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Apubl i c at i onbyPr epar edMedi aLt d f aye@pr epar edmedi a. co. uk

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1stMar ch2019

NEW J OBS I NSI DE!

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Heal t h&Soci alCar e

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Us i ngt ec ht oc onnec t I nnov a t i v ea c t i v i t ypr ov i de r Al i v eha sbe e n us i ngt ouc hs c r e e nt e c hnol ogyt oe nr i c h t hel i v e sof ol de r pe opl ei nc a r es e t t i ngs f or a l mos tade c a des i nc ei t si nc e pt i on. Us i ngt ouc hs c r e e nde v i c e sdur i ngour me a ni ngf ul a c t i v i t ys e s s i onsi na mul t i t udeof wa y s , a l l owsust or e s pondi n t hemome ntt ot hene e ds , i nt e r e s t sa nd wi s he sof i ndi v i dua l s . Al i v e ’ swor kwa sr e c ogni s e dr e c e nt l ya t t her e c e ntS oc i a l Ca r eAwa r ds2019– wi nni ngapr e s t i gi ousa wa r df or i nnov a t i oni nol de r pe opl e ’ sc a r ea ndf or our I nt e r ge ne r a t i ona l wor k -wi nni ng ‘ Bes tI nt er gener at i onal Communi t y EngagementPr ogr amme2019’ T ouc hs c r e e nde v i c e sc a npl a c et hewhol e wor l da tour finge r t i ps . Weus et he mt o e x pl or epe opl e ’ sl i f es t or i e s-findi ng pi c t ur e s , fil msor f a c t st ha tc a nt r a ns por t pe opl eba c kt ot he i r ha ppi e s tme mor i e s . Wec r e a t emus i ct oge t he r byus i ngt he l a t e s ts e ns or ymus i ca ppss uc ha s‘ Bl oom’ or ‘ Mi dni ght ’ a ss t i mul a t i onf or pe opl e l i v i ngwi t hde me nt i a . S pont a ne ous i nt e r ne ts e a r c he sa l l owust oe x pl or e , di s c ov e r a nds ha r emus i cf r oma ny de c a deor c ount r y . Wea l s ous et he mt o br i ngge ne r a t i onst oge t he r i nour i nt e r ge ne r a t i ona l wor k , a l l owi ngol da nd y oungt oc ommuni c a t ea nds ha r e me mor i e sa nde x pe r i e nc e s .

The r ei sagr owi ngbodyof e v i de nc et o s ugge s tt ha tus i ngt e c hnol ogyc a nbr i ng ma nybe ne fit sf or ol de r pe opl e , i nc l udi ng t hos el i v i ngwi t hde me nt i a , s uc ha s i nc r e a s e dc ogni t i v ea ndphy s i c a l a c t i v i t y , s oc i a l i nt e r a c t i ona ndl e a r ni ngne ws k i l l s . Al i v eme tonema nwhos a i dhewa sgoi ng t obuyhi sownga me sc ons ol es ohec oul d pl a ya ga i ns thi sgr a ndc hi l dr e nwhe nt he y c a met ov i s i t ! Al i v eha sma nya ma z i nge x a mpl e sof how t e c hnol ogyc a nbeus e dt oope nupl i f e a ga i nf or ol de r pe opl e . Apa r t i c ul a r f a v our i t ec ome sf r omar e mi ni s c e nc e s e s s i onwhe r ewewe r edi s c us s i ngl ov ea nd ma r r i a ge . Oner e s i de ntwa sor i gi na l l yf r om S out hAf r i c aa ndwewe r ea bl et ofinda pi c t ur el ook i ngdownt hea i s l eof t he c hur c hi nDur ba nwhe r es hewa sma r r i e d a l mos t60y e a r spr e v i ous l y . Att ha t mome nts hewa st r a ns por t e dba c kt ot he ha ppi e s tda yof he r l i f ea ndi twa sa pr i v i l e gef or e v e r y onei nt her oomt os ha r e t heme mor ywi t hhe r . S o, howc a ny ouge ts t a r t e dus i ng t e c hnol ogywi t hol de r pe opl e ?Buyane w or r e f ur bi s he dt ouc hs c r e e nt a bl e ta nd e x pl or e ! Y ouc a na l s obookont ot heAl i v e ‘ i P a dsa ndol de r pe opl e ’ t r a i ni ngc our s e a ndwewi l l e mpowe r y ouwi t ha l l t he k nowl e dgey oune e dt oy oue nr i c ht he l i v e sof t hepe opl ey ouc a r ef or .

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Nat i onalNur si ngRecr ui t mentCampai gn

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LymphoedemaAwar eness

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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 .

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Char i t yLeader shi p

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Char i t i es&Thi r dSect or

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LocalGover nment-Management

Heal t hcar er ecr ui t erwel comesment alheal t hsuppor t f orNHS st af f ,butwar nspl answon’ tst opst af fexodus Fol l owi ngt heHeal t hSec r et ar y ’ spl edget oov er haul ment al heal t hs uppor tf orNHSs t af f–i nanef f or tt oboos tr et ent i on –Mi c hael J ohns onEl l i s ,managi ngdi r ec t orofHeal t hi erRec r ui t ment ,haspr ai s edt hemov easapr omi s i ngs t ep,but s ugges t edt hati tmaybemi s s i ngt her ootc aus eoft hepr obl em. Thepr opos al sannounc edbyMat tHanc oc ki nc l ude:pos t i nc i dents uppor tf orNHSf r ont l i nes t af f ;adedi c at ed24hour ment al heal t hs uppor ts er v i c e;f as t t r ac k edment al heal t hr ef er r al sf orNHSempl oy ees ;i mpr ov edr es ts pac esf oronc al l s t af f ;andan‘ NHSwor k f or c ewel l bei ngguar di an’ i nev er y NHSor gani s at i on. Thi smov ef ol l owsar ec entMi nds ur v eywhi c hf oundt hat near l y90% ofNHSpr i mar yc ar ewor k er sc l ai mt obe s t r es s ed,andov er20% hav edev el oped‘ s er i ous ’ ment al heal t hpr obl emsasar es ul t .Thi si sac ont r i but i ngf ac t ort o t hewi ders t af f i ngc r i s i st hatt heNHSf ac es ,wi t hr es ear c h s howi ngt hatt hatunf i l l edv ac anc i esac r os st hes er v i c el ook s ett os k y r oc k ett o350, 000by2030. Comment i ngont hedev el opment s ,Mi c hael J ohns onEl l i s , whohasov er15y ear s ’ ex per i enc ei nNHSr ec r ui t ment , s ai d:

“ Weappl audt heHeal t hSec r et ar y ’ spl anst ohel pt ac k l et he ment al heal t hpr obl emsf ac edbynur s esandot her swor k i ng i nt heNHS,andi t ’ st r ul yenc our agi ngt os eet hi sont he agenda.Howev er ,t hr owi ngmoneyatnewi ni t i at i v eswi l l not beamagi cs ol ut i ont ot heNHS’ spr obl ems .Ourwor kwi t h Tr us t shass hownust hat ,f r om as t af f i ngper s pec t i v e,many war dshav ef armor edeepl yi ngr ai nedpr obl emswhi c hc ont r i but et ot heongoi ngs t af f i ngc r i s i s . ’ ’ ‘ ‘ Themi s managementofwor k f or c esandhi ght ur nov erof s t af f ,whi c hl eadst oanov er r el i anc eonagenc ywor k er s ,has ahugei mpac tonov er al l s t af fwel l bei ng.Thi si mpac t sbot h c ont i nui t yofc ar eands t af f i ngs pend,mak i ngt hewor k pl ac e l es sat t r ac t i v ef ors ubs t ant i v es t af f ,andf ur t herex ac er bat i ng t hes t r ai nont hei rment al heal t h.Ther ef or e,al ongwi t hex t r a f undi ngf ornewi ni t i at i v es ,wor k f or c emanagementpr ogr ammesneedt obei nt r oduc edt oaddr es st hec or ei s s ues . Fai l ur et odos oi si gnor i ngt het r ues c opeoft hepr obl em – i t ’ sl i k es t i c k i ngapl as t eronawound. ‘ ’ Ul t i mat el y ,af ews mal l y etef f ec t i v emodi f i c at i onsc oul ds i gni f i c ant l yi mpr ov et hewayt hatwor k f or c esar er ec r ui t edand managed.Thi swoul dhav eahugei mpac tons t af fengagementandwel l bei ngl ongt er m.

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LocalGover nment-Counci lTax

£7. 5bn( GBP) *savi ngonpubl i cheal t hservi cesi fdi gi t alheal t hadopt ed acr ossEngl and Res ear c hc onduc t edbyNowHeal t hc ar eGr oup( NHG) ,hashi ghl i ght edt hatt he us eoft el eheal t h/ di gi t al c ons ul t at i onsobv i at edt heneedf oranNHSGPappoi nt menti n56% ofc as esandahos pi t al appoi nt menti n3% ofc as esandt hatpr et r i ageappt ec hnol ogyc oul dpot ent i al l yr edi r ec tupt o73% ofpat i ent st ononGP c ons ul t at i ons( i . e.nur s eorPhar mac i s t )-r educ i ngpr es s ur eonpr i mar yc ar edoc t or s .

Thef i ndi ngsf al l i nl i net heNHSt eny earpl ant o ev ol v eandmeett hec hangi ngneedsoft he pat i ent ,ens ur i ngt hatpr es s ur eonGPsdoesnot af f ec tt hei rabi l i t yt opr ov i det hebes tc ar eand t hatdi gi t al i nnov at i onenhanc et heef f i c i enc yof pr i mar yc ar edel i v er y .

Ther epor tquant i f i est hei mpac tofdi gi t al t ec hnol ogyonpat i entout c omes ,medi c i neadher enc eandt her educ t i onofpr es s ur eonpubl i cheal t hs er v i c esandpr i v at eempl oy er sands howst hatandt hati fdi gi t al heal t hv i aappbas edt ec hwas r ol l edoutac r os st hepopul at i on,i tc oul dpot ent i al l ys av e£7. 5bnonpubl i cheal t h s er v i c esi nEngl and.

Ther es ul t sal s os er v et os uppor tt her ec entnews whi c ht heNHShi ghl i ght edt hatmor et han20, 000phy s i os ,phar mac i s t sandpar amedi c sar et ober ec r ui t edi nEngl andt owor kal ongs i deunder pr es s ur eGPs .

Thef i gur esar ebas edonl i v eNowHeal t hc ar edat ac ombi nedwi t hpubl i c l yav ai l abl eNHSandac ademi cs our c esal s ohi ghl i ght ed: •£2. 2bn*pot ent i al s av i ngs( annual l y )t hr oughr edi r ec t i ngpat i ent sv i aappbas ed t ec ht ononGPc ons ul t at i ons( i . e.nur s eofPhar mac i s t ) . •27%*ofc ons ul t at i onsv i at heapp,di dnotneedt obehandl edbyaGPand41% c oul dhav ebeenhandedbyanot herheal t hc ar epr of es s i onal s uc hasaPhar mac i s torNur s e–hi ghl i ght i ngt hati fanef f ec t i v epr et r i agef unc t i onwass etupwi t hi n at el eheal t happ,pat i entpr es s ur eonGPsc oul dber educ edbyupt o73%. •Us ageofadher enc et ec hnol ogyi mpr ov edt hepr obabi l i t yofpat i ent ss t i c k i ngt o t hei rmedi c at i ons c hedul eby41%. •£240m*ofpot ent i al pr oduc t i v i t ybenef i t( UKwor t h)i nadopt i onofdi gi t al t ec h amongs tpr i v at eempl oy er s( pr ev ent i ng600day sofwor k pl ac eabs enc eper 1000, 00peopl e) . •80%*ofNHG’ spat i ent ss ur v ey eds ai dt hati ft hedi gi t al pl at f or m wasnotav ai l abl et ot hem,t heywoul dhav eat t endedt hei rNHSGPs ur ger y . •31%*ofpos s i bl ei t emsor der edwhenpat i ent sus i ngappbas edt ec ht omanage t hei rmedi c at i on–r educ i ngwas t eanddel i v er i ngpot ent i al c os ts av i ngs( i n2010 s hownt obeat£300m) ,whenus i ngt ec h. Rel eas ef r om NowHeal t hc ar eGr oup

NowHeal t hc ar eGr ouphaddes i gnedandbui l tt ec hbas eds ol ut i onst os pec i f i c al l y del i v eragai ns tt hes eenabl er s ,put t i ngappbas edt ec hf i r ml yi nt ot hehandsoft he pat i entbydel i v er i ngdi gi t al ac c es st oGPc ons ul t at i onsanddi gi t al or der i ngofpr i v at eandNHSpr es c r i pt i ons . DrAndr ewThor nber ,Chi efMedi c al Of f i c eratNowHeal t hc ar eGr oups ai d:“ Thi s r epor tex pl or esandquant i f i est hebenef i t st hats uc hanappr oac ht opr i mar yc ar e of f er st opat i ent s ,publ i cheal t hs er v i c esands oc i et y .Theul t i mat ec onc l us i ons s howt hatadopt i onofdi gi t al s ol ut i onsc anhav eas i gni f i c antpos i t i v ei mpac ton GPpr es s ur e,medi c i neadher enc eandmedi c i newas t age” LeeDent i t h,CEO andFounderofNowHeal t hc ar eGr oups ai d:“ I ti sc l earf r om t hi s r epor tt hatdi gi t al t ec hnol ogyhashugepot ent i al t oi mpr ov eef f i c i enc i esac r os s publ i cheal t hs er v i c eswhi l s ts i mul t aneous l yenhanc i ngout c omesf orpat i ent s . Wi t hs mar t phonepenet r at i onr at esappr oac hi ng90% oft heUKpopul at i on,t he c onc eptofput t i ngc ont r ol ,l i t er al l y ,i nt hehandoft hepat i enthasc l ear l yc omeof age” . Thef ul l r epor tc anbef oundat : ht t ps : / / www. nowheal t hc ar egr oup. c om/ whi t epaper / * Res ul t swer egat her edf r om dat aobt ai nedf r om NHG’ sf i r s tf ewy ear sofoper at i ononpat i ent s ,publ i cheal t hs er v i c esandpr i v at ec l i ent ’ sr es pons es .

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LocalGover nment-Envi r onment&Housi ng

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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 st count 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 nga newEnvi 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. Ast hemai npur poseofNFM act i vi t i esi nSomer seti st osl owt hef l ow ofwat erdownt hr ought hehi gherpar t sofr i vercat chment s,t heweb appwi l lnotal l owf ar mer st opl acebi dsf orl andi nl owl yi ngI nt er nal Dr ai nageBoar dar eas,butt heauct i onot her wi secover st hel engt hand br eadt hofSomer set . Af t ert heauct i oncl oses,bi dswi l lbecheckedbyt heFar mi ng&Wi l dl i f e Advi sor yGr oupSW ( FWAG SW) .Gr ant sf r om Somer setRi ver sAut hor i t y( SRA)wi l lt henbegi vent ot hebest ,mostcompet i t i vel ypr i ced i deas. Cl l rJohnOsman,SRAChai r man,sai d:“ Thi si sst i l laver ynewsyst em, butal lt hesi gnsar et hati thasmanyst r engt hs.I tcut soutpaper wor k.I t savest i meandmoney .I tdr awsonf ar mer s’ unr i val l edknowl edgeof t hei rownl 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 ocal communi t i eshavebeenr educedt hr oughi mpr ovement st hatf ar mer s havebeenabl et omake.Soi t ’ sawi nwi n. “ Nowwe’ r eopeni ngi tupacr osst he count y ,IhopemanySomer setf ar mer s wi l lgi vei tago. ” Gr ant sar ebei ngof f er edf orf i ve di 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 o sl 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 hegr oundsot hatmor er ai nwat ercan f i l t eri n;i tal soi mpr ovest hesoi l . Ant honyGot har d,aSt okeStGr egor yf ar merwhowonamai zemanagementgr anti nl astyear ’ st r i alauct i on,sai d:“ I tonl yt ookmeaf ew mi nut est opl acemybi donl i neandt her ewasn’ tanypaper wor k.I ’ m r eal l ypl easedwi t hwhatI ’ vebeenabl et oachi evewi t ht hegr ant money . ” Si ncet hedevast at i ngf l oodi ngoft heSomer setLevel si n201314,hundr edsofnat ur alf l oodmanagementi ni t i at i veshavebeencar r i edout acr ossSomer set ,aspar toft hecount y’ spi oneer i ngHi l l st oLevel spr oj ectandover ar chi ng20YearFl oodAct i onPl an.Hi l l st oLevel shasso f arwont wonat i onalawar ds,andt hi snewauct i onshowsSomer set cont i nui ngt ol eadt heUKwi t hf r eshi deasf ort ackl i ngl ocalf l oodi ng hot spot s.

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Nat i onalEducat i onCampai gn

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