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20 Nisan 2017 Perşembe

How to stop the construction industry choking our cities

Poor air quality, with diesel the biggest culprit, is now thought to be the cause of 40,000 deaths in the UK each year.


But while cars and lorries have attracted most attention, less reported is the contribution of other polluters to the problem, particularly construction sites.


According to the most detailed air-quality study in the UK, the London Atmospheric Emissions Inventory, construction sites are responsible for approximately 7.5% of damaging nitrogen oxide (NOx) emissions, 8% of large particle emissions (PM10) and 14.5% of emissions of the most dangerous fine particles (PM2.5).


While a small amount of this (about 1%) is dust from site activities like demolition, the vast majority comes from the thousands of diesel diggers, generators and other machines operating on sites.



Construction workers


In 2005, more than 230 construction workers a year were reported to have died from cancers caused by exposure to diesel fumes. Photograph: Ben Birchall/PA Wire

Yet this machinery is not held to the same emissions standards as on-road vehicles. What’s more, its proportionate impact will only get higher as on-road emissions drop, according to Daniel Marsh, King’s College London academic and project manager for the London Low Emission Construction Partnership.


So what are the chances the industry can improve?


Given the construction industry’s questionable history with asbestos, which wasn’t regulated until 1983 or completely banned until 1999 – almost 40 years after the cancer link was proven – some are sceptical. In 2005, the Health and Safety Executive found (pdf) that each year more than 230 construction workers die from cancers caused by exposure to diesel fumes, a figure it hasn’t since updated, even though more is now known about diesel’s noxious effects.


Marsh is particularly concerned about the impact on those working with the most polluting machines. He says: “Now on a construction site if you find asbestos it’s like a scene from ET, people swoop down in protective suits – it has become a huge priority. What the industry has failed to take on board is that diesel emissions should be considered in the same way.”


Despite this general failure to act, there are innovative firms in the industry trying to help clean up. The Greater London Authority is also attempting to clamp down on the problem. In January, Mayor Sadiq Khan said he intends to bring in a fine like the congestion charge to be paid by firms using polluting machines, beefing up groundbreaking emissions rules on central London building sites introduced under his predecessor Boris Johnson.


Leading the charge are firms like Off Grid Energy, which has developed products that turn traditional diesel generators (responsible for an estimated 25% of site emissions) into hybrid machines, reducing fuel consumption by around 60%.


Founder and CEO Danny Jones says the requirement for occasional very high “peak loads” of energy leads builders to use far bigger generators than necessary, which then remain on all day and night. In contrast, Off Grid’s battery system stores excess power, turns off generators when charged, and allows much smaller generators to be used. Just one proposed motorway works installation, Jones says, will be the equivalent of taking 225 cars off the road.


Another firm tackling the problem is Taylor Construction Plant, which is providing the first UK lighting rigs (mobile units that provide bright lighting, generally for working outside after dark but also for security) to be powered by hydrogen fuel cells. This means zero on-site emissions, at a total cost (including fuel) that product manager Simon Meades says is cheaper than the approximately 20,000 conventional generator-powered lighting rigs operating in the UK. After a slow initial uptake, Meades says demand has grown fivefold in the last year.


Even slower to change have been the fleets of diggers and excavators, which until now have relied on powerful diesel engines, but where hybrid technology is finally emerging. Swedish motoring giant Volvo, through its Volvo Construction Equipment subsidiary, has customers currently trialling a prototype hybrid excavator that generates electric power from the down-swing of its boom arm.



Volvo Construction Equipment’s LX1 hybrid wheel loader prototype


Volvo Construction Equipment’s LX1 hybrid wheel loader prototype. Photograph: Jonas Ljungdahl

Patrick Lundblad, the firm’s senior VP of technology, says these trials have confirmed the vehicle uses around half the fuel of Volvo’s best-performing conventional excavators. Customer demand doesn’t seem to be an issue either.


“Wherever we go our customers want to have a couple of our green machines,” he says. However, producing it is not straightforward; 98% of the vehicle parts are new, and supply chains are immature, meaning the firm doesn’t know when it’ll be ready for sale.


This is not the only problem. Off Grid’s Jones says resistance to its products from the generator hire industry, which also makes money from selling diesel, came close to driving his firm out of business. “We’re a classic disruptive technology, and our challenge is the reluctance of the diesel generator rental industry to engage in a technology that changes what they do now.”


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How to stop the construction industry choking our cities

9 Nisan 2017 Pazar

Stop PIP reassessments for patients with progressive diseases, campaigners say

MPs and patient groups have called for an end to the repeated assessments that people with progressive diseases must undergo in order to qualify for disability benefits.


Thousands of people with rheumatoid arthritis, Parkinson’s disease, multiple sclerosis, motor neurone disease and other conditions will be retested this year to decide whether they are still eligible for personal independence payments (PIP) because of their disabilities.


But MPs and patient charities argue that repeated testing makes little sense for people with incurable diseases that are known to get progressively worse. According to the most recent figures from the Department of Work and Pensions (DWP), 3,500 people with progressive conditions were reassessed for PIP between April and October last year.


Carol Monaghan, the MP for Glasgow North West, said she was challenging four cases where patients with multiple sclerosis had been called in for reassessment despite their illness getting worse. “MS is a progressive condition. They’re never going to be any better than they are at the moment, so they should never be asked to go for a reassessment,” she said.


“Some of these people are still able to walk to a certain extent, so they get themselves in, just about, and then they’re being told, ‘You look fine,’” she added.


The number of people called in for reassessments was obtained by Madeleine Moon, the MP for Bridgend, in a written parliamentary question. The DWP figures reveal that the number of people reassessed for PIP rose sharply from 200 in 2014–15 to 2,400 in 2015–16.


The DWP say the reviews ensure that patients receive benefits in line with their disabilities. “PIP is an interactive benefit, designed to ensure any changes in a claimant’s functional ability can be identified and that they receive the right support at the right time,” a spokesperson said. More than a quarter of claimants are receiving the highest level of support, he added.


But Phil Reynolds at Parkinson’s UK said around a quarter of people living with Parkinson’s in Britain had lost some or all of their support following benefit reassessments, only to have the payments reinstated on appeal. “It’s absolutely crucial that the DWP looks again at the broken PIP assessment to ensure people with long-term conditions get the support they so desperately need, rather than rigging the system against them,” he said.


Nearly half of people with multiple sclerosis who claim PIP must be reassessed within two years, according to MS Society. “We’re concerned about the number of people with MS being inappropriately reassessed, especially when we know assessments can cause stress and anxiety, and in some cases exacerbate MS symptoms,” said Laura Wetherly from MS Society.


“With more than 100,000 people living with MS in the UK, the PIP system needs to accurately reflect the realities of living with a fluctuating and progressive condition. Having a disability like MS is hard enough. People should be able to rely on support without fear of having it taken away,” she added.



Stop PIP reassessments for patients with progressive diseases, campaigners say

27 Mart 2017 Pazartesi

The everyday trauma of childbirth made me stop at one child

I once caught a glimpse of my medical records moving from trolley to receptionist’s desk at the GP. Perhaps they have long been computerised, but then they were housed in a large, weary-looking file. They had the heft of a first draft of a novel, a comprehensive and messy catalogue of pains and breaks, results and dead ends and cures. They were nothing unusual for a woman my age. One thing not in there, though, was any reference to or diagnosis of the dominant ill of our time: depression. Nor anxiety, insomnia, or any mental struggle whatsoever. No antidepressant has passed my lips; I have troubled only one counsellor briefly – when my father died.


However, I know for sure that, after the birth of my daughter and for a few years after, I was not in the world as I knew it previously.


I occupied an alternative reality, one that encompassed me and my baby and made sense of the onslaught that new motherhood brings. I was, in the words of a friend, “stark staring bonkers”. But I got up in the night as required, fed and cared for my baby, and attended all required groups, classes and appointments. I remained married and held down a job. My baby was healthy and seemed unaware that her mother was not mentally present in the ways society demands.


No one noticed that I had vacated the space I once occupied, and I know now that, as long as you don’t actually drop and break your baby, no one cares at all about your behaviour.


I am probably fairly typical of my generation of women: I married quite late and started a family late. I had had a lot of years of being an individual. I had all sorts of notions about independence: I thought my ability to think independently and solve problems was my primary asset. Combine this with a profound ignorance of children and babies and, indeed, most aspects of a woman’s traditional role, and it is plain I was ill-prepared for what awaited me.


I wanted my baby more than anything in the world. I loved her before she was even conceived. I longed for a family and wanted to have responsibilities and duties: these give life its meaning. I wasn’t a reluctant mother at all. But I had no notion of being simply a vessel: I stubbornly continued to think that, as an individual, I still mattered. What a vision I must have presented to the steady stream of officials who began to enter my life when I was pregnant: determined, articulate and believing myself the leader of the burgeoning team of two. Perhaps it was no surprise that other pregnant women grew scolding and told me to throw away my books, and from now on avoid any pleasure I had previously enjoyed for the sake of my baby.


I had a dangerously well-developed sense of self. It is this basic identity that new motherhood would destroy.



Polly Clark at home on Scotland’s west coast.


Polly Clark at home on Scotland’s west coast. Photograph: Murdo Macleod for the Guardian

Unlike every other woman I know who gave birth around then, I had what the doctor called “the experience we hope for everyone”. My baby was premature, which meant an emergency, and so the NHS pulled out all the stops: in the room at the moment of birth were a consultant paediatrician, an obstetrician and two midwives. One of the strongest memories I have is of the consultant paediatrician painstakingly explaining everything to me and checking I understood, even as I was writhing half naked and unable to form a coherent sentence.


He treated me as a person, even though I did not look like one at that moment. Mostly women are left alone for long periods and give birth without anything like that amount of skilled attention. But, although that doctor’s kindness is a standout moment in my experience of birth, nothing, not even a full complement of caring staff and being treated with dignity, can change the hard fact that birth is painful and frightening, a facing of one’s mortality and a loss of innocence akin to an experience of war. Most women will have not come so close to understanding death before that moment. It is a profound shock, and no less shocking for being an everyday occurrence.


I re-entered the world of the maternity ward, and the pressure began – to leave the hospital to make room (no seven to 10 days of lying-in these days) and to breastfeed on demand. There was no recognition of the enormity of the experience that had just occurred. It’s my belief that many women after birth have post-traumatic stress disorder: instead of being offered rest and help, they are sent home to be perfect mothers on no sleep.


Part of being a perfect mother in those early days is breastfeeding on demand. This did not feel like an “option”, it was official guidance, and to defy it set you against all the community health professionals who visited your home in the days and weeks after birth. My own baby was too premature to breastfeed. This did not prevent the midwives trying to make me, and questioning my commitment to my baby when I stayed on the feeding routine when I brought her home.


Having cyclical disagreements about the same thing when you are vulnerable and exhausted makes you doubt your own mind like nothing else. I had no family nearby to offer help, and experienced this period as a time without kindness, where everyone seemed to view me as an obstacle to the fulfilment of their own aims regarding my child.


Nevertheless, while in the fog of those early months, I knew enough not to admit I was struggling to cope. Every new mother knows that when the midwife comes round looking for signs of postnatal depression, you don’t answer honestly. In these days of anonymous reporting to social services and general paranoia about child welfare, any admission that you may not be coping could lead to your child being taken from you. For, as my friend summarised pithily, everything is now both your fault and your responsibility, and all of it must be achieved perfectly on levels of sleep that would normally be considered a torture weapon.


My baby is now 10. My medical records are thicker, but still they have no reference to any problems with my mental state. Almost to a woman, my friends will nod enthusiastically and agree they too were “not themselves” for months or years. Some of us will have flirted with drinking too much, or self-medicating in other ways; others of us may simply have been in a very bad mood, enjoying nothing about our lives for a long time.


Though we are, for the most part, no longer at odds with reality, I would posit that we are all profoundly changed by the experience. My identity as a person before motherhood has been obliterated. I have glimpsed that other country, that scary Handmaid’s Tale one, where women are nothing but vessels and slaves. I have experienced unkindness of the sort only doled out to third-class citizens. I may be a lucky mother of a happy child, but I have glimpsed what lies beneath our civilised veneer and it frightened me enough to be a factor in stopping at one child.


As one mother told me, it is the ones who don’t go mad who are weird. For when the world as you know it has vanished, is it really madness to try to escape? I “checked out” in some profound way, became instead a machine for caring, with a beady focus on detail. It’s a survival tactic employed by the kidnapped, the incarcerated. Do not reflect on what you have lost. The loss is so great and sudden it cannot be properly comprehended. Find a way to exist through time, to keep the time passing, to fulfil the obligations. Your mind, your soul, they can go where they will, and something of them will return. Just don’t drop your baby.


Larchfield by Polly Clark (riverrun, £14.99). To order a copy for £11.24, go to bookshop.theguardian.com or call the Guardian Bookshop on 0330 333 6846. Free UK p&p over £10, online orders only. Phone orders min. p&p of £1.99.



The everyday trauma of childbirth made me stop at one child

21 Mart 2017 Salı

We need to stop being coy about periods and tampons

Periods are no fun, even when you’re safe at home with a drawer full of tampons, pads and a hot-water bottle. So it’s little surprise that some girls are missing school because they can’t afford the right equipment. Imagine the mess, anxiety and shame they could be facing. And that’s on top of all the other unpleasantness. This being on the women’s pages of the website, you’re probably already familiar with it: unpredictable bleeding – sometimes seeping, sometimes in worrying great blurts – the aches, smells and dealing with a part of your body that you may not be too keen on. But perhaps the people in charge of public happiness, health and hygiene don’t know all this. Maybe they think that periods are a breeze.


I have only had one tiny bad experience of having no access to sanitary products. There I was – 14, at home with asthma, mum in hospital nearly dead from a brain haemorrhage, dad at work, a childminder looking after me – and, late one night, I got my first period. The minder initially refused to give me a sanitary towel as she needed the few she had for herself. And those were the days of scratchy, nonabsorbent toilet paper. Eventually, she gave me one. Horrid, but not a microscopic patch on what those schoolgirls, plus refugees, homeless or incarcerated women and millions in the developing world have to deal with.


You’d think we’d be managing by now to supply women here in the UK with such necessities, but we’re even lagging behind the US. New York City gives away tampons, while poor women here are using old socks and newspapers. But we’re still rather coy about it. Even in newspaper features about periods, blood has been referred to as “fluid”. Blood is fine in horror films, but somehow becomes taboo when it’s pouring from vaginas. But pour it does, and we need to mop it up efficiently, and keep ourselves clean. And so, to free toilet paper, soap and towels in schools, colleges, prisons and all public lavatories, we must add free sanitary items, like the caring, compassionate country we are meant to be.



We need to stop being coy about periods and tampons

To stop doctors ending their lives, we need to hear from those suffering | Ranjana Srivastava

The ceilings soar impressively high, the stained glass windows are exquisite, and the satin-adorned pews stretch majestically to the dignified altar. Amid the silence punctuated by the barest of sobs, I spot doctors whom I have long lost track of. And row upon row of nurses, still tight years later. As we wait for the service to begin, we imagine we are all silently interrogating our memories about each other. Time parted us for decades before we have gathered in such dreadful circumstances.


“I wanted you to hear it from me,” a colleague had said, audibly upset on the phone. I nearly collided with the pavement when I heard.


She was wonderful, the speakers confirm that morning. Her boss delivers an impassioned eulogy about an inspired clinician and a devoted mother to the children who sometimes tagged along on weekend rounds. Her best friend recalls their last conversation that ended with the doctor saying to the nurse, “Go home, don’t work so hard.”


Her husband quietly expresses gratitude for their years together and grief for the stolen ones. Her parents sit mutely, heads hung low, suddenly and irrevocably aged. A slideshow of pictures, depicting ordinary things – licking ice cream, dropping of the kids, medical graduation, the first day of internship – suddenly turned unmistakably poignant. The audience is frozen in a horrible dream.


Outside, there is more heartbreak. “We have to say goodbye to Mummy, just us,” the children’s father says softly. We, the gathered, hold our breath lest it makes a sound. Gently, under the flowers she so loved, she is lifted into the car. It’s soon a mere dot on the road. There are refreshments but the crowd disperses awkwardly, wordlessly, not trusting ourselves to speak.


We had known each other well enough in our early days, biding time on endless night shifts, watching dawn break, praying that the nurses would save the next page for the day crew. Later, our lives diverged, each assuming the other was successful, busy and content. The final time I saw her was shortly before she died.


It had been a fractious day; I felt brittle, from a distance she looked happy. What would have happened if we had stopped to talk?


If she had asked, “How are you?” I’d almost certainly have smiled, “Fine.”


And if I had asked, “How are you?”


Could she conceivably have replied, “Suicidal”?


After the gut-wrenching news of her suicide starts the inevitable soul-searching. It was a bad boss. No, a troubled marriage. Parenting had taken its toll. Or her disagreeable colleagues. She seemed so normal in the days leading up to it. No, far from it. She was upset, anxious, disillusioned. The only thing you learn is that for someone who was surrounded by observant and intelligent people, no one really knew much at all. No one knew what went through the mind of a vibrant and capable doctor in the prime of her life, who one day decided that life wasn’t worth living anymore.


Unfortunately, this isn’t the first time I have encountered the suicide of a colleague. Some I had known personally; others were brought close through mutual patients, and still others I would never get to meet because they had ended their life before starting a new rotation. In every instance, other doctors did not realise the depth of their colleague’s mental anguish. “I wondered about her but didn’t want to intrude,” someone ruefully recalled. “I didn’t think it was possible,” reflected another.


Four junior doctors have taken their lives in the past six months in Australia.In my busy hospital, I observe a roundabout of students, residents and specialists in difficulty. But how much difficulty? When they say they’re having a bad time, is it a bad week, a dreadful year, or a tortured life? Are they upset about a rejected grant or do they deem their very existence worthless? Forced smiles and tough hides abound in the workplace, where always being “fine” is a badge of honour. This is why it can be so difficult to distinguish doctors who will indeed be fine from those who need help.


There is ample evidence for the high rates of mental illness in doctors, several times greater compared to other professions and the general population. These figures are quoted so frequently at every orientation that awareness should not be an issue. Practically every institution has an employee assistance program that offers confidential help. Some offer free psychiatric evaluation and counselling. And as with other informal medical consults, many psychiatrists will help a colleague in distress, making access to high quality help less of an issue for doctors than many others.


Armed with knowledge and surrounded by advice, why do doctors commit suicide at an alarmingly high rate?


I sometimes fear it may be because as a profession, we are reluctant to swallow the evidence. And if we can’t accept the evidence we can’t help ourselves or others. We can have an intellectual discussion about anxiety, depression or suicide and we can apply the knowledge to our patients but but identifying vulnerability in our own self is altogether different. No matter how many times we hear it, it still doesn’t seem possible that we, or someone like us, could have a mental illness. The consequences seem so vast, the repercussions so numerous that perhaps it’s better to not know the truthful response to “Are you OK?”




Doctors say that the disclosure of mental illness poses a real threat – to license and insurance, career and reputation.




Discrimination, bullying and harassment in medicine are unfortunately never far from the headlines but thanks to brave people who have risked their career, a victimised doctor has more support than ever before. Nonetheless, a career in medicine means always having to keep up with something, whether it’s the latest research, the newest drugs, the next exam or the upcoming promotion. Doctors would like to be perfect at all of these and are genuinely puzzled when life deals them disappointment. It seems ludicrous now but I was dumbfounded when I got my first mark that wasn’t a distinction. Twenty years later, I realised nothing had changed when my registrar failed his specialist exam and told me that “even the walls” were laughing.


When doctors are depressed, their sense of personal failure is compounded by the suspicion that they somehow lack the ability to pull themselves together. The “well” among them can’t understand how the same stressful hospital ward, the same demanding colleagues, the same rocky tenure track can make some of us angry, others sleepless, and yet others suicidal.


In these pressured times, few doctors would be strangers to a variation of the message, “Heard you’re sick. There’s no cover so let us know whether to cancel your patients.” There is no call more disheartening than one that professes to care about the doctor but can seem like a veiled complaint that says, “If you’re sick, we all suffer.” But while it’s quite easy to tell your colleagues that you have pneumonia or a migraine, doctors say that the disclosure of mental illness poses a real threat – to license and insurance, career and reputation. The diagnosis invokes not only sadness but also ignominy, which may be why there are so few well-publicised stories of doctors with mental illness.


For much of my career, I have watched policies, promises and campaigns about combating mental illness and suicide in doctors. Our knowledge is evolving and with it, ways of managing mental illness, but with many lives lost each year, we don’t have the luxury of time.


Since we can’t always read the suffering of our colleagues, humanity in all our professional dealings and concern and compassion for every colleague must be a priority. As well as this, a healthy dose of introspection about how we judge doctors with a mental illness and why we judge them differently, arguably more poorly, than our patients.


When it comes to mental illness, we hear a lot from the experts but not enough from the sufferers. But in fact, nothing would be more welcome than the insights of doctors who have endured mental suffering and worse, been on the brink of suicide. What healed them and who helped them? What could their colleagues have said or done differently at the time? What workplace adjustments would have meant the most? These stories are clearly among us – hearing them could illuminate the dark corners of our understanding and help link theory and practice.


As a profession, we must do more than lament our dead colleagues. Dealing effectively with mental illness and halting suicide among doctors requires curiosity, compassion and practical support. Most importantly, it requires the humility to realise that in the long span of a career, none of us is immune and that those doctors whom we help today could end up saving our life tomorrow.


  • In Australia, the crisis support service Lifeline is on 13 11 14. In the UK, the Samaritans can be contacted on 116 123. In the US, the National Suicide Prevention Hotline is 1-800-273-8255.


To stop doctors ending their lives, we need to hear from those suffering | Ranjana Srivastava

5 Mart 2017 Pazar

Stop pretending we can’t afford the NHS: that’s the message of our march today | Larry Sanders

We are living in a world in which the politics of the leaders of two of the world’s great nations – America and Britain – is built on broken promises. During Donald Trump’s election campaign he promised to “take on Wall Street”. So when just weeks later the president announced a cabinet full of banker billionaires, my brother, Senator Bernie Sanders, said: “With all due respect, Donald Trump is a fraud.”


Meanwhile, here in the UK Theresa May took up her post as prime minister on the commitment to “work for all, not just the privileged few”. Well, it is just weeks since our NHS descended into a humanitarian crisis, and we are already looking at another round of privatisation and cuts. Which is why at midday today we will be marching on parliament in support of the NHS.


We don’t need reminding of the horrors we saw over the winter, with people dying on trolleys and turned away from hospitals, and the British Medical Association warning our most cherished institution has been pushed to breaking point. The NHS is facing a £22bn funding gap, with the demand for care set to rise 4% a year while the health service’s budget will go up by only 0.2% every year between now and 2020.


This crisis in healthcare has been exacerbated by the current Tory government – but its foundations were laid by New Labour and further strengthened by the coalition with the Health and Social Care Act of 2012. The creeping privatisation of the past quarter of a century has introduced vast fragmentation and inefficiency into our health service, and, combined with chronic underfunding, has left the NHS on the brink. Anyone who has visited a hospital recently knows how hard doctors, nurses and all the staff are working to make sure patients are cared for with dignity and compassion, despite the strain on the system. It is time we listened to their concerns.


Prime minister Theresa May pledges to build a ‘better Britain’

Adding to the pressure facing hospitals across the country is the financial crisis in social care. We’re living longer, and that’s a great thing – last year, aged 81, I stood in the Witney byelection after David Cameron resigned. But while there are currently one-third more over-85s than 10 years ago, adult social care budgets have been cut by one third in the same time. And the care funded by local authorities accounts for just a small proportion of the care elderly people in the UK currently receive. Every year family, friends and neighbours provide £55bn of unpaid care, four in 10 people in care homes pay for themselves, and a staggering 1.2 million people over 65 with care needs receive no help at all.


We are simply not providing enough care and support for people in the community, at home and close to where they live. This means elderly people are more likely to end up in hospital, and when they get there it is more difficult to get them home again. People who are medically well are stuck in hospital because there is nowhere suitable for them to go and too little support for them at home. The system is failing these people who could be living at home or in supported accommodation instead of being isolated from their communities on a hospital ward. But it also fails those who desperately need the hospital beds these elderly people occupy.


The government’s response has been to engage in a cruel con where local councils were told there was “new” funding for social care, only to find much-needed funding cut from elsewhere. It is little wonder the system is on its knees – and the prime minister’s insistence on ending free movement as part of Brexit risks starving the NHS and care services of the staff they so desperately need.


Today thousands of people will march in support of the NHS, unwilling to stand by and watch while this government dismantles public healthcare – and I’m proud to be among their number. The government tells us there isn’t enough money but this isn’t true. We are the fifth richest country in the world – we have the money to stop our health service turning into a humanitarian crisis, and to care for people when they grow old: in hospitals, the community and homes. We have the money for a fully funded public health service. If Theresa May is to keep her promise to “work for all, not just the privileged few”, she must not let the NHS and social care crumble on her watch.



Stop pretending we can’t afford the NHS: that’s the message of our march today | Larry Sanders

18 Şubat 2017 Cumartesi

Charities call for NHS to stop rationing critical care

Theresa May has been urged by charity chiefs to stop the NHS rationing treatment for seriously ill patients and to find more money for their care in the budget next month.


About 30 health charities, including the Teenage Cancer Trust, National AIDS Trust and Motor Neurone Disease Association, have raised the alarm about NHS England “restricting and rationing treatment” because of underfunding, especially for patients with rare and complex conditions. The groups from the Specialised Healthcare Alliance said this rationing is taking place without sufficient public scrutiny. In a letter to the prime minister, they said NHS England is “choosing to restrict and ration treatments that patients with rare and complex conditions need – often without proper consultation with patients”. “We hope that you will take action to ensure full patient involvement in these decisions, and to ensure that any decision to ration treatment is overseen by democratically elected politicians,” they added.


The warning comes after health thinktank the King’s Fund said that politicians would be escaping culpability for rationing decisions, as plans due to come into force from April mean that even cost-effective treatments could be denied to patients.


Nicholas Timmins, a policy adviser at the organisation, wrote: “If the NHS can no longer fund new and cost-effective treatments, ministers should announce that decision case by case, and be held accountable for so doing”.


It emerged last month that cancer, diabetes and asthma patients could all be hit by the new affordability criteria, which means that drugs which cost the NHS more than £20m in total each year could be subject to restrictions.


The charity chiefs also raised wider concerns about funding for the NHS, which medics have said is under huge pressure this winter because of cuts to adult social care provided by councils.


Philip Hammond, the chancellor, is facing calls to give more money to the NHS next month after resisting an emergency bailout at the autumn statement. Instead, the government has launched a long-term review of social care and will allow councils to raise more through a local ‘precept’ (an extra charge to council tax bills which can only be used for adult social services) in the next couple of years.


No 10 and the Treasury appear to remain firmly against repeated calls from medics and the opposition for more cash for the NHS, indicating they are not prepared to change tack at the budget. But the charities say: “Our charities – and the patients we represent – are deeply concerned by the recent statements of Simon Stevens concerning the NHS’s relative underfunding. We urge you to ensure that this year’s budget provides the NHS with the funding it needs to deliver the standards of care patients expect.”


The charities issued their warning ahead of a Lords debate on the medical supplies bill this week, which Labour’s shadow health minister Lord Philip Hunt has described as a missed opportunity to “get rid of many of the restrictions on NHS patients using innovative new medicines”. A government spokesman said blanket restrictions on treatment are unacceptable and that the clinical needs of a patient, and the urgency with which they require treatment, must come first.


“The government is responding to the needs of the NHS by investing more money – £4bn this year – to fund its own plans for the future”.



Charities call for NHS to stop rationing critical care

9 Şubat 2017 Perşembe

Five ways Britain wrecks young people’s mental health – and how to stop it | Emily Reynolds

A study from the Varkey Foundation has revealed that young people in the UK suffer from some of the “lowest levels of mental wellbeing in the world” – second only to Japan.


This won’t be a shock to anyone familiar with statistics on child and adolescent mental health in Britain. Some 75% of mental illnesses begin before the age of 18, and the charity MQ estimates that on average, there are three children in every classroom with a diagnosable mental illness. This, combined with a continuing crisis in mental healthcare in Britain, means young people are not getting the help they need or deserve. But how exactly are young people being failed?


Slashing NHS budgets


Cuts to the NHS aren’t new – the Conservative government has been slowly dismantling the health service since 2010. And it shows no sign of slowing – a 2016 investigation by the Guardian and 38 Degrees revealed that trusts around England were “drawing up plans for hospital closures and cutbacks” in an attempt to avoid a £20bn shortfall by 2020.


Mental healthcare has suffered disproportionately: unmanageably long waiting lists for secondary care, to take one example. Referrals to therapy or specialist units are hampered by a lack of available staff or by ward closures – which means that diagnosis of more severe conditions are delayed even further.


This is particularly striking when you consider that most young people wait on average 10 years between the onset of illness and an eventual diagnosis – and means that many are slipping through the cracks with neither diagnosis nor adequate care.


Similarly, cuts to community care have meant that more children than ever – 20,000 in 2015 alone – have been seeking emergency mental healthcare in A&E, in wards that are often staffed by stressed, overstretched teams who have no specialist psychiatric support to help them cope.


Treating children miles away from home


Cuts have led to the closure of many child and adolescent mental health wards – which, combined with a severe shortage of beds, has led to children being admitted to adult psychiatric wards and being sent hundreds of miles away in order to receive outpatient care.


A 2014 investigation from Community Care and BBC News found that 350 under-18s were admitted to adult wards in the first nine months of 2013 – a 36% increase from the previous 12 months; 10 out of 18 NHS trusts surveyed had sent children to units more than 150 miles away from their home in 2013-14, making compassionate and consistent care for young people impossible.


Cuts to school budgets


One of the key themes of Theresa May’s speech on mental health was a focus on the prevention of these problems, particularly in young people. Research backs this up – a recent study published in Lancet Psychiatry suggested that early intervention was a significant factor in presentation of depressive symptoms in young people.


What May’s speech didn’t mention, however, was how exactly this would be implemented, beyond a mention of “mental health first aid training”. Unsurprisingly, May also failed to mention the grimly inevitable cuts to school budgets that will make this strategy near to impossible anyway.


Earlier this week, a TES investigation found that a third of secondary schools are planning to “cut back” the mental health support offered to pupils because of what one headteacher described as “budgets at breaking point”. Early intervention is vital, but if teachers are untrained in mental health – because the resources aren’t there – then it simply isn’t going to happen.




There’s a research budget of just £8 per person affected by mental illness – compared with £178 for cancer




Lack of adequate research


Mental health research is, in general, an underfunded area. In 2014, the UK Clinical Research Collaboration found that mental health was only allocated £112m a year – which sounds like a lot, until you consider the nearly 15 million people in the country affected by mental illness. In context, this means a research budget of just £8 per person affected by mental illness – a startlingly low sum, especially when compared to less common conditions like cancer (£178 per person) or dementia (£110 per person).


Less than 30% of this research is focused on young people – meaning we haven’t even started to understand how to tackle mental illness in young people.


Failing to take adolescent mental health seriously


Young people are now pretty used to being the punchline of unfunny jokes made by Telegraph readers and the over-45s. Millennials, eh? We’re stupid! We’re narcissistic! We look at our phones all the time! We’re mollycoddled snowflakes! We expect to be given the moon on a stick! These might be hilarious ideas to people without crushing student debts and who have the means to own property – sure, but it’s all fairly tiring for young people.


It might sound facile – typical millennials, complaining about nothing – but it is an undeniable fact that young people are not being taken seriously and that this, in some cases, is severely impacting on their mental health. While researching my book, I spoke to young people up and down the country who told me they felt consistently let down by parents, teachers and healthcare professionals who wrote off their symptoms or failed to take action to prevent distress.


There was an understandable sense of reticence, caution and disappointment about the behaviour of supposed adults. This conversation has continued to follow me – only last week, a teenager messaged me on Twitter to eloquently and despairingly talk about how they and their friends had been consistently and systematically let down by their school.


It’s a familiar story to me – even as a confident young adult with a medical history full of psychiatric wards and prescriptions for antipsychotics, I’m often questioned by GPs and support workers on the veracity of my own experiences. The difference is that I’m used to overcoming barriers to care – younger people are not, and often fall at these completely unnecessary hurdles.


This isn’t just a social problem, either – failure to acknowledge symptoms is a structural problem too. In 2015, the NSPCC suggested that nearly 40,000 young people were unable to meet the “too strict” criteria for receiving help – so even if teenagers pluck up the courage to ask for help, they still aren’t getting any.


Interactive

Young people are telling us that they’re unhappy. They are asking for help. What they want is simple too. For a start, don’t send them hundreds of miles away from home for treatment. And they don’t want GPs to tell them that their clinical depression is just “being a teenager”. They certainly don’t want to sit down with their neighbour and have a cup of tea, as Theresa May ridiculously suggested on Time to Talk – their focus, on the whole, is not on stigma at all.


What young people really want is actual, actionable, well-funded support. They want to be taken seriously; they want to receive the help that they need in a timely, compassionate, efficient and effective manner. They’re asking for it already – when are we going to start listening?


Emily Reynolds’ A Beginner’s Guide to Losing Your Mind is out on 23 February



Five ways Britain wrecks young people’s mental health – and how to stop it | Emily Reynolds

Ministers lose fight to stop payouts over swine flu jab narcolepsy cases

Dozens of children who developed narcolepsy as a result of a swine flu vaccine could be compensated after the high court rejected a government appeal to withhold payments.


Six million people in Britain, and more across Europe, were given the Pandemrix vaccine made by GlaxoSmithKline during the 2009-10 swine flu pandemic, but the jab was withdrawn after doctors noticed a sharp rise in narcolepsy among those who received it.


The sleep disorder is permanent and can cause people to fall asleep dozens of times a day. Some narcoleptics have night terrors and a muscular condition called cataplexy that can lead them to collapse on the spot.


In 2015, a 12-year-old boy, known as John for the proceedings, was awarded £120,000 by a court that ruled he had been left severely disabled by narcolepsy caused by the vaccine. He was seven when he had the jab and developed symptoms within months.


Because of his tiredness, John became disruptive at school and found it almost impossible to make friends. He takes several naps a day, cannot shower or take a bus on his own, and may never be allowed to drive a car.


Despite paying out, the Department for Work and Pensions argued John’s disability was not serious enough to warrant compensation and said the court was wrong to take into account how the illness would affect him in the future. But the high court on Thursday rejected the government’s appeal that only the boy’s disability at the time should have been considered.


The ruling paves the way for more than 60 other people to claim compensation.


“This important decision brings clarity to anyone who brings claims under the Vaccine Damage Payment Act in future,” said Peter Todd, the family’s solicitor at Hodge Jones & Allen. “It will in particular bring welcome relief to those who developed narcolepsy as a result of taking the swine flu vaccination and who have been awaiting payment from the DWP scheme but also has implications for anyone affected by other vaccines covered by the scheme.”


The judgment means the DWP has to take into account the impact disability has on a person’s entire life, and not just the impact it has on the individual at the time their claim is made.


“Sadly, those who developed narcolepsy as a result of the swine flu vaccination have had their lives changed forever. The condition will affect many aspects of their lives including working, driving, personal and family relationships – the very things most of us take for granted,” Todd said.


In 2014, a 23-year-old nursery assistant who developed narcolepsy after receiving the swine flu vaccine took her own life, telling her family that living with the sleep disorder had become unbearable. In a note written on the day she died, Katie Clack, urged her family to pursue her legal case, saying she had been left with “no quality of life”. Her sister, Emma Sutton, told the Guardian at the time: “We feel she was let down by the defective vaccine, which caused her narcolepsy, and by the insufficient intervention and support, which ultimately led to this tragedy.”


The Pandemrix compensation case was the first that the court of appeal considered under the Ul statutory compensation scheme, which was set up in 1979 for rare occasions when vaccines cause severe damage. The decision to consider the impact of the disability over the person’s entire life is now binding on all future cases brought under the act.


Todd said there are about 100 people in the UK with narcolepsy caused by Pandemrix. A further 100 applications a year are made for compensation under the scheme due to harm caused by other vaccines. “Today’s judgment brings a welcome relief to the many people affected by the DWP’s continued refusal of applications for compensation,” Todd said. He is acting for 88 claimants, mostly children, who developed narcolepsy as a result of the swine flu vaccine, and in a civil case against GSK, which manufactured the vaccine.


A DWP spokesperson said: “We are aware of the judgment of the court and are carefully studying the court’s reasons.”



Ministers lose fight to stop payouts over swine flu jab narcolepsy cases

6 Şubat 2017 Pazartesi

Cuts can"t stop genuine people power, but professionals can | Richard Wilson

It is becoming increasingly clear that many of our public service systems undermine people power.


Problems like obesity, depression, addiction and finding a job require us each to take individual action. Of course there are all kinds of support to help us keep fit, ace job interviews, or live without drugs, but control always lies with the individual, not the state. We decide what food to put in our mouths or whether to go to the gym.


But this vital truth seems to have been absent in designing our public services.


Take, for instance, a GP appointment. Most last 10 minutes; the GP asks a few questions and then tells you either to take some medicine, adopt new habits or see someone more qualified. The trouble is, we don’t do what we’re told. The World Health Organisation has estimated [pdf] that only 30%–50% of us take our medication as prescribed, in what is being described as an “epidemic of non-compliance”. Many of the changes required are intimately connected to our sense of who we are and what others think of us – and it’s very hard to change a habit. Anyone who’s tried having a “dry January” will know the challenge.


Ideas about co-producing public services, with professionals and users working together, have been around for years. What’s interesting right now is the new movement of practitioners delivering “people-powered services” that aim to improve self-efficacy at a low cost and with high impact.


One example is homelessness charity Groundswell, which provides peer support to people experiencing homelessness to help them address their health needs. Athol Halle, Groundswell chief executive says that when you provide support in this way, there are health benefits for individuals – and cost savings for the NHS. That’s why Groundswell receives in the region of £500,000 from health commissioners. It is not alone. Club Soda is working to reduce alcohol dependence, Brightside Trust is working in youth unemployment, Community Catalysts in adult social care, and Self Management UK in health. All of these organisations are based on putting users in charge of their service.


However, this is much easier said than done. Supporting people to take control is a subtle discipline in which most people working in public services have not been trained.


Here are five basic principles of how to help people take control that you can adapt according to your circumstances:


  • Accept the user wherever they are.

  • See users as having all the resources they need to start taking action.

  • Change is only possible if the user wants it.

  • Users’ solutions are the best solutions.

  • Never assume users think like you.

At first glance these five principles might seem plain wrong. Not everyone has all the resources they need, especially in this era of deep cuts.


But for services where individual action is a requirement, the essential ingredient is user motivation. So whether they do in fact have everything they need is not what’s important; what matters is that they believe in themselves enough to make a start.


For most professionals it takes a fundamental reorientation to start supporting individuals to take action themselves. Anand Shukla, chief executive of Brightside Trust, says it is often quite a leap for professionals to support people to make decisions and to take action. What’s crucial, says Shukla, is to identify right from the start people’s priorities and wishes, rather than jump in and tell them what you, as a professional, think they should do.


These principles need to inform not just conversations between service professionals and users but the whole way public services are designed: system design. Without that, the work of people like Halle and Shukla will be stifled by systems that claim to want people power but, in fact, work against it.


If you’re a public service professional working in people-powered services – or an individual taking action – drop us a line and tell us how you’ve got on: public.leaders@theguardian.com


Talk to us on Twitter via @Guardianpublic and sign up for your free weekly Guardian Public Leaders newsletter with news and analysis sent direct to you every Thursday.



Cuts can"t stop genuine people power, but professionals can | Richard Wilson

30 Ocak 2017 Pazartesi

How Do We Stop The Poisoning Of Humanity? – Natural Easy Solutions To Combat Poisoned Food, Air, Water & Minds

I’m not kidding; this is an all-out assault on humanity.


It’s enough that you start protecting you and your families. Never mind who’s trying to kill you, just get out of their way as much as possible. There WILL be a time and a place for dealing with that, but for now, let’s just survive this full frontal assault, shall we?


Today is my birthday, and when I walked out into the sunshine this morning, I was greeted by a sky thick with chemicals. No longer are chemtrails a conspiracy theory. Like a lot of other things, it’s slipped into the arena of conspiracy fact, with the evidence being everywhere. Happy birthday to me.


Are They Too Stupid To Know They Are Also Killing Themselves?


Some people ask the question, “Well if they are trying to kill us, are they too stupid to know that they also will be killed via toxic poisoning?” The purpose of this article is not only to wake you the heck up but also, to put into your hands the very same survival techniques that those in the know use.


Some of the remedies include; water and air purifiers, organic red wine, oregano oil, diatomic earth, heavy metal detox methods and other toxic mitigation methods. For, we cannot completely eradicate the toxins of our planet, so all we’ve got is mitigation. It just might be enough!


Poisoned Food


Our grandparent’s bodies didn’t have to survive the chemical soup that is our modern world, but we do. I think it best to first understand exactly what G.M.O. means.


In days of old, farmers would save seed to replant next year. Usually. Howeverthe practice was to save seeds from the biggest, most robust and healthy plants. This is natural selection at work; nature provides the genetic mutations and man selects the best to regrow. A natural process.


Hybridization is man purposefully pollinating the biggest, most robust and healthy plants together. Plants don’t generally pollinate plants of other species, so this hybridization usually only occurs within the same subset of species. This is another natural process. Admittedly man is helping by ‘kissing’ flowers together, however, this is merely a mimic of the bees, ants and other pollinators, as seen in nature.


How Does G.M.O. Fit It?


For starters, G.M.O. Food plants are started in a laboratory. In this ‘creation’ of new plant strains, there are patents that are worth a LOT of money to big-ag. G.M. foods are produced so that farmers can spray the shit out of their crops with Roundup (active constituent glyphosate) to kill weeds. The GM crops are genetically engineered to withstand the chemical assault of the glyphosate. And they call it food.


As far as I’m concerned, food has always been FREE! Grow your food and keep the seeds. Get a compost heap going and maybe even get a couple of chickens, just like grandma used to do. She knows what’s what!


The most worrying thing for me is the unknown and seemingly purposefully hidden, long-term outcomes of long-term studies into the effects on humans. I also wonder why lobbyists fight for labelling of G.M. foods. If you are proud of your product, you shout it from the rooftops, don’t you?


Poisoned Air


Have you looked UP lately? Seen any ‘new’ types of clouds? You’re not alone. And, what IS that rainbow oil slick looking clouds on most days? The only thing that’s really safe to say is, the air quality isn’t what it used to be. Get your air clean, especially inside your house and car. In the house, you can grow indoor plants and use air purifiers. In the car, you obviously can’t keep the plants, but you can get little car air purifiers that do the job well. If you sit in traffic, I’d say the car air purifier might just save your life.


Wi-Fi electromagnetic signals are invisible but can be detrimental to the human body. An invisible toxin that is often overlooked. Turn off your Wi-Fi signal before you go to bed, that way, at least you have a chance of having an electromagnetically uninterrupted sleep. Also, try to sit as far away from the Wi-Fi transmitter as possible. Radio waves follow the inverse square parameters, whereby, each time you double the distance from the device, you halve the energy that reaches you.


Dr. Edward Group DC, NP, DACBN, DCBCN, DABFM says that Wi-Fi affects cell growth, derails brain function and that it neutralizes sperm, promotes cardiac stress and may even contribute to cancer.


Poisoned Water


My water journey has been a long one. I’m still not quite happy with the situation just yet, but I’m working on it. I am now at the point, 2 years down the track, where I am drinking the cleanest water I can lay my hands on. The one thing I need to work on is rain capture; I don’t have any! Well, I do, but it currently consists of 10-litre water containers and catching the rain as it comes. When I run out of that, I buy water and run it through my Southern Cross water purifier. I have three now. Two in use and one for spare. Yes, the top ups are constant, but it gives great peace of mind and satisfaction to know that the water my children and I drink, is the cleanest I can provide.


Fluoride is one of the main toxins you are looking to avoid by drinking filtered water. The dangers of fluoride aren’t really debated, other than regarding just how dangerous it is for the human body. Take one look at Dr. Mercola’s site and you will find about 90 articles just about fluoride. Yes, it’s that important to remove from your diet!


Poisoned Mind


T.V. – Not only do you NEED to NOT tune into the so-called ‘news’ you also need to be mindful of the T.V. shows/series. Depicted in the T.V. series is the way they want you to live, eat, play and be with your families. Did you know that there are approximately 1200 mainstream ‘news’ outlets in the world and that when you trace back ownership of these media outlets, is goes back to about 6 owners?


Cleansing our minds of the constant blast from the media is a great way to start clearing your mind of all the rubbish it’s been fed all your life. SWITCH OFF THE SIGNAL! Read a book, hug a loved one, go for a walk, walk your dog, dance, call your friend for a chat. The list of things to do, other than sit in front of a T.V. having your mind programmed, is endless.


Conclusion


There are many ways of clearing your life of all the poisons you’re assaulted with on a daily basis. Everything is a process, and you’ve got to start somewhere. Take your first steps in doing something about improving your air, water, food and mind. Or continue on your journey if you’ve already begun. The possibilities are seemingly endless, but just focus on one of them and you’re off to a fantastic start!


Good luck!


References:


http://www.earthcalm.com/is-wifi-safe-7-serious-health-dangers-of-wi-fi


http://www.globalhealingcenter.com/natural-health/10-shocking-facts-health-dangers-wifi/



How Do We Stop The Poisoning Of Humanity? – Natural Easy Solutions To Combat Poisoned Food, Air, Water & Minds

16 Ocak 2017 Pazartesi

How to escape the overthinking trap: stop judging yourself | Mark Rice-Oxley

Before Christmas I took a young relative to a jazz concert. The thought of it ruined his whole day. He scuffed around the house like an alt-right voter at a refugee camp.


In the event, even he acknowledged that we had a fine time. But neither of us would ever get back the dreadful hours that preceded it. He’d fallen prey to a cardinal paradox – poisoning the present by agonising over a future hardship that never materialised.


We’ve all done that. The homo sapiens is so damn clever, and yet sometimes so stupid with it. We are the only species that can really think “offline” – wrapped up in things that haven’t yet happened or things that are long gone but can never be changed. This makes us excellent problem solvers, but appalling worriers at the same time.


Thinking is what gave humans ascendancy. But overthinking is threatening to bring us down. Critical thinking has undoubtedly advanced our cause and become one of the essential assets of being so brilliantly human, but introspective thinking – our near constant self-evaluation, who we are, where we fit, how we compare – is becoming one of the most destructive aspects of modern life. We must purge it.


We are in thrall to the rigid, judgmental thoughts we think about ourselves, prisoners of the sinewy web of cogitation that tells us we are strong, clever, important, unassertive, patriotic, hopeless, old, fat, hard done by, forgotten – when actually we may be many of these things rolled into one. This narrow view of ourselves shapes impossible expectations that can only lead to disappointment. It ripples outwards into our emotions and our behaviour. The results are to be seen daily on our front pages. A father thinks he is the ultimate authority in his family. When his daughter challenges him, he has her killed. A young man thinks he is strong, identifies through his supposed manliness; it directs his violent behaviour.


Our obsessive thinking about ourselves even informs the air of political revolt that made 2016 such a big turning point. In the richest, healthiest, most prosperous era we have ever known, people punish themselves by ruminating and finding that their lives don’t match up to those they think others are leading. It’s a short step from disappointment to blame, and a protest vote.




Too much of our behaviour is determined not by how things are, but how we think things are




But this overthinking tendency is not limited to politics. It embeds personal misery in an era in which we are tempted, even encouraged, to compare ourselves with other people: the teenager who feels low because of what her Instagram feed makes her think; the thwarted youngster, demoralised by the success of others; the employee who feels insecure because she thinks the boss blanked her on the stairwell; the hypochondriac who thinks he is dying of everything. Think bad, feel bad. Compare and despair. It’s no wonder there is a mental illness epidemic out there. Time to wake up, people. The voice in your head is not who you are. It’s just an excitable commentator. You are the game.


Too much of our behaviour is determined not by how things are, but how we think things are. But this thinking is not worth paying too much attention to, for two reasons. First, it is probably incorrect. Let’s face it: we are hardly objective in evaluating ourselves. We overexaggerate both our talents and failings. This is the original fake news.


And second, whether right or wrong, these self-evaluations simply are not helpful. They just make us feel worse.


We need a completely new relationship with our thoughts. Instead of viewing the world and our experience as we think they ought to be, we need to treat them as they actually are. We need to recognise when we are ruining a day, a week, a moment or a relationship with catastrophic thoughts and judgments, and understand that often it is the thought itself that makes us feel bad, not the experience itself.


But how to cultivate that sense of detachment from a poisonous, unhelpful or just plain wrong stream of thinking? Visual clues can help: a post-it on a computer screen (mine just says “thinking …”) or a screensaver on a phone. I wear a black wristband to remind me why I do this. A discreet tattoo might do the same, if that’s your thing.


Habit is even better: get used to observing, say, the first three thoughts you have upon waking every day – were they functional, workaday, banal; or were they judgmental, apprehensive, punishing? Some people like to use motifs – thoughts as a torrent of traffic, cars driving past, and you don’t have to get in the passenger seat. And that same recurring, corrosive notion can be an ugly polluting SUV that comes, stays and moves on again, without really affecting you. Or else thoughts are a busy stream, chattering away in front of you, often pulling you under. But each time you are submerged, eventually you notice and pull yourself out and sit undisturbed, again and again until it starts to become habit to notice the thought rather than believe it.


Happily, some schools are starting to teach this important element of psychological flexibility. It should be compulsory in secondary schools.The myriad apps that teach the practice of being present in the now are another entry point, helping us cultivate our observing selves, rather than our thinking selves.


Instead of obsessing, fuming, curdling about things we don’t have, we need to accept and celebrate what we do. Instead of worrying about things we can’t control – people’s opinion of us, for example – we need to direct our attentions to things we can influence, and leave the rest be. Instead of judging each other, and – worse – ourselves, let us simply take as we find. Instead of ruining our short time alive by setting expectations of how we think everything should be, from our jobs to our love lives, our children to our prospects, let us accept that some things will not always go as we wish.


You’re not who you think you are. You’re so much more than that.



How to escape the overthinking trap: stop judging yourself | Mark Rice-Oxley

Crisis, what NHS crisis? Theresa May must stop this denial | Jan Filochowski

A few months into my first job in the NHS, some 38 years ago, I watched Prime Minister Jim Callaghan being interviewed, on his return to the UK after an international mid-winter summit in the Caribbean, about the strikes in public services that have come to be known as the winter of discontent. I and pretty well everyone working in the NHS, and most of the population, knew there was a crisis. Callaghan’s dismissive comment were famously reported as “Crisis, what crisis?” They didn’t go down well, he didn’t act, and he went on to lose the impending election.


Today, can it really be that our current prime minister is the only one who doesn’t realise there is an NHS crisis?


The comment by the British Red Cross chief executive that there is a “humanitarian crisis” upped the ante, but at prime minister’s questions Theresa May said he was crying wolf. However, the fact is that, humanitarian or not, crisis means crisis, and if she carries on with her current denial – and inaction – the NHS will soon cease to be able to cope.


There have been three further NHS crises since 1979: in 1987-8, as the NHS ran out of money and failed to cope with the winter pressures it faced; in the early 90s, when the sickest patients were left waiting on trolleys in corridors for days; and in 2006, when the NHS overspent across the board because it couldn’t do the limitless amount the Blair government expected of it. Each crisis began to be sorted only when the government of the day finally accepted there was problem, and that ministers had to play a leading part in solving it. And so will this one.


Theresa May and Jeremy Corbyn clash over NHS at first PMQs of 2017

My own experience taking on and turning round three different “failing” hospitals taught me that failure occurs when those responsible for poor performance can’t or won’t face up to the reality and instead present it as merely “challenging”. This government describes a service that is being financed as requested, struggling to meet surprising “record” demand but “mainly” coping reasonably, as (it thinks) NHS England confirms, and which would cope well if the resources diverted to thoughtless people who aren’t very ill were used to support the truly needy.


The reality is starkly different. Senior NHS staff know it but keep quiet because they risk being sacked if they speak out. Demand is rising steadily, in line with long-term predictions, at up to 5% a year, so there is no justification for any surprise. On the other hand, waits are rising up to 20 times as fast, which should be cause for alarm. NHS England’s most recent quarterly figures for major A&Es show an increase in attendances of under 5% and an increase of over 70% in waits of more than four hour in a year. Astonishingly, that the numbers waiting more than four hours increased by more than the number of patients, so fewer patients were seen within four hours than a year previously. If these rates of decline continue, the NHS will simply keel over.


Jeremy Hunt: up to 30% of people using A&E departments do not need emergency care

What capacity exists is increasingly silting up as patients are unable to move from one part of their care to the next because there is no room. Because they are stuck where they don’t need to be, they prevent the next (sicker) group of patients from getting the care they need promptly, a classic downward spiral. To make matters worse, capacity is actually being reduced in social care and the NHS – the result of a financial settlement for this parliament with minimal growth and an assumed £22bn of savings. As his Commons appearance last week revealed, the NHS England chief, Simon Stevens, now realises the settlement was insufficient from the outset.


The capacity shortfall has little to do with the “thoughtless 30%” so excoriated by Jeremy Hunt for turning up unnecessarily at A&E. May’s suggestion, making already overwhelmed GPs work longer hours, completely misses the point, and suggests she does too. It would obviously help a bit if some of the 30% didn’t turn up unnecessarily, but it wouldn’t create capacity where it is currently lacking. The real problems relate to blockages in treating those who are really ill and in immediate need of treatment, and those who need further support in their own home or a care home, to make their discharge from hospital possible. These are the problems May must turn her mind to.


The best report on the NHS in the last 30 years, chaired by Sir Roy Griffiths, memorably said: “If Florence Nightingale were carrying her lamp through the corridors of the NHS today she would almost certainly be searching for the people in charge.” Yet today, three decades on, no one is in charge of the NHS. So much time is spent buck-passing and cost-shifting for problems that require concerted action.


In the meantime, ballooning wait times prejudice safety everywhere, on occasion with disastrous and fatal consequences. This is what “mainly” coping really means. And as the delays increase, so will these consequences.



Crisis, what NHS crisis? Theresa May must stop this denial | Jan Filochowski

13 Ocak 2017 Cuma

Stop Your Migraines With Lemon and Himalayan Salt

More than 36 million Americans suffer from migraines, it means that this issue affects almost 1 out of every 10 people, and three-quarter of the suffers are female.


Usual Symptoms of Migraines


  • A headache for 1-2 days or even longer

  • Dizziness

  • Nausea

  • Sensitive to smell or sound

  • Vomiting

  • Eye pain

Know the Causes of Your Migraines to Treat it Effectively


  • Stress or depression may be the cause of migraines

  • Alcohol overuse can result in migraines

  • Deficiencies in minerals. Magnesium deficiencies are one of the most common causes of migraines.

  • Lack of sleep

  • Dehydration

  • Food additives

  • Sinus problems

  • Tension

  • Allergies also may lead to migraines

Luckily, several natural treatments can help you ease the pain as well as other types of headaches. Here is a natural remedy that has the ability to ease migraines and has been commonly used for many years:


3-Ingredient Migraines Relief Drink


Ingredients:


  • Juice of 1 lemon

  • 2 teaspoons of Himalayan salt

  • 1 cup of water

Mix them well and have this drink, this simple natural drink will help you treat your migraines, and you will get an instant relief, even inside 5 minutes.


Himalayan salt works well for a proper hydration in your body as it provides a regulation of the balance of fluids in the system. Leon is also an effective ingredient to ease the migraines thanks to its stimulating and relaxing properties.


What’s more, this simple combination of Himalayan salt with lemon also helps you in many other ways:


  • Lemon is alkalizing for your body, means it protects you against various diseases, even cancer. Himalayan salt also helps balance the pH level of your body;

  • Both Himalayan salt and lemon are good ingredients to detoxify your body, this drink will be beneficial to your kidneys and liver;

  • This drink boosts your immune system to fight against several infections including the common colds and flu;

  • It’s a potent agent with rich nutrients, Himalayan salt contains 84 natural minerals and elements;

  • Himalayan salt also promotes fat loss, supports your thyroid health and helps maintain a healthy blood sugar levels.

Additional Sources: lifehack.org/ top10homeremedies.com


Migraines and Other Headaches Home Remedies:


5 Essential Oils to Keep Migraines Away


What To Do When You have A Terrible Migraine


Homemade Ginger Ale Recipe that Relieves Migraines




Stop Your Migraines With Lemon and Himalayan Salt