Pst 098

I ss098

f aye@pr epar edmedi a. co. uk

www. pr epar edmedi a. co. uk

01823618170 19t hMay2017

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LymphoedemaAwar eness

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Heal t hcar ePr oduct s

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Medi cal&GPs

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Oppor t uni t i esoft heWeek

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Heal t hcar e&Nur si ng

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Nur si ng

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Lear ni ngDi sabi l i t yAwar eness

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Lear ni ngdi s abi l i t yc har i t y Menc ap,i npar t ner s hi pwi t h RachelAshcroft,StrategicDevelopment Managerf orHeal t hatl ear ni ngdi sabi l i t y NHSEngl and,hasl aunc heda charityMencap,said: newani mat i onandonl i ne “ Vi si t i ngt heGPcanbei ncr edi bl ydi f f i cul ti fyouhave gui desc al l edDon’ tMi s sOut alearningdisability.Makingappointments, under st andi ngwhatt hedoct ori ssayi ngand t or ai s eawar enes soft he expl ai ni nghowyouf eelcanber eal l yhar d.Bei ngon heGP’ sl ear ni ngdi sabi l i t yr egi st ercanensur e i mpor t anc ef orpeopl ewi t ha t heal t hcar ei smuchmor eaccessi bl eandcanr esul ti n bet t erheal t hout comesf orpeopl ewi t hal ear ni ng l ear ni ngdi s abi l i t yt obeon di sabi l i t y . ” t hei rGP’ sl ear ni ngdi s abi l i t y “ Ther ear e1, 200avoi dabl edeat hsofpeopl ewi t ha r egi s t er . l ear ni ngdi sabi l i t yever yyearduet ot heheal t h Just23% ofpeopl ewi t hal ear ni ngdi sabi l i t yar e r egi st er edashavi ngal ear ni ngdi sabi l i t ywi t ht hei r GP[ 1]andj ust44% r ecei veanAnnualHeal t h Check[ 2] .Thi si sdespi t ewel ldocument ed evi denceoft heheal t hi nequal i t i esexper i encedby peopl ewi t hal ear ni ngdi sabi l i t y ,wi t h1, 200 avoi dabl edeat hsever yyear[ 3] .

i nequal i t i est hatpeopl ewi t hal ear ni ngdi sabi l i t yf ace.

Accesst obet t ersuppor t ,mor et i meandannual heal t hcheckscoul dpl ayacr uci alr ol ei ni mpr ovi ng pat i ent doct orr el at i onshi psandensur i ngt hatpeopl e wi t hal ear ni ngdi sabi l i t yr ecei vet heheal t hcar eand t r eat mentt heyneed. ”

DrMat tHoght on,GPatCl evedonMedi cal Gr oupandNor t hSomer setCCG l ear ni ng di sabi l i t ycl i ni call ead,sai d:

I fpeopl ewi t hal ear ni ngdi sabi l i t yt el lt hei rGP’ st hey haveal ear ni ngdi sabi l i t yt heyar eent i t l edt oext r a “ Doi ngt heAnnualHeal t hChecksal l owsmet obui l d hel p.Thi scani ncl ude: al ongt er m,t r ust i ngr el at i onshi pwi t hpat i ent swho haveal ear ni ngdi sabi l i t y .Thi smeansIcandot he • Ext r at i mef orappoi nt ment s necessar yexami nat i ons,suchasbl oodt est s.Att he • EasyReadi nf or mat i ont hati saccessi bl e samet i me,Il ear nmor eaboutt heper sonandcan • AnnualHeal t hCheckst hathel pt omai nt ai n maker easonabl eadj ust ment st ot hei rcar e. ” heal t h,det ectcondi t i onsandi l l nessesandhel p GPst ounder st andhowt opr ovi debet t ercar et o pat i ent swi t hal ear ni ngdi sabi l i t y .

AboutMenc ap

Formor ei nf or mat i onv i s i t www. mencap. or g. uk/ dont mi ssout YoussefAbi dathasal ear ni ngdi sabi l i t y .

Hesai d:

Ther ear e1.

4mi l l i onpeopl ewi t hal ear ni ngdi sabi l i t y i nt heUK.Mencapwor kst osuppor tpeopl ewi t ha l ear ni ngdi sabi l i t y ,t hei rf ami l i esandcar er sbyf i ght i ng t ochangel aws,i mpr oveser vi cesandaccesst o educat i on,empl oymentandl ei sur ef aci l i t i es.Mencap suppor t st housandsofpeopl ewi t hal ear ni ng di sabi l i t yt ol i vet hei rl i vest hewayt heywant .

“MyGPphonesmet or emi ndmeaboutmyheal t h www. mencap. or g. uk check,becausesomet i mesIf or get .I ’ m happywi t h myheal t hcent r e.Idi dn’ tr eal i seIwasl owon vi t ami nB12unt i lIhadmyAnnualHeal t hCheck,so nowIt akevi t ami nst ocor r ectt hat .I fIdi dn’ thave t hecheckImayhavebeeni l landnotr eal i sedi t . ”

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Heal t h&Wel l bei ng

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Ri skManagement

I syouror gani sat i onr i skr eady?

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Ther ecentr ansomwar eat t ackont heNHSand over30, 000compani esgl obal l yhasbr ought cyber cr i met ot het opoft her i skandnews agenda.

Pat r i cksi ngl edoutMi dEssexHospi t alSer vi cesNHS Tr ust ,t heonl yTr ustt oment i onCyber Secur i t yi n t hei rBoar dAssur anceFr amewor k.( Page20,r i sk number949) .

Pat r i ckKeady ,CFI RM,I RM Boar dmemberand Chai roft heI RM Heal t handCar eSect orI nt er est Gr oupsays:

Hecomment ed:

“ TheNHSi sunusualbecausei thassof ew peopl ewi t ht heski l l st of undament al l yunder st and r i skacr osst heent er pr i se.Whi l et heNHSi n Engl andempl oys1, 300, 000wor ker s,i thasj ust 27par t i al l y/ f ul l yt r ai nedandexper i enced ent er pr i ser i skmanager s.

Att hesamet i me,i ti sr eassur i ngt hatmostoft he NHSor gani sat i onsaf f ect edbyWannaDecr ypt or , sayt heyhavepl ansi npl acet or eactt ot he i mpactoft hemal war e.

However ,wehaveknownf oryear st hat i ncr easi ngamount sofI Tsof t war eandhar dwar e usedi nt heNHSar esi mpl yout of dat eandno l ongersuppor t edbyt hei rmanuf act ur er s.NHS bossesr eal l ydoneedt ot akemaj orst epsnow,t o pr eventsi mi l arepi sodesandt heaccompanyi ng di sr upt i ont opat i entser vi ces. ” Pat r i ckKeadyunder t ooksomer esear chi nt o cur r entr i skr egi st er soft he34NHSTr ust sand Cl i ni calCommi ssi oni ngGr oupsr epor t edt ohave beenaf f ect edbyt hecyber at t ack.

Heunder t ookadeepdi veof8, 500+pagesof Boar dpaper satt he34or gani sat i onsaf f ect ed.I n hi svi ew,t he34NHSBoar dpaper sar e over cr owdedwi t hi nf or mat i on–wi t honesetof Boar dpaper sexceedi ng400pages.

Hi smai nf i ndi ngsf r om t he34or gani sat i ons wer et hat : •10or gani sat i onspubl i shRi skRegi st er sonl i ne.

•13publ i shBoar dAssur anceFr amewor ksonl i ne ( t hi sr equi r ementwasi nt r oducedbyNew Labourci r ca2004) .

•Ni nedonotpubl i shr i skr egi st er sorboar d assur ancef r amewor ksonl i ne.

“ Ri sksi nal mostal loft he34or gani sat i onsaf f ect ed onFr i day ,ar egener al l yi l l def i nedanddonotr el at e t ot heor gani sat i ons’ st r at egi cobj ect i ves.I nst ead t heyt endt or ef ert ooper at i onalpr ogr ammesand t ar get swi l lbeachi evedornot ” .

Ni col aCr awf or d,CFI RM,Chai roft heI RM goeson t ocomment : “ Thi scyber at t ackhasaf f ect edmor et hanj ustt he heal t hsect orandhasi mpact edoncompani es gl obal l y . * A2016sur veyofI RM member sshowedt hatcyber r i skandt hei nsi ghti nt ot hechangi ngnat ur eofcyber andI Tr el at edr i sks,i ncl udi ngdat abr each,hacki ng, t hef tofI P,cyberf r audandcommer ci alsabot agewas oneoft hei rmostpr essi ngconcer ns.

Wel i vei nani ncr easi ngl ynet wor kedwor l d,f r om per sonalbanki ngt ogover nmenti nf r ast r uct ur e.

Pr ot ect i ngt hosenet wor ksi snol ongeropt i onal–t he i nt er netoft hi ngsmeansent er pr i sewi der i sk management ,i ncl udi ngcybersecur i t ypol i cy ,has neverbeenmor ei mpor t ant .

Cyberr i ski snowf i r ml yatt het opoft hebusi ness agendagl obal l yashi ghpr of i l ebr eachesr ai sef ear s t hathackat t acksandot hersecur i t yf ai l ur escoul d endangert hegl obaleconomy .Ransomwar eand dat abr eachcanhavecat ast r ophi cconsequences i ncl udi ngl ossofl i f e” .

TheI nst i t ut eofRi skManagementi sawor l dl eader i nent er pr i ser i skmanagementqual i f i cat i onsand t r ai ni ng;oneofournewcour sesl ooksatSt r at egi c I nsi ght si nt oCyberRi skandcanbeof f er edonan i nhouseandpubl i cbasi s: ht t ps: / / www. t hei r m. or g/ t r ai ni ng/ al l cour ses/ st r at egi ci nsi ght si nt ocyber r i sk. aspx

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Educat i on

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Char i t i es&Thi r dSect or

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I nvi si bl et ouch:London’ sbestkeptsecr et ,TheI nvi si bl eBoobJob,i sof f er i ngwomen mor enat ur all ooki ngbr eastaugment at i onwi t ht i nyscar s London’ sbestkeptsecr et ,TheI nvi si bl eBoobJob,i sof f er i ngwomen mor enat ur all ooki ngbr eastaugment at i onwi t ht i nyscar s.

Br eastaugment at i onhasl ongt oppedt hepol l soft hemostpopul arcosmet i csur ger ypr ocedur es,however ,i nt hepastmanywomenhavebeen putof fbyt het houghtofunnat ur all ooki ngr esul t sandobvi ousscar s.

Ar ecentsur veycar r i edoutbyThePl ast i cSur ger yGr oupf oundt hat63% ofwomenconsi der i ngaboobj obst at edt hei rbi ggestf earaboutt hepr ocedur ewast hescar r i ng.

Thel eadi ngcosmet i csur geonsbehi ndThePl ast i cSur ger yGr oup,Mr DanMar shandMrMoAkhavani ,havemadei tt hei rmi ssi ont ot r avelt he wor l di nsear choft hel at estandmosti nnovat i vet echni quesi naest het i c sur ger yandbr i ngt hem backt ot heUK.

Akhavaniadds,“ Wehavenot i cedt hatmostofourbr eastaugment at i onpat i ent sar enowpr ef er r i ngi mpl ant si nt he250320ccr ange.Thankf ul l yIt hi nk t hedaysof450600cci mpl ant sar egone.Wet endt oseepeopl easki ngf or sl i ght l ymor esubt l el ooks.I tl ooksf ul l ,i tl ooksni ce,butt her e’ st hat‘ has she,hasn’ tshe?’ aspect ,t hat ’ swhywecal li tTheI nvi si bl eBoobJob! ” Mar shagr ees.Hesays,“ Youcanseeonsoci almedi aandonI nst agr am t hatt hebodyt r endi sf orheal t hi er ,f i t t erbodi esandassuchwomenwanta mor enat ur all ook. “ Mostofouri mpl ant sar epl acedi nt hedualpl aneposi t i on,whi chmeans t hei mpl antsi t spar tundert hemuscl eandpar tundert hebr eastt i ssue.I t gi vesyouamor enat ur all ookasi tcover st het opoft hei mpl antsoyou can’ tseeorf eelt hei mpl antedge.Nomor et hef ake,‘ st uckon’ appear ance”

Thei rai mi st omi ni mi sebot hsur ger yt i meanddownt i mef ort hei rpat i ent s BUSI NESS whi l eachi evi ngr esul t st hatar enat ur al .Oneoft hemostexci t i ngnewaddi t i onst ot hei rar mament ar i um i sTheI nvi si bl eBoobJob. Anot hermaj orbenef i toft heI nvi si bl eBoobJobi st hef actt hati tr educest he r i skofi nf ect i onandl ongt er m compl i cat i onssuchasbi of i l mf or mat i on Socal l edbecauseofi t svi r t ual l ynonexi st entscar r i ng,t heI nvi si bl eBoob ( whi chcausescapsul arcont r act ur eorhar deni ngoft hei mpl ant ) .I tal sor eJobusesa“ Kel l erFunnel ”t oal l owt hesur geonst opl aceevent hemost ducest her i skofALCL( r ar el ymphomaassoci at edwi t hbr easti mpl ant sand si zeabl ei mpl antt hr oughasmal lhol et hesi zeoft wopoundcoi n. possi bl yduet obi of i l m) .

Mar shexpl ai ns,“ TheKel l erFunnelal l owsyout odoabr eastaugment a- Wi t hi ncr easedsaf et yandmor enat ur alr esul t s,t heI nvi si bl eBoobJobi s t i ont hr oughat i nyi nci si ont hat ’ s3cm orl ess,whi chi shi ddeni nt he f astbecomi ngHar l eySt r eet ’ sbestkeptsecr et . cr easei nt hebr east .Mosti nci si onsar e57cm,butwi t ht heI nvi si bl eBoob Jobt hescar sr eal l ydof adeawayt oal mostnot hi ng.I thasr evol ut i oni sed t hesear et hesaf estt echni quesi nt hei ndust r y . howwedobr eastaugment at i on. ” Rel easef r om ht t p: / / www. f l i psi depr . co. uk What ’ smor e,t heuseoft hef unneli smor esui t edt osmal l erandt her ef or e mor enat ur all ooki ngi mpl ant s,somet hi ngt hatgoeshandi nhandwi t ht he demandf ormor enat ur alr esul t swomenar ewant i ngt oday .

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41i st heageBr i t onsof f i ci al l ygeti nt ogar deni ng 41i st heageweof f i c i al l ygeti nt ogar deni ng,anews ur v eyhasr ev eal ed.

Thes ur v eys howedmor et hanat hi r dofr es pondent sdes c r i bet hei rgar denasa pl ac et oes c apei tal l andonei nt ens ai dt heywer ei mmens el ypr oudoft heway Res ear c her st ookani ndept hl ooki nt ot hepr ec i s et i mei nourl i v est hatwet ur nour t hei rout doors pac el ook ed. at t ent i ont oourout doors pac es-andf oundt hati ti snotunt i l wer eac h41t hatwe bec omegr eenf i nger ed.

J amesWongadded:“ Des pi t et hes ef i ndi ngs ,t her ei ss t i l l s omehopet hatBr i t sget i nt ogar deni ngatanear l i erage.Nowaday st her ear epl ent yofc ut t i ngedgegar Upunt i l t hi spoi nt ,near l yt hr eei nt enadul t sc ont i nuet or el yonel der l ypar ent st o deni ngt ool sathandwhi c har ei deal f oral l t y pesofgar dener s–amat eurt onov i c e s or toutt hei rout doors pac e-wi t honei nt went yev enc al l i ngongr andpar ent st o –mak i ngl i ghtwor koft r ans f or mi ngout doors pac es .Gar deni ngi sagr eathobby t endt ot hei rgar dens . f orpeopl eofal l agesandi spar t i c ul ar l ybenef i c i al .I t ’ saf un,heal t hyac t i v i t ypl us t hes ens eofs at i s f ac t i ony ouf eel wheny ouwat c hs omet hi ngy ou’ v ehadahandi n Af ur t heronei nt enr es or tt owat c hi ngc l i psonYouTubet ohel pr emedyt hei rhor t i - gr owi ngi si mmeas ur abl e. ” c ul t ur al i s s ues .

Aquar t erofBr i t ss eet hems el v esasak eengar dener–wi t hmor et hanhal fof Thepol l bygar dent ool s uppl i erFi s k ar sr ev eal edat hi r dofc l uel es sadul t shav e adul t si t c hi ngf ors ummert oar r i v es ot heyc angetbac kouti nt ot hei rgar dens .

NEVERt r i mmedahedgeandnear l yaquar t erhav en’ tev erpot t edapl ant .

Howev er ,hal foft headul t st hatt ookpar ti nt hepol l s ai dt heywoul dn’ tbeabl et o Af ur t her23per c entoft he1, 500adul t spol l edc l ai mt ohav eNEVERmownal awn i dent i f yaf uc hs i a,40per c entwoul ds t r uggl et os potapans yandmor et hanhal f orr ak edl eav esi nt hegar den. woul dn’ tk nowager mani um whent heys awone.

Bot ani s tandbr oadc as t er ,J amesWong,c omment s :“ Thes t udys howst her ei sa Get t i ngs t ungbys t i ngi ngnet t l es ,pul l i ngupaf l ower ,mi s t ak i ngi tf oraweedand l ac kofengagementbet weent hey oungergener at i onandgar deni ng,buti t ’ ss oi m- t r appi ngf i nger si ndec k c hai r sar ej us ts omeoft hec al ami t i esBr i t shav ef ac ed por t antwedon’ tl os et hatpas s i onf orourout doors pac es . whent r y i ngt ot ac k l et hegar den. “ Al ac kofenj oy mentori nt er es ti nmai nt ai ni ngagar denus ual l ys t emsf r om peopl e notk nowi ngwher et os t ar t .That ’ swhydev el opi ngani nt er es ti ngar deni ngand s howi ngt her ewar dst hatout doors pac esc anbr i ngi ses s ent i al ,s uc hasgr owi ng pl ant si ns mal l s pac es ,whi c hc anbef unandpr oduc t i v e— y ouj us tneedal i t t l e s uns hi neands omei magi nat i on. ” As pok es manf orFi s k ar sc omment ed:“ Get t i ngi nt ogar deni ngatt heageof41 mays eem l at e,butwi t hmanyadul t snotget t i ngont hepr oper t yl adderorl i v i ngi n f l at sunt i l t hei rl at et hi r t i es ,i t ’ sbec omi ngt henor m.

Cut t i ngt hegr as swi t hnobl adei nt hemower ,put t i ngy ourhandi nc atmes sand t r eadi ngonanupt ur nedr ak ewer eot herc ommonf auxpas .

Des pi t es pendi ngonav er agef i v ehour sperweeki nt hei rgar dens ,Br i t ss ayt hey ar eas hamedoft hes t at eoft hei rout doorar eas ,y eti nat y pi c al y eart heywi l l i nv es tj us t£1 19i nmai nt ai ni ngandi mpr ov i ngt hes pac e.

Ki d’ st oy ss t r ewnev er y wher e,t hegr as sgr owi ngt ooqui c k l yandnothav i ngt he r i ghtt ool sf ort hej obar eamongt het hi ngst hatannoyusaboutourgar dens .

“ Gar deni ngc ans eem daunt i ngatf i r s tandi t ’ sonl ynat ur al t owantt oc al l uponpar - Rel ea s ef r om ht t p: / / www. gi nger c omms . c om ent sorgr andpar ent swhot endt obemuc hmor ek nowl edgeabl e.Ouri nnov at i v e r angeofpr oduc t smak esgar deni ngeas yandhas s l ef r ee,hel pi ngy out or ec onnec t wi t hy ourout s i des pac e,nomat t ery ourl ev el ofs k i l l . ”