I ss200 Fi ndus ! F acebook: /Publ i cSect or Today I ns t agr am: pr epar edmedi al t d Twi t t er : @Publ i cSect or UK
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
24t hMay2019
200th E
DI TI ON!
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Upcomi ngHeal t hcar eEvent s
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Ret r eatoft heWeek
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Heal t h&Soci alCar e
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Heal t hEducat i on
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Nat i onalNur si ngCampai gn
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Pr oductShowcase
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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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Chr oni cWoundCar e
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Oswel lPendaPhar maceut i cal si sagr owi ngwound car ecompanybasedi nt heUKont he Shr opshi r e/ Nor t hWal esbor der .Asacompanywe ar ededi cat edt osuppor t i ngpat i ent sandheal t h car epr of essi onal si nt r eat i ngwoundsandski n condi t i onswi t har angeofpr oduct st hathaveno cyt ot oxi cpr oper t i esandboast100% pur emedi cal gr adehoneydr essi ngs. TheRevami lbr andi sr egi st er edf orabr oad spect r um ofwounds.Revami ladvancedwound car epr oduct sembodyt hewoundheal i ng capaci t i esofhoney .Theyhavebeenpr ovent obe ef f ect i vei nheal i ngmanywoundt ypesandar esaf e f oruseondi abet i cpat i ent sandal lagegr oups. Revami lmedi calgr adehoneydr essi ngshavebeen wi del yusedbot hi nmai nl andEur opeandt he Mi ddl eEastf orovert enyear swi t haweal t hof cl i ni calevi denceandcasest udi essuppor t i ngi t s use.Oswel lPendaPhar maceut i cal si sver y passi onat eaboutof f er i ngt heNHSanewr angeof honeydr essi ngpr oduct swi t hpat i entcomf or t ,ease ofuseandnat ur alwoundheal i ngt hef or ef r ontof ourpr oductdevel opment . Revami lhydr ophi l i cwoundgel( 18g)consi st sof 100% pur e,medi ci nalhoneywi t hahi ghenzyme cont entandal owph.Thecar ef ul l ycont r ol l ed pr oduct i onpr ocessguar ant eest hatRevami l woundgeldoesnotcont ai nanyt r acesof pest i ci desandt hatt hesamequal i t ycanbe r epr oducedconsi st ent l y .Revami lgelsuppor t s woundheal i ngt hr oughcont i nuesant i bact er i al pr ot ect i onandi spar t i cul ar l ysui t abl ef orchr oni c andi nf ect edwounds.
Revami lWoundDr essi ngconsi st sofdr essi ngs i mpr egnat edwi t h100% pur e,honeywi t hahi gh enzymecont entandal owph.Thecar ef ul l y cont r ol l edpr oduct i onpr ocessguar ant eest hat honeyi nRevami lWoundDr essi ngdoesnot cont ai nanyt r acesofpest i ci desandt hatt hesame qual i t ycanber epr oducedconsi st ent l y .Thepl i ant pol yacet at edr essi ngdoesnotst i ckt ot hewound andguar ant eest hesl owr el easeoft hehoneyi nt o t hewoundbed. Revami lBal m( 15g&50g)i sacombi nat i onofa ski npr ot ect i ng,neut r aloi nt mentcombi nedwi t h pur ehoney .Theoi nt menthasbot hef f ect i ve woundheal i ngandant i bact er i alpr oper t i esduet o i t shi ghhoneycont ent .Revami lBal mi ski ndt ot he ski nandi spr i mar i l ysui t abl ef ort het r eat mentof sur f acewounds,suchasgr azesand der mat ol ogi calcondi t i onssuchaseczema. Revami lBal m canbeappl i edi npr of essi onal woundcar eandasanoi nt mentf ordomest i cf i r st ai d. Al lourdr essi ngsar eavai l abl et oor derdi r ect l y f r om ourwebsi t e.
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LocalGover nment ,Housi ng&Envi r onment
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LocalGover nment-Fi nance,Revenues&Benef i t s
Hundr edsofExCounci lTenant sar enow Pr oper t yMi l l i onai r es! Rec enti nv es t i gat i onsc onduc t edbyKI SFi nanc edi s c ov erhowt heRi ghtt oBuy Sc hemehast ur nedex c ounc i l homet enant si nt opr oper t ymi l l i onai r es . Fol l owi ngt her ec entdec i s i ont oendt heRi ghtt oBuySc hemei nWal es ,t her e hav ebeenr enewedc al l sf orEngl andt of ol l ows ui t .TheChar t er edI ns t i t ut eof Hous i nghasex pr es s edc onc er nst hatt heongoi ngl os sofc ounc i l pr oper t i esi s c ont i nui ngt oi mpac tont heaf f or dabl ehous i ngc r i s i sass oc i al hous i ngi snot bei ngr epl ac edf as tenough. Si nc et heRi ghtt oBuySc hemewasi nt r oduc edi n1980,ar ound2. 6mi l l i onc ounc i l homeshav ebeens ol dandar enowpr i v at el yownedbyt het enant swhous ed t or entt hem f r om t hec ounc i l . Thes c hemepl ac esahugedi s c ount ,upt o70% oft hepr oper t yv al ue,ont he pur c has epr i c e,whi c hi nt hel as t39y ear shasmadehomeowner s hi paf armor e af f or dabl epr os pec tf ort enant s . Howhav eex t enant smanagedt omak es omuc hmoneyf r om buy i ngt hei rc ounc i l home? Duet odi s c ountappl i ed,andt hel owerhous epr i c est hr ought he80s ,90sand 00s ,ex t enant swer epur c has i ngt hei rhomesf orj us tat i nyf r ac t i onofwhatt hey ar ewor t hnow.Thi shasl edt ohugepr of i t sbei ngmadebyt hos ewhos ol dt hei r pr oper t yaf ewy ear saf t erpur c has i ngi t . Forex ampl e,onepr oper t yi nHac k ney ,London,waspur c has edbyt het enantf or £171, 000i n2000ands ol di ti n2014f or£1, 000, 000,mak i ngapr of i tof £829, 000.Anot herpr oper t yi nt hes amear eawasboughtf or£220, 000i n1997 ands ol df or£1, 940, 000i n2013. Pr i v at el andl or dst ur ni ngs c hemei nt obus i nes soppor t uni t y
WhenMar gar etThat c heri nt r oduc edt heRi ght t oBuys c hemei n1980,herv i s i on wast hatmor epeopl ec oul downt hei rownhome.Howev er ,40% ofc ounc i l hous ess ol dundert hes c hemei nLondonar enowr ent edoutpr i v at el y .Thi sgoes c ompl et el yagai ns tt heor i gi nal i nt ent i onofhomeowner s hi pbyal l owi ngpeopl et o t ur nt hes c hemei nt oamoney mak i ngbus i nes soppor t uni t y . Thi shasal s omadet her ent al mar k etf armor eex pens i v ef orpot ent i al t enant sas t heav er ager entc har gedbypr i v at el andl or dsac r os sEngl andi s£690permont h, c ompar edt oj us t£374f orac ounc i l pr oper t y .Thi sr oc k et st oanav er agepr i c eof £1, 473i nLondon,whi c hi s3t i mest heav er ageamountc har gedbyt heLoc al Aut hor i t y( £468) . Ont opoft hepr i c ei nc r eas e,t hi shasal s ol edt omuc hl es ss ec ur i t yf ort enant s . Wher easc ounc i l t enant sk nowt hatt heyhav et hes ec ur i t yoft hei rhomef ormany y ear s ,pr i v at el andl or dsc angi v ey ouj us tonemont hs ’ not i c et ol eav e. HasRi ghtt oBuyhadi t sday ? Ov ert hey ear s ,t hedi s c ount sav ai l abl eandt er m ofr es i denc yneededt oqual i f y f ort hes c hemehav ev ar i ed.Cur r ent l y ,t hemax i mum di s c ountav ai l abl ei supt o 70% oft hepr oper t yv al ue,oramax i mum of£80, 900( £108, 000i nLondon) .The s c hemei snowonl yav ai l abl ei nEngl andaf t erbei ngabol i s hedi nSc ot l andi nJ ul y 2016,andJ anuar y2019f orWal es . Thenumberofr i ghtt obuypur c has espeak edi n1988–1989at135, 701.Thi s f i gur ehasdr oppeds ubs t ant i al l yt o1 1, 833s al esi n2017/ 18s howi ngt hatmay be t hi ss c hemehashadi t sday . Rel eas ef r om KI SFi nanc e ht t ps : / / www. k i s br i dgi ngl oans . c o. uk /
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LocalGover nment-Legal
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Ar t s&Her i t age
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BRI GHTON COMEDY GARDEN 19–23June2019|Pr est onPar k J us tonemont ht ogount i l t hef i r s tev er Br i ght onComedyGar deni si nf ul l bl oom on Pr es t onPar kwi t ht hebr i ght es tc omedi ans oft hemoment ! Ti c k et sar es el l i ngf as tt ot hev er yf i r s t Br i ght onComedyGar den( 1923r dJ une) wi t hc omedy l ov er sac r os st heSout heas t s nappi ngupt i c k et st ot hi ss ens at i onal s er i esofs t andupc omedys howsf eat ur i ng c omi cl umi nar i ess uc hasAl anDav i es ,t he muc hl audedr es i dentdunder headon‘ QI ’ , mul t i awar dwi nni ngLi v eAtTheApol l os t ar Sar aPas c oe,t hehi l ar i ous l ys ur r eal 8Out Of10Cat st eam c apt ai nSeanLoc kand hos tofChannel 4’ sgr oundbr eak i ngThe Las tLegAdam Hi l l s . Pl ant i ngi t sr oot si nt hegl or i ousPr es t on Par kt hi sbr andnewc omedyex t r av aganz a i sal l s etf orani nc r edi bl ef i r s ty ear .Eac h s howpr es ent samoodenhanc i ngmedl ey oft hev er ybes tc omedi ansar oundi nc l udi ng manof t hemomentNi s hKumar , awar dhoar derDav i dO’ Doher t y ,t he r i ot ous l yf unnyT om Al l en,TheMas h Repor t ’ sv i r al s ens at i onRac hel Par r i s , obs er v at i onal maes t r oEdBy r ne, l aught er mas t er sSt ephenKAmosand Henni ngWhen,s t arofWoul dILi eT oYou. Ther e’ sal s oal t c omedyher oesl i k eRos e d’ Orwi nnerBr i dgetChr i s t i eandAl an Par t r i dge’ ss i dek i c kTi m Keypl usex c i t i ng br eak t hr ought al enti nc l udi ngEdi nbur gh ComedyAwar dc hampRos eMat af eo, T as k mas t er ’ sPhi l Wangandt hebr i l l i ant l y mi s c hi ev ousRos i eJ onespl usmanymor e unbeat abl eent er t ai ner s .
Or gani s erWi l l Br i ggss ay s“ We’ v ehads uc h abr i l l i antr es pons es of arwi t ht i c k et sf l y i ng out ,t hebi gnamesont hebi l l hav e obv i ous l yc aughtev er y one’ sat t ent i on.So muc hofourf oc usi sonc ur at i ngeac hs how, wewantt ogi v eouraudi enc esanabs ol ut e ni ghtoutwi t hac t st heyal r eadyk nowand l ov easwel l ast hec hanc et odi s c ov ernew ones . ” Thous andoft i c k et hol der shav eal r eady c hos enwhi c hs uper bs el ec t i onof c omedi anst hey ’ l l s eeper f or mi nt hes eat ed Bi gT opt ents eti ns i deabout i ques t y l e f es t i v al bur s t i ngwi t hbar s ,s t r eet f oodand s omuc hmor e. Audi enc esc angeti nt ot hec omedys pi r i t wi t hc r af tbeer sands ummer i ns pi r ed c oc k t ai l sandenj oydel i c i ousbi t esf r om a hos tofhandpi c k eds t r eet f oodt r ader s i nc l udi ngdel i ght sf r om Zoe’ sGhani an Ki t c hen,gr eekgr i l l sf r om 3Li t t l ePi gs ,s uper f i nes uperf oodsf r om Kur bs i deKi t c hen, s t eamedbunsbyYouBoaandet hi c al l y i nf us edpi z z af r om TheGoodSl i c epl us f ai r t r adec of f eer oas t er s ,s weett r eat sanda whol el otmor e. Wi t hal l t hi sandmor et hei naugur al Br i ght onComedyGar deni sal l s etf or s t ar dom -s ogety ourt i c k et snowt ooneof t hes es pec t ac ul ars howsandk i c k s t ar ty our s ummeronahi l ar i oushi gh! Tobookt i cket svi si t www. br i ght oncomedygar den. co. uk
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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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Educat i on
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