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12t hJul y2019|I ss207
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Heal t hJobsoft heWeek
Wes t onGener alHos pi t ali st hes mal l es tTr us ti nt heUK-butt hatdoes n’ tmakeusanyl es s ambi t i ous . We’ vemadebi gchangest oours eni ormanagementt eam, cr eat i nganew and ex ci t i ngvi s i onf ort hef ut ur eofWes t on’ ss er vi ces . AtWes t onGener alHos pi t al , you’ r emor et hanj us tanempl oyee. Asani nt egr alpar tofour s mal lt eam; we’ r ekeent os eeyouflour i s handgr ow i nconfidence, nur t ur i ngyourambi t i ons andhel pi ngdevel opyourcar eerwi t has eavi ew. Wehaveawi der angeofnur s i ngoppor t uni t i eswi t hi nournewl yr ef or medTr us t . Wi t ha compr ehens i vei nduct i onpr ogr amme, weofferflexi bl ewor ki nghour st os ui tyourl i f es t yl e. ForNewl yQual i fiedNur s eswepr ovi deanear l yi ncr ementpaymentaf t ert hefir s t6mont hs ofs er vi ce.
I fyouwoul dl i kemor ei nf or mat i onaboutt hepos i t i ons avai l abl epl eas evi s i twww. wes t onnur s i ng. co. uk
Seenextpagef or mor edet ai l son ourvacanci es
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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 nnovat or ,JaneWi gg,di r ect oroft he LymphoedemaTr ai ni ngAcademyandLymphVi si on,i s al waysl ooki ngf ornewwayst ohel ppeopl el i vi ngwi t h l ymphoedema.Thi schr oni ci l l nessr eal l ydoeshave l i f echangi ngef f ect sbutt hei nt r oduct i onofi nnovat i ve t r eat mentandassessmentt ool shasal t er edt hewayt hat l ymphoedemacanbet r eat ed.Oneoft hemosti nnovat i ve andcondi t i onchangi ngt ool si st heuseofaNeari nf r ar ed f l uor escencei magi ng( NI RFI )appl i edt oi dent i f y l ymphat i csi nr ealt i me,f ort hef i r stt i me.Ami nut eamount off l uor escentf l ui di si nj ect edi nt r ader mal l yi nt ot het i ssue andt akeni nt ot hel ymphat i cs( i ft heyar ef unct i oni ng) .The dye,whi chbecomesat t achedt opr ot ei nandal bumi n mol ecul eswi l lmovewi t hi nt het i ssueorl ymphat i csover t i me.ANI RFIcamer awi l lexci t et hedyeandr ef l ectt he i mageal l owi ngt oi dent i f ywher et hel ymphat i csar e dr ai ni ngorpr obl em ar eas. Al t houghnew,t heRoyalCol l egeofNur si ng( RCN) ,has r ecogni sedJaneandLymphVi si onasaf i nal i stas i nnovat i onoft heyear .LymphVi si oncar r i esoutcl i ni cs ar oundt heUK,meani ngt hatwecant r ackt hel ymphat i c dr ai nageanddesi gnnewt r eat mentandmanuall ymphat i c dr ai nagepl ans.Thr oughscr eeni ng,NI RFLi magi ng( al so cal l edI CG mappi ngorl ymphof l uor oscopymappi ng)al so meanst hatwecanseewhent hel ymphat i csar est ar t i ng t of ai l .Resear chhasshownt hatder malr er out i ng( ear l y changes)wi l ldevel opi nt ol ymphoedemasoear l y r ecogni t i oni spar amount . Lymphoedemai soneoft he bi ggestf ear sf ol l owi ngbr east sur ger yoccur r i ngbet ween840% ofpeopl eandoccur si nar ound 25% ofgynaecol ogi caland mel anomacancer s.Thr ough l ymphat i cscr eeni ng,ear l y t r eat mentsuchassel f dr ai nage canassi stt hel ymphat i cst of i nd di r ect i onoff l owandr educeorst opt hechange.Scr eeni ng i scar r i edoutassoonaspossi bl ebutf or msaspar tofan annualear l ydet ect i onpr ogr amme. Manyoft hepat i ent swhoat t endLymphVi si onal r eady havel ymphoedemaandt heyort hei rt her api st sar e l ooki ngt oassi stt hei rcondi t i onbet t er .Thr oughNI RFLI , of t enanaccur at edi agnosi scanbeachi evedconf i r mi ng genet i ccauses.I naddi t i on,t heext entoft he l ymphoedemacanbeseenal l owi ngf ort hei nt r oduct i onof di f f er i ngt r eat mentpr ogr ammesandbespokel ymphat i c dr ai nage.Thi si scompl ement edwi t hJanesknowl edge, whoasani nnovat or ,get st opr esentonagl obalpl at f or m andhasawar enessofi nt er nat i onalt r eat mentt r ends.
NI RFLIhasal l owedf ort he devel opmentofanewandadvanceManualLymphat i c Dr ai nage( MLD)ormassaget echni que.Fl uor oscopyhas shownusnewpat hways,howt hel ymphat i csdr ai nand r espond,wher et heydr ai nandhowandi sr eal l y chal l engi ngt he‘ hi st or y’ booksofpat hol ogyandMLD.Wi t h l i t t l er esear chbehi ndexi st i ngt echni ques,Fl uor oscopy gui dedMLD( FGMLD)usi ngt he‘ Fi l landFl ush’ t echni que i shavi ngsuper i orout comes,f ast err esul t sandsavi ngbot h t heNHSandpat i ent smoney .Onepat i ent sr epor t st hat shehassavedover£1000si ncemappi ngandchangi ng herMLD. TheLymphoedemaTr ai ni ng Academy( L TA)wasest abl i shedi n 2002andpr ovi desi nt er nat i onal t r ai ni ng.I n2014,JaneandL TA st ar t edt eachi ngFGMLDandt he‘ f i l l andf l ush’ t echni que.Pr ofBel gr ado, f r om t heBr ussel sLymphol ogyand Resear chCent r ei nBel gi um, pi oneer edt heFGMLDt echni que andr ef i nedNI RFLi magi ng.TheL TAar et heonl ypr ovi der s oft hi st echni queandpr ovi det r ai ni ngi nt heUKand i nt er nat i onal l y .Asl ymphedemai sbecomi ngi ncr easi ngl y r ecogni sedt heneedf orgoodt her api st si ncr easesand wi t hcl osel i ai son,L TAi st r ai ni nghol i st i ct her api st sand hi ghl yski l l edspor t sandmassaget her api st s,t oassi sti n suppor t i ngl ymphoedemat her api st si nt hepr ovi si onof manuall ymphat i cdr ai nage.Tr ai nedataver yhi ghl evel , t heywi l lpr ovi deFGMLDt opat i ent s.Al i stoft her api st s canbef oundatwww. l ymph. or g. uk.Tr ai ni ngonal lt hi ngs l ymphoedema,L TAar epi oneer si nt hei rf i el d,coachi ng over150newt her api st seachyear .TheMLDand l ymphoedemamanagementt r ai ni ngi shel pi ngt housands ofpeopl e. Don’ tbel i ev eus ,ourt her api s t sandpat i ent ss peakf ort hems el v es …‘ I hav ebeenqual i f i edt ot r eatl y mphoedemas i nc e1998,t hec our s ewas f ant as t i candIam f i ndi ngIam get t i ngmuc hbet t erandf as t err es ul t s f r om ‘ Fi l l andFl us h’ t ec hni que,t heyar emai nt ai ni ngbet weenandmy pat i ent sar ev er yhappy . ’ ‘ Imus ts ayt hanky ous omuc hf ort heent i r ec our s e!Iabs ol ut el yl ov ed i t !Is awt wopat i ent sf orFGMLDl as tweek .Wec oul ds eean i mmedi at edi f f er enc e.Yes t er day ,atr ev i ew,s her epor t ed:“ Myar mf el t ex t r emel yl i ght er ,If el tIc oul df l y …Thanky ous omuc hf orhel pi ngme f eel l i k eahumanagai n. ”Ones es s i onandamaz i ngf eedbac k !The c our s ehasdef i ni t el yc hangedmeasac l i ni c i an! ’
AtLymphVi si on,t hr oughscr eeni ng,weai mt oi dent i f y l ymphoedemaear l yt or educeorr ever set hei mpactand i mpr ovet r eat mentbyi dent i f yi ngl ymphat i cpat hways.I n addi t i on,wepr oducehi ghl yski l l edt her api stt ohel ppeopl e l i vi ngwi t hl ymphoedemar ecei vei mpr ovedcar eand out comes.
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Heal t hEducat i on
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LocalGover nment ,Housi ng&Envi r onment
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Char l esI ngl i s,Nor f ol kFar mer , Wi nsPr est i gi ousNat i onalAwar d f orFar mi ngandConservat i on andFWAG Cel ebr at es50t h Anni ver sary ANor f ol kFar merhas beenr ec ogni s edbyt he f ar mi ngand c ons er v at i oni ndus t r y f orhi sout s t andi ng ef f or t st opr omot e goodhabi t atand env i r onment al managementonhi s f ar m.Char l esI ngl i s wasawar dedt he hi ghl y c ov et ed ‘ Far mi ngandWi l dl i f e Adv i s or yGr oup Nat i onal Si l v erLapwi ng Awar d’ ,whi c hi snow i ni t s42ndy ear .Hol e Far m,Nor f ol k ,wasawar dedf r om anat i onal s hor t l i s tof s ev enf ar ms ,eac hs el ec t edf ordemons t r at i ngout s t andi ngc ommi t mentt ogoodenv i r onment al pr ac t i c es ,al ongs i der unni ngs uc c es s f ul f ar m bus i nes s es . The2019FWAG Si l v erLapwi ngAwar dwaspr es ent ed t oRobi nCar v er( Char l es ’ f at her i nl aw)onMonday17t h J une2019byChar l esBeaumont ,Si l v erLapwi ngHead J udge,Mar t i nHol e,Si l v erLapwi ngJ udge,andDunc an Si nc l ai r ,Par t nerandAgr i c ul t ur eManagerf orWai t r os e& Par t ner s .Thi sy eart heawar dc er emonywashos t edby t he2018Si l v erLapwi ngwi nnerGi l esMouns ey Hey s ham andhi ss onT obyMouns ey Hey s ham,atCas t l et own Far m,Cumbr i a. Theawar d,gener ous l y s pons or edbyWai t r os e f ort he1 1t hy ear , r ec ogni s esf ar mer swho got heex t r ami l et o pr ot ec tandenhanc et he c ount r y s i dei nwhi c ht hey f ar m.The2019awar dwasal s os pons or edbySmi t h& Wi l l i ams on,Ac c ount ant s ,who’ sex per t i s egi v eadv i c et o c l i ent sf r om l ar ge,hi s t or i cf ami l yes t at esaswel l as mor er ec ent l y ac qui r edl andedes t at es ,f ami l y owned r ur al bus i nes s esandf ar ms . Thej udgesc omment edt hatt hec ompet i t i onwasi nc r edi bl yhi ght hi sy earandf ort hef i r s tt i mei nSi l v erLapwi ng hi s t or y ,t hej udgesawar dedt woequal r unner s up.Dav i d andKat her i neBut l erofEas tWi c kFar m,Wi l t s hi r eand J ohn&J ohnBi l l i ngt onofAdbas t onHal l andKems ey Manor ,Shr ops hi r e.
Thec el ebr at i onst hi sy earc oi nc i dedwi t ht heFWAGAs s oc i at i ons50t hAnni v er s ar y .Mar k i ngt heoc c as i on,Gar y Rumbol d,FWAG Sout hWes tGener al Manager ,s pok e ont hemonument al l andmar k ,not i ngf i f t yy ear sofi ndependent ,ex per tadv i c et of ar mer s ,f r om ac c r edi t ed, t r ai nedandex per i enc edadv i s er swhohav enot hi ngt o s el l butadv i c e.T oc el ebr at et hi sAnni v er s ar yt heFWAG As s oc i at i onwi l l ber el eas i ngas er i esofs hor tv i deoson s oc i al medi at hr oughoutt hey ear ,c el ebr at i ngt heas s oc i at i ons ’ hi s t or yands howc as i ngt hedi v er s er angeofs uppor t er st hatFWAG has .
Ar ound100at t endeesf r om al l s ec t or soft heBr i t i s h f ar mi ngandagr i c ul t ur ei ndus t r yat t endedt heawar dpr es ent at i onandl unc h.Thepr es ent at i onwasf ol l owedbya t ourofCas t l et ownEs t at e,whi c hi nc l udes2500ac r esof f ar meds al tmar s h,hi ghl i ght i ngs omeoft her eas onswhy t hef ar m wont heSi l v erLapwi ngAwar di n2018. Pi c t ur edet ai l s : Fi nal i s t sJ udgesandSpons or s–( f r om l ef t )Mar t i nHol e, J udge,Al oy s i aDar os ,Smi t h&Wi l l i ams on,Ros eandRobi n Car v er ,Hol eFar m,wi nni ngf ar m,Dunc anSi nc l ai r ,Wai t r os e, Char l esBeaumont ,HeadJ udge,Kat her i neandDav i dBut l er , Eas tWi c kFar m,r unner s up( behi nd) ,Gl endaThomas ,FWAG Wal es ,r epr es ent i ngLl y rJ ones ,f i nal i s t( i nf r ont ) ,J ohnand SueBi l l i ngt on,Adbas t onHal l ,r unner s up,Debbi eWi ndebank , r epr es ent i ngEdwar dTupper ,f i nal i s t ,Dav i dRos e,f i nal i s t , J amesTur ner ,f i nal i s t Runner sUpandWi nnerwi t hSpons or ’ s–( f r om l ef t )Sueand J ohnBi l l i ngt on,Adbas t onHal l ,r unner s up,Al oy s i aDar os , Smi t h&Wi l l i ams on,Ros eandRobi nCar v er ,Hol eFar m,wi nni ngf ar m,Dunc anSi nc l ai r ,Wai t r os e,Dav i dandKat her i ne But l er ,Eas tWi c kFar m,r unner s up
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Jobsoft heWeek!
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Ar t s&Her i t age
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Char i t yLeader shi p
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Char i t i es&Thi r dSect or
Summerst ar t sher ewi t ht heBr eastCancer HavenBRABEQUE! For gett het r adi t i onalbar bequet hi ssummer ,nat i onalsuppor tchar i t y , Br eastCancerHaven,i sl aunchi ngt heal l i mpr ovedBr abeque! No,i t ’ snotat ypo.Br eastCancerHaveni si nvi t i ngyout ogat heryour f r i ends,f ami l yandcol l eaguest hi ssummert ohostaBr abequet or emember .So,f i r eupt heBBQ,bustoutt hebur ger s,andgetr eadyt o si zzl eyoursausages,knowi ngt hatt hemoneyyour ai sewi l lmakea hugedi f f er encet ot hoseaf f ect edbybr eastcancer . Br eastCancerHavenCEO,Sal l yHal l ,sai d: “ Ever yhouri nt heUK,si xwomenar edi agnosedwi t hbr eastcancer . Thi ssummer ,we’ r ei nvi t i ngever yonet ohostt hei rseasonalbar beque butwi t habr ai l l i antt wi st ,t oensur eBr eastCancerHavencancont i nuet opr ovi def r ee,onet oone,emot i onalsuppor tandsuppor t i vet her api esf orpeopl eaf f ect edbybr eastcancer . ” Taki ngpar ti ssi mpl e.Justchooseavenue,setadat eandhopet hat t hesunshi nes.Youcanaskf ordonat i onsf ort hef oodanddr i nk, char geanent r yf ee,orpl aysomesummerspor t sgamesandpayper game–br aponganyone?Whet heryoukeepi tsi mpl eorgoal lout ,i t ' s compl et el yupt oyou,j ustshar eyourphot osonsoci almedi ausi ngt he hasht ag#Br abeque.I t ' sal labouthavi ngf unwhi l str ai si ngf undst o hel psuppor tpeopl el i keCal l i e: Cal l i esai d: " Wi t houtBr eastCancerHaven,myl i f e-andt hatofmyf ami l y’ s-woul d bever ydi f f er ent .Igotsuchpeaceofmi ndf r om knowi ngt hatBr east CancerHavenwast her e,suppor t i ngandof f er i ngadvi ce,orj ustpr ovi di nganur t ur i ngpl acet ohealandr estmywear ybones.I tmade eachst epmor ebear abl e.Iwast hankf ult hatmypar t nerwasabl et o
accesssuppor tt oo.So of t encar er sar ef or got t en aboutbutatBr eastCancer Havenhewasi ncl udedand suppor t ed.Br eastCancer Haveni nspi r edmet obe t hever ybestCal l i eIcoul d beandI ’ m sogr at ef ulf or t hei rsuppor t . ” I fyou’ r ei nt er est edi n host i ngyourver yown Br abequei nai dofBr east CancerHaven,vi si t www. br east cancer haven. or g. uk/ br abequeandsi gn upf oryourf r eef undr ai si ng pack.I t ’ sf i l l edwi t hi deas andi nf or mat i ont omake sur eyoureventi sa si zzl i ngsuccess. Rel easef r om Br eastCancerHaven
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