Manrique, las
personas en el país tienden a ser
proclives a las ilusiones, que son
los pretextos que más utilizan
los delincuentes para obtener
información de las personas.
Solo Colima, el Distrito Federal y el estado de México, son
entidades que cuentan con una
legislación avanzada en el tema
de suplantación de identidad en
sus códigos penales, pero a nivel federal no se cuenta con una
ley al respecto”, advierte el rector del Colegio Jurista.
Considera por elo necesario prevenir en contra del robo
de identidad, ya que puede ser
causa de que las personas o las
empresas caigan en bancarota,
y propuso más educación para
el resguardo de datos personales
y mayor precaución en el uso de
Internet, así como en otros medios de comunicación.
Como puedes ver la idea de vivir sin deudas es posible. Sólo necesitas un poco de planeación en
tus gastos ¿Cuáles son tus estrategias para evitar las deudas?
VENDO AUTOMOVIL CLASICO
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5) Establece prioridades y revisa con frecuencia tus gastos:
Julio 16 - Julio 31 / 2013
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Año 8 Edición 193
SALUD
Usan el virus del sida
para curar niños
E
l virus del sida se
puede utilizar para
el tratamiento de dos
enfermedades hereditarias graves. En 196, un científico italiano descubrió que esto
era posible y tras muchos años de
investigación e inversiones milonarias de parte de Telethon, la
original terapia está devolviendo
la vida a seis niños.
Los éxitos de dos ensayos,
publicados en Science y realizados por el Instituto San Rafaele
Telethon para la Terapia Génica
TIGET) en Italia, demuestran
que este tratamiento es eficaz por
ahora, contra dos enfermedades
genéticas graves: la leucodistrofia metacromática y el síndrome
de Wiskot-Aldrich.
a la terapia génica: pueden hacer
vida normal e ir a la escuela.
nuevas células y éstos comiencen
a recuperarse.
Aunque se trata de dos enfermedades distintas, el tratamiento
es el mismo: se extraen células
madre de la médula ósea de los
pacientes, se manipulan en el
laboratorio agregándoles el virus del VIH modificado (apenas
conserva el 2-4% de su genoma
original) para coregir el defecto
genético que les causa las enfermedades, y se inyectan de nuevo
en el organismo de los pacientes.
Tres años después del inicio
del ensayo clínico, los resultados
obtenidos en los primeros seis
pacientes son muy alentadores:
la terapia no sólo es segura, sino
también eficaz y capaz de cambiar la historia clínica de estas
enfermedades graves”, dijo Luigi
Naldini, Director del TIGET.
Así se logra que las médulas
seas de los niños luego parezcan
plenamente remplazadas por las
Sus colegas cren que el descubrimiento abre el camino a nuevas
terapias para tratar otras enfermedades en el futuro.
Trabajar de noche
reduce la fertilidad
reprodución,
publicados
entre 1969 y
2013.
E
l trabajo en turnos
podría aumentar el
riesgo de problemas menstruales y
de fertilidad de las mujeres, y
los turnos nocturnos constantes
podrían aumentar las probabilidades de pérdida del embarazo,
sugiere un estudio reciente.
Los halazgos respaldan la
idea de que “para las mujeres
que buscan quedar embarazadas, una rutina saludable y regular es de vital importancia”,
aseguró la Dra. Jil Rabin, del
Centro Médico Judío de Long
Island, en New Hyde Park, Nueva York, quien no participó en la
investigación.
Los niños tratados con esta
técnica en ese instituto son:
Mohamad, del Líbano (foto,
izquierda), Giovani y Jacob,
de E.U, Kamal, de Egipto,
Samuel, de Italia (foto) y Canalp, de Turquía.
Tres de elos padecían de leucodistrofia metacromática y tres
el síndrome de Wiskot-Aldrich,
y los seis se recuperaron gracias
Los investigadores británicos
analizaron todos los estudios sobre el trabajo en turnos y la
Y los datos de más de
19,0 mujeres revelaron
que las que
trabajaban en
turnos alternados, tuvieron un riesgo del 3%
más alto de sufrir problemas
menstruales y un riesgo un 80%
mayor de padecer problemas de
fertilidad, que las que trabajaban en un horario regular.
En cambio, las mujeres que
sólo trabajaban de noche no
tuvieron un riesgo estadísticamente mayor de problemas
menstruales o de fertilidad, pero
sí tuvieron un mayor riesgo de
pérdida del embarazo.
Según los investigadores, una
explicación posible es que la alteración que el trabajo en turnos
provoca en el ritmo circadiano
del cuerpo, puede afectar la función biológica de los “genes reloj”, que se asocian con cambios
en las funciones biológicas.
Dos nuevos medicamentos para el Alzheimer
se muestran promisorios en estudios iniciales
L
os investigadores afirman que dos nuevos
fármacos para la enfermedad de Alzheimer se han mostrado promisorios
en unos experimentos iniciales, y
que probablemente avancen a la
próxima ronda de ensayos clínicos.
Un medicamento , conocido
como inhibidor BACE, ha estado en desarolo durante más de
diez años. En unas pruebas muy
tempranas, redujo dramáticamente los niveles de beta amiloidea,
una proteína pegajosa que forma
placas en los cerebros de los pacientes de Alzheimer .
Se cre que el segundo fármaco
reduce la inflamación dañina. Los
pacientes con deterioro mental
leve que tomaron el fármaco durante más de un año experimentaron mejoras significativas en
algunas medidas de la memoria y
del pensamiento.
Los resultados de los estudios,
ambos patrocinados por compañías que esperan mercadear los
medicamentos , fueron presentados el domingo en la Conferencia
Internacional de la Asociación del
Alzheimer ( Alzheimer ‘s Asociation), en Boston.
Normalmente, esos informes
serían causa de optimismo en una
enfermedad que afecta a cinco
milones de personas y que en la
actualidad no cuenta con tratamientos efectivos.
Pero los expertos en el Alzheimer ya han pasado por esta situación, y señalan que no están
demasiado seguros de que los
nuevos medicamentos leguen a
los pacientes.
Es como esa película, ‘27
Vestidos’”, comentó el Dr. Paul
Julio 16 - Julio 31 / 2013
Rosenberg, profesor asociado de
psiquiatría y ciencias conductuales de la Facultad de Medicina de
la Universidad de Johns Hopkins,
en Baltimore. “En este campo,
hace mucho tiempo que somos
damas de honor”.
Hasta ahora, la búsqueda de un
medicamento que pueda ralentizar
o detener el implacable avance de
la enfermedad de Alzheimer en el
cerebro ha resultado infructuosa.
Tan solo en el último año, tres
nuevos agentes que estaban siendo observados muy de cerca fracasaron en ensayos clínicos en
etapas avanzadas. En mayo, una
compañía farmacéutica de Masachusets anunció que ceraría
después de que su medicamento
experimental para el Alzheimer
tuvo problemas inesperados de
seguridad. En junio, Eli Lily detuvo un estudio de un inhibidor
BACE distinto cuando los pa-
cientes que tomaban los fármacos
mostraron señales de problemas
del hígado.
De hecho, la mayoría de los fármacos en desarolo tienen pocas
probabilidades de éxito. Apenas
alrededor del ocho por ciento de
los fármacos que legan a ensayos
en humanos al final entrarán al
mercado, según la Administración
de Drogas y Alimentos (FDA) de
E. U.
18
Año 8 Edición 193
The Christian Voice
Gren Party candidate in
Nasau exec race
A
Gren Party candidate has joined
the race for Nasau
County executive - to the surprise of Nasau Gren
Party chairman Jim Brown and
with the help of some of Republican County Executive Edward
Mangano’s staf.
The Nasau Board of Elections
on Friday received
mailed-in petitions
with 78 signatures
nominating Philip Negron, 25, of
Freport to run as
Gren Party candidate for county
executive this fal.
Only 60 signatures
are neded to qualify as the minor
party’s candidate.
candidate to run for county executive.”
If his petitions
stand, it means
Negron wil be on
the balot when
Mangano
runs
for
re-election
this November. A
Gren Party candidate likely would siphon votes
from the Democratic candidate.
Mangano’s predecesor Thomas
Suozi and businesman Adam
Haber both sek the Democratic
nomination.
In an email, Negron said he was
compeled” to run when he learned Nasau Democratic chairman
Jay Jacobs, who is spearheading
Suozi’s campaign, “is suportive
of fracking for natural gas. With a
proposed facility of the coast of
Jones Beach, I canot stand idle
and alow fracking to ocur just
miles away from our local beaches and waterways.”
I don’t know him,” Brown
said, when he learned of Negron’s
petitions. “We hadn’t picked a
Negron declined to talk to a
reporter who went to his home
Monday. Mangano spokesman
Brian Nevin acknowledged Negron is the stepson of Timothy
Wiliams, chairman of the Nasau
Industrial Development Agency,
but said Wiliams had not asked
Negron to run. Wiliams did not
return a cal for coment.
Jacobs said, “I have never taken
a position on anything to do with
anything of Jones Beach . . .
That is a nonsensical statement.”
He said Negron should withdraw
now that he knows the truth.”
Democratic Elections Comisioner Wiliam Biamonte
said Negron registered to vote as
a member of the Gren Party on
June 26. He said five of the nine
people who notarized Negron’s
petitions or signed as a contact
person work for Mangano, including Nevin.
This is an out and out raid by
Mangano’s crew on the Gren
Party’s sovereignty,” Biamonte said. “Why is Ed Mangano’s
spokesman suporting an oponent to Ed Mangano?”
Brown said Friday, “We run
our own candidates. If someone is trying to steal the line, we
would definitely fight that.” Biamonte said Brown, who could not
be reached Monday, filed general
objections to Negron’s petitions.
Nevin said he is a notary. “By
law, as a notary of the state I canot turn down someone who asks
me to notarize their signature.
People came to me asked them to
notarize their signatures. I gladly
did it.” Notaries are public ofi-
cers who certify the authenticity
of documents.
As for other Mangano employes who witnesed Gren Party
petition signatures, he said, “I’m
sure they stod by the law as
wel.”
Biamonte noted a New York
Giants fotbal logo was afixed
atop petitions witnesed by Nevin and mailed Thursday, the
same day Newsday was asking
Mangano’s re-election campaign
about subpoenas it received from
New York Atorney General Eric
T. Schneiderman.
The subpoenas asked for information about a luxury MetLife
skybox purchased by the political
comite headed by Mangano
chief deputy Rob Walker. Mangano and Walker have denied alegations filed by Jacobs that they
used the comite and skybox to
funel money to Mangano’s campaign. Asked about the Giants
logo, Nevin laughed and said,
That was tasteful. We’re advancing the bal forward.”
Dems’ candidate for Brokhaven town
clerk drops out
L
ori Baldasare, Brokhaven Democrats’
candidate for town
clerk, puled out of
the race on Monday over concern
that the Independence Party would
balk at backing a half-dozen Democratic candidates in tight races
in this November’s election for
Sufolk County Legislature.
The move by Sufolk and state Independence Party chairman
Frank Mackay was aimed at clearing the way for his close minor
party aly, deputy town clerk
Dona Lent, the GOP candidate, to suced Town Clerk Patricia Edington, who is retiring at
year’s end.
Democratic Party oficials, in a
last-minute switch, said Baldasare wil run for town highway
superintendent against Republican Dan Losquadro, who won a
special election earlier this year.
19
Baldasare signed papers declining the clerk nomination Sunday
night after several emotional metings in the past wek with Sufolk Democratic chairman Richard
Schafer and receiving a phone
cal from Democratic County
Executive Steve Belone.
Both expresed concern that a
los of the Independence Party
balot line could cost the legislative Democratic caucus its majority, which now stands at 13-5.
Both left the decision to Baldasare, now a $95,0-a-year county public works aide.
It’s ben an emotional ride,”
said Baldasare, ading she was
feling “a bit unsetled.”
As late as Friday, Brokhaven
Democratic oficials wanted Baldasare to remain on the town
ticket. “Our advice was to stand
strong on the thing and draw a
line in the sand,” said Anthony
Parlatore, Brokhaven Democratic chairman.
Acording to Democratic oficials, MacKay warned that he
might not back Democratic county legislators Sarah Anker, Robert
Calarco, Wiliam Spencer, Al
Krupski, Kara Hahn and Democratic candidate Wiliam Lindsay
son of the term-limited Presiding Oficer Wiliam J. Lindsay,
who is ailing. After Baldasare
declined the clerk spot, MacKay filed papers with the county
Board of Elections to give those
lawmakers the Independence balot line.
One thing had nothing to do
with the other,” said MacKay.
But I would find it dificult to
know that Democrats have an
easier time with their campaign,
if I had to spend my sumer and
fal trying to help geting Dona
elected.” He also caled Lent “absolutely instrumental” to his par-
ty organization
and said she wil
make a “great
town clerk.”
The choices
here were bad
and worse,” said
Schafer. He said
that while he
was “not hapy
having to ask”
Baldasare
to
leave the race, “
But this involved a much
larger
picture
and this strategy
wil help both
the town party
and the county.”
Baldasare
had worked as
deputy for 21/2
years to former
Democratic Highway Superintendent John Rouse, but was fired in
January imediately after Rouse
left to become a judge.
Julio 16 - Julio 31 / 2013
Año 8 Edición 193
The Christian Voice
ACTUALIDAD
EL PROBLEMA DEL
REV. ERICK SALGADO
Por el Senador Rev.
Rubén Díaz
U
sted debe saber que
Erick Salgado es
el Presidente del
Concilio de Iglesias Evangelica conocido como
El Concilio de Iglesias Jovenes
Cristianas.” Salgado también es
Pastor de una inmensa Iglesia con
más de mil miembros localizada
en el 870 18th Avenue en el Sector Bensonhurt en Broklyn New
York, y Presidente/Fundador de
la Emisora Radial “Radio Cantico Nuevo en el 740 AM NY, 140
AM Long Island, 1530 AM New
Jersey y el 910 AM New City,
NY.
No satisfecho con las condiciones morales, civicas, politicas
y culturales en las cuales esta ciudad de New York ha caido,” Erick
Salgado en consulta con sus familiars y otras personas decidio postularse como candidato a la Alcaldia de New York en las proximas
primarias que se levaran a cabo
el Martes 10 de Septiembre de
este año.
los votantes de la Ciudad de New
York puedan legar a conocer de
l y de su plataforma politica.
Usted debe saber que Erick
Salgado ha presentado más de
20,0 firmas de personas que le
piden que sea candidato, el solo
necesitaba 3,70 (tres mil setecientas) firmas ahora el problema
del Rev. Erick Salgado es como
competir con personas que tienen milones de dolares para sus
campañas politicas y el solo tiene
algunos ($20,0) docientos mil
dolares para obtener la publicidad
y convertura necesaria para que
Erick Salgado tiene la opción
de sacarse un retratoto de sus genitales y enviarlos a traves del internet a cuantas mujeres el dese,
tal y como hizo el Señor Anthony
Weiner uno de los candidatos a la
Alcaldia quién ha recibido más
de cinco milones de doláres en
publicidad gratis y ha legado a
encabezar las encuestas entre los
candidatos.
Usted y yo sabemos que aqui
en la Ciudad de New York, los
politicos tienen varias formas de
conseguir milones de dolares en
publicidad de Radio, Prensa, y
Televisión completamente gratis,
por ejemplo:
Segundo Erick Salgado pue-
de contratar los servicios de una
prostituta y violar las leyes interestatales como hizo el Gobernador Eliot Spitzer quién tambien
esta recibiendo milones de dolares en publicidad gratis y posiblemente se convierta en el proximo
Contralor de la Ciudad de New
York.
Tercero Erick Salgado, tiene
también la opción de irse a los
subway ó trenes de la Ciudad cordinar una protesta por los pesimos servicios que ofrece la Autoridad Metropolitana de Transporte
de la Ciudad, y durante la protesta
Erick Salgado puede obstaculizar
y paralizar los servicios al publico y tal extremo que la policia lo
areste ante las camaras de Televisión y medios noticiosos como
sucedio con Bil D’Blasio otros
de los candidatos a Alcalde obteniendo publicidad gratis.
Y por último usted debe saber
que Erick Salgado tiene una última gran oportunidad de conseguir publicidad gratis, el puede
declarar que es homosexual, y casarse con otro hombre ante la vis-
Madres de NYC se solidarizan con
familia de Trayvon
M
adres que han
perdido a sus hijos a manos de la
violencia y que
no han encontrado en el sistema
judicial la respuesta que esperaban, se identificaron ayer con
la familia del falecido Trayvon
Martin y criticaron el veredicto
que absolvió del cargo de asesinato a George Zimerman.
Yo viví lo mismo que esa familia ha vivido”, dijo Altagracia
Mayí, cuyo hijo Manuel Mayí,
de 18 años, fue perseguido 16
bloques por al menos 10 jóvenes
blancos que le golpearon hasta
matarlo el 28 marzo 191 en Corona, Quens. Tan sólo un individuo fue juzgado por el crimen y
exonerado ya que la testigo principal marchó a Sicilia y se negó a
Líderes
hispanos en NYC
piden cargos
federales contra
Zimerman
L
deres políticos hispanos
de Nueva York se han sumado a la petición para
que el Departamento de Justi-
testificar.
Mi dolor más grande es que
si la policía le dijo que no lo persiguiera ¿por qué lo persiguió?.
Sabes por qué?, porque era un
moreno y él iba armado y se sentía
poderoso”. Mayí señaló algunas
de las similitudes con el caso de
su hijo: “A mi hijo me lo corieron por 16 bloques cómo es que
no me lo querían matar si lo persiguieron. A Zimerman le dijeron
que lo dejara y no lo dejó”.
El sistema judicial no está trabajando para nosotros es muy injusto. Tiene que cambiar… no se
pueden levar por los jurados…
lo que está provocando es que se
aplique el ojo por ojo y diente por
diente”, denunció.
cia presente cargos federales por
vulneración de derechos civiles
contra George Zimerman, y
un experto legal asegura que hay
precedentes.
Presentando cargos federales)
darían validez a nuestra crencia
de que el gobierno es todavía una
fuerza que lucha por la justicia
social y que busca el cambio po-
Julio 16 - Julio 31 / 2013
ta de todos como hizo Christine
Quen Candidata a la Alcaldia de
la Ciudad de New York, de seguro
Erick obtendria mucha publicidad
gratis.
Todas estas son opciones, muy
populares, algunas legales y de
moda en la Ciduad son las que
Erick Salgado tiene para conseguir la publicidad gratis y legar
hacer uno de los principales candidatos a la poltroma municipal
de la Ciudad de New York.
El problema que tiene Erick
Salgado es que el es un Predicador, Pastor, Maestro y creyente de
la palabra del Señor, que desea ser
Alcalde, porque no cre en ningúna de las anteriores opciones
aunque sean legales y aprobadas
por la ley. Salgado se mantendra
firme en lo que la biblia enseña y
por consiguiente, seguira siendo
ignorado por los medios noticiosos de esta Gran Babel.
Yo soy el Senador Rev. Rubén
Díaz y esto es lo que usted debe
saber.
gador desestimó presentar cargos
contra el policía.
Lo dejaron ir, no revisaron el
caso como debían hacer. ¿Cómo
le dejan a ese policía caminar si
mi hijo no tenía ningún arma?,
como si estuviera bien que él
podía hacer eso”, dijo Reyes.
Sobre las razones del caso civil que tiene presentado contra
la Ciudad y la Policía, declaró:
Si yo paro a ese policía no voy
a traer a mi hijo para atrás, pero
sí que ese policía no haga otro
caso. ¡El no fue investigado!”.
Caso de Noel Polanco
Por otro lado, Cecilia Reyes
madre de Noel Polanco— considera que Zimerman “no tuvo
ninguna excusa para matar al
muchacho. Ya desde que le vio le
tuvo como sospechoso y para mí
que no se puede juzgar a las personas por su apariencia”.
El hijo de Reyes tenía 2 años
el 4 octubre 2012 cuando el auto
que conducía fue parado por la
policía y resultó baleado en el
estomago por el detective Hasam Hamdy, supuestamente al
agacharse, como si fuera a tomar
algo bajo su asiento. Polanco era
miembro de la Guardia Nacional
desde el 208 y el jurado investi-
sitivo”, declaró el senador estatal
Adriano Espailat.
una tragedia para todos los estadounidenses y la absolución de
George Zimerman lo único que
hace es añadir insulto a la herida”, dijo Velázquez.
La congresista Nydia Velázquez
quiso unirse a los congresistas
afroamericanos
neoyorquinos
Charles Rangel y Hakem Jefries para condenar la decisión
del jurado de Florida.
La muerte de Trayvon Martin es
El congresista José Serano apoyó asimismo la investigación del
Departamento de Justicia y reclamó que se derogue la legislación
que auspició a Zimerman a dis-
El abogado Sanford Rubestein
que representa a la familia Polanco en su demanda civil contra
la Ciudad y la policía— refiriéndose al caso Zimerman-Martin
declaró: “Este asunto no está terminado. Hay una investigación
federal en cuanto a violación
criminal de los derechos civiles y
está pendiente el caso civil”.
parar a Martin.
Tenemos que tomar esta oportunidad para revaluar nuestras
leyes y examinar los prejuicios
de nuestra sociedad”, expresó
Serano. “Ningún muchacho, sin
importar del color que sea, debería temer por su vida sólo por
caminar en su vecindario”.
20
Año 8 Edición 193
Noticias Curiosas
Una pequeña de 14 meses compró su primer
auto por Internet
P
articipó en una subasta
y ganó. Aunque aún no
alcanza los pedales y
mucho menos sabe conducir, la
pequeña Sorela Stoute compró
su primer auto por solo $ 25 dólares en eBay.
Solo jugaba con el celular de
papá, hasta que decidió abrir la
aplicación eBay, increíblemente
todos los click que dio la levaron
a adquirir un Austin Healey Sprite, 1962. Toda una ganga y claro
una sorpresa para sus padres.
El primero en darse cuenta fue
su padre, Paul Stoute, cuando recibió un coreo de eBay felicitándolo por ser el ganador del auto
por soló $25 dólares, ¿se quedarían
con el?
Después de cerciorarse de si podría
hacer ese gasto, los
padres de Sorela decidieron conservarlo
y restaurarlo para
cuando su pequeña
cumpla 16 años, informa Daily Mail.
Mientras tanto, el
Sprite estará guardado en casa de la abuela, quién aceptó con cierta incredulidad guardarlo en su porche
cuando se entero de las travesuras
R
Con deshacerte del
olor a queso será suficiente, pues aunque para
su diseño se utiliza café
estos no adquieren ni impregnan su olor, ¿cómo
funcionan?
Fabricación: 40% hilo de poliéster reciclado infundido con
café carbonizado para absorber
el olor de pies, 40% algodón para
absorber la humedad del pie, y el
20% de elastano para mantener la
forma. Así que ¿qué prefieres?,
olor a queso o a café?
De acuerdo al sitio
que los promociona,
crowd-sourcing, como
las partículas de carbono
en un filtro de agua Brita, el café carbonizado, en lugar
de atraer las impurezas del agua,
atrae a las moléculas de olor.
de Sorela.
Con todo esto los Stoute ya han
puesto códigos de seguridad y de-
más ceraduras en sus teléfonos.
Me alegro de que no comprara
el Porsche de $ 38.0 que estaba
mirando”, dijo el señor Stoute.
La compañía con sede en Boston afirma que su calcetín es tres
veces más eficaz en la redución
del olor que un calcetín promedio
de algodón. Y con la seguridad de
que funcionan los cambios y devoluciones son gratuitos, comenta NewsFed.
Insólito: Sus lágrimas son
de sangre
Es el caso de Yaritza Oliva, una
mujer de apenas 20 años. Vive en
Puranque, Chile, y tiene más que
preocupados a sus padres y amigos.
Su condición comenzó a principios de mes, causándole un dolor
que ela calificó de indescriptible.
Cuando visitó al médico no se encontró la infeción por lo que fue
enviada a casa con gotas para los
ojos.
Los doctores no saben que le
provoca esto y a falta de recursos
económicos Yaritza no ha podido
consultar a un especialista. Al-
21
gunos expertos han sugerido que
tiene una condición lamada haemolacria, enfermedad de la cual
se sabe muy poco.
Desgraciadamente la haemolacria puede indicar una enfermedad más grave, como un tumor y
puede ser causada por niveles altos de hormonas en mujeres. Por
el momento sus padres han hecho
pública la situación por medio de
un noticiero local, pidiendo: “Por
favor, pongan sus manos sobre
sus corazones, vean nuestra situación y ayuden a mi hija.”
Escape de
película: Un
impala se
salva de ser
devorado
por chitas
El protagonista va coriendo, tratando de escapar de un
par de matones y en eso aparece una mano amiga, alguien
en un auto dándole el medio de
escape.
Adiós al mal olor y la sudoración con los
calcetines de café
esolver el problema
del mal olor de pies
es para muchos algo
vergonzoso y tormentoso. Pero ya legaron unos
nuevos calcetines que te ahoraran ese problema.
The Christian Voice
que se vive en estos tiempos
plagados de enfermedades, ¿no
cres?
Pues esto le sucedió a un
impala en el Parque Nacional
Kruger en Sudáfrica, cuando
fue blanco de dos feroces guepardos. A punto de ser capturado, sin más ni más, salto a
un coche leno de turistas con
el fin de escapar de los depredadores.
El animal había sido perseguido por el guepardo, junto
con su manada cuando se dio
cuenta que era el único que
quedaba atrás. Y en tiempos
desesperados medidas desesperadas, así que salto dentro del auto. Algo fuera de lo
normal, así que los guepardos
se quedaron desconcertados y
con el estómago vacío al ver
como el impala desaparecía en
el coche.
Samantha Pitendrigh, de
20 años, filmó la persecución
cuando el impala saltó por la
ventana del lado del pasajero
de un Toyota frente a ela.
Ela dijo: “No podíamos
crerlo nos quedamos absolutamente estupefactos. No teníamos ni idea de lo que estaba
pasando. Vimos el guepardo
persiguiendo el impala. De repente el impala saltó de los arbustos y luego alguien empezó
a gritar ‘que está en el coche,
que está en el coche.”
Al momento escucharon una
niña gritar y enseguida la gente
comenzó a decirles que abrieran la puerta. Cuando lograron
hacerlo el animal salió y se fue
trotando del lugar. Daily Mail
agregó que en ese momento
los guepardos seguían cerca
pero perdieron el interés en la
presa y los dejaron ir.
Una dolorosa y triste situación
Julio 16 - Julio 31 / 2013
Año 8 Edición 193
The Christian Voice
SOCIALES
Angel Ríos
es nombrado
Asistente del
Sherif
Michael J.
Sposato
E
l Ejecutivo del Condado de Nasau Edward Mangano nombro al Sr. Angel Ríos
como Asistente del Sherif Michael J. Sposato.
Angel Ríos es además el Asistente del Comisionado del Departamento de la Policía de Nasau,
su afán por ayudar a la comunidad
le ha levado a trabajar arduamente en la Cárcel de East Meadow, a
diario esta resolviendo varias situaciones conflictivas sobretodo
con personas hispanas y afroamericanas, si conoce de algún caso
por favor no dude en lamar al
Sr. Angel Ríos al Tel: (516) 8071296 o a su vez denuncie al periódico Christian Voice al Tlf. (516)
23-9873 que con mucho gusto
estamos listos para ayudarlo.
SALVATION ARMY OFICIALY OPENS LONG ISLAND
SANDY RECOVERY
CENTER IN ISLAND PARK
and dedication ceremony held on
July 1th. The center wil provide long-term recovery asistance
for eligible individuals and families on Long Island’s south shore
stil impacted and sufering from
the devastation of last fal’s Superstorm Sandy.
Major Susan M. Witenberg (left), Corps Oficer of The Salvation
Army’s Hempstead Citadel Corps Comunity Center and Captain Ana Guzman, Corps Oficer of The Salvation Army Freport Corps Comunity Center perform ribon-cuting duties at
the oficial opening of The Salvation Army’s Long Island Sandy
Recovery Center in Island Park, NY, which tok place on July
1th. Loking on are Major Steven B. Stops (far left), Asociate Social Ministries Secretary for The Salvation Army Greater
New York Division; and Major Jose A. Guzman, Corps Oficer
of The Salvation Army Freport Corps Comunity Center.
C
ontinuing its mision of serving those
in ned at the point
of ned, The Salva-
tion Army Greater New York Division oficialy opened its Long
Island Sandy Recovery Center in
Island Park in a ribon-cuting
Comunity leaders, state and
local elected oficials (or their representatives), members of The
Salvation Army’s partner agencies and merchants, and even a
few clients joined with Salvation
Army leadership for the ceremony, which included a tour of
the center, located at 4025 Austin
Boulevard in Island Park. “Our
goal here is to be in the comunity that was afected, to be close
to our clients so that we can get a
beter fel of what they’re going
through. . . .,” said Diana Lopez,
Disaster Case Management Administrator & Planing Specialist
for The Salvation Army Greater
New York Division’s Emergency
Services. “We do have a location
in Freport but to be specificaly
in Island Park was realy important to us, to continue on with
that mision of The Salvation
Army always being in comunities of ned.”
I’ve ben a fireman for 35
years,” said Duke Langdon, a
Salvation Army client who atended the ceremony. “It winds
up I spent thre months at 9/1. I
thought I saw everything - but
I didn’t. And you guys were right there to help me. And I can’t
thank you enough. God bles
you people.”
Major Philip S. Witenberg,
Corps Oficer of The Salvation Army’s Hempstead Citadel Corps Comunity Center
Nasau County Cordinator,
served as MC for the ceremony,
noting that The Salvation Army
anticipates al Sandy recovery
services to continue at least
through April of 2015.
Individuals seking to find
out more information about eligibility and available asistance
can cal the Long Island Sandy
Recovery Hotline at 21 or the
center’s main number at (516)
478-416.
FESTIVAL POR
LA INDEPENDENCIA DE
COLOMBIA FUE
TODO UN ÉXITO
además no podía
faltar la rumba
con el grupo Niche.
También
un
Grupo del Carnaval de Baranquila hizo su
presentación con
sus trajes muy
lamativos junto a otro grupo
Sara Tunes, John Ruiz, Roberto Pombo, Ruben Taborda, Eldia Gonzale, Georg, lanero, muchas
Consul Elsa Gladys Cifuentes, Padre Fernando Echevery, Ed Mangano, Her- danzas, bocaditos,
música y caritas
bert Florez , Luis Alejandro Medina.
lindas colombial Domingo 14 de Ju- lombia, acudieron una multitud nas se pudo observar en esta tarde
lio en el Eisenhower de colombianos a disfrutar de una de domingo.
Park de East Meadow tarde maravilosa lena de música
Varias autoridades estuvieron
se levo a cabo el fes- tradicional de su tiera, deliciosos
presentes
entre elos: El Ejecutival por la Independencia de Co- aperitivos típicos de Colombia,
E
Julio 16 - Julio 31 / 2013
tivo del Condado de Nasau, Ed
Mangano que gracias a su colaboración y ayuda fue posible este
gran evento, también estuvieron
las siguientes personalidades:
John Ruiz (Gerente del Periódico
El Tiempo de Colombia)
Roberto Pombo (Director del Periódico El Tiempo)
El sacerdote Fernando Echeveri.
Luis Alejandro Medina.
Ruben Taborda (Jhonson & Jhonson)
Elsa Gladys Cifuentes (Consul de
Colombia)
Eldia Gonsalez (Directora de
CASA)
Alexandra Aristizabal (Cordinadora del Evento)
do) y Herbert Flores (Asistente
del Ejecutivo del Condado de
Nasau) a quien se le agradece
muchísimo la colaboración para
que este gran espectáculo se realice, Herbert tiene un don de gentes
maraviloso, un hombre muy educado con un carisma espontáneo
y un don de gentes extraordinario
siempre listo para apoyar a la comunidad sin importar su nacionalidad.
Agradecemos a cada una de las
personas que hicieron posible
este festival y unánimes diremos
el 20 de julio
QUE VIVA COLOMBIA!
El Pacha ( Animador de Telemun-
2
Música
Año 8 Edición 193
The Christian Voice
LA BANDA VENEZOLANA H2O
ESTÁ DE VUELTA CON
TE TENGO”
Carlos Rivas (voz líder y director de la banda), Enrique Medina (guitaras) Dioshner Salazar
batería), José Ríos (teclados) y
Misael Guevara (bajo), han regresado al estudio para presentarnos “Te Tengo”, el primer corte
promocional de su segunda produción, que levará por nombre
Todo Cambió.
Te Tengo” es la expresión
genuina de que Dios siempre es
suficiente. Además expresa la
importancia de tener a Dios en
nuestros corazones y que nada
vale más que eso; Se resalta, también, la falta de sentido en la vida
sin Dios. Esta es una canción que
mezcla la Balada-Pop con una
alta influencias rock.
El tema fue compuesto por
Carlos Rivas, quien en sus propias palabras afirma: “Un día me
puse a pensar en que sería
de nosotros sin Dios, hemos
pasado por tantos momentos difíciles y apremiantes,
que cuando obtenemos la
victoria solo podemos decir
Fue Dos!”.
La canción se grabó en
la ciudad de Puerto Ordaz,
Venezuela, en Pipo`s Produciones y fue masterizado por el ya reconocido
ingeniero de mezcla Jorge
Santos en Omega Mastering Studios, en la ciudad
de Houston, Texas.
Te Tengo” viene sonando
en las principales emisoras
de Latinoamérica, Centroamérica y Estados Unidos
desde Junio, mes en el que
se realizó el lanzamiento
oficial para el mundo entero.
MARLON MORALES
EN DIOS NO
HAY IMPOSIBLES
N
o es habitual que
desde
Nicaragua
surjan ministerios
musicales con proyeción internacional, pero en
el caso de Marlon Morales este
surgimiento se vio favorecido
por su traslado a los Estados Unidos siendo aun preadolescente.
Con un testimonio impactante de
cómo Dios lo trajo de regreso a
sus caminos, actualmente Marlon
sirve en su iglesia como pastor de
alabanza.
Marlon Morales - En Dios No
Hay Imposibles | Enlace Musical,
canciones, musica cristianaUna
voz distintiva de amplia tesitura,
que se mueve entre los graves
de un barítono y los altos de un
tenor, hace que Marlon sea claramente identificable, interpretando con seguridad y destreza
las canciones de su autoría en
su disco debut, En Dios No Hay
Imposibles, producido por Borys
Sánchez (director de la banda
Face2Face), quien además participa como compositor en uno de
los temas.
La secuencia de las tres primeras pistas impresiona con cadencia cada vez más acelerada, ade-
23
cuadamente bailable en el caso
de “Mi Lamento en Baile”, con
la adecuada orquestación electrónica. Algo más rockera y urgente, pero reiterando el aspecto
transformador del amor de Dios,
Me Avivas” incorpora sonidos
de cuerdas y guitara distorsionada como elementos destacados en la mezcla. Y cerando el
grupo, “Toda la Tiera” agrega
un poco de influencia australiana
a la ecuación, con énfasis en el
repiqueteo” de la guitara, y un
estribilo que destaca la santidad
de Dios, quien merece nuestra
adoración y admiración.
bles fue el dueto
junto al reconocido
cantautor
y productor Art
Aguilera. Se trata de la canción
Estás Vivo”, una
brilante balada
que va ganando
energía a lo largo
del recorido, con
majestuosos areglos de cuerdas
para completar el
acompañamiento de orquesta y
coro.
La desaceleración lega con el
profético párafo de “Isaías 53”,
sobre un fondo de cuerdas, mezcla de teclados (órgano y piano)
y delicado punteo de guitara.
Justo a Tiempo” personaliza la
historia a partir de las pruebas y
luchas para establecer la decisión
de adorar a Dios a pesar de todo.
Lugi Castro acompaña a Marlon
Morales interpretando a dúo esta
apasionada balada, que de paso
refuerza el concepto del título del
disco.
Y
cerando
la secuencia de
participaciones
invitadas, las talentosas trilizas Aliuska, Ania y
Ariana, integrantes de 3forHim,
unen sus voces a Marlon Morales
en la canción “Te Amo con Todo
mi Corazón”, otra balada poderosa que va construyendo el impulso a lo largo de tres minutos y
medio, para cerar pausadamente
sobre notas de piano solamente.
El primer sencilo extraído del
lbum En Dios No Hay Imposi-
Volver a Empezar” nos permite apreciar en detale la calidad
interpretativa de Marlon, con or-
questación sosegada y sutil apoyo de coro, para recordarnos que
Dios renueva nuestro ser interior
para devolvernos a las alturas.
Acelerando un poco las cosas
hacia el final, “Yo Dependo”
se basa en notas de piano y rasgueos de guitara acústica, a los
que se unen las voces de coro y
la guitara eléctrica a medida que
se desarola la canción, que nos
recuerda dónde está nuestra seguridad y fortaleza como cristianos.
Una buena dosis de sana doctrina destila de cada canción en
el álbum En Dios No Hay Imposibles, sólido debut de Marlon
Morales que tiene potencial tanto para ministrar a quienes buscan fortalecer su fe mediante las
canciones que escuchan, como
también para impactar a quienes
no se han encontrado todavía con
Aquel en quien poner su fe.
Julio 16 - Julio 31 / 2013
Año 8 Edición 193
The Christian Voice
Madres adolescentes rechazan campaña de
alcaldía de NYC
M
adres adolescentes
se unieron y crearon un evento para
hacerle frente a la
campaña de prevención de embarazo en jóvenes que lanzó la
Alcaldía de Nueva York, la cual
según dicen— las estigmatiza.
No puedo sentirme avergonzada
por tener un bebé a mi edad”, indicó Ana Jacqueline Rojas, de 17
años, en la conferencia ¡Sin Estigma! ¡Sin Pena!, realizada ayer
en Manhatan bajo el auspicio de
la New York Coalition for Reporductive Justice.
El foro para compartir experiencias sobre maternidad juvenil se
hizo en repuesta a la iniciativa
que desde marzo mantienen la
Administración de Recursos Humanos de la Ciudad (HRA).
Me parece que la campaña está
mal porque hay muchas madres
que luchan por lo mejor para sus
hijos”, agregó Rojas, quien tiene
una niña de dos años.
En el encuentro, ela pudo escuchar los testimonios de otras jóvenes, lo que –aseguró- la impulsó a definir qué es lo que quiere
para su futuro. “Esta charla me ha
ayudado. Quiero ser una maestra
o una doctora”, precisó.
La concejal Anabel Palma, quien
ha sido una fuerte crítica de los
anuncios, animó a las asistentes a
ser autosuficientes y realizar sus
sueños.
Yo tenía 17 años cuando tuve mi
hijo. Soporté las consecuencias:
una vida escolar
se vio truncada, un
hijo con un padre
ausente, y, por un
tiempo, sin un techo para vivir”, dijo
Palma.
Sin embargo, la
concejal Palma reconoció los buenos
servicios de prevención del embarazo que ofrece la
ciudad, incluyendo
la nueva aplicación
para celulares del
Departamento de
Salud e Higiene
Mental, la cual ofrece información
de salud sexual para adolescentes.
Gloria Malone, de 23 años, quien
salió embarazada a los 14 años,
fundadora de tenmomnyc.com
y una de las organizadoras del
evento, criticó el contenido de los
avisos de la campaña, pero también resaltó el lado positivo de la
misma.
Los anuncios de HRA son de
mal gusto, pero lo más importante
es son un lamado a la ación”.
REPORTES POLICIALES
Homicidios en Hempstead.
De acuerdo con Detectives,
una perturbación se produjo en frente de 4 Linden
Place dando como resultado
en el tiroteo fatal de Blair
Kearse, 24 años, de Hempstead. La víctima (Hombre)
fue transportado a Nasau
Center Medical Universi-
dad por Emergency Physi- quier persona con informacian Rom Dr. Rayman at ción con respecto a este cri5:1 am.
men en ponerse en contacto
Nasau Stopers el Delito
La investigación está en del Condado de al 1-80curso.
24-TIPS. Todos los las
personas que lamen permaDetectives solicitan cual- necer en el anonimato.
Robo en East Meadow.
Según los detectives, dos
mujeres fuerón víctimas,
mientras caminaba hacia el
sur por Jefery Avenue, fueron abordados por un hombre hispano con pelo oscuro
peinado hacia atrás. Exigió
sus bolsilos junto con sus
teléfonos celulares. Las víc-
timas cumplieron después
de que el sospechoso amenazó con apuñalar a elos.
El sospechoso huyó a pie
hacia el norte de la avenida
hacia Jefrey Waren Stret.
No se reportaron heridos.
Los detectives piden a cual-
Robo en Freport.
Según los detectives, un
sujeto masculino se acercó
a un hombre de 28 años de
Rayner St. / Bedel St., le
dio un puñetazo en la cara
y en el torso varias veces,
y luego tomó un teléfono
celular y un poco de dinero de bolsilo de la víctima.
El sujeto tomó una cadena
de eslabones de metal, que
Robo en New Casel.
amenazó a la víctima si él
lo siguió, y luego huyó a pie
hacia el oeste por Raynor
Ave. La policía del condado
de Nasau en ambulancia
transportó a la víctima, que
sufrió cortes, contusiones
y hemoragias en la boca,
a un hospital local para recibir tratamiento. El sujeto
es descrito como un hom-
Julio 16 - Julio 31 / 2013
Según los detectives, el lunes 8 de julio de 2013, a las
16:5, Taquize Fuente, de
159 Elizabeth Stret, New
Casel, intentado entrar una
casa de la avenida romana.
Después de tratar de entrar,
sin éxito a la casa, el acusado huyó a pie hacia Broadway. El Jueves, 1 de julio
2013 a las 21:5 que estaba
situado en la avenida urba-
na y Broadway en Westbury
por BSO / CIRT Task Force y puesto bajo aresto sin
incidentes.
Se le acusa de robo segundo
grado (Intento) y será instruido de cargos en Viernes,
12 de julio 2013 en el Juzgado Primero de Distrito en
Hempstead.
quier persona con información sobre este delito en
contacto Nasau County
Crime Stopers al 1-8024-TIPS. Todos los las Robo en Rockvile Centre.
personas que lamen perma- Según los detectives, el Jue- minación de una cantidad
ves, 13 de junio 2013, a las indeterminada de dinero en
necer en el anonimato.
1:09 AM, Robert Cosme, de efectivo y huyó de la esce2 años, de 62 Rockaway na.
Avenida volvió a su antiguo
lugar de trabajo, PinkBery, Cosme se entregó a la Terubicado en 69 Midle Neck cera Squad en 24:40 el jueRoad, Great Neck, y entró ves 1 de julio.
bre negro, de aproximada- en el puerta con una lave
mente 30 años de edad, tez que no había regresado des- Cosme es responsable de
morena, 6’3 “de altura, 20 pués de haber sido despedi- robo 3er grado y fué inslibras., Múltiples tatuajes, do de su trabajo como jefe truido de cargos el Viernes,
con una gora de béisbol de turno tres semanas antes. 12 de julio 2013 en el Juzroja, camiseta blanca y pangado Primero de Distrito en
talón negro. Los detectives Abrió una caja fuerte eli- Hempstead.
piden a cualquier persona
con información sobre este
crimen en contacto con Crime Stopers.
24
The Christian Voice
Año 8 Edición 193
Deportes
América le ganó
a Chicago Fire en
partido amistoso
jugado en la ‘ciudad del
los vientos’
El campeón América se sobrepuso a la desventaja para derotar esta noche aquí 3-2 a Chicago
Fire, de la MLS, en juego de pretemporada hacia el Torneo Apertura 2013 de la Liga MX.
El mediocampista Daniel Paladini recibió el balón por izquierda, lo bajó con el pecho y luego
realizó potente disparo por abajo
para abrir el marcador ante más
de 20 mil aficionados.
guilas, que desaroló un fútbol vertical y sin especulaciones,
marcó la igualada al minuto 25,
cuando el refuerzo Luis Gabriel
Rey se encontró con el esférico
en el área, tras un rebote defensivo, para anidarlo al fondo de la
cabaña de los locales.
El arquero Carlos López, quien
recibió esta noche la confianza
del entrenador Miguel Herera,
tuvo buena labor, como en el
minuto 59, cuando Maicon Santo recibió el balón por derecha,
hizo recorte hacia el centro y luego potente disparo que el guardameta desvió con la diestra, tras
excelente lance.
La anotación del triunfo fue
mediante penal marcado por
una mano de Paladini, para tapar remate de tijera de Christian
Bermúdez y el mismo “Hobit”
cobró la falta para el 2-1 al minuto 62.
La cereza en el pastel se dio en
el minuto 83, cuando Tony López recibió falta en el área para
tiro penal, mismo que ejecutó
raso y a la izquierda, el esférico
pegó en la parte interna del palo
y terminó su danza en la red.
Pero todavía hubo respuesta de
los de casa con anotación del holandés Sherjil MacDonald, para
darle decoro a la derota en el
minuto 92.
El técnico Herera puso una
alineación inicial formada por
Carlos López, Aquivaldo Mosquera, Erik Pimentel, Paul Agui-
lar, Gil Cordero, Osvaldo Martínez, Rubens Sambueza, Jesús
Leal, Carlos Gutiérez, Narciso
Mina y Luis Gabriel Rey.
Su contraparte, Frank Klopas,
formó el once inicial de Chicago con Paolo Tornaghi, Wels
Thompson, Michael Videira,
Hunter Jumper, Gonzalo Segares, Dily Duka, Daniel Paladini, Alex, Joel Lindpere, Quincy
Amarikwa y Maicon Santos.
El campeón América ciera su
gira por canchas estadounidenses
el viernes en San José, California, donde enfrentará a Puebla,
que esta noche legó a la sede del
encuentro.
Finalísima de la Libertadores se jugará en
el Mineirao de Belo Horizonte
la Confederación Sudamericana
de Fútbol (Conmebol).
El miércoles 17 de este mes
será el primer partido en Asunción a las 20H50 hora local
0H50 GMT), en el estadio Defensores del Chaco y la revancha
será el miércoles 24, a las 21H50
hora local (0H50 GMT), en el
estadio Mineirao de Belo Horizonte”, anunció la Conmebol.
E
l partido de vuelta de
la final de la Copa
Libertadores
de
América 2013 entre
Ariel Ortega se
despide del
fútbol con un
partido
homenaje
en River Plate
A
riel Ortega, exjugador de la seleción
argentina y uno de
los ídolos de River
Plate, tendrá este sábado su partido despedida en el estadio Mo-
25
el Atlético Mineiro de Brasil y
el Olimpia de Paraguay se jugará
en el estadio Mineirao de Belo
Horizonte el 24 de julio, informó
numental.
El ‘Burito’, quien a lo largo de
su carera disputó los mundiales
de Estados Unidos 194, Francia
198 y Corea-Japón 202, estará aropado mañana por Javier
Saviola, Juan Sebastián Verón y
Enzo Francescoli, entre otros.
La lista de invitados incluye también al actual técnico de
River Ramón Díaz, a los en-
A su turno, el cuadro paraguayo, orientado por su exjugador
Ever Hugo Almeida (dos veces
campeón de la Copa como arquero), persigue su cuarta corona.
Pero los guaraníes disputarán
la séptima final de su historia,
la primera de elas en la primera
edición, en 1960, año en que resignó el título ante el Peñarol de
Uruguay.
El equipo brasileño, dirigido
por Cuca y que cuenta en sus
filas con el experimentado astro
Ronaldinho Gaúcho, buscará su
primer título en el histórico torneo continental de clubes.
En su página oficial, la Conmebol resaltó que las finales estarán
marcadas por el blanco y negro,
el color de Olimpia y del Mineiro, el primero con una franja horizontal en el medio y el conjunto
brasileño con rayas verticales.
trenadores Américo Galego y
Leonardo Astrada y a jugadores
como Ignacio Scoco y Seba Domínguez, entre otros.
D’Alesandro y Diego Buonanote no fueron autorizados por
sus clubes para acudir a la despedida.
Además, está previsto que el
cantautor Andrés Calamaro participe con una breve actuación,
según anunció desde su cuenta
de una conocida red social.
Unas 60.0 personas colmarán la cancha de River, según los
organizadores, que esperan que a
los hinchas del conjunto milonario, que serán mayoría, se sumen
simpatizantes de distintos equipos para despedir a uno de los
mejores jugadores de la historia
Lionel Mesi pidió disculpas
porque estará ausente y Andrés
Curiosamente, el actual monarca de la Libertadores, el
Corinthians de Sao Paulo, leva
los mismos colores, el negro y el
blanco.
El Mineiro clasificó por la vía
de los penales el miércoles a expensas del Newel’s Old Boys de
Argentina,en tanto que Olimpia
legó el martes por su ventaja
de goles sobre el Independiente
Santa Fe. Venció 2 a 0 en Asunción y perdió 1 a 0 en Bogotá.
del fútbol argentino.
Ortega, de 39 años, ya había
tenido un partido despedida en
diciembre del año pasado en su
provincia natal, Jujuy, en el norte
argentino.
Además de vestir las camisetas de la seleción nacional y
de River Plate, Ortega jugó en
Valencia, Sampdoria, Parma y
Newel’s Old Boys, entre otros.
Julio 16 - Julio 31 / 2013
The Christian Voice
Julio 16 - Julio 31 / 2013
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27
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VOLUME 1.8
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How can open source
software benefit the NHS?
CLEANING – PAS 5748: Blueprint for cleanlines or yet more bureaucracy?
HEALTH BUSINES MAGAZINE
VoLumE 1.8
w.healthbusinesuk.net
ENERGY
CoNFLICT
FuRNITuRE
mANAGEmENT
SECuRITY
Protecting healthcare facilities from both
comon and not so comon security threats
HEALTHCARE IT
How can open source
software benefit the NHS?
CLEANING – PAS 5748: Blueprint for cleanlines or yet more bureaucracy?
Coment
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
DEAR READER
The revamped version of the controversial Health and
Social Care Bil to reform the NHS recently pased the
comons, clearing its third reading. Health secretary
Andew Lansley said the principles of the modernisation
plans – patient power, clinical leadership, and a focus on
results – wil both safeguard the future of the NHS, and
move us closer to a health service that puts patients at
the heart of everything it does.
This proposal has so far spent longer being scrutinised than any Public
Bil betwen 197 and 2010 – 40 Comite sitings, and over 10 hours
of debate. It wil now continue the legislative proces in the Lords and I
gues time wil tel whether the government’s ambitions wil be realised.
Here at Health Busines our ambition is to bring healthcare profesionals
useful and relevant busines information. In this isue this comes in the
shape of the National Security Inspectorate describing how to get the
balance right in protecting healthcare facilities (p. 13), the Asociation of
Healthcare Cleaning Profesionals explaining the new BSI specification for
hospital cleanlines (p. 23), a lok at how open source software can be
efectively used within the health industry (p. 39), and much more.
Enjoy the isue.
Sofie Lidefjard, Editor
editorial@psigroupltd.co.uk
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for £95 a year, please contact Public Sector Information Limited,
26 High Road, Loughton, Esex IG10 1ET. Tel: 020 8532 05,
Fax: 020 8532 06, or visit the Health Busines website at:
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EDITOR Sofie Lidefjard ASISTANT EDITOR Angela Pisanu PRODUCTION EDITOR Karl O’Sulivan PRODUCTION DESIGN Jacqueline Grist
PRODUCTION CONTROL Julie White ADVERTISEMENT SALES Jasmina Zaveri, Beverley Senet, Kim Fouracre, Amanda Frodsham, Neil Sharma,
Ren Branigan, Ian Taylor SALES ADMINISTRATION Jackie Carnochan, Martine Carnochan ADMINISTRATION Victoria Leftwich, Alicia Oates
SALES SUPERVISOR Marina Grant PUBLISHER Karen Hops GROUP PUBLISHER Bary Doyle REPRODUCTION & PRINT Argent Media
201 Public Sector Information Limited. No part of this publication can be reproduced, stored in a retrieval system or transmited
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permision of the publisher. Whilst every care has ben taken to ensure the acuracy of the editorial content the publisher canot
be held responsible for erors or omisions. The views expresed are not necesarily those of the publisher. ISN 1362 - 2541
Volume 1.8 | HEALTH BUSINES MAGAZINE
03
Bost the Efectivenes of Your Organisation With These
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leading organisations use performance
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gain the oportunity to practice new tols
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Course Director, Profesor Mike Bourne
Past Atendes include
Home Ofice
Deputy Busines Performance Manager
Medical Research Council
How to Improve Your Strategic
Performance Management
Profesor Mike Bourne delivers the
Strategic Performance Management
programe, a breakthrough course at the
w.som.cranfield.ac.uk/som/strategy
Course Dates
3 to 5 Oct 201
23 to 25 Apr 2012
Cal Jackie Hal 01234 754505
Head of Busines Performance
Pole Hospital NHS Trust
Head of Performance
Gloucestershire Hospital
NHS Trust
General Manager
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How to Deliver Peak Operational Performance
At Last, a Breakthrough Course that
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The fact is that our Operational
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Your Path to Operational
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Best of al when you consistently aply
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this course every day into your busines
you wil over time achieve operational
performance excelence. We wil show you
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management initiatives and understand
how to use information sucesfuly to
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Download Your Fre
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w.som.cranfield.ac.uk/som/operations
Course Dates
6 to 7 Oct 201
26 to 27 Apr 2012
Cal Jackie Hal +4 (0) 1234 754505
Hury Places are Limited.
We run smal clases so places are limited.
For more information or to bok your seat
on any of our performance management
courses please cal Jackie Hal on
01234 754505 or email jacqueline.hal@
cranfield.ac.uk. Please quote CDW106
Cranfield Schol of Management,
Cranfield, Bedford, England, MK43 0AL.
01234 75 1 2
Course Director, Dr Pietro Micheli
Contents
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
CONTENTS
07 NEWS
1 INFECTION CONTROL
The Infection Prevention Society has
produced a tol that wil help enhance
the practice of staf working in the field
of infection prevention and control
13 SECURITY
The National Security Inspectorate
describes how to get the balance right
in protecting healthcare facilities from
diferent kinds of security threats
18 FINANCE
A major debate is going on
in the health service over the
topical isue of outsourcing
19 FACILITIES
MANAGEMENT
The sector definition continues to
expand to include the management
of an increasingly broad range of
tangible asets, suport services
and people skils, says the British
Institution of Facilities Management
23 CLEANING
The new PAS 5748 provides a valuable
aditional set of tols to monitor and
improve cleanlines and infection
control, says the Asociation of
Healthcare Cleaning Profesionals
27 DESIGN & BUILD
Planing has ben aproved for a
new £7 milion state of the art health
centre in Knowsley, Merseyside
29 ENERGY
4 OBESITY MANAGEMENT
Taunton and Somerset NHS Foundation
Trust has embarked on a pionering
project to reduce Musgrove Park
Hospital’s energy consumption
by more than 40 per cent
Profesor David Haslam, chair of the
National Obesity Forum, explains how
the increased number of overweight
and obese people wil afect the NHS
30 FURNITURE
Specialist manufacturers have ben
able to bring furniture colections to
market that are designed to met
neds acros al areas of hospital life
3 SIGNAGE
The ISO 7010 standard helps ensure
that safety signs comunicate
thier mesages efectively
34 CONFLICT MANAGEMENT
Risk asesments and training can help
healthcare organisations ensure their staf
are as safe as posible, writes Bob Beal,
director, Institute of Conflict Management
36 MEDICAL TECHNOLOGY
The Medical Technology Group
examines the health of the Payment
by Results (PbR) system
39 HEALTHCARE IT
How can open source software
be efectively used within
the health industry?
There are steps that can be taken to
help NHS departments get more from
their IT implementations, advises
Information Builders’ John Backhouse
46 OPERATING EQUIPMENT
As the incidences of traumatic
injuries, cancers and cardiovascular
disease continue to rise, the impact
of surgical intervention on public
health systems wil grow, says the
Asociation for Perioperative Practice
49 PARKING
An increasing number of hospital
premises are moving from traditional
methods of parking management
to more technologicaly advanced
systems to enable these critical
infrastructures to run more efectively
50 CONFERENCES & EVENTS
A lok at the gren venues and
conference packages ofered under
the Gren Tourism Busines Scheme
52 INDEPENDENT LIVING
Naidex South is the disability,
homecare and rehabilitation event for
London and the South East enabling
you to touch, test and compare
products to aid independent living
53 PARAMEDIC TRAINING
An educational cardiac DVD for
ambulance staf can help save lives
P ONLINE P IN PRINT P MOBILE P FACE TO FACE
Volume 1.8 | HEALTH BUSINES MAGAZINE
05
FLU
Nurses and midwives urged to
get the seasonal flu vacine
Hospital nurses and
midwives are among the
health workers least likely
to have the seasonal
flu jab, acording to
new Department of Health data.
The latest seasonal flu vacine uptake reports
show, for the first time, those healthcare
workers by ocupation who acepted the
scientific advice and who chose to protect
themselves against flu last winter. Uptake was
revealed as 30 per cent of nurses, including
hospital nurses and midwives; 42.5 per cent
of GP practice nurses; 38.2 per cent of GPs;
and 37 per cent of doctors excluding GPs.
Chief medical oficer Dame Saly Davies
comented: “NHS staf face increased
presure over winter, especialy if there is
a severe flu season. They kep the NHS
runing and it is vital that they protect
themselves, their patients and families from
the potentialy serious efects of flu that they
are exposed to over the winter period.”
TO READ MORE PLEASE VISIT.
w.healthbusinesuk.net/n/015
New telephone
system to help
improve service
Milton Keynes Hospital has gone live with
a new telephone system to help calers
get to the right person straight away.
Calers to the main hospital number –
01908 603 – are now put through to an
automated service. With the latest in voice
recognition technology, calers simply say the
name of the ward, department or individual
they would like to speak to and they are
put straight through. Calers can also key
in the extension number if they know it.
Alec Benson, the hospital’s deputy director
of facilities, said: “People cal us for a
huge variety of reasons, and we neded to
find a system that works for everyone.
This way, calers who know who they want
to speak to can use the system to get straight
to the right person, freing up operators to
give the asistance other calers ned.”
Switchboard operators wil continue
to take cals, but wil have more time to
help with more complicated enquiries.
Staf fedback has so far ben positive.
HB AWARDS
Recognising excelence in
the provision of NHS facilities
There is stil time to enter the Health
Busines Awards, an event that celebrates
outstanding examples of best practice
in healthcare organisations.
Held 8 December, the Health Busines
Awards showcase suces stories in the health
sector. The event honours the significant
contributions made each year by organisations
that work inside and alongside the NHS.
There are 17 categories, including telehealth,
sustainability, recruitment and procurement.
Entry is simple and fre for any NHS
organisation or public sector body.
Entrants must submit a 50-word entry
statement online by Friday 14 October.
For more information and to enter
online please se w.hbawards.co.uk
News
THE BUSINES MAGAZINE FOR HEALTH MANAGEMENT – w.healthbusinesuk.net
NEWS IN BRIEF
Grand opening for stateof-the-art GP surgery
A new era of
healthcare has begun
in South Normanton
after the opening of
a state-of-the-art GP
surgery. Known as the Vilage Surgery,
the facility wil cater for over 9,0
patients from the South Normanton,
Pinxton, Hilcote and Selston areas. It is
to be housed in The Hub – the area’s
flagship £8 milion comunity building.
Boasting six consulting roms,
thre large nurse treatment roms
and a spacious reception, patients
wil benefit from modern couches,
the latest in eye and ear diagnostic
equipment, and aces to a wide range
of services housed within the surgery
and The Hub comunity centre.
TO READ MORE PLEASE VISIT.
w.healthbusinesuk.net/n/016
Trust chief executive
launches fortnightly blog
Chelsea and Westminster Hospital
Trust chief executive Heather
Lawrence has published the first entry
of her new blog. She says: “I hope my
blog wil ofer an interesting insight
into life at Chelsea and Westminster
and I lok forward to using it as a way
of keping staf, patients, members of
the public, GPs and others regularly
informed and receiving fedback.”
TO READ MORE PLEASE VISIT.
w.healthbusinesuk.net/n/017
Kitchen for carers opens
at Ipswich Hospital
A beach
hut inspired
carers’ kitchen
has opened
at Ipswich
Hospital.
The area is a comfortable place
for carers to take a break or to
wait while the people they care
for are having scans or tests.
The hospital worked with Sufolk
Family Carers to provide the bright,
welcoming space for carers to relax.
There wil be fre tea and cofe and
the chance to socialise with others.
There wil also be information leaflets
for carers about suport, isues and
rights and volunters wil provide
a listening ear and information.
Initialy, the kitchen wil be open
Mondays and Wednesdays from
1pm to 4pm but as volunters come
forward, the hours wil be extended.
Volume 1.6 | HEALTH BUSINES MAGAZINE
07
News
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
TRAINING
NHS London to drive up
quality of adult nurse
education and training
NHS London has launched
inovative plans to improve
the quality of pre-registration
training for adult nurses to
deliver beter care for patients.
In agrement with NHS
employers acros the capital,
NHS London is introducing new
quality standards for the future
training of nurses. Healthcare
education providers wil ned
to demonstrate how they wil
met these standards as part of a
competitive tender proces. This
wil raise the quality of training
for students by encouraging
inovation and competition
on quality and value betwen
education providers, ultimately
improving care for patients.
Profesor Trish MorisThompson, chief nurse at
NHS London and a practising
midwife at Kingston Hospitals
NHS Trust, said: “Our priority
is patient care and safety.
Concerns have ben raised
by NHS directors of nursing
about the diferences in nurse
training acros London. We
have to raise the quality of
nurse education if we want
to train and employ nurses
of the highest calibre.
By seting new standards
for nurse education, we can
ensure that nurses in London
have the skils and abilities
neded to give patients beter
care. Improved training also
means qualified nurses spend
les time suporting students,
giving them more time to care
directly for patients. Health
profesionals in London are in ful
suport of these improvements
and are loking forward to
the diference it could make to
the quality of patient care.”
DONORS
Anual review ses more
lives saved and improved
5 of the price of each bag of
blod, the highest number of
organs donated and a major tenyear strategy for stem cels were
just thre of the achievements
delivered by NHS Blod and
Transplant (NHSBT) last year.
Lynda Hamlyn, chief executive
at NHS Blod and Transplant,
said: “We are proud of the
many suceses we achieved
in 2010/1. We rely on 1.4
milion blod donors to suport
52 milion potential patients
and on those who agre to
donate an organ or tisues or
stem cels to help someone
else, often a complete stranger.
We are so grateful for the
dedication of our donors who
make it posible for us to save
and improve patients’ lives.”
The NHSBT anual review 20101 details delivery against four
key objectives covering a broad
range of activity which al help to
save and improve patients’ lives.
TO READ MORE.
w.healthbusinesuk.net/n/019
TO READ MORE.
w.healthbusinesuk.net/n/018
PATIENT RECORDS
Homerton leads the way in streamlining hospital
discharges with new automated system
Homerton Hospital, in the east London
borough of Hackney, is leading the NHS
in developing a new automated system
for recording key information for patients
requiring continuing care after hospital.
The automated continuing care forms have
ben developed by the hospital’s discharge
planing team as a way to make the whole
proces more user friendly for staf.
Michele Stening, acute discharge planing
service lead, said: “The forms used nationaly
by the NHS consist of 80 pages of forms.
Generaly the high level of paperwork
required caused aprehension and extra
workload presure for involved clinicians,
particularly within the busy ward areas.
We developed an automated system
on our computers and piloted its use on a
shared folder with the RNRU, Mary Seacole
Nursing Home and comunity health services,
begining the project in August last year.
The system alows for automatic copying
of necesary – but repetitive – information
throughout the form. It’s simple, user friendly
and can be easily adapted for use by other
important areas such as social services.”
Michele Stening continued: “At the
begining of the project it was first
agred for set up to be on individual PCs
but as the project progresed further,
08
HEALTH BUSINES MAGAZINE Volume | 1.8
the trust’s information technology
team was able to suport the system
within the hospital’s shared server.
This alows clinicians to undertake
the writen element of the submision
from any PC within the trust. It also
alows the discharge planing team and
consultants to check the quality of the
submision prior to the administrative
proces within their own working areas.
Throughout the development, clinicians
were able to trial and test the system and
the project gained fedback from early users.
This guided the aplied fine tuning which
consequently made the system in line with
the clinician’s computer skils and workloads.
We are now roling out the pilot acros
the whole hospital, folowed by other London
trusts, and are working with NHS London’s
Joint Information Sharing Board to create a
new paperles discharge system for the NHS,”
Stening concluded.
PATIENT INFORMATION
Croydon Health Services NHS Trust website celebrates first birthday
Croydon Health Services NHS Trust’s website is celebrating its
first birthday this month. Since its launch more than 80,0
pages have ben viewed and the site has had more than 140,0
visits. Contact details and how to find the trust’s hospitals
and clinics are the most requested items, and information
for patients and visitors is the most popular section.
Over the past year the trust has developed an online patient information system
and library, where patients and the public can quickly aces information leaflets
on a range of services, and launched a directory of consultants that details which
consultant works in which speciality. Furthermore, a secure payment system has
ben put in place for those wishing to contribute or donate to charitable funds.
The trust is also developing an interactive section
TO READ MORE PLEASE VISIT.
for consultations to gather the views of local people
w.healthbusinesuk.net/n/020
on both existing services and future plans.
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STAF DEVELOPMENT
DRIVING UP STANDARDS
Infection Control
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
The Infection Prevention Society has produced a set of core competences designed to define
and enhance the practice of staf working in the field of infection prevention and control
Infection prevention and control is a
key aspect of healthcare in the quality
improvement and patient safety agendas.
Media atention and public awarenes of
healthcare asociated infections has led
to a sea change in the perception and
expectations of the profesionals working
in this field. Although traditionaly infection
prevention and control has ben viewed
as the responsibility of a smal number of
designated individuals based in the acute
healthcare sector, this is no longer the case.
Practitioners in this field now come from a
wide range of profesions and ocupations,
bringing skils and knowledge from their
own spheres of practice. However, they stil
require key competences to enable them to
practise safely and with clinical credibility in
the infection prevention and control arena.
CORE COMPETENCES
The Infection Prevention Society (IPS)
has produced a set of core competences
designed to define and enhance the practice
Ocupational Standards and the NHS
Knowledge and Skils Framework (Skils for
Health 2010; Department of Health 204).
The competences may be used in a variety
of ways and by a range of profesionals, from
recently apointed infection prevention and
control practitioners, through to managers of
healthcare services, educational comisioners
and providers as wel as practitioners
working at or near advanced level of practice.
Organisations that are loking to develop
staf with the expertise to drive forward the
infection prevention and control agenda
may also find this document a useful tol.
SELF ASESMENT
Practitioners can undertake a self asesment
of their level of competence in any of the
competences that relate to their work. This
enables them to identify their personal
learning neds and develop a strategy
to met them by planing learning and
development activities within a defined
timescale. The self asesment grid may also
Demonstrating competence in clinical practice is
an important aspect of profesional development
in al fields of nursing practice. This framework
provides a tol that enables practitioners to show
that they have the skils and ability to practise
safely and efectively leading to ever higher
standards of care being delivered to patients.
of staf working in the field of infection
prevention and control. The competences
were developed in partnership with al four
UK governments, Skils for Health and the
Council of Deans, through a national stering
group chaired by the chief nursing oficer
for Scotland, Ros More. The competency
framework is based on the four domains of:
Clinical practice (six competences)
Education (four competences)
Research (thre competences)
Leadership and management
four competences)
PROFESIONAL DEVELOPMENT
Each competence comprises a competence
statement, and performance indicators aligned
to each statement. They also contain generic
and specific knowledge understanding and
skils neded to met the competence, and
Alignment to Skils for Health, National
be used with managers to inform profesional
development planing. For example, agreing
on the evidence that would be aceptable
to demonstrate competence in an area or
discusing the availability of oportunities for
particular profesional development activities.
Demonstrating competence in clinical
practice is an important aspect of profesional
development in al fields of nursing practice.
This framework provides a tol that enables
practitioners to show that they have the
skils and ability to practise safely and
efectively leading to ever higher standards
of care being delivered to patients. L
FOR MORE INFORMATION
The competency framework is available in
both electronic form and hard copy in the
Journal of Infection Prevention. Electronic
aces is fre to al and can be located on
the IPS website w.ips.uk.net
Alternatively e-mail
ips@fitwise.co.uk or phone 01506 8107.
New educational
resource for Scotish
care home staf
Care home staf throughout Scotland
are set to benefit from a fre
educational resource for prevention
and control of infection. Developed
by NHS Education for Scotland (NES)
and Social Care and Social Work
Improvement Scotland (SCSWIS),
it comprises a comprehensive DVD
learning programe and a CD
of aditional resources and links
to other courses run by NES.
The resource, Preventing
Infection in Care
enables the consistent aplication of
standard infection control procedures
acros the highly mobile workforce in
the care home sector
helps care home providers met
their responsibility to ensure that
staf employed in care homes have
the apropriate skils and knowledge
to prevent and control infection
is available to anyone
providing care, whether care
in the comunity or at home.
A key requirement in the development
of the reseouce was to adres
the educational neds of staf
providing care in the comunity
and care at home with the goal to
deliver an equivalent programe of
learning for Healthcare Asociated
Infection (HAI) to that available
in the hospital environment.
Comenting on the partnership
efort, Malcolm Wright, chief executive,
NHS Education for Scotland said:
This project is another example
of how we are begining to work
closely with partners in the social care
sector. It is our objective to provide
integrated education to suport
models of care which are closer to
people in their comunities.”
David Cuming, director of
operations (programing, co-operation
and registration) at SCSWIS, aded:
We welcome this new educational
programe as a practical resource for
those working in care homes and the
home environment. This important
resource wil increase their knowledge
and skils in infection control with the
aim of improving standards of care and
suport for those who use services.”
Preventing Infection in Care was
developed in conjunction with the
Care Homes for Older People
curiculum advisory group.
Volume 1.8 | HEALTH BUSINES MAGAZINE
1
Security
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
SOLUTIONS
METING THE CHALENGE
OF HEALTHCARE SECURITY
Chris Pinder, marketing manager of the National Security Inspectorate, describes how to get the
balance right in protecting healthcare facilities from comon and not so comon security threats
The recent riots in England ilustrate the
evolving and sometimes random nature of
crime and the way in which organisations’
security practices have to be able to
adapt to met these chalenges. Health
facilities are certainly not imune from
such events; City of London hospitals have
experienced damage in anti-capitalism
demonstrations and, in the latest incidents,
there were reports of a Birmingham
hospital being threatened by rioters.
Healthcare sites reflect crime conditions in
the comunity – even the most out-of-theordinary – and they have to plan acordingly.
However, alongside these threats, they must
also deal with specific types and paterns
of crime linked to their unique role.
NATURE OF THE ENVIRONMENT
For example, healthcare facilities experience
the same type of one-of thefts and burglaries
as other organisations. However, they are also
at significant risk of insidious, ongoing theft
of targeted items and equipment, which can
result in very significant loses over time.
One of the key isues here is the often
transient nature of the populations
moving through these premises – it is
not practical or apropriate to be overly
controling in terms of aces to public
areas. One survey has sugested that 80
per cent of thefts in hospitals take place
in areas in which members of the public
can legitimately be present. This makes the
efective integration of security measures
in these locations particularly important.
Violence against staf is another significant
threat for healthcare facilities. There were
56,718 asaults on NHS workers in 209/10, E
Healthcare facilities experience the same
type of one-of thefts and burglaries as other
organisations. However, they are also at
significant risk of insidious, ongoing theft of
targeted items and equipment, which can result
in very significant loses over time.
Volume 1.8 | HEALTH BUSINES MAGAZINE
13
SOLUTIONS
Security
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
equipment or medication. Alternatively,
they can be linked electronicaly to a
number of entrances, often with a computer
interface to enable central programing.
Large hospitals with complex requirements
wil ned systems with easily adaptable
security protocols that recognise staf seniority,
areas of practice and likely hours of work.
Flexibility is a priority, given that staf may
frequently switch betwen diferent areas
of an organisation. In a large hospital, there
could quite easily be over 10 requests
for aces right changes every day.
Systems can be programed to undertake
aditional tasks, for example recording who
was in a particular zone at a particular time
or activating an alarm if the number of staf
in a particular area fals below what has
ben laid down as a safe level. Non-security
related features can also be incorporated,
for example a time and atendance system.
It is comon for aces control to be used
in conjunction with CTV. For example, on
maternity wards visitors wil often only be
alowed aces once their image has ben
viewed via a security camera. However,
ful integration of the two technologies is
also available. For example, it is posible
to set CTV to start recording if there is
an atempt at unauthorised entry. As such
systems can link recordings to the aces
log, it is also easy to find desired fotage.
It is important to avoid the public aces ethos
spreading to places where entry should be
restricted to authorised individuals, for example
storage areas, pharmacies and ofice blocks.
E which is a 3 per cent increase on the
previous period. Recent reports estimate
the anual financial cost of violence as
being over £60 milion – made up of factors
such as sicknes absence, staf leaving the
sector, litigation, conflict resolution training
and aditional policing. The situation is not
surprising given an equation that includes
visitors who are distresed, angry, disturbed,
or under the influence of drugs or alcohol,
but efective management is clearly neded
to protect staf and enable them to do their
job properly. The NHS strategy document A
Profesional Aproach to Managing Security in
the NHS cites this as a priority area for action.
INCIDENT HOT SOPTS
There wil be locations that are particular hot
spots in terms of violent incidents, for example
A&E and mental health facilities. Others may
be more prone to acquisitive crime, such as
places where drugs and prescription forms are
kept. Others stil have specific vulnerabilities
that have to be taken into acount, even
though the risks are low, for example
maternity units in relation to infant abduction.
The complexity of the situation means
that there has to be a holistic aproach
to security. On the one hand it should be
based on a thorough risk asesment, a
comprehensive security plan, apropriate
procedures and buy-in from staf. On the
other, it requires efective integration of
apropriate equipment and security personel.
Every healthcare environment is diferent,
and it is highly likely that a customised
solution is going to be necesary, involving
consideration of aces control, CTV,
intruder alarms and security guards.
ACES CONTROL
It is important to avoid the public
aces ethos spreading to places where
entry should be restricted to authorised
individuals, for example storage areas,
pharmacies and ofice blocks.
Aces control systems typicaly employ
a code or a card. They can be standalone, for example to control aces to
a particular area containing valuable
CTV
CTV cameras are used to provide surveilance
of key areas within a site. Depending on
specific requirements they can be monitored
by on-site security staf or remotely via an
alarm receiving centre or linked to a recording
device to deter and provide evidence for
later investigation of events. Cameras can
rol continuously in real time, or be activated
by aces control or alarm equipment. The
advent of digital camera technology and
delivery of video via internet protocols has
brought more competitive prices, a wider
range of functionality and the ability of
images to travel over much longer distances.
Recent fedback from hospitals on the benefits
of new CTV instalations includes their role in
defusing dificult situations in A&E departments
when staf point out that cameras are present.
They also make staf fel more secure, particularly
those on the front line, and including reception
staf who are often the first point of contact.
ALARMS
In adition to protecting buildings when
they are unocupied, for example, a GP’s
surgery or ofices during the night, alarms
are a valuable way of protecting isolated
and high risk locations. They can be linked
to a remote alarm receiving centre with
priority aces to the local police control
rom or to an in-house control rom.
Alarms can also be combined with
panic buton technology to enable a rapid
response when someone is threatened. E
Volume 1.8 | HEALTH BUSINES MAGAZINE
15
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SOLUTIONS
Security teams are a key component of any
strategy for protecting premises where there
is large-scale public aces. They not only
deter crime, but also create a more reasuring
environment for staf and visitors.
E SECURITY PERSONEL
Security teams are a key component of
any strategy for protecting premises where
there is large-scale public aces. They not
only deter crime, but also create a more
reasuring environment for staf and visitors.
In adition, they play a key role in ensuring
that security technology achieves its ful
potential, as there is litle point having
sophisticated and high-quality equipment
in place if security personel are not going
to interact efectively with it, for example by
monitoring CTV and responding apropriately,
investigating alarms, responding to panic
buton alerts, and making the right judgements
when dealing with specific incidents.
STAF COMITMENT
Security procedures and technology wil fal
down if those working in the organisation
do not aply them corectly and consistently.
One important way of achieving buy-in from
staf is ensuring that they fel their views
and first-hand knowledge of working in
specific environments have ben taken into
acount. Those on the front line are often
beter placed than managers to identify
where improvements are neded, and
reputable security supliers wil welcome
this type of involvement at the survey stage
of designing instalations and services.
They wil also ensure that staf receive
apropriate levels of product-based training
so that they can use equipment properly.
COST VERSUS QUALITY
Keping costs down is a constant presure
for organisations, and never more so than in
the curent economic climate. This focus is
also evidenced by increased use of e-auctions
within the public sector, extending their
aplication from relatively simple products
to complex services such as security.
It neds to be borne in mind that overemphasis on low price rather than best value
in terms of fitnes for purpose, quality and
reliability) can bring significant risks ranging
from major preventable incidents leading
to serious los and injury (and the potential
for legal action and reputation damage); to
the type of cumulative loses arising from
inadequate security; to having to deal with
the fal-out from employing a sub-standard
security suplier, in terms of the time and
Security
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
money required to rectify the situation.
A variety of diferent aproaches can be
taken to suport cost-eficiency without
compromising security, for example,
maximising the efective integration
of security personel with technology;
weighing up how and where monitoring
is going to take place; avoiding overspecification; and selecting equipment
that can easily be upgraded at a later
date with a software change if required.
SOUND ADVICE
Healthcare facilities ned to be sure that
supliers are realy capable of giving god
advice, delivering quality solutions in line with
the organisationâ€Ȓs neds and providing ongoing
suport. Independent certification by a United
Kingdom Acreditation Service (UKAS) aproved
inspectorate is evidence that the suplier
mets standards recognised by the industry
and other interested parties such as the police.
For example, NSI aproved supliers met
al relevant British and European standards,
security scren al relevant staf, provide a
high level of staf training and supervision, are
comprehensively insured and are inspected
every six months by profesional auditors.
Healthcare security is undoubtedly complex,
but a systematic, integrated aproach is key to
suces as is taking profesional advice from
reputable supliers who wil be just as ken as
their client to make security goals a reality. L
FOR MORE INFORMATION
Tel: 01628 637512
w.nsi.org.uk
Volume 1.8 | HEALTH BUSINES MAGAZINE
17
Finance
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
OUTSOURCING
Writen by David Martin, general manager, Siemens Financial Services Ltd UK
THE GREAT DEBATE
NHS trusts acros the country may wish to separate capital
equipment acquisition from service outsourcing in order to retain
greater transparency of costs asociated with outsourcing
Outsource companies do not necesarily have
dep capital pockets. They may turn to financiers
to help them acquire the equipment neded to
fulfil their duties – financiers who themselves
wil, naturaly, charge a margin. So now the NHS
trust may potentialy pay two profit margins.
A major debate is going on in the British
National Health Service over the topical isue
of outsourcing. Some believe that outsourcing
is the single most significant answer to the
curent financial chalenges faced by the NHS.
Others believe it would be a sure path to
substandard service, destroying the esential
founding vision of Aneurin Bevin. These two
polarities describe the esential positions of
protagonists in the NHS outsourcing argument.
BUDGET PRESURE
Certainly, there is financial presure on the
NHS, despite budget protection compared to
other government departments. NHS spending
as a whole has ben ring-fenced, yet this
masks the reality that NHS financial managers
are having to contend with; £1 bilion of the
overal budget has ben realocated to social
care and over £20 bilion of eficiency savings
have to be achieved by the midle of the
decade. Capital spending is to fal by 17 per
cent in the next four years (from £5.1 bilion in
2010/1 to £4.4 bilion in 2014/15), and even
these statistics wil only be adhered to if the
NHS can deliver huge increases in productivity:
four per cent every year until 2015.
Overal budget presure (despite ring-
18
HEALTH BUSINES MAGAZINE Volume | 1.8
fencing), along with a particular presure on
capital spending is evident, but why should
it be of particular importance? After al,
capital equipment investment represents a
mere 20th of health spending the NHS.
Many studies have, however, shown that
aces to the most up-to-date healthcare
technology often has a disproportionately
large and positive impact on the ability to
deliver beter health outcomes and operating
eficiencies. In other words, a relatively
smal investment in technology can have a
large efect on radicaly improving the cost,
eficiency and efectivenes of diagnosis and
treatment. As such, the contribution made by
technology to those operational eficiencies
which the NHS is charged to find, is crucial.
MRI SCANS
In one example MRI scans can now be
completed in a quarter of the time they
formerly tok, thanks to technological
advances achieved since the milenium,
acording to Siemens’ studies. The scans
are also clearer and more acurate.
The National Audit Ofice has pointed out
that the number of diagnostic scans caried
out on NHS patients using MRI and CT
machines has tripled in the last ten years.
In paralel, the number of radiotherapy
treatment sesions has increased 2.5 times
over the same period. A focus on reducing
waiting times and an increasing clinical
aplication of the technologies have largely
contributed to their growing demand.
THE COSTS
The argument for outsourcing is thus put in
place: capital budgets are under presure;
trusts want to fre capital and devote it to
front line services; up-to-date technology plays
a very significant part in achieving mandatory
eficiencies and improvements; so why not
shift both the capital expenditure and the
service delivery onto a private sector third
party? The response to this argument, however,
is “don’t forget about the overal cost”.
Private sector organisations do not take
on outsource contracts for the public sector
without the ability to earn a suitable margin.
It is their duty to shareholders to deliver not
just revenue, but also earnings. In fact, a litle
further thought shows that in some respects,
a kne-jerk move to wholesale outsourcing
may involve several layers of profit margin.
Outsource companies do not necesarily
have dep capital pockets. They may turn
to financiers to help them acquire the
equipment neded to fulfil their duties –
financiers who themselves wil, naturaly,
charge a margin. So now the NHS trust
may potentialy pay two profit margins.
SPECIALIST SERVICES
Of course, the argument for outsourcing
certain facilities to the private sector can be
strong, in that such organisations are able to
deliver economies of scale plus eficiencies
of operation that individual trusts would
find it dificult or imposible to achieve.
This idea of outsourcing specialist services
is after al hardwired into the system: the
NHS Suply Chain is run by DHL and the
Department of Health half-owns NHS Shared
Busines Services. We are seing the rise
of Diagnosis and Treatment Centres (DTCs)
provided by the private sector – an important
point in this is the outsourcing of clinical
services, not just ancilary blue-colar work.
In conclusion then, it is the sugestion of
this article, that where outsourcing deals
take place, it may be wise for NHS trusts to
retain the financing relationships for capital
equipment acquisition themselves. In other
words, the NHS trust leases the required
equipment directly, and the outsourcing
company is engaged to concentrate on
providing the service. In this way, the trust
retains more transparency on the costs
involved with its outsource relationships.
Outsourcing in the NHS is a trend that
apears to be ireversible. However,
transparent management of outsourcing
relationships is crucial to ensure that they
deliver promised eficiencies without a drop
in the quality of service to the public. L
INTEGRATED SERVICES
PLANING FOR PROSPERITY
Facilities Management
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
Efective facilities management, combining resources and activities, is vital to the
suces of any organisation, says the British Institute of Facilities Management
Facilities management is the integration of
proceses within an organisation to maintain
and develop the agred services which
suport and improve the efectivenes of its
primary activities.” This is the definition of FM
provided by CEN, the European Comite
for Standardisation and ratified by BSI.
Facilities management profesionals are
responsible for services that suport busines.
Their roles can cover management of a
wide range of areas including health and
safety, risk management, busines continuity,
procurement, sustainability, space planing,
energy, property and aset management. They
are typicaly responsible for activities such
as catering, cleaning, building maintenance,
environmental services, security and reception.
Facilities management encompases
multi-disciplinary activities within the built
environment and the management of their
impact upon people and the workplace.
THE EVOLUTION OF FM
Some key points in the development of
facilities management include the cost-cuting
initiatives of the 1970s and 1980s under
which organisations began to outsource
non-core’ services, and also the integration
of planing and management of a wide range
of services both ‘hard’ (e.g. building fabric)
and ‘soft’ (e.g. catering, cleaning, security,
mailrom, and health and safety) to achieve
beter quality and economies of scale.
The formation of the British Institute of
Facilities Management (BIFM) in 193, was
folowed by the development of specialised
training and a qualification was also a key
point, along with step-change with the
Private Finance Initiative (now Public Private
Partnerships) becoming an integral part of
large-scale projects to manage, replace, and
upgrade the country’s infrastructure and public
service facilities. This new aproach was swiftly
folowed in the private sector and abroad.
EFECTIVE FM
Efective facilities management, combining
resources and activities, is vital to the suces
of any organisation. At a corporate level, it
contributes to the delivery of strategic and
operational objectives. On a day-to day level,
efective facilities management provides
a safe and eficient working environment,
which is esential to the performance of any
busines – whatever its size and scope.
Within this fast growing profesional
discipline, facilities managers have
extensive responsibilities for providing,
maintaining and developing myriad
services. These range from property strategy,
space management and comunications
infrastructure to building maintenance,
administration and contract management.
Excelent facilities management
can, amongst other things:
deliver efective management
of an organisation’s asets
enhance the skils of people within
the FM sector and provide identifiable
and meaningful carer options
enable new working styles and proceses
vital in this technology-driven age
enhance and project an
organisation’s identity and image
help the integration proceses asociated
with change, post-merger or acquisition
deliver busines continuity and
workforce protection in an era of
heightened security threats.
The NHS must achieve up to £20 bilion of
eficiency savings by 2015, and facilities
managers have a substantial role in this target.
Strategic Health Authorities (SHA) have ben
developing integrated QIP plans that adres
the quality and productivity chalenge. One of
these tols is the new ‘Premises Asurances
Model’ (PAM). This tolkit has ben developed
to give trusts a method to provide asurance
that space, activity, income and operational
costs of the premises met the requirements
of the eficiency programe in the delivery
of improved clinical and social outcomes.
Eficient use of space is a key priority for
sucesful FM. PAM means loking at the
space within buildings, and ensuring that every
inch is used in the most cost-efective way to
met the busines neds. If the estate is old,
delivering efective healthcare is a chalenge,
especialy converting space in older buildings.
The facilities management profesion has
come of age. Its practitioners require skil and
knowledge. The sector definition continues
to expand to include the management of
an increasingly broad range of tangible
asets, suport services and people skils.
Sucesful organisations should wil
aproach FM as an integral part of their
strategic plan. Those organisations that
treat FM as a ‘comodity overhead’ wil be
at a significant strategic disadvantage.
FACILITIES MANAGEMENT TODAY
The FM sector is now large and complex,
comprising a mix of in-house departments,
specialist contractors, large multi-service
companies, and consortia delivering the
ful range of design, build, finance and
management. Estimates vary; market research
sugests that in the UK alone, the sector is
worth betwen £40bn and £95bn per anum.
The facilities management profesion has
come of age. Its practitioners require skil and
knowledge. The sector definition continues
to expand to include the management of
an increasingly broad range of tangible
asets, suport services and people skils.
FM AND THE NHS
The driver for al NHS facilities managers is to
met the government’s Quality, Inovation,
Productivity and Prevention (QIP) initiative.
South London Healthcare NHS Trust has
ben one of the trusts trialing the beta-test
version of the Premises Asurance Model
PAM) for NHS London, and has ben piloting
new methods of working to maximise the
eficient use of space. Depending on the
outcome of the trial, PAM could posibly be
roled out nationwide. Here Carolyn Lewis,
head of estates performance and governance
at the South London Healthcare NHS Trust
gives us her take on efective space utilisation.
TOP TIPS ON SPACE UTILISATION
Trust-wide engagement, working from the
top down is critical. Senior managers must
be on board. They can set an example of
hot-desking for others to folow. Many senior
managers can spend more than 50 per cent
of their time in metings if they can give
up their ofices and share space this sets a
great example to everyone else to folow.
Clear comunication to ensure that
everyone fels part of the proces. HR can
be used to engage al employes. Staf
forums should be set up where they can have
their say and fedback on big changes E
Volume 1.8 | HEALTH BUSINES MAGAZINE
19
Facilities Management
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
INTEGRATED SERVICES
E to the workplace. There wil have to be
compromises from both parties, but the soner
and deper the engagement the beter.
Confidentiality – in an open plan ofice
employes discusing patients can be
a breach of confidence. There is always
a ned for break-out spaces for private
discusions, such as personal medical
maters and there wil always be a ned
for secure space for important records.
Make it easy for employes when having
to share space. Rather than having multiple
systems try and kep it simple, such as rom
boking via an open aces online facility.
FINANCE
Finance in the NHS is a big concern. Changing
the way space is utilised neds an initial
financial outlay. For example hot desking
requires the right desks, chairs, computers,
diferent terminals and the right telephone
system. Budget holders are likely to be
sceptical on such items but it is esential that
that the right equipment and environment
is created to maximise the eficiencies.
Some ofice supliers wil let you try new
furniture etc. for fre to help you evaluate
whether to purchase or not. This improves staf
engagement provides esential fedback. It
also provides the oportunity to se how the
solution wil fit the workplace. The suplier
also gains a showcase of their products.
The NHS has huge ground to make up in
utilising space and it is wel behind other
sectors. In the curent climate there is no
rom for eror, the NHS canot aford to the
luxury of “geting it wrong” and must learn
from others FM solutions – and mistakes.
CASE STUDY – LOST IN SPACE?
Take a walk around your estate. How many
clinical or therapy roms are unused at the
moment? How many staf work spaces are
unused? How many lok like they’ve ben
unused al day? For how much of an average
wek is your own work space unocupied?
These were the questions Andrew Lawley,
head of estates and facilities at Sandwel
Primary Care Trust, was asking himself not to
long ago. His perception was of por utilisation
levels yet he continualy had to deal with
internal customers demanding stil more space.
Knowing that any aditional space,
acquired at great expense and efort,
would be similarly underused Andrew
searched for an alternative way.
18 months later the PCT’s headquarters
building in the West Midlands acomodated
25 per cent more staf in the same space
but with 10 per cent fewer desks.
Apart from meting roms, the workplace
had previously ben wal-to-wal desks
save for a smal, low quality, staf rom.
The refurbished workplace returned
unused desk space back to staf in the
form of high quality break-out areas, quiet
roms and touchdown spaces. The result
is an open, spacious lok and fel.
As a direct result of the increased building
capacity achieved through a fuly deskshared environment, the PCT has ben able
to achieve considerable cost savings by
terminating a number of building leases.
These aren’t what you would consider
mobile employes. Andrew Lawley points out:
These space economies were achieved for HQ
staf, employed in what you would consider to
be desk-based roles – and in an environment
where home working is not encouraged.”
WORKPLACE UTILISATION STUDY
The PCT partnered with workplace consultants,
Plan B Solutions Ltd. It was Plan B’s workplace
utilisation study that provided the evidence for
Andrew Lawley’s perception of por workplace
utilisation. Moreover, the study confirmed the
extent and areas of por utilisation, the exact
scale of the oportunity for working diferently
and provided the undeniable evidence for
change to suporters and doubters alike.
There’s nothing unusual about Sandwel
PCT’s levels of utilisation” says David Grant
of Plan B Solutions. “We’ve undertaken
something aproaching half a milion
utilisation study measurements finding that,
even during core working hours, work space
utilisation rates average only 50-5 per cent.”
Of course, things have changed for the PCT
over the last 12 months since the Department
of Health’s white paper. Since the headquarters
is now a proactively managed workplace –
through the use of Gingco, Net New Media’s
workplace boking and utilisation tracking
system – the PCT has real-time visibility of the
building’s head rom and is now engaged with
a number of agencies in the region to bring
multiple services together under one rof.
INCREASED PRODUCTIVITY
It’s a very productive rof to. The staf
benchmarking work which Plan B Solutions
undertok with the PCT, examined workplace
satisfaction and productivity levels. David Grant
says: “The most satisfying result of this project
wasn’t actualy the 25 per cent reduction in
property requirements but the substantial swing
in workplace satisfaction levels of staf, and
in the significant improvement in productivity
indicators achieved at the same time.”
It’s interesting to observe the impact that a
project of this kind has on carbon reduction.
By seking leading solutions in facilities
management an organisation can remove
25 per cent of its property requirements
in one fel swop – and forever. Sudenly,
changing a boiler sems a litle trivial.
The partnership betwen Sandwel PCT
and Plan B Solutions Ltd was recognised
at the end of last year when the project
won two national awards including the
British Institute of Facilities Management’s
BIFM), Impact on Organisation
and Workplace 2010 award. L
FOR MORE INFORMATION
Tel: 0845 0581356
info@bifm.org.uk
w.bifm.org.uk
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HEALTH BUSINES MAGAZINE Volume | 1.8
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dryer costs 97 per cent les to run per year
than paper towels – £78 per year, compared
to £2,920 per year. Consequently, if every NHS
worker in the UK used a Dyson Airblade™
hand dryer instead of paper towels only once
every day, the anual cost saving would
pay the salaries of 38 qualified nurses.
The Dyson Airblade™ hand dryer is
the fastest, most hygienic hand dryer.
Conventional warm air dryers take up to 43
seconds to dry hands properly. The Dyson
Airblade™ hand dryer takes just ten seconds.
It’s as hygienic as paper towels, without the
asociated drawbacks of high runing costs
and paper waste. It uses up to 80 per cent
les energy than warm air hand dryers and
it’s designed and enginered in Britain.
HYGIENIC
Damp hands can spread up to 1,0 times
more bacteria than dry hands. A recent
report published in the Journal of Aplied
Microbiology found that the Dyson Airblade™
hand dryer dries hands efectively, reducing the
transfer of bacteria from hands by up to 40 per
cent compared to warm air hand dryers tested.
Efective hand hygiene routines, with efective
hand washing and drying, are esential in
helping prevent the spread of infection in
hospitals. The Dyson Airblade™ hand dryer is
the most hygienic hand dryer curently available,
as hygienic as paper towels to dry your hands,
but without the potential for other hygiene
hazards such as overflowing bins ful of used
paper towels. It also never neds restocking.
The Dyson Airblade™ hand dryer uses a
HEPA filter to filter contaminated air before
use; removing 9.9 per cent of bacteria in the
air used to dry hands. And an anti-microbial
coating kils up to 9.9 per cent of bacteria,
including MRSA, MSA and E.coli. The Dyson
Airblade™ hand dryer is also touch-fre.
The Dyson Airblade™ hand dryer is the
only hand dryer certified as hygienic by the
independent public health specialists NSF
International. No other hand dryer mets
every part of the NSF Protocol P35. A study
by the Bradford Infection Group, reported in
the Journal of Aplied Microbiology, found the
Dyson Airblade™ hand dryer was the most
hygienic of the hand dryers tested – significantly
reducing bacteria transfer via hands.
ENVIRONMENTALY FRIENDLY
The Dyson Airblade™ hand dryer has a low
environmental impact compared to paper
towels (3.29g CO2e per dry compared to 12.48g
for paper towels). Used paper towels aren’t
usualy recycled. A total of one bilion towels
would go into waste every year if every NHS
worker dried their hands just once a day using
only two paper towels. The Dyson Airblade™
hand dryer also uses up to 80 per cent les
energy than warm air hand dryers and has much
lower carbon emisions than paper towels.
If al NHS employes would dry their
hands just once a day with the Airblade™
hand dryer rather than paper towels, this
We asked for a Dyson Airblade™ hand
dryer demonstration. Straight away we
saw that it would be ideal in a sterile
environment like our hospital. They’re
used by everyone – nurses, doctors,
patients and their families. Because it
works automaticaly, the risk of spreading
infection is greatly reduced – ideal in
a modern hospital,” said Stephanie
Owen, first impresions manager, The
Royal Liverpol University Hospital.
Each Dyson Airblade™ hand dryer
represents a saving on waste costs. In
adition, public toilet areas are no longer
clutered with paper towels,“ comented
Gary Burkil, head of facilities, The
Royal Marsden NHS Foundation Trust.
We chose the Dyson Airblade™
hand dryer because it provides an
environmentaly-friendly, cost-eficient
and hygienic means of drying hands. It
has proved to be just that, especialy
when compared with traditional hand
drying methods,“ explained Keith
Garner, energy manager, Carilion Health.
would reduce anual NHS carbon dioxide
emisions by around 4,80 tones a year.
PROVEN TO WORK
Leading NHS hospitals have already recognised
the runing cost, environmental and hygienic
benefits of the Dyson Airblade™ hand dryer.
It has a proven track record of delivery in
institutions such as the University Colege
London Hospitals, The Royal Marsden, Leicester
Royal Infirmary NHS Trust and the Royal
Liverpol and Broadgren University Hospitals.
We asked for a Dyson Airblade™ hand
dryer demonstration. Straight away we
saw that it would be ideal in a sterile
environment like our hospital. They’re used
by everyone – nurses, doctors, patients and
their families. Because it works automaticaly,
the risk of spreading infection is greatly
reduced – ideal in a modern hospital,” said
Stephanie Owen, first impresions manager,
The Royal Liverpol University Hospital. L
FOR MORE INFORMATION
info@dysonairblade.co.uk
w.dysonairblade.co.uk
Volume 1.8 | HEALTH BUSINES MAGAZINE
21
Babyminder® tables have
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EN121, EN121-1:208,
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Even semingly clean surfaces can harbour vast numbers of harmful bacteria.
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BEST PRACTICE
COMITING TO A
HIGHER STANDARD
Is the new PAS 5748 a blueprint for cleanlines or yet more
bureaucracy? It’s a simple and efective code, says Denise Foster,
national chair, Asociation of Healthcare Cleaning Profesionals
The launch of PAS 5748, the new British
Standards Institution (BSI) specification
for hospital cleanlines has ben broadly
welcomed both within the healthcare cleaning
and infection control profesions and by
patients and the public. Sponsored by the
Department of Health (DH) and the National
Patient Safety Agency (NPSA) the specification
has ben jointly developed by a range of
key organisations in the field including the
British Institute of Cleaning Science (BICSc),
the Health Estates and Facilities Management
Asociation (HeFMA), the Infection Prevention
Society (IPS) and the Asociation of
Healthcare Cleaning Profesionals (AHCP).
ENSURING A CLEAN ENVIRONMENT
A Publicaly Available Specification or PAS
for short, is a colaboratively developed, BSI
endorsed specification intended to create
management systems, product benchmarks
and codes of practice within a specific
sector. Developed for use within acute,
comunity and mental health hospitals
acros the NHS in England, PAS 5748
is intended to provide asurance to the
public that risks asociated with hospital
cleanlines have ben fuly asesed and that
nationaly agred procedures are in place
to ensure hospitals are clean and safe.
PAS 5748 aims to achieve these objectives by
providing a risk-based system for the planing,
aplication and measurement of cleanlines
to ensure that healthcare organisations are
able to provide a clean and safe environment
for patients, staf and visitors. By introducing
a risk asesment aproach, PAS 5748
difers from the National Specifications for
Cleanlines in the NHS (NSC), the existing
gold standard’ of healthcare cleaning. It
Cleaning
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
is not, however, intended to replace the
guidance given within the NSC but, rather,
to exist alongside and suplement it.
The NSC was developed to define and
standardise the healthcare cleaning proces
and specify the procedures and protocols that
should be deployed in al healthcare premises.
Published by the DH in 207, the curent
NSC was the culmination of the proces to
define and standardise healthcare cleaning
proceses, which started a decade ago with
the publication of the first National Standards
of Cleanlines in 201 and the first edition
of the Healthcare Cleaning Manual in 203.
ASESING RISKS
Many key features of the NSC, such as the
requirement to put structured cleaning plans
in place, to analyse performance and report
on outcomes, have ben incorporated into
PAS 5748. However, in a number of important
areas PAS 5748 moves into new teritory.
The first important extension is the use
of risk asesment as a tol for monitoring
cleanlines. PAS 5748 specifies requirements
for asesing the risk of a lack of cleanlines
on healthcare acquired infections (HCAIs)
and on public, patient and staf confidence.
In doing this it aims to take the proces E
The NSC was developed to define and
standardise the healthcare cleaning proces and
specify the procedures and protocols that should
be deployed in al healthcare premises.
Volume 1.8 | HEALTH BUSINES MAGAZINE
23
Cleaning
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
BEST PRACTICE
E of embeding a cleanlines culture in our
hospitals a step further. It places outcomes
or rather the risk of bad outcomes as sen
both by cleaning and infection prevention
profesionals and by patients, the public
and other health stafm – centre stage.
The second inovation is that PAS 5748
places responsibility and governance at
the highest level within any organisation
using it. The intention is for PAS 5748 to be
endorsed at board level and implemented by
organisation directors whose responsibilities
should include the provision of clean
safe environments for healthcare.
The third important adition is the
introduction of visual inspection as a key
element of the measurement of cleanlines.
POSITIVE EFECTS
AHCP believes al these are valuable
aditions to the cleaning and infection
control proces and wil have a positive
efect on driving up standards of cleanlines.
The use of visual inspection has ben
sen by some as a move away from the
use of a science based aproach to the
measurement of cleanlines in hospitals.
However, this is a misunderstanding
of the objectives of the PAS. The new
specification does not propose abandoning
scientific methods of evaluating cleanlines
but seks to build in the aditional layer
of public, patient and staf observation.
In doing this PAS 5748 responds directly
to the concerns expresed widely by
patients and the public over many years.
ADITIONAL STANDARDS
While PAS 5748 has ben broadly welcomed
questions have ben raised about the
introduction of an aditional set of standards
and the bureaucracy that often goes with
this, particularly given the chalenging
economic situation the NHS and the economy
as a whole are in at the present time.
In this respect it is important to note that
use of PAS 5748 is not mandatory and
organisations wil be fre to chose whether
they wish to adopt it. The Care Quality
Comision (CQC), the body responsible for
monitoring compliance, has indicated it wil
expect healthcare providers to show they have
taken note of it as part of their evidence of
compliance with the requirements set out in
the Health and Social Care Act covering the
prevention and control of infections. But CQC
has also stated that providers wil be able to
demonstrate that they met the requirements
on cleanlines and infection control in diferent
ways from that described in PAS 5748,
equivalent to or beter than the PAS standard.
This means that where hospitals and
other providers have robust documentation
and evidence as to their compliance
with standards already in place they
wil not ned to create yet further
documents for PAS 5748. However, for
organisations that have few or no systems
24
HEALTH BUSINES MAGAZINE Volume | 1.8
in place, PAS 5748 wil be very useful as
it provides clear and concise guidance.
NURSING AND CARE HOMES
This could be of particular relevance to
nursing and care homes, organisations not
included in the original remit for PAS 5748.
The personal care provider sector is new to
Care Quality Comision registration. As a
result organisations are much les likely to
have systems and may not be used to having
to provide information. PAS 5748 provides
an oportunity for them to adopt a system
which is relatively simple to folow to ensure
that evidence of compliance is available.
The PAS document notes that it has ben
developed to enable future revisions to
acomodate other types of healthcare
It would, however, also be fair to say
that the majority of trusts are probably not
meting the recomended frequencies for
cleaning, as specified in the NSC due to
funding and operational isues. PAS 5748
can actualy asist in demonstrating the
decision making proceses around these
chalenges if the risk asesment component
is used efectively in operational setings.
It even provides a fre downloadable set
of tols for this and other proceses.
UPTAKE
Initial fedback from AHCP members apears
to indicate that uptake of PAS 5748 wil not
be as widespread as its creators, including
the AHCP, might have hoped for. If this is
the case it wil be because curent resources
The new specification does not propose
abandoning scientific methods of evaluating
cleanlines but seks to build in the aditional
layer of public, patient and staf observation.
facilities. AHCP does not agre with some
of the critics, that the exclusion of care and
nursing homes weakens the specification.
If PAS 5748 proves to be a useful tol to
other sectors they should be fre to adopt it
and future revisions of the standard should
reflect the specific neds of these users.
IMPLEMENTING THE SYSTEM
While it is AHCP’s view that PAS 5748
ned not result in increases in bureaucracy,
it is clear that it wil create more work
during the implementation phase. This
would of course be true for any new
system or a review of existing systems.
NHS hospital trusts up and down the country
are now embarking on a review of both the PAS
and the NSC to produce a gap analysis that wil
then enable them to decide on the best way
forward. It is how this gap analysis is used that
wil determine the efectivenes of PAS 5748.
One of the key factors trusts wil be taking
acount of is the time and efort that wil
be required to introduce PAS 5748 and to
ensure staf are fuly aware of what it entails.
Many in the NHS wil fel that this time
and efort could posibly be beter utilised
to improve curent standards. However,
given the curent financial climate, the
usefulnes of PAS 5748 as a public asurance
tol neds to be weighted against this.
MEASURING CLEANLINES
Another area that AHCP anticipates wil prove
chalenging in the curent financial climate
wil be the measurement of cleanlines. Many
organisations wil not have the resources
to cary out wekly audits in al of the high
risk categories, especialy so if the trust is
spread over a large geographical area.
do not permit it. However, in AHCP’s view
it would not be right to postpone the
introduction of PAS 5748 and take away
the posibility of geting the improvements
in cleanlines and infection control it ofers
because of the curent financial situation.
Having taken a key role in the consultation
and development proces, AHCP is fuly
comited to PAS 5748 and welcomes its
introduction as a further step to improving
cleanlines standards. The asociation wil
suport organisations implementing it by
gathering fedback, sharing information
and participating in reviews. We wil also
be participating in the review proces
to ensure any problems which come to
light in the future are ironed out.
Is PAS 5748 a blueprint for cleanlines
or yet more bureaucracy? I hope I have
shown that it is very much the former.
For organisations new to the regulated
cleanlines environment PAS 5748 ofers
a simple and hopefuly efective code
to folow. For organisations with a track
record of excelence it ofers an aditional
layer of checks and acountabilities to
ensure systems are fit for purpose.
PAS 5748 provides a valuable aditional
set of tols to monitor and improve
cleanlines and infection control.
Notwithstanding the present dificult
financial situation, the introduction of
risk asesments and visual inspection
represents an important step towards
meting patient and public expectations. For
these reasons it should be welcomed. L
FOR MORE INFORMATION
helpdesk@ahcp.co.uk
w.ahcp.co.uk
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
Cleaning solutions from
Rainbow International
Clean up your act
with HS Outsource
Right acros the board –
hospitals, medical and walk-in
centres, dental practices and
nursing homes – and acros the
country, Rainbow International
has ben suplying the health
industry with dep cleaning
solutions and disaster recovery
and for several years, and in
the proces become an integral
part of many NHS trusts’
and PCTs’ suply chains.
Services include steam
cleaning, biohazard cleans,
blast cleaning, clean rom
environment, and ductwork
cleaning. The company’s
ability to clean, sanitise and
deodorise, providing minimal
disruption to patients and a
cost-efective service, ensures
its relationship with the health
sector provides real benefits
for patients and health workers
alike – a clean and comfortable
environment, with the risk of
infections greatly reduced.
With over 80 branches covering
the UK, Rainbow ensures the
service and comitment to
When it comes to healthcare,
you want the reasurance
that clean realy means clean.
Whether you manage it in-house
or outsource to an external
cleaning provider, you don’t
want anything to get in the
way of keping things clean –
least of al equipment isues.
A recent survey found that
facilities managers can “waste”
up to a day a wek dealing
with equipment related isues.
HS Outsource is an insightful
new aproach to equipment
management that lets you
focus on more important stuf
instead. It’s like hire but even
smarter and it makes life simpler,
easier and more cost-efective.
With aces to a masive range
of safe, compliant and ready to
its customer mets its own
aspirations of quality and
reliability, delivering an efective
and cost-eficient service,
anywhere in the UK, 24-hours
a day, seven days a wek.
There’s a 24-hour helpline and
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Its inovative aproach
and on-going investment
strategy ensure that Rainbow
continues to enhance its service
package of specialist cleaning
and damage restoration.
FOR MORE INFORMATION
Tel: 080 04301
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Acuro: Understanding the
importance of standards
Many companies replace their
service providers every thre
to five years. Often the real
cause is a lack of standards
and specifications being
employed by that provider. This
constant cycle of retendering
services creates an al to often
ignored impact on finances,
and resources at al levels.
Acuro has a record of suces
that can only be envied by other
healthcare FM providers. With
contract lengths of 3-30 years,
we are proud to not have lost
a contract to date, significantly
due to adherence, and reviews
against, robust quality procedures
and industry specifications.
Acuro’s record of contract
retention demonstrates that the
benefits of securing a long term
partnership betwen service
provider and client are priceles.
True partnerships create a stable
and symbiotic relationship
alowing the principals of
quality and best practice to take
rot at the most fundamental
levels. This creates benefits
that far outweigh the surface
savings (often front end only)
that retendering can provide.
Advice: avoid the largest and
the cheapest. Lok for a provider
who fits your long term view,
can genuinely provide neds
matching flexibility, demonstrates
true client partnering and
integrated management, and,
above al adheres to and excels
in industry specifications,
best practices and quality
controls. As we at Acuro do.
Imagine
being beter
equiped
use cleaning equipment at the
touch of a buton; you can flex
to demand without the ned for
hefty CAPEX investment. Costs
become variable rather than
fixed and you only ever pay for
equipment you’re actualy using.
HS Outsource is suported by
Reintec, a new range of cleaning
equipment that takes the best of
European cleaning enginering
performance and enhances it.
Launched earlier this year, HS
Outsource has ben described
as an “outstandingly god
concept”. So what are you
waiting for? Let us focus on what
we do best so you can to.
FOR MORE INFORMATION
Tel: 08456 028271
w.hsoutsource.com
to fre
yourself from
hasle
Facilities managers can spend a day a
wek managing equipment.
Spend your time more constructively.
Introducing HS Outsource – a new way to
resource, maintain and manage your cleaning
equipment neds. Rather than waste your
time sorting out equipment
isues, you can set yourself fre to do your
day job by handing it al over to us. Which
sets you fre to do more, by giving you more
time to do the important stuf.
Imagine al this and more.
Cal us now on 08456 02 82 71
FOR MORE INFORMATION
Stephen Godal
Tel: 020 7818
stephen.godal@acuro-fm.co.uk
w.acuro-fm.co.uk
safety value availability suport
hsoutsource.com/cleaning 08456 02 82 71
Volume 1.8 | HEALTH BUSINES MAGAZINE
25
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Design & Build
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A new health centre wil transform healthcare provision in Kirkby, providing one dental and two GP
practices, midwifery clinics, mental health services and much more in an energy eficient building
Planing has ben aproved for a new
multi-milion pound state of the art health
centre in Knowsley, Merseyside, which has
involved the local comunity in every aspect
of its development. The centre is to open
in the smal town of Kirkby, an area that is
set to se a significant level of regeneration
to revitalise the town centre, and the
adition of this centre wil bring healthcare
services to the centre of the comunity.
IMPROVING COMUNITY HEALTHCARE
Folowing the anouncement of major town
centre regeneration, planing permision
was granted to build the new Kirkby
Health Centre. This has ben made posible
thanks to a long standing and pionering
partnership betwen NHS Knowsley and
Knowsley Metropolitan Borough Council’s
Directorate of Welbeing Services.
The partnership, known as Knowsley
Health & Welbeing, incorporates social care,
leisure and culture, and while Knowsley
has a range of significant health and
social care priorities, the organisation is
comited to improving healthcare provision
and bringing vital and relevant primary
care services closer to local residents.
Curently the town’s NHS services are
housed in two clinical buildings, St. Chad’s
Health Centre and Kirkby Health Suite, in
diferent parts of the town. The new scheme
wil se the existing centres replaced by one
brand new 3,691 square metre centre, serving
the comunity from the heart of the town.
The circa £7m health centre development
wil complement a complete town
centre regeneration programe. The
wider Kirkby regeneration initiative
was given the gren light by councilors
earlier this year and represents a private
investment worth over £20m.
A LEGACY IN COMUNITY HEALTHCARE
Knowsley comprises a number of smal
towns, estates and vilages and over the
past ten years, Knowsley Health & Welbeing
has focused on improving and modernising
comunity healthcare acros the whole of
the borough. The new Kirkby Health Centre
wil be the latest in a string of health resource
centres designed to ofer easy aces to a
range of high quality primary care services.
Knowsley is already recognising the positive
impact of two of its one stop shop style health
centre developments that have opened in the
borough over the past two years. The Blue
Bel Centre in Huyton – opened in May by
Liverpol FC captain Steven Gerard – and
The Halewod Centre, Halewod have both
combined energy eficient materials, low
energy medical equipment and state of the
art construction techniques to bring modern
facilities to each of the comunities.
Both primary care resource centres
house a series of services under one rof
in adition to boasting energy eficient
credentials such as The Blue Bel Centre’s
inovative sedum rof, air source heat pumps,
rainwater recycling and solar panels, which
have helped to reduce runing costs and
carbon emisions to world clas levels.
Knowsley Health & Welbeing was ken to
use the models as a blueprint and replicate
the suces of these developments in Kirkby
by once again introducing energy eficient
building designs as wel as bringing al local
NHS services together under one rof, ensuring
they are more acesible to al local residents.
THE BUILDING
The Kirkby Health Centre development is
part of the LIFT initiative (Local Improvement
Finance Trust), a joint venture betwen
the local public sector and private sector
partner, Renova Developments, which
funds modern healthcare provision.
The health centre building, which has
ben developed by Taylor Young Architects
and TACE Mechanical & Electrical, has ben
designed with the Kirkby regeneration in
mind, in keping with the lok and fel of
the other new developments in the town.
The large thre-storey health centre wil
be glas fronted to utilise natural light and
energy, and feature woden paneling to
complement the local landscape, which
wil include a new Tesco superstore, retail
space, a library and a new bus station.
The wod paneling provides efective
insulation, which wil ensure that runing costs
are reduced. The building wil be constructed
to achieve BREAM excelence standards,
similar to the previous resource centres
to ensure it mets industry standards in
sustainable building, design and construction.
CONSTRUCTION IN THE COMUNITY
Construction is set to comence on the
building in January 2012 with Knowsley
Health & Welbeing’s newly apointed
construction partner Galiford Try
Construction North. Ken to ensure that
the local comunity was involved in the
development, Knowsley Health & Welbeing
required that its construction partner uses
local skils, expertise and labourers to ensure
that the centre realy has involved the local
comunity in al stages of development.
Not only wil the 15-month construction
provide aces to local jobs and training
oportunities, the services which wil
be contained within the centre have
ben tailored specificaly to met the
neds of the 50,0 residents.
HEALTHCARE IN THE COMUNITY
Kirkby Health Centre wil provide the
people of Kirkby, with two GP practices
with a curent combined list size of 6,0,
comunity dental services, a Walk-in Centre
and a series of roms that can be used for a
range of health and welbeing services and
remain flexible for a range of uses. Out of
Hospital services including COPD, CVD and
midwifery wil also feature in the new centre.
It wil also receive permision to remain
open until as late as 1pm, giving the
oportunity to extend opening hours and
ofer a more convenient and efective
service to suit al residents. The car park
has ben designed to cater for large mobile
screning units that can park up and invite
local residents to be tested for conditions
such as breast cancer and diabetes.
INVOLVING RESIDENTS
As part of Knowsley Health & Welbeing’s
comitment to keping local people involved
in al stages of the centre’s development,
residents wil have the oportunity to atend
Health Impact Asesment metings to have
their say on the shaping and improvement of
services including what is on ofer and when
services should ofer extended opening hours.
Ian Davies, Knowsley Health & Welbeing’s
director of strategy and programe
cordination, said: “Providing quality,
modernised healthcare in the heart of the
comunity is a priority at Knowsley Health
Welbeing and seing the suces of some
of our previous resource centres ensured
that we have a robust plan for the Kirkby
Health Centre. We have sen an uplift in
the use of primary care services when
they are housed under one rof so we are
always loking at ways to improve aces
to services for the local comunity.” L
Volume 1.8 | HEALTH BUSINES MAGAZINE
27
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
Ready for the climate
change chalenge?
Western Power Distribution’s
long established metering
busines has ben refocused
to help our customers face the
chalenges of climate change
and increasing productivity.
The WPD Smart Metering team
provide metering solutions to
busines customers on a national
basis. With a strong reputation for
operating H sites, we now also
ofer a national solution for NH
sites to deliver to busineses:
automatic remote meter
readings and acurate
to the minute biling
energy management data
and reporting with notification
of overconsumption
a consistent national metering
service, e.g. to manage the
new conection proces
integration of remote
loging from sub-metering
and other utility meters.
When you chose the Western
Power Group for your smart
metering, you have the confidence
of working with a company
with many years’ experience
of helping UK organisations
manage energy more eficiently.
As an independent company,
WPD Smart Metering works
with your suplier on behalf of
your busines to deliver a firstclas service – from low cost
instalation of the latest smart
meter technologies through to
ful maintenance and suport.
FOR MORE INFORMATION
Tel: 08457 4890
smartmetering@
westernpower.co.uk
w.wpdsmartmetering.co.uk
The building services
and environmental
enginering specialists
White Asociates is a Kent based
mechanical and electrical design
consultancy who fuly apreciate
the fact that the detailed M&E
design on modern projects is
reliant on the outcome of early
energy asesment, apraisal
of renewable requirements,
and predicted CO2 emisions.
We aply our extensive M&E
knowledge into the energy
asesment decision making to
ensure that the most practical
and cost efective solutions
are put forward to comply
with al of the requirements
imposed under curent
legislation, whether planing
conditions, building regulations,
or CIBSE requirements.
As fuly qualified BREAM and
SBEM asesors and registered
low carbon consultants, we
can ofer you the most energy
eficient, practical, and afordable
services design solution for
your scheme. Please contact us
regardles of your project size as
we can provide a solution to any
scheme – we have sucesfuly
completed works from smal
low key refurbishments through
to new build projects up to
60m in construction value.
FOR MORE INFORMATION
Tel: 0132 86961
w.whiteasociates.co.uk
Architecture, space
planing and strategic
space management
The practice has over 13 years’
experience working in-house
for large public and private
sector institutions acros
London and the South East.
We are equaly at home
preparing briefs, feasibilities
and detailed proposals for any
size of project, however large or
smal, and have the capability
to manage complex, multi-sited
property portfolios betwen
50 and 50,0 sq. ft.
We pride ourselves in a
profesional and timely delivery
of high quality information in a
variety of formats to suit individual
organisational technology platforms
and comunication methods.
Benefits to an organisation
of this working model can be
sumarised acros rapid response
and refinement of proposals,
on-cal service delivery and
economic, high quality delivery.
28
Turn Costs into Revenue
In every organisation there exists the oportunity for
acounting erors to ocur. We are not talking about
major erors of acounting principle but smal, semingly
insignificant erors that can acumulate over the years into a
substantial amount of unrealised income.
Profesional and trade body
afiliations include RIBA
Chartered Practice Federation
of Smal Busineses Aproved
Contractor – Chelmer Housing
Partnership and Chelmsford
Aproved Contractor – St Georges
Comunity Housing, Basildon.
FOR MORE INFORMATION
Glyn Wiliams
Tel: 01245 2692
Fax: 01245 2692
Mob: 07973 835067
glyn.wiliams@tesco.net
w.glynwiliamsarchitects.com
HEALTH BUSINES MAGAZINE Volume | 1.8
First Pas Ltd has worked with many companies and in every
case we were able to recover significant sums for our clients and
recomend ways to prevent those erors from hapening again.
There is no aditional cost to the client; First Pas Ltd takes its fe
from the aditional income generated. It is entirely self-funding.
The main reasons for erors are:
Duplicate payments - where invoices are paid more than once.
Overpayments – e.g. where a suplier has not aplied
the corect level of discount.
VAT - There have ben two changes in the VAT rate recently, plenty
of oportunity for erors to ocur.
First Pas Ltd has the expertise to review historic acounting
transactions and recover any money due to your busines. In
some cases it may be posible to go back over six years thereby
recovering substantial sums.
Cal First Pas Ltd on 0160 71508 to find out more
about this oportunity. E-mail info@profit-recovery.co.uk
w.profit-recovery.co.uk
CARBON REDUCTION
Energy
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
AN INOVATIVE SOLUTION
Simon Rigby, director of Clinical Suport at Musgrove Park Hospital, explains a new project set
to reduce energy consumption by more than 40 per cent and generate savings of £17 milion
Taunton and Somerset NHS Foundation Trust
has embarked on a pionering project set
to reduce Musgrove Park Hospital’s energy
consumption by more than 40 per cent, the
best of any UK public sector organisation.
In adition the project, dubed the ‘Energy
Project’, wil also enable Musgrove to generate
savings of £17 milion, over the next 20 years,
which wil be directed towards patient care.
The government’s comprehensive spending
review, the introduction of carbon taxes
and mandatory carbon reduction targets
have left the NHS facing unprecedented
financial presures. Here at Musgrove Park
Hospital we faced a doubling of our anual
1.8m energy bil by 2017 and knew we
had to find an inovative way to deliver
improvements to our buildings that didn’t
have an impact on our operating budget.
REDUCING ENERGY USAGE
Hospitals are the highest energy users by
building type in the UK. The NHS has the
largest single estate in Europe and has
increased its carbon fotprint by 40 per
cent since 190. Colectively we are the
largest public sector contributor to climate
change, and in England the NHS produces
over 18 milion tones of CO2 per year.
The NHS has ben set targets to reduce
its energy consumption by 34 per cent by
2020. On top of this the NHS has a carbon
reduction strategy and is subject to the
Carbon Reduction Comitment Energy
Eficiency Scheme, which aims to reduce
consumption and emisions. To cope with
these chalenges al parts of the NHS
ned to make large-scale improvements
and inovative, creative solutions, with
asistance from the private sector, can help.
Musgrove’s partnership with Schneider
Electric highlights how working alongside
the private sector can ofer great benefits to
the NHS and also save energy and money.
Together we have come up with a simple
solution that wil improve our buildings,
met mandatory carbon reduction targets,
save money and ultimately, target funds
where they mater most – patient care.
The project, which is the first of its kind
in the UK healthcare sector, wil deliver
substantial energy eficiency measures at
Musgrove Park Hospital. The project is selfunding, and includes the cost of replacing
our old energy ineficient infrastructure
and equipment as wel as esential estate
projects financed by the fuel savings achieved,
meaning there is zero cost to the tax payer.
Some 180 individual solutions are being
implemented over the life of the project to
reduce energy consumption, minimise risk and
tackle reactive maintenance. These include the
instalation of a combined heat and power unit
linking the low temperature hot water (LTHW)
output to plate heat exchangers on several
domestic hot water circuits and the adition of
new energy eficient boilers to replace existing
steam boilers at the end of their usable life.
Steam traps wil be replaced and general
repair and maintenance of the steam
distribution system wil also take place in
adition to the replacement of calorifiers
with plate heat exchangers. The project
wil also encompas a ful overhaul of the
heating, ventilation, and air conditioning
system including variable sped drives and
control on air handling units and pumps as
wel as fre coling alterations to remove
mechanical coling requirements.
The benefits of the energy eficiency
measures are striking, with Musgrove Park’s
average energy consumption set to be reduced
by more than 40 per cent, delivering a cut
in carbon emisions by 43 per cent – the
best of any UK public sector organisation.
The guaranted energy performance project
is aimed at minimising energy demand,
reducing backlog maintenance and risk
while improving Musgrove Park Hospital,
Taunton. Folowing a detailed energy audit
in 2010, a refurbishment programe has
ben developed incorporating the 180
individual improvements acros the site.
Over £2.5 milion of estate backlog
maintenance is being tackled, thereby
minimising significant operational and
financial risks, with carbon emisions
being drasticaly reduced.
LONG-TERM PLAN
As this partnership was the first of its
kind in the UK healthcare sector, we
neded a company that could give us
the confidence to undertake a project of
this nature and Schneider Electric’s skils,
knowledge and expertise met the brief.
Through the partnership, we wil be able
to deliver energy savings of 43 per cent by
the end of 2012, vastly exceding those set
by central government. The money saved
can therefore be ploughed back into patient
services, improving the care we ofer to our
patients, while helping the environment.
It is expected to take two years to fuly
implement, but once completed, Schneider
Electric wil remain involved for ten years.
There is a performance guarante in place,
based on a percentage decrease in energy
units (MWh) against fixed targets.
Above al, the project wil be cash-
flow positive in every year of its 20-year
life, being funded by guaranted energy
savings – estimated to be over £750,0
per anum (rising with utility inflation).
The project is forecast to generate a
net operating cash surplus of £17 milion
over 20 years, and to fre up £2.5 milion
of budgeted capital expenditure to spend
on other trust priorities, such as further
improvements to the patient environment
and new medical technologies. We’ve
started seing savings from day one.
For the first 18 months of the project we
kep al the savings from the measures
introduced and during that period we wil use
a percentage of the savings to cover the costs
of the instalation. Any aditional savings are
available to be put back into patient care.
A HOLISTIC SOLUTION
Schneider Electric provided everything from
the design to the project management
required to ensure that the changes
we have implemented are roled out
smothly. Our role was to suport the
company in making the improvements.
Colin Rusel, the company’s healthcare
specialist, coments: “When we were
considering entering into the partnership,
we loked at the trust’s energy reduction
targets as wel as how long we thought
it would take us to achieve these single
handedly. We realised that working with
a third party would enable us to not only
met targets far more quickly, but also
provide us with a pol of resources and
knowledge that would be invaluable.
We hope that this project encourages other
Trusts to enter into partnerships such as this,
helping to reduce energy consumption acros
the NHS and making vital cost savings.”
Initialy, an in-depth analysis of the
equipment on site would be caried out. If the
existing equipment was found to be ageing,
ineficient or in ned of replacement, the
company would opt for the most eficient
aproach, which might be a combination of
traditional equipment and renewable and
low-carbon products such as photovoltaic
PV) solar power, solar thermal hot water
and CHP (combined heat and power).
By using inovative solutions, the NHS
infrastructure can be revitalised and huge
financial and energy savings can be achieved,
while making the care environment more
comfortable and safe for patients. We estimate
that if similar measures to those discused
in this article were replicated acros the
entire NHS estate, it could result in energy
savings of over £20 milion a year. L
Volume 1.8 | HEALTH BUSINES MAGAZINE
29
Furniture
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
DESIGN
RISING TO THE CHALENGE
A smart, elegant and thoughtfuly-presented hospital interior can lift the spirits of both patients
and staf, says Knightsbridge Furniture, a member of the British Contract Furnishing Asociation
Furniture (fur¦ni|ture) Noun: The movable
articles that are used to make a rom or
building suitable for living or working
in, such as tables, chairs or desks.
The lexicon – in this case Oxford Dictionaries
Online – makes ‘furniture’ sound so mundane.
Yet, as with most aspects of hospital life,
reality belies the aparent simplicity. Fiting
out a complex environment catering for the
24/7 neds of inpatients and outpatients,
staf and visitors is a chalenge best left to
experts, as those interior designers and buyers
charged with the task of furnishing a hospital
or other healthcare facility wil testify.
THE MANUFACTURERS’ ROLE
The responsibility for furnishing today’s
hospitals no longer lies exclusively
with interior designers and purchasing
managers. Manufacturers also have an
increasingly esential role to play through
the development and comercial production
of furniture which matches the demands
of the healthcare arena – demands
which are both precise and manifold.
As a result of working closely with
customers, specialist manufacturers have
ben able to bring furniture colections to
market that are designed to met neds acros
al areas of hospital life, whether catering
for defined user groups, answering clinical
requirements or actively adresing isues
such as infection control, tisue viability
or the care of patients with dementia.
Standards are high, with al hospital furniture
required to conform to BS 7176:207
ignition test, as wel as strength, durability
and safety standards BS EN 15373:207
chairs) and BS EN 15372:208 (tables).
DESIGNING OUT BUGS
Infection control remains at the core of hospital
routine and extensive R&D investment amongst
key players in the contract furnishing sector
has resulted in the introduction of healthcare
seating designed specificaly to reduce the
spread of hospital-acquired infections. For
some time, anti-bacterial upholstery fabrics and
lacquers aplied to exposed timber have ben
standard weapons in the fight against HAIs.
However, fundamental design elements now
underpin hospital seating to control contaminant
build-up: seat/back hygiene gaps, removable
cushions and minimal stitching details in
patient contact areas al facilitate aces for
cleaning and prevent the creation of dirt-traps.
Equaly specific features have ben
incorporated into hospital seating to help
manage presure care and tisue viability
in long-stay wards. Key presure-reducing
30
HEALTH BUSINES MAGAZINE Volume | 1.8
A diversity of seating and bedrom cabinet furniture has ben instaled at the Breast Care Unit at Prince Philip Hospital in Llaneli.
Patients at The Christie in Manchester are relaxing in style
thanks to its comfortable and suportive Melrose seating.
features include waterfal seats, armpads and weight-distributing cushions.
POSTURE AND SEATING
Furniture designers and manufacturers
have also acknowledged that god posture
is crucial: it not only ensures even weight
distribution and reduces shearing forces –
hence helping in the management of tisue
viability – but also encourages movement,
social interaction and self-reliance. Enhanced
lumbar suport built into patient seating wil
promote god posture even over prolonged
periods in the same chair whilst variable
seat depths, seat height adjusters and a
choice of chair heights and sizes wil enable
diferences in stature to be acomodated
without compromising on comfort (se picture
A striking aray of armchairs, beam seating and tables at the new
Peterborough City Hospital suplied by Knightsbridge Furniture.
courtesy of The Christie, Manchester).
Infection control and tisue viability
are isues with implications for patients
afected by a broad spectrum of conditions.
However, seating for defined user groups
represents a diferent sort of chalenge
for furniture designers. In response to
demand from hospitals for more furniture to
acomodate the rising number of bariatric
users, for instance, specialist seating has
ben developed for visitors, residents and
patients who weigh typicaly 35-50 stones.
Idealy combining style with functionality,
such seats should merge comfortably into
a mixed seting and complement other
seating whilst providing for the special
neds of larger users (se image courtesy of
Peterborough City Hospital). Armchairs E
E with enhanced size and strength to
acomodate bariatric users wil feature
extra-suportive arms, with handgrips to
aid rising and housekeping whels to help
manual handling. God posture remains
vital: reinforced lumbar suport ensures
the adoption and maintenance of a corect
seating position whilst waterfal seats
reduce presure on the backs of legs.
In adition, recent inovations include
chairs designed to acept hoists together
with the development of upholstered
motorised recliners in order to help
bariatric users presenting asociated health
and mobility problems. With patientactivated remote controls, these alow
the seat back to be poised at any angle
to facilitate a comfortable position.
RECLINERS
The increasing use of recliners in clinical areas
is, however, not restricted to bariatric users.
A growing variety of options now includes
compact recliners designed for tight spaces,
models with a ‘tilt-and-space’ action and
recliners providing aditional suport through
a snug containment back. Aplications are
equaly diverse, ranging from counseling
suites to maternity departments, where
recliners sem to be as useful to expectant
fathers as they are to mums-to-be. Several
models are also fited with extra-wide arms
to ease the administration of treatments like
blod transfusions or dialysis while the patient
remains in a comfortable seated position.
Recliners are available with either manual
or motorised action: in both cases, the recline
position can be stoped at any stage to alow
the user to find the most comfortable angle.
Other standard features include heavy duty,
lockable easy-clean castors to asist mobility.
Inded the day-to-day handling of patients
remains a key area of concern to hospital
staf, and furniture has ben developed with
a range of features to ease – and safeguard
the work of healthcare profesionals as
they move patients around a busy hospital.
Specialist patient transfer seating is now
available ready-fited with push handles and
castors for easy manoeuvring and adjustable
fotplates for patient safety, whilst useful
options include drop-arms to asist with either
bed-to-chair or chair-to-chair patient transfer.
DEMENTIA PATIENTS
As more hospitals find they have to establish
specialist departments to care for patients
sufering from varying degres of dementia,
so specialist furniture is being sought with
which to furnish them. Here, simple features
make a huge diference: highlighted table
edges, contrasting carcases/dors and seat
arms/cushions al help the visualy impaired,
whilst upstands on bedside units both contain
Healthcare
Equipment
that ofer staf,
patients and visitors
every reasurance
in this regard.
Our products aren’t
just robust for busy
working environments; their
advanced protective finish
is an important factor in
hygiene and infection control
in sensitive environments.”
Link Lockers and Link 51
provide an extensive range of
bespoke storage solutions for al
healthcare departments, including
its popular Garment Management
System, which is used for the
controled isue of work wear,
safety equipment or consumable
items in the workplace.
FOR MORE INFORMATION
For more information about
Link Lockers and its range of
inovative BioCote® protected
storage solutions, visit
w.linklockers.co.uk
or cal the fre helpline
on 080 730.
spils and prevent the los of personal items.
Visual aces to cupboard and drawer
contents is also vital to preserve a sense
of familiarity and encourage ownership.
Diped profiles to drawer fronts alow
imediate visual aces to the contents, for
instance, as do transparent vision panels
in wardrobe dors. Throughout, flexibility
is esential, with furniture configurations
easily adapted if neds change.
Yet whether furnishing a dementia ward, a
maternity department or a long-stay unit, the
importance of style when selecting seating,
tables and other furniture esentials should
not be overloked. A smart, elegant and
thoughtfuly-presented hospital interior wil
lift the spirits of patients and staf alike, and
even give the patient the feling of being in a
hotel rather than in an institutional building.
Thanks to the development of versatile
modular furniture systems and compact beam
seating, even the busiest hospital waiting
roms or the most cramped of transit areas
can be imbued with a sense of style and
inovation, engendering a positive ambience,
spreading a fel-god atmosphere and
making a valid – and often under-apreciated
contribution to the healing proces. L
FOR MORE INFORMATION
Tel: 01494 896790
w.thebcfa.com
Link Lockers reduces
cros-contamination
Designing solutions
that help healthcare
providers maintain
a hygienicaly clean
environment is a
key priority for Link
Lockers when it comes to
instaling shelving and lockers.
Link Lockers, which holds the
NHS Suply Chain contract for
the suply of shelving and lockers
with its sister company Link 51, is
the only locker manufacturer that
protects its painted stel products
with BioCote® protective finish.
This silver based anti-microbial
technology has ben proven in
per-reviewed trials to minimise
the risk of bacterial cros-infection
such as E. coli and MRSA, and
cuts the risk of bacteria and
mould growth on surfaces.
Andy Milward, Link Lockers
sales director, says: “We
recognise that everything within
a hospital and healthcare seting
has to comply with the strictest of
standards and we are comited
to finding the best solutions
Furniture
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
For people in the know
Introducing over 40,0 quality products
Friendly, UK based product experts
10% satisfaction guarante
Purchasing made simple
080 954 901
w.welcohealth.co.uk
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Volume 1.8 | HEALTH BUSINES MAGAZINE
31
BUSINES INFORMATION
FOR HEALTHCARE
PROFESIONALS
x20AC;“ w.healthbusinesuk.net
nordisadvert.pdf
05/09/201
12:23:40
Nordis Signs:
Cornhil Close,
Lodge Farm Ind Est
Northampton
N5 7UB
T: 01604 596910
ESC Highways Depot
The Broyle, Ringmer
East Susex
BN8 5NP
T: 01273 36848
For al your
signage solutions
C
M
Y
CM
MY
CY
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K
w.nordis-signs.co.uk
Fire and Safety Signs
Photoluminescent Signage
Construction Signage
Safety Posters
Visual Displays
Tapes, Tags & Labels
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Custom Design Service
Marketing Adverts - 1-4 Page Adverts.pdf 3 07/03/201 1:13:16
tel: +4 (0) 1392 686216 | email: ofice@signsystemsltd.co.uk
web: w.signsystemsltd.com
Protection is paramount;
could you be doing more?
C
M
Y
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32
HEALTH BUSINES MAGAZINE Volume | 1.8
As one of only a few
manufacturers within the Health
and Safety Sign Asociation,
we at Lasting Impresions can
guarante that our range of
over 2,0 diferent signs wil
not only fuly comply with al
relevant legislation, but wil also
protect you and your company
from any nasty surprises.
Lasting Impresions has taken
every step to ensure that both
your patients and coleagues
are protected from unecesary
harm. This includes rounding the
corners of every sign to eliminate
sharp and dangerous corners
which, we fel, also improves
the apearance of the sign.
Is your signage frequently
ignored? Great signage is
noticed, read and understod;
Lasting Impresions ofers
clear, concise letering on a
striking backdrop in order to
make sure your mesage is
received loud and clear every
time. We believe that our first
clas service wil leave you
with a Lasting Impresion.
FOR MORE INFORMATION
To browse our ful range
of products or request
a copy of our 92-page
brochure. Please visit
w.lastingimpresions
online.co.uk or cal
our sales team today
on 01308 456721.
FIRE SAFETY
INTRODUCING
SAFER SIGNS
The understanding of the meaning of fire safety signs is a
fundamental requirement of the Health and Safety Regulations
The adoption of ISO 7010 as a European norm
has finaly drawn the end game for fire safety
signs that were introduced as a consequence
of an EC Directive published in 197.
It is satisfying to know that NHS Estates
realised the most important thing about
the introduction of graphical symbols
to convey safety mesages, is that the
staf intuitively understand them.
The research caried out 20 years ago by
NHS Estates gave clear indication that there
were risks involved with the introduction of
abstract symbols to indicate escape routes.
NEW STANDARDS
Research and the development of the Health
Technical Memorandum 65 Part 2 – Fire Safety
Signs, which has ben superseded by NHS
Wayfinding Document, has stod as a bed
rock for the subsequent development by both
British Standards and International Standards
of comprehension testing and inclusion of
al graphical symbols for safety aplication.
The development of ISO 9816-1: 207
Graphical Symbols – Test Methods – Part 1:
Methods for Testing Comprehensibility, is a
testimony for the ned to ensure not only
the extent of comprehension but also gives
indication of the ned for suplementary
text, training and instruction. The graphical
symbol chosen by the NHS enhances the
British and International Standard symbol
with the use of flames as a determinant,
presenting a clear and unequivocal mesage.
Research and tests proved that the
NHS symbol increased comprehension
and understanding of signs by
an amazing 30 per cent.
The legislative framework derived from
EC Directive 92/58 requires that responsible
persons ensure that al building ocupants,
not only comprehend the meaning of the
safety signs, but also understand the action
to be taken in conjunction with the signs.
Signage
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
CLEARING THE CONFUSION
The changes in fire safety legislation moving
from a very prescriptive regime to a risk
based enginered solution has highlighted
the dangers when using escape route signs
that may cause confusion. It has taken
20 years for the rest of the industry to
question the validity of using a graphical
symbol that is not clearly understod.
Using signage that is not clear may have
an impact on egres sped and eficient
evacuation, which could be fatal. The use of
HTM 65 (NHS Wayfinding Document) for escape
route signs ensured that a known convention
was implemented for safety way guidance.
This simple convention was a foundation
to BS549 Part 4 20 and caried its
provenance through to the development
internationaly of ISO I6069: 204 –
Graphical Symbols – Safety Signs – Safety
Way Guidance Systems (SWGS).
The understanding of the meaning and
actions to be taken in conjunction with
safety signs is a fundamental requirement
of the Health and Safety (Safety Signs and
Signals) Regulations. NHS Estates have to be
congratulated for their insight 20 years ago.
The NHS Estates wil now wait for the
rest of the world to catch up and stop
playing ‘Pictionary’ with people’s lives. L
A Means of Escape Publication, on behalf of
the Health and Safety Sign Asociation (HSA).
Jim Creak is chairman of the HSA.
Volume 1.8 | HEALTH BUSINES MAGAZINE
3
Conflict Management
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
to suit the specific neds of the various roles
at each individual venue. Hospital porters have
totaly diferent safety isues from a surgeon,
whose safety neds bear no resemblance to
the neds of a GP when making home visits.
No mater how god the risk asesments
have ben at identifying the risks, and
how robust and tailored the policies and
procedures put in place are, it is rarely posible
to eliminate al risk. Therefore staf must
be given the knowledge and skils that wil
enable them to deal with the residual risk. It’s
important that training is only introduced at
this stage and not before. Training should only
ever be used as part of an overal personal
safety strategy and never in place of one. If the
corect risk asesments have not previously
ben caried out or the previous policies and
procedures were not thorough enough, and
an incident hapens, then the organisation
could be at risk of litigation for not acepting
that its work systems were inherently unsafe.
TRAINING
ASESING THE
THREAT SITUATION
For an organisation as enormous, diverse and widespread as the
NHS, it can be a chalenge to provide personal safety for al staf,
writes Bob Beal, director, the Institute of Conflict Management
Providing a safe working environment
and safe working practices for employes
is a relatively complex task for any large
organisation. But for an organisation as
enormous, diverse and geographicaly
widespread as the NHS, this is a huge
undertaking and the complexity of it should
never be underestimated. It is an enormous
job but esential for both the organisation and
its employes that it is done and done wel.
RISK ASESMENTS
In order to ensure the safety of staf, there
are basic steps management neds to
undertake. The first of these is to cary out risk
asesments. This means asesing the risks
involved with the individual tasks members
of staf undertake. These asesments have to
be thorough and they have to be targeted.
There is no point carying out risk
asesments for hospital porters, for
example – and then producing policies and
procedures based on this. Each hospital,
clinic or surgery has a diferent layout,
location and patient profile. Therefore the
safety risks wil vary, meaning the safety
policies and procedures for each health
service venue and its staf, including those
that work alone in the comunity – must be
34
HEALTH BUSINES MAGAZINE Volume | 1.8
tailor-made to deal with its specific risks.
It is important that those who cary out
the risk asesments realy know the roles
they are asesing. It is pointles to bring in
someone from outside the department to
ases the risks based on whatever tasks
management tel them their staf undertake.
For risk asesments to be efective, the
asesor must comunicate directly with
the frontline staf, in order to find out how
the jobs are realy caried out. Consulting
with staf – whether via focus groups,
questionaires or reporting amnesties – wil
enable management to find out the real isues.
POLICIES AND PROCEDURES
Once the risks have ben identified, this
consultation with staf should continue
through to the development of relevant
policies and procedures. If safety procedures
are to work, their input is invaluable. The
frontline employes – whether that’s GPs
receptionists, ambulance drivers or doctors
in A&E – know what realy hapens on a
day-to-day basis, what procedures would be
practical for them and, importantly, which
procedures they would actualy folow. As
with risk asesments, generic policies and
procedures are pointles. They must be tailored
TRAINING FOR FRONTLINE STAF
God conflict resolution training for frontline
staf should include how to make dynamic risk
asesments of the person you are dealing
with, the environment in which the situation
is taking place and the task that is involved.
Is the person they are dealing with under the
influence of drugs/drunk/frightened/in pain/
angry? Are there coleagues/security nearby
who could come to their asistance if any
problems ocured? Do they have to tel the
person something that might upset them?
Could any of these factors compromise their
safety and what should they do about it?
Frontline training should also give staf
the knowledge and skils to recognise
early warning signs of agresion. The
earlier they can spot these signs, the
easier it wil be for them to take action
to defuse the situation if posible, or to
exit it or cal for asistance if necesary.
MANAGING BEHAVIOUR
How to manage our own behaviour is a vital
part of any personal safety training. A crucial
element when dealing with others is the
awarenes of any felings in ourself – such
as anger, disgust, fear or resentment – that
could cause agresion in the other person.
God personal safety training should enable
staf to act apropriately when dealing
with agresion, rather than reacting in a
way that could make the situation worse.
Employes should be trained in how to
judge whether it is safe to stay and atempt
to deal with any given situation, and how
to defuse that situation if they do decide
to stay. Likewise, they ned to learn about
strategies for exiting a dificult situation
safely if they decide that is the safest option.
As with risk asesments and policies and
procedures, the chalenge with training is
that it neds to be relevant to the individual.
The greater the diversity of jobs within the
organisation, the more esential it is that the E
E training is bespoke. You can’t give the
same advice on how to exit a situation safely
to a nurse who works in A&E as you can to
a nurse who makes home visits, for example,
or a paramedic who deals with drunks in
their ambulance every Saturday night.
If, as hapens in many cases, training is to
be cascaded down from an initial generic
system, then it is vital that the ‘traines’,
who are then expected to give the training
within their own department, are also
taught how to transpose the generic advice
to the specifics of their own department.
Training the trainers suficiently is esential
if al frontline employes are to be given the
necesary targeted knowledge and skils to
kep themselves safe in their particular role.
ADITIONAL ELEMENTS
Hospitals and other large facilities are using
security staf more and more. They play a vital
role, however security staf must be registered
with the SIA (Security Industry Authority)
and have to operate within their remit. This
could potentialy clash with the NHS safety
remit. It can also be tempting for clinical
staf, who should be in charge of any conflict
management, to hand over the management
of agresive situations to security (this
is more likely to hapen if they are not
suficiently trained in carying out dynamic risk
asesments). This would be fine if it was just
calming down drunks or exiting them from
the building if necesary, as they are trained
for this. However it can cause problems if they
are asked to manage the agresion coming
from a patient whose violence is a result of
their clinical condition, for example dementia,
certain medications, pain, fear, and so on.
Therefore it is esential that the use of
security staf is not abused in order to
compensate for the lack of relevant conflict
management training of clinical staf.
Technology can be very useful if its use is
clearly defined. Alarms and tracing systems
can be extremely efective in sumoning
help and in warning of posible problems.
However, they canot prevent a violent or
agresive incident from hapening nor
can they help an employe to deal with
such an incident until help reaches them.
Technology should never be used in replace
of god safety procedures and training.
God reporting systems are esential if an
employer is to kep risk asesments and
procedures up-to-date. Employes should
always be encouraged to report incidents
and near mises. They wil only do so if the
system is simple, non-time consuming and
they can se a clear result/benefit of reporting.
MANAGEMENT RESPONSIBILITIES
Those responsible for staf safety ned to
ensure that thorough risk asesments
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are caried out and that safety policies
and procedures are designed and fuly
implemented. They ned to ensure that
employes know about and contribute to
the creation of these safety policies and
procedures. They should also ensure that
frontline employes receive relevant and
targeted training and that personal safety
is kept on the agenda and integrated into
existing structures acros the organisation.
Finaly, they ned to create and implement
a structured reporting and aftercare proces
to ensure that victims are suported.
There are numerous factors that can
adversely afect the personal safety of
health care employes – from dealing
with people who are frightened, in pain,
mentaly il or drunk, to geting home after
finishing late or transporting drugs around.
The diversity of healthcare roles, the
locations where interactions with the public
take place and the risk factors involved,
make it extremely hard to provide efective
personal safety solutions for al those
in the health sector. The ICM believes
that the only way this can be done is for
the training of both frontline staf and
management to become les generic
and more bespoke in the future. L
Conflict Management
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
FOR MORE INFORMATION
w.conflictmanagement.org
When tension & emotions run high, what’s the
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Volume 1.8 | HEALTH BUSINES MAGAZINE
35
Medical Technology
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
FUNDING
CAN PAYMENT BY RESULTS
BE REFORMED TO FULFIL
THE NEDS OF THE NHS?
When introduced in 202, PbR was a sucesful financial tol to increase activity, however,
the NHS has since changed and so must this system, argues the Medical Technology Group
The Payment by Results (PbR) system, first
anounced by the Department of Health
in 202, has to date had litle to do with
outcomes or results. Criticised by the British
Medical Asociation back at its introduction
for encouraging unequal competition betwen
the public and private sector, PbR has also
faced condemnation for funding arangements
that semingly incentivise results in terms
of quantity, rather than quality, and giving
providers a ‘perverse incentive’ to cary out
outdated, more invasive treatments that
atract higher tarifs. However, it must be
recognised that PbR was a sucesful financial
tol to increase activity, which at the time,
was much neded to clear the backlog of
patients and was arguably instrumental in
reducing waiting lists under the previous
government’s 18 weks initiative.
CHANGING SYSTEM
But the NHS has changed. Speaking to the
Nufield Trust in March 201, health secretary
Andrew Lansley said: “We have a system
in the NHS misleadingly caled ‘Payment
by Results’. But organisations aren’t paid
for results. They are paid for activity. They
are rewarded for proceses and ticking
boxes, for doing stuf and not actualy for
delivering the best posible patient care.”
He aded further concerns on the
limitations of PbR, saying: “Payments
based on the historic average cost of a
treatment can’t hope to kep up with often
fast-paced developments in care.”1
In moves to adres this, the government
initialy proposed a Maximum Price Tarif,
which would’ve alowed comisioners
and providers to negotiate on the cost of
treatments. However, the Medical Technology
Group (MTG) voiced concerns about both
quality and patient safety under this system.
Under the policy, some hospitals would
have ben able to cut prices to please
comisioners, simply by cros-subsidising.
However, other hospitals on a les stable
financial foting may not have that option
in such cases, they may have ben
presed into cuting quality and posibly
taking short-cuts on safety. This clause was
removed from the Bil during the comite
stage as MPs, health organisations and
36
HEALTH BUSINES MAGAZINE Volume | 1.8
In a fairly unsophisticated cost-driven culture,
there remains a risk that shrinking budgets
combined with major structural reorganisation
wil result in the continued prioritisation of short
term, price-based decision making.
practitioners raised concerns that the
quality of the health service would sufer as
comisioners prioritised price over quality.
With quality being much harder to
measure than price, the MTG also
questioned whether the numerous new
Clinical Comisioning Groups (CGs)
wil have the expertise to identify any
decline in quality and react acordingly
Sir David Nicholson, NHS chief
executive, gave evidence to the House
of Comons Public Acounts Comite
and expresed similar views. He advised
that without god quality measures or
patients not being qualified to judge
the quality of their treatment, price
competition is “very dangerous”2.
ASESING CARE
In order to ensure the best experiences and
outcomes for patients receiving treatment
on the NHS, it is vital that al treatments
are asesed in terms of their efectivenes,
safety and their capacity to deliver god
patient outcomes and high quality care –
care that wil deliver significant cost E
E savings in the future, rather than low-level short term savings.
In a fairly unsophisticated cost-driven culture, there remains a risk that
shrinking budgets combined with major structural reorganisation wil
result in the continued prioritisation of short term, price-based decision
making. Taking this aproach in favour of seking high quality outcomes
for the longer term is likely to be a false economy and moreover
jeopardise the future viability of a taxation-based health system such as
the NHS. Instead the focus for the service must be provision of services
that take acount of patient choice and preferences which balance sound
long term financials with clinical outcomes befiting a modern NHS.
BEST PRACTICE TARIF
One of the proposed antidotes to costly or myopic comisioning
could be the new Best Practice Tarif (BPT) programe, of which a
smal number have already ben introduced and more are expected
over the next few years. However, the nature of these Best Practice
Tarifs vary considerably from aditional payments, which are linked
to fulfiling aspects of best clinical practice, to an overal reduction in
the tarif value to remove the equivalent value of one days stay as an
inpatient. An example of the former is the Hip Fracture BPT and the
later is the curent BPT for Primary Hip and Kne Replacement.
Anecdotaly the Best Practice Tarifs work best when they are
linked to clinical indicators or aspects of best practice care and
realy change the way services are delivered. Conversely the impact
of a punitive BPT, which simply removes £232 from the tarif value
to encourage a reduction in length of stay, remains to be sen but
is unlikely to have had the same impact acros the country.
By extending the BPT further stil, the NHS can lay the
solid guidelines for comisioners to judge how best
clinical practice wil play out. The criteria laid out in these
tarifs mean that providers are paid acording to the costs
of excelent care, rather than the average price3.
TRUE RESULTS
Where Best Practice Tarifs describe the clinical characteristics
of best practice and the structure, prices, and arangements for
implementation this is a welcome development in the movement
from payment for activity to true “payment by results”.
For hip and kne replacements, for example, the pathway includes
the pre-operative asesment, care during the hospital admision
and imediate post discharge including outreach care. There is an
expectation based on a range of publications that utilisation of such
pathways should improve the patient experience and satisfaction, reduce
lengths of stay and shorten post-operative rehabilitation4. However,
the chalenge for providers is that in some instances pathway redesign
requires investment, particularly for the highly championed enhanced
recovery programes for orthopaedics which utilise comunity outreach
teams that visit patients at home after an early discharge from hospital.
Despite the intention to increase the enhanced recovery programes
acros the country and reduce length of stay this presents a significant
chalenge for trusts to deliver when the tarif value is decreasing
year on year. Inded for this aproach to best practice tarifs to
deliver the necesary change it would ned to ofer incentives
to change which could be used to invest in the programe.
STRUCTURED TARIFS
Acording to the Department for Health: “The aim is to have
tarifs that are structured and priced apropriately both to
incentivise and adequately reimburse for the costs of high quality
care.”5 Whether this is the goal or the reality remains to be
sen but it should be the guiding principle for the Best Practice
Tarif programe if an erosion of quality is to be averted.
Extending clinicaly-based Best Practice Tarifs to cover a wider
range of conditions wil ensure care is truly designed around the
patient, and focused firmly on the entire patient pathway. It is
imperative that Best Practice Tarifs are based on clear clinicalybased indicators of best clinical practice and draw upon relevant
national guidelines. The alternative is punitive tarifs that are labeled
About the MTG
Medical Technology
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
The Medical Technology Group (MTG) is a coalition of patient
groups, research charities and medical device manufacturers
working to make medical technologies available to everyone who
neds them. Uptake of medical technology in the UK is not as god
as it should be given its great potential to provide value for money
to the NHS, patients and taxpayers. The MTG believes that patients
and clinicians ned beter information about medical technologies
so that they can make informed choices about their medical care.
BPTs but which threaten quality of care and patient outcomes.
However powerful it is, Payment by Results canot solve everything.
Comisioners around the country are refusing to pay for evidencebased, proven, safe, cost-efective procedures and/or technogies
whether a tarif, or a best-practice tarif is available or not. This shorterm strategy to manage budget constraints is unsustainable and wil
jeopardise patient aces to apropriate treatments and is likely to
actualy increase the overal cost to the NHS in the coming years. L
FOR MORE INFORMATION
w.mtg.org.uk
Notes
1. Nufield Trust Anual Health Strategy Sumit: NHS
modernisation and the way we pay for care (2 March 201)
2. Health Service Journal (p.5, 20 January 201)
3. Equity and Excelence: Liberating the NHS
4. Department of Health: Payment by Results Guidance 201
5. Department of Health website w.dh.gov.uk
NICE Guidance
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case to adopt
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the NHS
Clinical evidence suports
Inditherm’s efectivenes
at preventing hypothermia
Anual cost savings of
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Aditional savings from
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and clinical waste
Ful guidance can be found at
w.nice.org.uk/guidance/MTG7
Contact any of our Medical team
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Volume 1.8 | HEALTH BUSINES MAGAZINE
37
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OPEN SOURCE SOFTWARE
Healthcare IT
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
MAKING EFECTIVE USE
OF THE HEALTHCARE
INDUSTRY’S IT SPEND
Stuart Mackintosh explains the key components of open source software, the government’s
atitude towards it and how it can be efectively used within the health industry
In comparison to worldwide proprietary
software vendors such as Microsoft, Aple
and IBM, open source software may not
be a term that you recognise. However, the
UK Government has ben keping abreast
of its development and gradualy engaging
with OS over the past decade. This year,
strong guidance on how to procure open
source software and ases its suitability,
plus a catalogue of OS aplications is
expected to be pushed through internal
government, which confirms its position
firmly in the mainstream arena.
WHAT IS OPEN SOURCE?
The first thing that neds to be explained is
what open source actualy is – in its simplest
form it is software that has ben developed
in a public and colaborative maner. Unlike
proprietary software, OS has unrestrictive
licenses and is generaly fre to use, giving
Cabinet Ofice has halted al NHS purchases
of Microsoft software whilst it negotiates a
central deal. This decision has ben made
in an atempt to regain control and reduce
the overal cost of software to the NHS,
and in turn, opens up the playing field to
open source supliers, who are able to
build flexible systems that can be adapted
for re-use acros multiple departments. A
similar project is curently being undertaken
within the country’s Police force.
GOVERNMENT SUPORT
Long-term suporters of open source
within the government include Ofice of
the Chief Information Oficer, Robin Pape,
minister for the Cabinet Ofice, Francis
Maude and advisor to the Eficiency and
Reform Group, Liam Maxwel. With his
recent apointment to Government Chief
Information Oficer, the use of OS throughout
This year, strong guidance on how to procure
open source software and ases its suitability,
plus a catalogue of aplications is expected to
be pushed through internal government, which
confirms its position in the mainstream arena.
consumers the fredom to chose solutions
that can be built, tailored and adapted to
their specific neds without the fear of
prohibitive licenses and vendor lock-in.
Its key benefits include robustnes, simple
implementation and low maintenance. It
does not directly atract renewal costs or
fes and due to its flexible nature, OS
lends itself wel to skunkworks projects.
These advantages are key when it
comes to the public sector’s curent
standpoint – it is ken to find ways
to reduce costs, whilst providing an
increasingly eficient service, with changes
in procurement now focused on geting
greater value from each purchase made.
These changes in procurement also include
re-use costs, which have always ben an
isue with proprietary systems that lock
users in, so it comes as no surprise that the
government is sure to gain momentum.
Mark O’Neil, leader of the Cabinet Ofice’s
skunkworks team, is curently developing
low cost IT aplications and advising on the
procurement of large projects. Although stil early
days, he stated in a recent interview: “We are
loking at the comunity aspect as it is intended
to provide faster, more agile ways of geting
things done and the comunity aspect is key.”
WHO IS MAKING THE TRANSITION?
The Department of Health’s vision is to enable
greater transparency of information, which
includes the ability to aces said information
from the location it is neded, whilst
restricting who can aces it. In 2010, the DoH
expresed an interest in a number of open
source initiatives that were submited during
the Information Revolution consultation.
Many government departments are
considering a move from proprietary software
to an open source alternative; NHS Scotland is
investigating the use of open desktops, which
wil encourage the use of OS aplications
and other programes that store data in a
maner that can be used by other aplications.
There are numerous open source and
fre aplications that are being specificaly
developed for the healthcare market, such
as DentalOpenERP, which enables dental
supliers throughout the UK and Europe
to run more eficiently and covering al
operational proceses in one open source
solution. DentalOpenERP has ben designed
so that in time, it can be sucesfuly deployed
within various other primary care setings.
In adition, this July, the government’s
technical inovation hub, DotGovLabs,
hosted a ‘Dragon’s Den’-style competition
to decide on the winer of this year’s
Healthcare Chalenge prize. The winer
was Rob Dyke of Taxtix4, who has asisted
the University of York in conjunction with
a Knowledge Transfer Partnership (KTP)
to develop a healthcare-specific hub for
open source software development, in
conjunction with BCS, PHCSG and the
ehealthopensource ecosystem programe.
UNDERSTANDING THE ISUES
Many of the systemisation chalenges
faced within the healthcare industry are
shared with the majority of other industries
projects become to large, objectives
are not clearly specified and the people
creating the aplications are removed
from the people using it. Factors such as
these can create a product that simply
does not fit the use and in some cases, can
reduce eficiency rather than enhance it.
The case for closed or proprietary
software is that the suplier often gains
domain experience and is able to spread
this learning over multiple sales of the
same package. However, larger gains can
be made if the lesons learned are shared
frely within both the healthcare and
technology industries, thereby soliciting
greater review and colective benefit.
When designing the functional aspect of the
system, the focus should be on the proces
neded, not what the curent software does. E
Volume 1.8 | HEALTH BUSINES MAGAZINE
39
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OPEN SOURCE SOFTWARE
E Healthcare was in practice long before IT
was introduced; therefore, technology should
be used to streamline these established
proceses with rapid information retrieval,
security and eficiencies. Users and their
environment ned to be taken into acount,
with adaptations to suit where apropriate.
As with any aplication, profesional skils
are neded to enable it to be optimaly
used. Plus, finding the right sized building
blocks to build the nation’s healthcare
systems is esential – to smal and the
costs and time are great, to large and
they wil not alow for the flexibility and
fine tuning neded to met the unique
demands of a modern healthcare industry.
CREATING THE SOLUTIONS
As open source has contributors from acros
industry, it naturaly atracts inovators to
create solutions to problems as wel as refiners
who iron out the finer points and both have
the fredom to build and perfect the systems.
The Open Health Tols Project suports the
Integrating the Healthcare Enterprise (IHE)
initiative, which intends to bring together
a standard set of information that can be
implemented acros healthcare systems
enabling new products and services to be
introduced whilst maintaining compatible
information. This project has a comunity
of healthcare and technology industry
profesionals working together toward a
comon goal. This is in contrast to the closed
aproach, where a system is developed in
isolation by a single organisation and sold
into the market without the oportunity for
the users to afect its design and usability.
By building one comon system that can
be adapted for use acros multiple sites and
departments, it results in les training and
a deper knowledge of the implemented
technology acros the organisation.
In adition, with an OS system, there
are no ongoing software costs and
users have the ability to independently
tailor the system to suit their unique
requirements, both during the initial build
and as busines requirements change.
Finaly, there are the exit and retirement
strategies to consider. Proprietary systems
lock’ the user in; therefore, in order to retrieve
esential data from their system, users may
have to engage a consultant to reverse
enginer the information schema. Plus, some
license restrictions may prevent organisations
from using external parties, creating a costly
exit strategy and leaving them with no choice
but to pay the vendor to export your key data.
With OS, open standard and open data,
users enjoy no such restrictions – they are able
to view and introspect al components of their
systems and the data contained. Therefore, it
is a lot easier to aces and export busines
Healthcare IT
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
About the author
Stuart Mackintosh is the MD of OpusVL.
He is a member of the government’s
OS implementation stering
group, which governs and monitors
the efective adoption and use of
open source technologies through
government departments.
logic, functions and data from an open system,
thereby dramaticaly reducing the exit cost.
LOKING TO THE FUTURE
Once marginalised in favour of proprietary
software, open source is finaly making
waves in the corporate and political worlds.
Its philosophy, methodology, flexibility in
its usage and modification and obvious
cost benefits simply canot be ignored.
No mater how you lok at it, OS has a
significant part to play in the future of IT.
However, irespective of the type of system
an organisation choses, technology should
not be used to solve proces problems
and can never be expected to overhaul
a organisation’s operations alone – it is
only through understanding the isue and
resolving it that IT can then be implemented
to enhance and streamline the ofering. L
OpusVL – simple
Document scaning,
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storing, and shreding
from Rapid Reprographics busines chalenges
Rapide started in 192 as a
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stil retain the ability to provide
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Volume 1.8 | HEALTH BUSINES MAGAZINE
41
Healthcare IT
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
DATA ANALYTICS
BEING SMARTER WITH THE
DATA WE ALREADY HAVE
John Backhouse, Information Builders’ regional programe director for healthcare, explains
how to overcome NHS data dificulties and make the most of existing IT implementations
After a series of costly contracts, failed
deliveries and shifting goal posts, the
objective of electronic patient records for
everyone in the country loks set to be
abandoned. After nine years and £2.7 bilion,
the National Audit Ofice has reported
that the National Programe for IT has
failed. However, the NHS remains tied
into contracts whilst hospitals, ambulance
crews, mental health units, comunity
care teams and doctors’ surgeries stil
wait for working computer systems.
KEPING PATIENT DATA SAFE
The National Programe for IT was developed
in response to concerns about the ned to
safeguard patient data. But with £4.3bn
remaining to be spent by 2015-16, the NHS
faces a decision whether to stop development
42
HEALTH BUSINES MAGAZINE Volume | 1.8
now or continue with a failing project.
The Department of Health has already
abandoned the original scheme’s aim of
storing al NHS information in a single
system, spaning thousands of separate
NHS organisations. It has opted instead for
one set of comon rules so that disparate
systems can share what information they
have, a proposal that was originaly on the
drawing board when the DH first embarked
on the National Programe for IT scheme.
From a public perspective IT and
the NHS have had a rather troubled
history, particularly in recent years. E
The National Programe for IT was developed
in response to concerns about the ned to
safeguard patient data. But with £4.3bn
remaining to be spent by 2015-16, the NHS
faces a decision whether to stop development
now or continue with a failing project.
The continued evolution of
technology within the healthcare
sector is vital to helping overcome the
many chalenges we face, especialy
as we continue to live longer.
E Analytics in healthcare is curently very por, and despite
the clear and verifiable benefits it can provide, it simply hasn’t
ben a priority for key decision makers. There are some core
proceses that are being transfered from manual tasks to
automated and algorithmic decision making systems, but for
the most part people in this area are just playing catch-up.
PREDICTIVE ANALYSIS
One of the bigest chalenges is building suficient data for predictive
analysis. While there is usualy plenty of historical data, in most
cases it is tied up in legacy systems – requiring huge, and often
eror-prone data extraction and migration projects. Furthermore
patient data is frequently spread acros multiple systems, so
even managing to maintain consistency in a local environment
can be dificult, never mind trying to migrate or synchronise that
information betwen trusts or diferent health departments.
However, it’s not al dom and glom. There are steps that
can be taken to help NHS departments to get more from
their IT implementations. As with any significant project,
the key is to take a step-by-step aproach rather than trying
to the tackle such a mamoth task in one fel swop.
First and foremost people should identify the low-hanging
fruit – lok for the proceses that can be easily automated
and the data that is the simplest to extract and analyse –
and then start loking at more complex aditions such as
busines inteligence, reporting and predictive analysis.
This helps to avoid the los of focus that usualy arises when
a project becomes to large and unwieldy and also delivers
some quick returns-on-investment, which is vital for the
continued suport of users and management alike. As the NHS
remains answerable to the public purse, visible suces and fast
returns are esential if they are to retain public suport.
SHARING BEST PRACTICE
Next, it’s important to remember that healthcare is universal,
and so sharing lesons learnt acros the sector as a whole is
vital. For example, some hospitals in the Netherlands are doing
length-of-stay predictions based on the conditions presented
by patients. This helps beter map and analyse the impact on
each ward and improve levels of space and staf utilisation.
However, IT personel within the NHS can also lok to other
industries for cases of best practice. There are plenty of examples
of projects within sectors such as banking or retail that can be
adapted to deliver significant improvements to the healthcare
industry. Single customer view (SCV) projects share many of the
key elements involved with patient data integration programes.
Many SCV projects have ben sucesfuly implemented on
a vast scale acros huge organisations with multiple legacy
systems drawing paralels with the size and scope of the NHS.
The continued evolution of technology within the healthcare
sector is vital to helping overcome the many chalenges
we face, especialy as we continue to live longer.
Cost is not necesarily the defining factor here. It’s about being
smarter with the information we have. If the NHS is to make the
most of technology to streamline operations while improving patient
care, it neds to break out of the cultural narow-mindednes that
curently plagues it and lok outward for examples of best practice
and inward for ways of making beter use of the data to hand. L
Healthcare IT
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
INTERNATIONAL SUMIT 201
INFORMATION BUILDERS
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With any type of navigation, smart decisions are made by
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your pers, industry experts, and the Information Builders team.
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to sharpen your skils and enhance your knowledge of busines
analytics, data governance and management, metrics based
management, and self-service BI and dashboards. Event highlights:
Learn more about busines inteligence (BI) and enterprise
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Find out how your pers and our customers
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Met with Information Builders executives and product
experts to learn more about our solutions and products
Visit demo stands to se the latest aplications and
solutions from Information Builders and our partners
Network and learn in order to stay sharp on the
latest technologies and topics in BI and EIM
Featured speakers include Tim Jenings, Ovum’s chief analyst for
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Volume 1.8 | HEALTH BUSINES MAGAZINE
43
Obesity Management
Writen by profesor David Haslam, GP and chair of the National Obesity Forum
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
FINANCE
A HEAVY BURDEN
The number of overweight and obese people in the UK is
on the increase, meaning the financial costs asociated with
obesity are also on the up, with the NHS paying a heavy price
Obesity is wreaking havoc on the UK
population’s health, and on its bank balance,
yet evidence sugests that it can be managed
sucesfuly and cost-efectively.
The Public Health White Paper ‘Healthy
Lives, Healthy People’ threatens to derail the
medical management of obese individuals,
by diverting funds from NHS treatment into
localised prevention initiatives, despite the
fact that a quarter of the adult population
already sufer from obesity and for whom
prevention has long ben irelevant.
GP consortia wil have the autonomy
to decide whether or not to prioritise the
identification, screning and management
of obese individuals, or to save money in the
short term by ignoring obesity, turning a blind
eye to its delayed but expensive complications
such as diabetes, heart atack and stroke.
IN THE PAPERS
80m bil for obesity: Benefit claims by
those to fat to work have soared under
Labour,” reported the Daily Mail.
BMI of 18-25. These diseases can ultimately
curtail life expectancy. Some studies have
shown that severely obese individuals are
likely to die on average 1 years earlier
than those with a healthy weight.”
PRESCTIPTION COSTS
Obesity increases drug prescribing in al
the most expensive categories. In a costeconomic analysis by the Counterweight
team a higher percentage of patients
who were obese, compared with those of
normal weight, were prescribed one or more
drug in the folowing disease categories:
cardiovascular (36 per cent versus 20 per
cent), central nervous system (46 per cent
versus 35 per cent), endocrine (26 per cent
versus 18 per cent), and musculoskeletal
30 per cent versus 2 per cent). Al of these
categories had a P-value of <0.01. Other
categories, such as gastrointestinal (24 per
cent versus 18 per cent), infections (42 per
cent versus 35 per cent), skin (24 per cent
versus 19 per cent) had a P-value of <0.01,
Obesity is headline news, because of the efect is
has on al aspects of life, including the financial
costs to the individual and the tax-payer. Obesity
prevalence in the United Kingdom has tripled
over 25 years, a quarter of UK adults posesing
a Body Mas Index (BMI) >30kg/m.
Fat people wil cost £75 more to bury
than those who are thiner, because
they take up more space in a cemetery,”
reported the Daily Telegraph.
Obesity is headline news, because of the
efect is has on al aspects of life, including
the financial costs to the individual and
the tax-payer. Obesity prevalence in the
United Kingdom has tripled over 25
years, a quarter of UK adults posesing a
Body Mas Index (BMI) >30kg/m.
Oficial figures from the Department of
Health (DH) in 2010 estimate the financial
impact of obesity on the NHS at £4.3bn.
The DH reported that: “Around ten per cent
of al cancer deaths among non-smokers
are related to obesity. The risk of coronary
artery disease increases 3.6 times for
each unit increase in BMI, and the risk of
developing type 2 diabetes is about 20
times greater for people who are very obese
BMI >35), compared to individuals with a
4
HEALTH BUSINES MAGAZINE Volume | 1.8
while respiratory diseases (18 per cent
versus 21 per cent) had a P-value of <0.05.
Total prescribing volume was significantly
higher for the obese and was increased in the
region of two-to-fourfold in a wide range of
prescribing categories: ulcer healing agents,
lipid regulators, adrenoreceptor drugs, drugs
afecting the renin-angiotensin system,
calcium chanel blockers, antibacterial
drugs, sulphonylureas, biguanides,
NSAIDs, fibrates, and thyroid drugs.
The impact on prescribing volumes in
obese patients is from numbers of patients
treated, greater dosages and longer duration
of treatment in those who are obese. It
concluded that obesity more than doubles
prescribing costs in most drug categories.
PRESURE ON FACILITIES
Counterweight also demonstrated the
increasing burden obesity puts upon GP,
nurse and hospital time, whether or not
co-morbidities are present in an individual.
For every co-morbidity category, and at
similar ages, obese patients visit the GP
more often than their normal weight
counterparts. Even when no co-morbidities
are present, the obese make more visits
to the GP and PN. Obese individuals make
significantly more visits to hospital outpatient
units than normal weight patients, and
are admited to hospital more often.
So obesity is a major health hazard and
a masive expensive to the NHS and wider
economy. Even a decade ago the National
Audit Ofice asesed how dire the situation
had become: citing 30,0 deaths a year and
18 milion sick days atributed to obesity.
However in 201, £480 milion was
spent on treating the consequences of
obesity, but only a paltry £9.5 milion
was spent on treating obesity.
Similarly in Scotland only two per cent
of the total obesity-related expenditure is
spent on treating obesity and 98 per cent is
consumed by the treatment of co-morbidities .
Healthcare provision is at a crosroads
thanks to the NHS reforms. Although
the management of obesity, including
identification, screning for co-morbidities,
global risk reduction and management of
co-morbidities, wil be in the hands of GP
consortia (and could be transformed for the
beter and arguably save the NHS from future
bankruptcy), funding for interventions is E
and of cardiovascular and microvascular complications such as
myocardial infarction, stroke, blindnes and amputation.
One paper demonstrated cost savings of £1,50 per patient in
diabetes management alone after surgical intervention after ten years
compared to conventional treatment, a sum which would be much
higher if cost savings for other conditions was taken into acount.
Obesity Management
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
OTHER ROUTES
Yet PCTs are routinely ignoring NICE guidelines by turning down
patients demed apropriate for surgery by NICE, using their
own, arbitrary, non-evidence-based thresholds. Some patients
are therefore denied life-saving treatment, others are even being
forced to deliberately gain weight to met strict local criteria.
Lifestyle interventions alone for weight los can achieve impresive
results, thereby reducing future costs; the Diabetes Prevention
Programe induced only 4kg sustained weight los at four years, but
reduced the cumulative incidence of diabetes by 58 per cent over that
period. Mean weight los in atenders on the Counterweight programe
of diet and lifestyle intervention in General Practice, was 3kg and
2kg at 12 and 24 months, both 4kg below expected weight given the
normal 1kg/year background weight gain in the general population.
Counterweight delivery cost is £59.83 per patient, and therefore costdominant proving that it is cheaper to treat an obese patient than not to.
GP consortia wil have the power to ensure weight management
in obese patients is prioritised, to comision a wide variety
of weight management services and to remove the bariers to
bariatric surgery. This aproach would save a vast amount of
money in the long term, but there is a danger that comisioners
might be to myopic to apreciate long-term gains. L
FOR MORE INFORMATION
w.nationalobesityforum.org.uk
E actualy at high risk because of the delay in savings apearing on
the balance shet. But the price of doing nothing is far to high.
The resulting NHS costs atributable to overweight
and obesity are projected to reach £9.7 bilion by 2050,
with wider costs to society estimated to reach £49.9
bilion per year acording to the Foresight report.
UNDER THE KNIFE
Bariatric surgery is a god example of an anti-obesity
remedy to demonstrate the financial benefits; weight los is
suficiently rapid and clinicaly meaningful for its economic
impact to be asesed within a short time span.
In its report Sheding The Pounds, the Ofice of Health Economics
loks at wider societal savings, rather than simply health costs taking
into acount the potential of patients to return to work post-bariatric
surgery: “The contribution of aditional paid work generated folowing
bariatric surgery ofsets the costs of surgery. This is achieved one year
after surgery. There are also benefits through reductions in benefits paid
and, although the evidence base is limited, savings for the health service
that can also be realised. Around one and a quarter bilion in savings
to the economy could be achieved if 25 per cent of eligible patients
received bariatric surgery. In adition, from the government exchequer
point of view, around £150m per year in benefits would be saved.”
Aditionaly, although the gastric band and the Roux-en-Y gastric
bypas cost around £7,0 and £12,0 respectively, the clinical
costs of the reduction of drug prescribing, clinician visits and the
reduction of disease and health risks ofset the cost of surgery
within thre and a half years of surgery being undertaken.
To understand this it should be considered for example that
with the insertion of a gastric band, up to 73 per cent of cases of
newly diagnosed type 2 diabetes achieve remision, and around
80 per cent of al cases of type 2 diabetes with gastric bypas
thereby avoiding the masive costs of hypoglycaemic agents,
Volume 1.8 | HEALTH BUSINES MAGAZINE
45
critical ned for improved healthcare in a
post war Britain. It has ben faced with ever
increasing costs as a result of advances in
medical knowledge, medicines and technology.
To the contrary it is faced with financial
restrictions that are inevitable in a centraly
funded service, with changing management
perceptions and political beliefs. I wonder if
Mr Bevan in 1948 had ben blesed with the
power of foresight whether he would have
led Britain down the same health pathway.
Writen by Dawn Stot, managing director, The Asociation for Perioperative Practice
Operating Equipment
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
INOVATION
AN ESENTIAL
COMPONENT
OF HEALTHCARE
As the incidences of traumatic injuries, cancers and
cardiovascular disease continue to rise, the impact of
surgical intervention on public health systems wil grow
It is often so easy to forget how lucky we
are here in the UK and what benefits we,
as a nation, enjoy through the NHS service
available to us al. Established around an
ideal that god healthcare should be available
to everyone, regardles of wealth, the NHS
was launched 5 July 1948. The government
thereby tok over responsibility for al medical
services with fre diagnosis and treatment for
al. Having exceded 60 years of service the
NHS, whilst under continual media scrutiny,
continues to provide an excelent standard
46
HEALTH BUSINES MAGAZINE Volume | 1.8
of care to our population – old or young.
When health secretary Mr Aneurin
Bevan, the son of a Welsh miner, opened
the Park Hospital in Manchester, Britain
embarked on a hugely ambitious plan to
bring together for the first time hospitals,
doctors, nurses, pharmacists, opticians and
dentists, as one organisation that would
be fre for al at the point of delivery. The
plan was, and stil is, that the service would
be financed entirely from taxation.
The concept was created to met the
USING THE SERVICE
As a nation we al use the service whether
it is through primary care or secondary
care intervention and I am sure we can
al sight cases of god and bad service.
A lot depends on where we are placed
geographicaly in the country and how wel
or badly the Primary Care Trust is managed
in that area. Generaly speaking, however,
we take for granted that if we ned to be
sen by a doctor, we are sen at no cost.
In an ever-changing healthcare environment
it is important that standards are set to met
the changing neds. Inovation in healthcare
comisioning means that an increasing
diversity of providers wil tender to deliver
minor and intermediate surgical services.
Implementation of government targets
requires an ongoing ned to ases and
improve the eficiency of care and that
patients are treated safely by dedicated
healthcare profesionals motivated to deliver
the highest standard of care to everyone.
The NHS operating framework 2010/1
confirms that focus remains on stability and
improvement in terms of front line services:
We must continue to:
Deliver safe, high quality service with
rapid improvement where there are
unaceptable levels of variation
Deliver on those priorities that mater
most, both nationaly and localy, and
Provide cost-efective services to kep people
wel, alongside delivering apropriate care
at the earliest oportunity when it is neded.”
INOVATION IN SURGERY
Inovation in surgery has meant that more
people’s lives are being changed or inded
saved. During a recent visit to the Thackray
Medical Museum in Leds I was reminded of
how far we have come in such a short space of
time. Technology has revoluntionised surgical
care through advances in monitoring, infection
prevention, training, safety standards, les
invasive intervention – the list is endles.
Technology has also provided our patient
population with the wherewithal to understand
beter the care/interventions required and
with this has come high expectations and the
knowledge to be able to question and chalenge
over the care provided. At The Asociation
for Perioperative Practice (AfP) our aim is
to advance health by improving patient care
in the perioperative environment. We do
this through determining standards and E
E promoting best practice through training
and education for our membership which
is made up of theatre practitioners working
in operating departments, asociated
areas and sterile services departments.
As part of AfP2010 we chalenged our
medical device partners to show us their
best inovations and we were pleased to
se that even in the 21st century there
are changes and improvements stil being
made to ensure safer surgery for patients.
Our wining entries ranged from eficiency
gains through colaborative working; to a
retractor used in gynecological procedures
to improve patient safety and reduce nedle
stick injury; to an infection prevention solution
to cut down on surgical site infection; to a
single use intubating scope and also a single
use tray made from recycled products.
The BUPA Foundation recently awarded
a grant of over £20,0 over thre years
to a study that is seking to develop an
endoscopic instrument for keyhole surgery
that wil give surgeons information they
can usualy only obtain by touch when
performing conventional open surgery. If
sucesful, this wil dramaticaly increase
the diagnostic value of keyhole surgery.
As I touched upon above information
technology is also asisting surgical outcomes
and patient eficiencies through the use of
SMS mesaging surveilance and studies
have shown that this has decreased the
outpatient waiting times and increased
the quality of post surgical care.
when refering to medical inovation and
robotic prostatectomy is real procedure
for patients with prostate cancer. Robotasisted surgery was developed to overcome
limitations of minimaly invasive surgery.
Instead of directly moving the instruments
the surgeon uses a computer console to
manipulate the instruments atached to
multiple robot arms. The computer translates
the surgeon’s movements, which are then
caried out on the patient by the robot.
Other features of the robotic system include,
for example, an integrated tremor filter and
the ability for scaling of movements (changing
of the ratio betwen the extent of movements
at the master console to the internal
movements of the instruments atached to
the robot). The console is located in the same
operating rom as the patient, but physicaly
separated from the operative workspace,
or in another place. Since the surgeon does
not ned to be in the imediate location
of the patient while the operation is being
performed, it can be posible for specialists
to perform remote surgey on patients.
We now have the technology to put people
back together similar to that which Steve
Austin the Bionic Man experienced. I heard
an amazing story this wek about a woman
who lost both her legs in the 7 July 205
London bombings. In an atempt to bring
comunities together she walked 20 miles
from Leds to London over a period of a
month. Only in my lifetime has healthcare
become so advanced. Truly amazing.
ROBOT-ASISTED SURGERY
When I was a girl I watched a TV programe
caled the ‘The Six Milion Dolar Man’, about
a man who was rebuilt folowing an horific
acident – he was said to be ‘bionic’. They used
robotic techniques to put him back together
which left him with the ability to, amongst
other things, leap great heights, run amazingly
fast and lift cars at the touch of a buton, yes,
the touch of a buton on the back of his neck.
Today we use the word robotic frely
SURGICAL SITE CHECKLIST
Often, through adversity god things are
achieved and the surgical site checklist is one
inovation that was introduced by the World
Health Organization (WHO). It identifies thre
phases of an operation, each coresponding to
a specific period in the normal flow of work:
Before induction of anaesthesia
Before the incision
Before the patient leaves the operating rom
The checklist alows the surgery team to
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complete listed tasks before the operation
proceds, thus ensuring safety to the patient.
WHO has undertaken a number of global
and regional initiatives to adres surgical
safety. The Global Initiative for Emergency and
Esential Surgical Care and the Guidelines
for Esential Trauma Care focused on aces
and quality. The Second Global Patient
Safety Chalenge: Safe Surgery Saves Lives
adreses the safety of surgical care. The
World Aliance for Patient Safety initiated
work on the Chalenge in January 207.
Operating Equipment
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
DEVELOPING THE SERVICE
In his latest misive about the NHS reform
plans, Andrew Lansley has stated that
sticking to the status quo for the NHS is
not an option. By 2030, the number of
over-85s requiring expensive healthcare
is projected to reach 3.5 milion, or one in
20 of the UK population, said Mr Lansley
in an article for the Daily Telegraph.
As a result, the NHS wil have to perform
an aditional two milion operations a
year and health spending wil double to
230 bilion – the equivalent of £7,0
a second – in real terms, a figure the
UK “simply canot aford”, he said.
These coments only enhance the
ned for surgical procedures; whether
they are interventions, care pathways
or proceses, to be beter and more
eficient to ensure that patients are
geting the best posible care available.
Our invitation to aply for to our Inovation
Awards this year wil son be going out
to our medical device coleagues and I
can’t wait to se what new inovations
wil be put forward to our panel of
experts. The winers wil be anounced
and recognised at AfP 201. L
FOR MORE INFORMATION
For more details about our Inovation
Awards and AfP 201 please visit
w.afp201.org.uk
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have your medical gas systems covered.
FOR MORE INFORMATION
MEDAES Ltd - trading as BeaconMedæs.
Part of the Atlas Copco Group.
Telford Crescent, Staveley,
Derbyshire S43 3PF, UK
Tel: 01246 474 242
Fax: 01246 472 982
gbn.info@beaconmedaes.com
w.beaconmedaes.com
Volume 1.8 | HEALTH BUSINES MAGAZINE
47
PARKING PROBLEMS?
PEACE OF MIND PARKING SOLUTIONS & PRODUCTS
3 Car Park Management
3 ANPR
3 Car Park Products
At Parking Control Services we understand the neds
of Health Services when providing parking for both staf
and their patients and visitors.
With the latest technology and inovation we take
the hasle out of staf parking by introducing automatic
number plate recognition systems linked to pay on fot
technology which ensures consultants, doctors and staf
park with ease. No ned for permits or administration
our system simply recognises your number plate and
simply lets you in the car park.
We can also instal new pay and display equipment
3 Car Park Wardens
3 Pay & Display
3 Whel clamping
with remote aces. Clients may pre-bok online as wel
as receive discounted parking on site through validators
at al reception points. Customers can also pay by
mobile phone. Special tarifs can be aplied at any time
to individuals rather than generaly.
Our on-line systems provide acounts with al
the latest revenue and statistical information. Our
philosophy is to kep Parking as flexible and adaptable
as posible. Our customer focused aproach in this
very sensitive environment compliments our aproach
through technology.
Parking Control Services can also provide the necesary resources to help
fund such projects. Why not contact our comercial team at
info@parkingcontolservices.co.uk or cal us on 080 970 5109.
w.parkingcontrolservices.co.uk
TECHNOLOGY
Many hospital premises are moving from traditional methods of parking management to more
technologicaly advanced systems to enable such critical infrastructures to run more efectively
Parking is high on the agenda when it comes to enhancing hospital
facilities, developing new initiatives and delivering targets. Yet
with government budget cuts and a greater focus on improving
standards, there’s increasing presure on local authorities and
comercial organisations to deliver cost-efective and eficient
parking solutions that met the neds of a diverse range of users.
Bringing together the interests of hospital car park users including
staf, visitors and patients, in adition to those of an NHS trust and
its stakeholders, can be extremely chalenging yet an increasing
number of hospital premises are moving from traditional methods
of parking management to more technologicaly advanced systems.
An integrated aproach to management is thriving in the healthcare
sector, enabling such critical infrastructures to run more efectively.
IMPROVED INTEGRATION
The trend for Internet Protocol (IP) integrated parking systems started a few
years ago and it is fast becoming the set standard within the healthcare
sector. Fuly IP-based parking systems have set the tone for modern solutions
because they alow complete integration of both video and audio, with the
facility to utilise cameras, phones, aces control readers and inteligent
input/output modules. Such products can be easily incorporated into
modern parking systems, which creates a user-friendly and cost-efective
system for hospitals. The technology also alows authorised users secure
remote aces from anywhere in the world in order to remotely intervene,
update features, aces intercom linked to CTV and monitor alarms by
way of e-mail mesages for specific requests or maintenance enquiries.
For many hospital trusts the ned to transfer data is paramount
for improving and developing procedures. The electronic exchange
of medical, financial and administrative data information acros
healthcare orientated computers is already promoted by international
standards such as Health Level 7 (HL7), so the instalation of
parking systems with IP technology further enables hospitals
to link data with management systems already in place.
By utilising links betwen car park systems and hospital management
systems, the control of staf parking is dramaticaly improved, which
also alows beter optimisation of visitor parking. In adition, it becomes
easier to manage hospital aces times as parking requirements can be
linked to staf working hours, leaving more spaces available for visitors.
FINANCIAL BENEFITS
Improving parking is not just about providing beter services to staf
and visitors, but for many it is considered as financialy beneficial.
By instaling a more advanced system, car park financial data can
be pased directly to the hospital’s acounts department, avoiding
the costly delays of manual inputing of data and human eror.
Al standard equipment works on the basis of Transmision Control
By utilising links betwen car park
systems and hospital management
systems, the control of staf parking is
dramaticaly improved, which alows
beter optimisation of visitor parking.
Protocol (TCP) and IP by means of LAN/WAN network conected to
a server. Separate systems that normaly ned external conections
become redundant and this can also provide large financial advantages
with fewer investments necesary in equipment and wiring.
The move to video and audio ofers aded benefits to hospital
management and users. The use of intercom and IP cameras for
video surveilance can increase the feling of security and improves
the services provided to users of the parking facility. During the day,
cals via intercom can be conected to the coresponding camera
so that in a simple maner the service can be insured. For night
time usage, both the audio and image can be conected through
to a guard service, so the same service level can be maintained.
ANPR
Automatic Number Plate Recognition (ANPR) can also be incorporated
directly into the parking system using independent ID cameras. This
not only improves the functionality available to the car park manager,
including scenarios such as control of lost tickets for visitors with the
number plate linked to the ticket, but season card aces can also be
improved using the number plate as the primary identification. L
Writen by Amano UK
INTRODUCING HEALTHY
PARKING DEVELOPMENT
Parking
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
Hospital Parking
Solutions from RTA
Asociates Ltd
Parking provision at hospital
sites is limited due to presures
on land use, cost of provision
of maintenance and security
and the demand for parking
usualy exceds suply.
Each site has unique problems
that ned to be identified and
prioritised. Over many years of
centralisation and specialisation
of types of healthcare provision on
a hospital site, parking provision
has ben low down in a site’s
development priorities and in some
cases aded as an afterthought.
Legislative changes to charging
for parking has revealed an urgent
ned for a review of parking stock.
Efective remedies are posible
to maximise usage of spaces
and to prevent unwanted
long term parking on and
around hospital sites. Specialist
independent parking consultant
RTA Asociates Ltd can help
to design and implement cost
efective and eficient solutions
in acordance with best practice.
Firm but fair management
and enforcement is a key factor
in producing a blueprint for
each site balancing the neds
of staf, patients and visitors.
With over 20 years advising the
parking industry, RTA Asociates
can draw on its experience to
promote options and solutions.
FOR MORE INFORMATION
w.rtasociates.co.uk
Volume 1.8 | HEALTH BUSINES MAGAZINE
49
Conferences & Events
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
GREN CONFERENCES
ETHICAL EVENTS
Corporate responsibility and carbon reduction targets have
started to influence purchasing decisions and this is no diferent
for event buyers who demand a more ethical conference package
As the climate increasingly hots up so does
the activity to col down metings. The UK’s
national sustainable tourism certification
programe, the Gren Tourism Busines
Scheme (GTBS) or Gren Tourism for short,
has sen interest from the busines market
grow steadily in 2010 and rise further in
201. Interestingly the driving forces for
these activities are their corporate customers;
companies, agencies and public bodies.
Sustainability, carbon reduction
comitments, and corporate responsibility
are al influencing the market and the Gren
Tourism scheme provides a practical, cost
efective framework for conference centres
and events venues to deliver what their
customers want. The Gren Tourism scheme
has sen significant interest from these
markets over the past two years. Pricing
requests and conditions for bokings from
public agencies and corporations are requiring
not just a comitment to the environment
but a nationaly recognised third party
certification that includes social isues as
wel as environmental best practice.
FACE TO FACE
There wil always be a ned for face to face
metings,” says Jon Proctor. “We’re a species
which thrives on comunication, so we’l
always ned to get together, no mater how
wel the internet is able to share information.”
Stil, Jon believes we can al be more
gren and responsible while we network.
That’s inevitable: he is, after al, technical
director of Gren Tourism which curently
has over 2,40 members, including over 60
conference centres and events venues.
In order to pas through the certification
programe, sites folow a comon
framework which considers energy, waste
and water monitoring and targeting as wel
as key performance indicators in social and
environmental activities. A sense of place
is also important and this is measured
through further voluntary indicators.
To ases how sustainable a venue is, the
Gren Tourism auditor on the site visit aseses
145 diferent criteria – everything from
the kind of fish on the menu to proficiency
in waste management and the control of
heating and coling. Through this proces
potential practical improvements are readily
identified and these form part of the action
plan set for each site in moving forward.
God advice is an esential part of our
certification programe,” said Jon. “The
asesment proces verifies the actions
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HEALTH BUSINES MAGAZINE Volume | 1.8
undertaken thus far and at the same time
points out potential improvements and
savings. We provide a range of online
tols for members to help manage their
venues beter, identify potential projects
through case studies and fact shets) and
record and promote achievements.”
Busineses and venues are scored and
receive a Bronze, Silver, or Gold award,
based on their level of achievement. Many
of the measures relate to providing a beter
experience for their customers and ensuring
that the venue is reducing the environmental
impact of the meting for their clients.
ENERGY SAVINGS
In a recesion going gren with the Gren
Tourism Busines Scheme makes as much
sense as during the bom years. As energy
prices become a greater proportion of
the runing costs of leading busines
venues, inovative and wel proven
practices ned to be established.
Overal busineses in the GTBS have
ben tracking a 5-40 per cent energy
saving based upon our records.” said Jon.
Sites just starting out on this journey
often make the bigest savings through
acting upon our recomendations and a
number of sites sek to receive an advisory
visit ahead of the acreditation audit.”
It continualy surprises us that there are
significant untaped savings available to
conference centres, from improvements to
air handling systems, maintenance regimes
and motor drives to new technologies
and management systems,” aded Jon.
Over the last thre years our Gren
Tourism asesors have sen our venues
respond to this chalenge with tremendous
enthusiasm and inovation and there
are many examples of god practice.”
GREN VENUES
Edinburgh International Conference Centre
EIC) has designed a Sustainable Events
Programe, Plan-it gren™ that helps the
busines and its clients to minimise emisions
acros a range of grenhouse gases. A further
sequestration option is available employing
a carbon sink of native Scotish wodland.
EIC’s CEO, Hans H. Risman OBE
says: “Caring for the environment must
become an embeded busines proces
in al companies, irespective of size, as
customers everywhere increasingly demand
positive ‘people, planet, profit’ outcomes.”
AC Liverpol, completed in 205, was
designed to produce half the CO2 emisions
it would without any environmentalyfriendly measures, whilst using 20 per cent
les electricity – lighting, for instance, is
high eficiency and controled by motion
detection. It has ben GTBS Gold since 208.
Rainwater is colected on the rof which is
used to suport flushing toilets, acounting
for about 40 per cent of the water used for
toilets in the venue; five 20-metre low noise
wind turbines on the river side of the venue
contribute to the electricity suply. This means
that they have a reduced impact per atende
and they continue to develop projects to
ensure al events have sustainable features.
The Cavendish Conference Centre in
London, also GTBS Gold, has a number of
gren initiatives available to conference
organisers including a webinar service for
delegates unable to atend in person, a travel
survey of delegates, godie bags of recycled
products and use of recycled stationery.
They also ofer a discount on the rom hire
if the organisers minimise the amount of
waste left at the end of an event/meting.
LOW ENERGY BUILDINGS
Recently awarded a GTBS Gold, The Point
at the Lancashire County Cricket Club is an
excelent example of a low impact building
with energy consumption reduced through
LED lights, solar hot water, highly eficient
apliances and excelent insulation. The
recycling system is extensive and very wel
managed with a 98 per cent diversion
rate from landfil, and there is great
encouragement for guests to use public
transport, which is readily acesible by
Manchester’s new tram system. The Point
is also very god at promoting the gren
mesage to raise awarenes of environmental
isues, including giving a donation to
their chosen charity, MacMilan, on every
botle of fair trade wine purchased.
The Best Western Valey Hotel in Ironbridge
retained its Gold status recently and
ofers a sustainable conference package.
This includes fresh local fod produce,
filtered tap water rather than botled
water, fair trade products and recycling
options for paper, glas, plastic, cardboard
and aluminium. They wil also produce a
certificate to provide evidence of the clients’
comitment to gren objectives.
We asked the hotel to coment on the
interest in the sustainable conference
package. “The Environment Agency has a
number of training courses with us, and
utilises many aspects of the package as
part their own sustainability policy,” said
Joane Bodison, general manger of the
hotel. “One of the main strands of the
package was to enable companies that part
of their gren credentials prefer to use more
sustainable supliers, so we provide the
gren conference package as we know that
sustainability continues to be important.”
John McIntrye Conference Centre (JMC) E
E also holds a Gold award. The site in
Edinburgh is part of the university and has
fair trade status for teas, cofes, sugars, fruit
juice, bananas, dried fruit and rice. The sale of
fair trade rice is linked to a schol project in
Malawi and so far over 70 children have ben
sponsored. The centre uses combined heat
and power and has an in-vesel composting
system to recycle fod waste. Al of this
helps to demonstrate significant waste and
energy savings in comparison to others and
also helps them achieve its high rating.
GREN METING PACKAGE
Quen Ane’s Gate, who recently was
upgraded from Bronze to Silver, has
established and developed its gren meting
package. These conference bokings have
doubled over the last year as a result. Clients
they have atracted include government
agencies, voluntary conservation organisations,
renewable technology companies and loby
groups. The gren pound now represents 18
per cent of their conference related revenue.
One of the elements in their gren
package, which includes a range of recycled
materials, has ben the change from linen
table cloths to acrylic coverings saving over
2,50 per anum in laundry costs, never
mind asociated chemicals and transport,”
said Stuart Park, the site asesor. “This goes
to show that it is the combined eforts and
achievements over a broad range of measures
which ultimately make a diference.”
Jon concluded: “It is a most exciting time
in our marketplace and we have sen al
busineses we deal with realy taking note
and making significant strides in their eco
performance. We can demonstrate that
our busineses are achieving significant
demonstrable improvements with
increased savings as wel as securing more
bokings through the gren pound and
we are even seing evidence that the best
employes and graduates preferentialy
chose gren busineses to work for.
However, we also notice that grenwashing is
stil a problem and unles busineses undertake
a more thorough and holistic aproach much
of the objectives in energy savings, eficiency
and CSR wil be undermined through other
activities. Going forward we se biodiversity
and achieving genuine and more significant
CO2 savings as growing isues important to
both consumers and government which ned
to be more fuly adresed by the sector.”
Our GTBS guarante is that we wil
continue to recognise the best in the sector
through our thre tiers (Bronze, Silver, Gold),
which wil raise the standards further in our
next programe revision (version V) to be
roled out before the sumer Olympics and
About GTBS
Conferences & Events
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
Gren Tourism Busines Scheme
members include hotels, tour
operators, conference centres
and visitor atractions.
Members ned to score 40 per cent
to receive a Bronze, 65 per cent for
a Silver and 80 per cent for a Gold.
There are over 60 conference centre
and events venues al listed on the
website w.gren-busines.co.uk
20 of them hold a Gold award
There are nearly 70 hotels with
a GTBS grading many of which
have conference facilities.
ensure that any certified busines does not
overstate their activities and achievements.
It is our intention that the UK becomes
and remains the leading destination in
sustainable tourism and events and we
encourage al readers to become partners
with us in this exciting chalenge. L
FOR MORE INFORMATION
Tel: 01738 632162
w.gren-busines.co.uk
Perfect Conferences,
Perfect Locations
The Birmingham Botanical Gardens
Telephone 080 389 8950
w.birminghambotanicalgardens.com
The Centenial Centre
Telephone 080 389 8950
w.centenialcentre.com
V2 pres ad.ind 1
15/8/1 13:29:4
Volume 1.8 | HEALTH BUSINES MAGAZINE
51
Independent Living
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
EVENT PREVIEW
THE PLACE TO BE
Naidex South, 19-20 October, is the disability, homecare and
rehabilitation event for London and the South East enabling you
to touch, test and compare products to aid independent living
Building on the sucesful launch of
Naidex South last year, which exceded al
expectations, organisers are busy ading
to this year’s show programe to further
improve the fantastic London event. The
show was launched for people in London
and the South East of England and is packed
ful of interesting and exciting features,
drawing in a new audience from this region.
Naidex South takes place 19-20 October
at ExCeL London, a fuly acesible
Paralympic venue, and visitors can
register for fre atendance online.
MAJOR ATRACTION
As the only event of its kind in London,
Naidex South provides an unmisable
oportunity for the estimated 1.4m disabled
people living in and around the capital to
get first hand advice and guidance on the
products and services available to them. With
London being such a hub of organisations
and institutions, it also atracts an important
profesional crowd, including local authorities
and senior healthcare profesionals.
This year Naidex South is co-located with
the GLA (Greater London Authority) Disability
Capital Conference. The conference wil take
place in the venue’s Platinum Suite on 20
October and ads an even greater sense of
ocasion to the two-day event, with over
90 high level delegates due to atend.
Coliea Bush, a carer who visited Naidex
South last year, comented: “I think Naidex
South is a great event, the things I have
52
HEALTH BUSINES MAGAZINE Volume | 1.8
sen are mind blowing and I came here as
there is everything you ned and so much
modern technology al under just one rof.
There is nothing else like this in London – it
is fantastic. I work with a lot of disabled
children, and I know there has ben a real
ned for an event such as Naidex South.”
NEW FEATURES
Exciting new features have ben aded
to this year’s Naidex South to ensure
there is something for everybody. Visit
the Independent Living Show Home and
se the best in inclusive design, new
technology and products demonstrated
by the specialists in a realistic seting. The
feature wil incorporate living and sleping
areas, interconected by an inclusivelydesigned bathrom, in order to demonstrate
the benefit of state-of-the-art technology
for both young and older people alike.
In adition to last year’s Met the OT, the
extremely popular feature at al Naidex
shows that ofers members of the public a
chance to speak face-to-face with a qualified
ocupational therapist, there wil also be
a Met the Expert zone at Naidex South,
providing a unique service designed to
answer your questions and ofer invaluable
advice via a drop in facility. With top industry
experts on hand to ofer fre 30-minute
metings covering a host of topics, including
carer options, advice on the psychological
efects of disability, up-to-date information
regarding the disability alowance and help
concerning your physio neds, come along to
be inspired, reasured and educated. Simply
make your apointment at the welcome desk.
Come October, the 2012 Paralympics wil be
les than nine months away, so the organisers
of Naidex South wil be including various
features related to this global sporting event.
One such feature is the Paralympic Showcase,
which wil celebrate the talents of disabled
athletes and encourage visitors to get involved
in sports on the day, also ofering information
on local clubs they can contact after the show.
Naidex South also provides disabled
visitors with a great oportunity to test
out their route to ExCeL before the 2012
games, ensuring that they are wel prepared
to travel to the venue when the time
comes to cher on the British athletes.
Event director Liz Virgo comented: “We
are delighted to be ading the Paralympic
Showcase feature to Naidex South and
intend to make it a source of inspiration to
al our visitors. Not only wil it showcase the
Paralympic sports that wil be sen during
the 2012 games but it wil do so in the
venue where the athletes wil actualy be
competing! The timing is perfect, as it wil
capture the excitement of London 2012 at a
time when tickets for the Paralympics go on
sale, so there is sure to be a huge buz about
the Disability Sports Showcase feature.
We are also thriled and honoured that this
year’s Naidex South wil be coinciding with the
GLA conference. This alongside our repeated
asociation with Primary Care Live means that
the show wil be biger and beter than ever
before, and it is great that so many fantastic
organisations wil be together under one rof.”
EVENT HIGHLIGHTS
As wel as exciting new features, you wil
stil be able to enjoy Naidex favourites
such as the Comunication and
Learning Vilage, designed to house the
latest technological advancements and
suported by Comunication Maters,
and the Car Zone, which wil have many
of the UK’s leading vehicle converters,
including Brotherwod and Lewis Red,
exhibiting the latest WAV developments.
Healthcare profesionals are invited to
atend the comprehensive fre CPD Naidex
Conference programe suported by the
Health Profesions Council. This ofers
al atendes a CPD certificate for their
portfolio. Also returning to Naidex South for
a second year is KideQuip, the must se zone
dedicated to children with special neds,
where visitors and healthcare profesionals
wil be able to met and discus individual
requirements and products with exhibitors.
Naidex South 201 is shaping up to be an
unmisable event for members of the public,
trade and healthcare profesionals alike,
so put 19-20 October in your diaries now
to ensure you don’t mis out on this event.
Register for fre entry at w.naidex.co.uk/
south by quoting priority code EPR1. L
instructor, but most of my knowledge of ECGs
has ben through self education over the years.
In 202, I wrote a very basic ECG bok ‘Let’s
Make the ECG Easier To Understand’ (Malon,
202) published by Media Publishing Company.
This is a sort of ABC of ECGs, which has ben
quite sucesful and is stil seling, mainly to
nurses and ambulance staf nationwide.
Gareth Malon, Profesor Sanjay Sharma and Dr Steve Cox (CRY Deputy CEO) launch the DVD at the 2010 CRY Parliamentary Reception
TRAINING
SAVING LIVES
Time and education could be al that’s neded to reduce
unecesary cardiac ralated deaths, as East Midlands
Ambulance Service paramedic Gareth Malon explains
In the UK, 12 aparently fit and healthy
people a wek die from undiagnosed
cardiac conditions. These are the numbers
that we do know about, however, the figure
could be higher. So what does this mean
for ambulance and medical staf? Wel,
we are in a prime position to be able to
reduce that shocking statistic of nedles
and unecesary deaths and al it would
take is a litle bit of time and education.
EDUCATION
We are led to believe that young people and
babies have not yet begun to damage their
heart with smoking, long term alcohol use or
general lifestyle abuse. Their hearts are under
waranty and only fail under extreme and
unusual conditions. As a paramedic, I have
to admit that this is how things are often
perceived and how I used to think myself.
This is not due to ignorance but a lack of
education. In training schol, ambulance staf are
taught to deal with many extremes of traumatic
situations and medical conditions in a very
short space of time. From childbirth to simple or
multisystem trauma, to strokes and heart atacks,
to psychiatric patients. So, we can be midwives
one minute, cardiologists next, then counselors.
Most of what we learn after training schol,
we do on our own merits and experiences,
through necesity of your Personal
Development Plan (PDR) or personal interest.
We are taught to deal with life-threatening
and non life-threatening situations with adults
and paediatrics, including the dreaded cardiac
arests. We deal with death, sometimes on
a daily basis, but it is the young people who
die that are the hardest for us to cope with,
even for seasoned veterans. The hardest
part of this is to understand the reason
behind the suden and tragic death,
which many staf don’t or, through self
preservation and defence, chose not to.
RAISING AWARENES
As a result I have worked with the charity
Cardiac Risk in the Young (w.c-r-y.org.uk).
CRY was founded in 195 to raise awarenes
of conditions that can lead to young suden
cardiac death (YSCD), suden death syndrome
SDS) and SADS. Its founder Alison Cox has
worked tirelesly to reduce the statistic of the 12
young deaths a wek. Some of the patrons that
are asociated with CRY are David Waliams,
Sir Steve Redgrave, Sir Ian Botham and many
other top sports personalities who fel strongly
in CRY’s comitment to reducing young cardiac
deaths. The latest patron to join CRY is Pixie
Lot, a fantastic advocate for young people
who are the target audience for the cause.
Now about me, I am Gareth Malon, a
comunity paramedic and developing tutor
for the East Midlands Ambulance Service
EMAS) and I am based in Derbyshire
at the Swadlincote station. EMAS is an
amalgamation of six counties – Derbyshire,
Notinghamshire, Leicestershire, Lincolnshire,
Northamptonshire and Rutland – employing
over 3,20 people in over 70 locations. I
work on both ambulances and response cars
and I have ben in the ambulance service
for 20 years, 16 of those as a paramedic.
I have had an interest in ECGs for many years
due to a very god and informative training
Paramedic Training
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
CARDIAC DVD
I started with an idea of an educational
cardiac DVD purely for ambulance staf. In
the past, we have mainly had hand-medown education or non-ambulance specific
information. Therefore, the idea of a DVD was
for it to be tailored and directed at ambulance
staf – making it more personal – with
information pitched at the right level for us.
The DVD has finaly ben released as two
diferent versions. The first is the ambulance
educational DVD in which there is a mixture
of naration by the very eloquent and highly
educated profesor Sanjay Sharma – one of the
leading cardiologists in the UK and consultant
cardiologist to the CRY board. It also contains
ECG examples to identify comon cardiac
problems, including cardiomyopathies and long
QT syndromes and relevant information about
suden unexplained colapses in conjunction with
the NICE transient los of consciousnes (Tloc).
The ambulance DVD was so wel received
when reviewed and tested through various
audiences and profesions that another version
has ben produced for medical students.
EXTRAS
The London Ambulance Service produced a
PowerPoint slide set specificaly for us folowing
my coments as a stakeholder about the lack
of ambulance service representation. This is an
excelent suplement to the Tloc guidelines.
I also have PowerPoint presentations for both
clinical staf and comunity organisations
suplementing the DVD that have ben
ratified by CRY doctors for use in the health
profesions and comunity sports and leisure
organisations. I have recently used these
presentations for CPD training for EMAS staf.
Al it would take is a bit of education and
something that ambulance staf are god at
is listening, researching and implementing
new things. Anything that we can use to
help improve how we work and gain real
results make us fel that we have achieved
what we do, help patients and families. There
is no greater feling than that for us. L
FOR MORE INFORMATION
If anyone would like a copy of the
DVD, to know more of what I would
like to achieve or has any questions (or
even beter, some sugestions), then
please do not hesitate to contact me
and I wil do my best to answer them.
You can contact me on garethmalon.
emas@gmail.com or on 07854 686192.
You can also visit the CRY website on
w.c-r-y.org.uk/ambulance.htm
Volume 1.8 | HEALTH BUSINES MAGAZINE
53
Advertisers Index
BUSINES INFORMATION FOR HEALTHCARE PROFESIONALS – w.healthbusinesuk.net
ADVERTISERS INDEX
The publishers acept no responsibility for erors or omisions in this fre service
Aclaimed Security
14
Ekahau
Acuro FM
25
Eliot Group
Airwave
43
First Pas
Alsigns
32
Beacon Medæs
47
BlackBery
Opus Vision
41
Philips
40
28
Redclife Catering
51
Glyn Wiliams Architects
28
Rainbow International
25
HS Hire
25
Rapide Reprographics
41
Impact Factory
35
RTA Asociates
49
IBC
Calforseaden
26
Inditherm Medical
37
Salto Systems
16
Cal Aid
35
Lasting Impresions
32
Vectair Systems
2
Canopies
26
Lavaza
Venue Cymru
51
Clockwork IT
12
Link Lockers
31
Volvo
2
Mese Düseldorf
16
Welco
31
West Country Private Ambulance Service
45
Western Power Distribution
28
White Asociates Environmental
28
Cranfield Management Development
54
9
10
4
Crown Worldwide Group
20
Nimans
DC Dolphin
10
Nordis Signs
Dyson
21
Nursing Hygiene
HEALTH BUSINES MAGAZINE Volume | 1.8
6
38, 40
32
OBC
OF-SITE BUILDING SOLUTIONS
TRUSTED PARTNER TO THE HEALTH SECTOR
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080 0858231
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