Publ i cSec t or
I ss186
Apubl i c at i onbyPr epar edMedi aLt d f aye@pr epar edmedi a. co. uk
01823617747
www. pr epar edmedi a. co. uk
15t hFebr uar y2019
NEW J OBS I NSI DE!
I s s ue186Publ i cSe c t orToda yPg2
I s s ue186Publ i cSe c t orToda yPg3
Heal t hLeader shi p
I s s ue186Publ i cSe c t orToda yPg4
I s s ue186Publ i cSe c t orToda yPg5
I s s ue186Publ i cSe c t orToda yPg6
I s s ue186Publ i cSe c t orToda yPg7
I s s ue186Publ i cSe c t orToda yPg8
I s s ue186Publ i cSe c t orToda yPg9
I s s ue186Publ i cSe c t orToda yPg10
I s s ue186Publ i cSe c t orToda yPg1 1
I s s ue186Publ i cSe c t orToda yPg12
I s s ue186Publ i cSe c t orToda yPg13
I s s ue186Publ i cSe c t orToda yPg14
I s s ue186Publ i cSe c t orToda yPg15
I s s ue186Publ i cSe c t orToda yPg16
I s s ue186Publ i cSe c t orToda yPg17
I s s ue186Publ i cSe c t orToda yPg18
I s s ue186Publ i cSe c t orToda yPg19
Soci alCar e
I s s ue186Publ i cSe c t orToda yPg20
I s s ue186Publ i cSe c t orToda yPg21
Ment alHeal t hAwar eness
I s s ue186Publ i cSe c t orToda yPg22
AboutSANE SANEi sal eadi ngUKment alheal t hchar i t ysetupi n1986byi t schi ef execut i ve,Mar j or i eWal l aceCBE,f ol l owi ngherpi oneer i ngar t i cl esi nThe Ti mesi nwhi chsheexposedt hewayi nwhi chsoci et ynegl ect edi ndi vi dual s andf ami l i esaf f ect edbyment ali l l ness. Thechar i t y’ st hr eemai nai msar et or ai seawar enessandcombatt he st i gmasur r oundi ngment ali l l heal t h;pr ovi deemot i onalsuppor tand speci al i stser vi ces;andpr omot er esear chi nt ot hecausesandt r eat ment s f orment ali l l ness. I nr ecentyear s,ef f or t st or ai seawar enessandcombatst i gmahavenot beenmat chedbyi mpr ovement st opsychi at r i cser vi ces,andt hedai l y r eal i t yexper i encedbyt hosewhocont actSANEr emai nsbl eak.We consi st ent l ycampai gnf ort hosevoi cest obehear d,sot hatt hosei nneed r ecei vet hecar eandt r eat mentt heydeser ve. Weal sopr ovi deemot i onalsuppor t ,gui danceandi nf or mat i ont omany t housandsofpeopl eaf f ect edbyment ali l l heal t h.Wear eopent oal l , whet heryouar eexper i enci ngment aldi st r essyour sel f ,orar eacar er , f ami l ymember ,pr of essi onalorconcer nedmemberoft hepubl i c. SANEl i ner emai nst heonl yout of hour snat i onal ,speci al i stment alheal t h hel pl i ne,avai l abl e365daysayeart opeopl ei ncr i si s,t hosewi t hendur i ng andr el apsi ngcondi t i onsandt hosewhocar ef ort hem.Ourgr owi ngt eam ofvol unt eer sof f erl i st eni ng,under st andi ng,upt odat ei nf or mat i onand suppor tt ocal l er si nneedanddi st r ess. Adeeperunder st andi ngoft hecausesofment ali l l nessi svi t ali nt he sear chf orbet t ert r eat ment sandt her api es.Tot hatendwebui l tour r esear chcent r ei nt hegr oundsofWar nef or dHospi t al ,Oxf or d.ThePr i nce ofWal esI nt er nat i onalCent r ef orSANEResear ch( POWI C)host sr esear ch t eamswor ki ngacr ossdi sci pl i nes,st i mul at i ngnewi deasanddi ssemi nat i ng i nf or mat i on.
Weal socont i nuet or unourBl ackDogCampai gnt oencour agepeopl et o speakoutaboutment ali l l nessandf i ndt hei rownl anguaget oexpr esst hei r exper i ences.Scul pt ur esofBl ackDogswear i ngcoat sdesi gnedbyar t i st s, cel ebr i t i esandot her shavebeenpl acedi nbusi nessf oyer s,publ i cpar ks andshoppi ngcent r esi nt ownsandci t i est hr oughoutt heUK.Theyhave becomepar t i cul ar l ypopul art our i ngschool sanduni ver si t i es.
I fyouwoul dl i ket ocont actSANEl i nei n conf i dence,pl easecal l03003047000 ( openbet ween4. 30pm and10. 30pm, ever ydayoft heyear ) .Formor e i nf or mat i ononSANE,pl easevi si tour websi t eatwww. sane. or g. uk.
I s s ue186Publ i cSe c t orToda yPg23
LymphoedemaAwar eness
I s s ue186Publ i cSe c t orToda yPg24
I s s ue186Publ i cSe c t orToda yPg25
How mappi ngyourl ymphat i cssyst em i schangi ngl ymphoedemat r eat ment Knownani nnov at or ,J aneWi gg,di r ec t oroft he Ly mphoedemaTr ai ni ngAc ademyandLy mphVi s i on,i s al way sl ook i ngf ornewway st ohel ppeopl el i v i ngwi t h l y mphoedema.Thi sc hr oni ci l l nes sr eal l ydoeshav e l i f ec hangi ngef f ec t sbutt hei nt r oduc t i onofi nnov at i v e t r eat mentandas s es s mentt ool shasal t er edt hewayt hat l y mphoedemac anbet r eat ed.Oneoft hemos ti nnov at i v e andc ondi t i onc hangi ngt ool si st heus eofaNeari nf r ar ed f l uor es c enc ei magi ng( NI RFI )appl i edt oi dent i f y l y mphat i c si nr eal t i me,f ort hef i r s tt i me.Ami nut eamount off l uor es c entf l ui di si nj ec t edi nt r ader mal l yi nt ot het i s s ue andt ak eni nt ot hel y mphat i c s( i ft heyar ef unc t i oni ng) .The dy e,whi c hbec omesat t ac hedt opr ot ei nandal bumi n mol ec ul eswi l l mov ewi t hi nt het i s s ueorl y mphat i c sov er t i me.ANI RFIc amer awi l l ex c i t et hedy eandr ef l ec tt he i mageal l owi ngt oi dent i f ywher et hel y mphat i c sar e dr ai ni ngorpr obl em ar eas . Al t houghnew,t heRoy al Col l egeofNur s i ng( RCN) ,has r ec ogni s edJ aneandLy mphVi s i onasaf i nal i s tas i nnov at i onoft hey ear .Ly mphVi s i onc ar r i esoutc l i ni c s ar oundt heUK,meani ngt hatwec ant r ac kt hel y mphat i c dr ai nageanddes i gnnewt r eat mentandmanual l y mphat i c dr ai nagepl ans .Thr oughs c r eeni ng,NI RFLi magi ng( al s o c al l edI CG mappi ngorl y mphof l uor os c opymappi ng)al s o meanst hatwec ans eewhent hel y mphat i c sar es t ar t i ng t of ai l .Res ear c hhass hownt hatder mal r er out i ng( ear l y c hanges )wi l l dev el opi nt ol y mphoedemas oear l y r ec ogni t i oni spar amount . Ly mphoedemai soneoft he bi gges tf ear sf ol l owi ngbr eas t s ur ger yoc c ur r i ngbet ween840% ofpeopl eandoc c ur si nar ound 25% ofgy naec ol ogi c al and mel anomac anc er s .Thr ough l y mphat i cs c r eeni ng,ear l y t r eat ments uc hass el f dr ai nage c anas s i s tt hel y mphat i c st of i nd di r ec t i onoff l owandr educ eors t opt hec hange.Sc r eeni ng i sc ar r i edoutass oonaspos s i bl ebutf or msaspar tofan annual ear l ydet ec t i onpr ogr amme. Manyoft hepat i ent swhoat t endLy mphVi s i onal r eady hav el y mphoedemaandt heyort hei rt her api s t sar e l ook i ngt oas s i s tt hei rc ondi t i onbet t er .Thr oughNI RFLI , of t enanac c ur at edi agnos i sc anbeac hi ev edc onf i r mi ng genet i cc aus es .I naddi t i on,t heex t entoft he l y mphoedemac anbes eenal l owi ngf ort hei nt r oduc t i onof di f f er i ngt r eat mentpr ogr ammesandbes pok el y mphat i c dr ai nage.Thi si sc ompl ement edwi t hJ anesk nowl edge, whoasani nnov at or ,get st opr es entonagl obal pl at f or m andhasawar enes sofi nt er nat i onal t r eat mentt r ends .
NI RFLIhasal l owedf ort he dev el opmentofanewandadv anc eManual Ly mphat i c Dr ai nage( MLD)ormas s aget ec hni que.Fl uor os c opyhas s hownusnewpat hway s ,howt hel y mphat i c sdr ai nand r es pond,wher et heydr ai nandhowandi sr eal l y c hal l engi ngt he‘ hi s t or y ’ book sofpat hol ogyandMLD.Wi t h l i t t l er es ear c hbehi ndex i s t i ngt ec hni ques ,Fl uor os c opy gui dedMLD( FGMLD)us i ngt he‘ Fi l l andFl us h’ t ec hni que i shav i ngs uper i orout c omes ,f as t err es ul t sands av i ngbot h t heNHSandpat i ent smoney .Onepat i ent sr epor t st hat s hehass av edov er£1000s i nc emappi ngandc hangi ng herMLD. TheLy mphoedemaTr ai ni ng Ac ademy( L TA)wases t abl i s hedi n 2002andpr ov i desi nt er nat i onal t r ai ni ng.I n2014,J aneandL TA s t ar t edt eac hi ngFGMLDandt he‘ f i l l andf l us h’ t ec hni que.Pr ofBel gr ado, f r om t heBr us s el sLy mphol ogyand Res ear c hCent r ei nBel gi um, pi oneer edt heFGMLDt ec hni que andr ef i nedNI RFLi magi ng.TheL TAar et heonl ypr ov i der s oft hi st ec hni queandpr ov i det r ai ni ngi nt heUKand i nt er nat i onal l y .Asl y mphedemai sbec omi ngi nc r eas i ngl y r ec ogni s edt heneedf orgoodt her api s t si nc r eas esand wi t hc l os el i ai s on,L TAi st r ai ni nghol i s t i ct her api s t sand hi ghl ys k i l l eds por t sandmas s aget her api s t s ,t oas s i s ti n s uppor t i ngl y mphoedemat her api s t si nt hepr ov i s i onof manual l y mphat i cdr ai nage.Tr ai nedatav er yhi ghl ev el , t heywi l l pr ov i deFGMLDt opat i ent s .Al i s toft her api s t s c anbef oundatwww. l y mph. or g. uk .Tr ai ni ngonal l t hi ngs l y mphoedema,L TAar epi oneer si nt hei rf i el d,c oac hi ng ov er150newt her api s t seac hy ear .TheMLDand l y mphoedemamanagementt r ai ni ngi shel pi ngt hous ands ofpeopl e. Don’ tbel i eveus,ourt her api st sandpat i ent sspeakf ort hemsel ves… ‘ I havebeenqual i f i edt ot r eatl ymphoedemasi nce1998,t hecour sewas f ant ast i candIam f i ndi ngIam get t i ngmuchbet t erandf ast err esul t s f r om ‘ Fi l landFl ush’ t echni que,t heyar emai nt ai ni ngbet weenandmy pat i ent sar ever yhappy . ’ ‘ Imustsayt hankyousomuchf ort heent i r ecour se!Iabsol ut el yl oved i t !Isawt wopat i ent sf orFGMLDl astweek.Wecoul dseean i mmedi at edi f f er ence.Yest er day ,atr evi ew,sher epor t ed:“ Myar mf el t ext r emel yl i ght er ,If el tIcoul df l y…Thankyousomuchf orhel pi ngme f eell i keahumanagai n. ”Onesessi onandamazi ngf eedback!The cour sehasdef i ni t el ychangedmeasacl i ni ci an! ’
AtLy mphVi s i on,t hr oughs c r eeni ng,weai mt oi dent i f y l y mphoedemaear l yt or educ eorr ev er s et hei mpac tand i mpr ov et r eat mentbyi dent i f y i ngl y mphat i cpat hway s .I n addi t i on,wepr oduc ehi ghl ys k i l l edt her api s tt ohel ppeopl e l i v i ngwi t hl y mphoedemar ec ei v ei mpr ov edc ar eand out c omes .
I s s ue186Publ i cSe c t orToda yPg26
Heal t h&Wel bei ng
I s s ue186Publ i cSe c t orToda yPg27
I s s ue186Publ i cSe c t orToda yPg28
Char i t yLeader shi p
I s s ue186Publ i cSe c t orToda yPg29
I s s ue186Publ i cSe c t orToda yPg30
I s s ue186Publ i cSe c t orToda yPg31
I s s ue186Publ i cSe c t orToda yPg32
Char i t i es&Thi r dSect or
I s s ue186Publ i cSe c t orToda yPg33
I s s ue186Publ i cSe c t orToda yPg34
LocalGover nment&Envi r onment
I s s ue186Publ i cSe c t orToda yPg35
I s s ue186Publ i cSe c t orToda yPg36
I s s ue186Publ i cSe c t orToda yPg37
I s s ue186Publ i cSe c t orToda yPg38
I s s ue186Publ i cSe c t orToda yPg39
I s s ue186Publ i cSe c t orToda yPg40
I s s ue186Publ i cSe c t orToda yPg41
I s s ue186Publ i cSe c t orToda yPg42
I s s ue186Publ i cSe c t orToda yPg43
I s s ue186Publ i cSe c t orToda yPg44
FARMERS URGED TO BI D ONLI NE FOR FLOOD WORK Far mer sacr ossSomer setar ebei ngi nvi t edt obi di nt heUK’ sf i r stcount ywi deauct i onf orwor kst ohel pst opf l oodi ng. Theauct i onwi l lber unonl i nef r om Febr uar y26-Mar ch12usi nganew Envi r onmentAgencywebapp,whi chcanbef oundatwww. nf mauct i on. or g. uk. Thewebsi t eof f er sSomer setf ar mer sauni quecombi nat i onofpossi bi l i t i es.Fi r st ,t osel ectf ort hemsel vesdi f f er entnat ur alf l oodmanagement ( NFM)act i vi t i es.Second,t opi ckoutpar t soft hei rl andwher et heybel i evet hoseact i vi t i eswi l lpr oducet hebestf l oodpr event i onr esul t sf or t hem andf orl ocalcommuni t i es.Thi r d,t obi df orf undi ngf ort hoseact i vi t i es.
“ Nowwe’ r eopeni ngi tupacr osst hecount y ,IhopemanySomer set f ar mer swi l lgi vei tago. ” Gr ant sar ebei ngof f er edf orf i vedi f f er entnat ur alf l oodmanagement measur es:mai zemanagement ,gr assl andsubsoi l i ng,hedgepl ant i ng, soi lbunds,andl eakydams.Al lhel pt osl owt hef l owofwat er ,whi l edel i ver i ngot herbenef i t s.Gr assl andsubsoi l i ng,f orexampl e,aer at est he gr oundsot hatmor er ai nwat ercanf i l t eri n;i tal soi mpr ovest hesoi l .
Ant honyGot har d,aSt okeStGr egor y f ar merwhowonamai zemanagement gr anti nl astyear ’ st r i alauct i on,sai d:“ I t onl yt ookmeaf ewmi nut est opl acemy Ast hemai npur poseofNFM act i vi t i esi nSomer seti st osl owt hef l owof bi donl i neandt her ewasn’ tany wat erdownt hr ought hehi gherpar t sofr i vercat chment s,t hewebappwi l l paper wor k.I ’ mr eal l ypl easedwi t hwhat notal l owf ar mer st opl acebi dsf orl andi nl owl yi ngI nt er nalDr ai nage I ’ vebeenabl et oachi evewi t ht hegr ant Boar dar eas,butt heauct i onot her wi secover st hel engt handbr eadt hof money . ” Somer set . Si ncet hedevast at i ngf l oodi ngoft he Af t ert heauct i oncl oses,bi dswi l lbecheckedbyt heFar mi ng&Wi l dl i f e Somer setLevel si n201314,hundr edsofnat ur alf l oodmanagementi ni Advi sor yGr oupSW ( FWAG SW) .Gr ant sf r om Somer setRi ver sAut hor i t y t i at i veshavebeencar r i edoutacr ossSomer set ,aspar toft hecount y’ s ( SRA)wi l lt henbegi vent ot hebest ,mostcompet i t i vel ypr i cedi deas. pi oneer i ngHi l l st oLevel spr oj ectandover ar chi ng20YearFl oodAct i on Pl an.Hi l l st oLevel shassof arwont wonat i onalawar ds,andt hi snew Cl l rJohnOsman,SRAChai r man,sai d:“ Thi si sst i l laver ynewsyst em, auct i onshowsSomer setcont i nui ngt ol eadt heUKwi t hf r eshi deasf or butal lt hesi gnsar et hati thasmanyst r engt hs.I tcut soutpaper wor k.I t t ackl i ngl ocalf l oodi nghot spot s. savest i meandmoney .I tdr awsonf ar mer s’ unr i val l edknowl edgeoft hei r ownl and.I t ’ seasyt ouse–andi tget sr esul t s. “ Lastsummer ,asat r i aloft hewebapp,t her ewasamuchsmal l erauct i oni nt hecat chment soft heRi verToneandRi verPar r et ti nSomer set andt heSRAgaveout22gr ant st owi nni ngbi ds.Fl oodr i skst ol ocalcommuni t i eshavebeenr educedt hr oughi mpr ovement st hatf ar mer shave beenabl et omake.Soi t ’ sawi nwi n.
I s s ue186Publ i cSe c t orToda yPg45
Nat i onalEducat i onCampai gn
I s s ue186Publ i cSe c t orToda yPg46
I s s ue186Publ i cSe c t orToda yPg47
I s s ue186Publ i cSe c t orToda yPg48
I s s ue186Publ i cSe c t orToda yPg49
I s s ue186Publ i cSe c t orToda yPg50
I s s ue186Publ i cSe c t orToda yPg51
I s s ue186Publ i cSe c t orToda yPg52