PST 189

Publ i cSec t or

I ss189

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

TODAY

8t hMar ch2019

NEW J OBS I NSI DE!

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Pr emi um Jobs

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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 i es&Thi r dSect or

Nat i onalNoSmoki ngDay–OneDayt oSetYouonYourWay •Wednes day13t hMar c h–j us taday ,notamont h-buts t ar tasy oumeant ogoon! 8Ti pst oHel pYouQui t :Fol l owt heWhi t eGof or mul af ors uc c es s •Heal t hbenef i t sbegi nr i ghtaway–y ouc anqui c k l yi mpr ov ey ourappear anc et oo •Us et heWhi t eGl o’ sl eadi ngSmok er sFor mul at oot hpas t eandy ou’ l l s oonbes mi l - WHEN-c hoos enowwheny ouwi l l qui t .Nat i onal No i ng Smok i ngDayi sagr eatdayt oc hoos e •Fol l owt heWHI TEGLO t opt i pst oqui t HANDY-Keepal i s tony ouofal l t her eas onsy ouwantt oqui t .Lookati twhenMar c h2019 ev erc r av i ngss t r i k e Ev er yj our neybegi nswi t hones mal l s t epands of ort hos ehopi ngt oc al l i tqui t s ,Na- I NVI TEy ourf r i ends-i st her es omeoney ouc anpai rupwi t h,s oy ouc ans uppor t t i onal NoSmok i ngDayof f er sagr eatoppor t uni t yt ok i c kt hehabi tt ot hek er b. eac hot her Thi sy ear ,Nat i onal NoSmok i ngDayf al l ss l apbangi nt hemi ddl eoft heweek– Wednes day13t hMar c h–s os omeex t r adet er mi nat i onmaybeneededbyt hos e wi s hi ngt oc al l ahal tt ot hehabi ton‘ humpday ’ .Unl i k eSt opt ober ,t hemont hl ong Oc t oberc ampai gn,Nat i onal NoSmok i ngDayi saonedaywonder ,s ot heemphas i shast obeonmak i ngt hemos tofi tandar mi ngy our s el fwi t hev er y t hi ngy ouneed t os uc c eed. Thegoodnewsi st hatqui t t i ngwi l l s oonpr oduc eal l k i ndsofbenef i t s–f ory our heal t handy ourappear anc et oo.St ay i ngof fc i gar et t esandus i ngWhi t eGl oSmok er ’ sT oot hpas t ef orj us tt went y ei ghtday swi l l hel py our ef r es hy ourmout hbyget t i ngr i doft het obac c os t ai nsands mok er s ’ br eat h.They el l owi s hhueof t enas s oc i at edwi t hf r equents mok er sc anber adi c al l yr educ edwi t hi nweek s ,meani ngagl owi ngs mi l ec anbeaneas ywi nf ort hos es eek i ngt oqui t . DrGeor gi osSot i r opoul os ,Whi t eGl o’ sdent i s t ,ex pl ai ns“ Us i ngaf l uor i deenr i c hed t oot hpas t ewhi c hc ont ai nsdi at omac eousear t hi sanex c el l entwayt or emov e pl aqueandt ar t arf r om y ourt eet h.Di at omac eousear t hi sanat ur al i ngr edi entwhi c h i nc r eas esc l eani ngpowerwi t houtl engt heni ngy ourbr us hi ngr out i neandi spar t i c ul ar l yi deal f ors mok er sl ook i ngt or ev er s ey ear soft obac c os t ai ns . ” Whi t eGl o’ sSmok er sFor mul ai st hei deal pr oduc tf orqui t t er s .I thel psr emov et obac c os t ai nsandr educ es mok er s ’ br eat h.I t sef f ec t i v ewhi t eni ngf or mul ai sa l owabr as i onpr oduc tandi ss af ef ordai l yus e,hel pi ngt owhi t ent eet hi nasl i t t l eas t went y ei ghtday s ,andi sbac k edbya100% money bac kguar ant ee. Fi ndoutmor eaboutl ook i ngaf t ery ourt eet hatwww. whi t egl o. c om andwhynott r y t hes et i pst ohel py ouqui t !

TEMPTATI ON-r emov eal l c i gar et t espl usot herr emi nder ss uc hasl i ght er s , mat c hesandas ht r ay s EXERCI SE–ev enj us tal i t t l ec anc ur by ourur gesandhel py ourbr ai npr oduc e ant i c r av i ngc hemi c al s GETSUPPORT-l ookonl i nef ort heNHSSmok ef r eewebs i t eandl oc al NHSs uppor ts er v i c es LETNO MEANNO –St ays t r ongands ay‘ no’ eac handev er yt i meaf r i endof f er s y ouac i gar et t e OWNI T-Youc andot hi s–andy ouwi l l !Whynotpl anwhaty ou’ l l dowi t ht he moneyy ou' l l s av e Rel eas ef r om Ki nCommuni c at i ons

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LocalGover nment&Envi r onment

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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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