Tuberculosis in the South West: 2019
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SUBJECT: Agreement Under Section 75 of National Health Service Act
DECISION OF COUNCILLOR NIGEL ASHTON LEADER OF NORTH SOMERSET COUNCIL WITH ADVICE FROM THE DIRECTOR OF PEOPLE AND COMMUNITIES DECISION NO: 86 - 2013/2014 SUBJECT: Agreement under section 75 of National Health Service Act 2006 between North Somerset Council and Avon Wiltshire Mental Health Partnership Trust to deliver social care within an integrated service 1. BACKGROUND 1.1 For well over ten years, Avon Wiltshire Mental Health Partnership Trust (AWP) has been managing North Somerset Council social care staff who have been deployed into an integrated mental health and social care service. Although this is an established service, there has never been a clear defined basis on which the council or AWP were operating. This meant that it was difficult for the council to hold AWP to account for delivery of social care or to be included transparently within AWP service developments. The service has been maintained purely through managing the working relationships between both organizations. 1.2 The council has 31.3 fte staff within the integrated service and in addition has 0.4 of a services manager and 1 JM3 to provide professional social care oversight, quality assurance, support and guidance to AWP to ensure adherence to council’s processes, ethos and procedures, including the focus on People and Communities strategic direction. There are also 1.6 Managers who lead the council’s Approved Mental Health Professional service. 1.3 AWP, as commissioned by North Somerset Clinical Commissioning Group (CCG), undertook a redesign three years ago and this was follow up by a further restructure on the appointment of a new chief executive in November 2012. -
Why Devolution Matters: the Case of Cornwall Yth on Ni A’N Le Ma – We Are of This Place
Institute for Public Policy Research WHY DEVOLUTION MATTERS: THE CASE OF CORNWALL YTH ON NI A’N LE MA – WE ARE OF THIS PLACE Sarah Longlands and Anna Round March 2021 Available at: www.ippr.org/publication/why-devolution-matters-the-case-of- cornwall INTRODUCTION From Covid-19 to Brexit to long term climate change, the complexity of the challenges the UK now faces means that the centralised system of government at Whitehall is no longer fit for purpose. Without a renewed commitment to devolution for all of the nations and regions which make up the UK, the government will fail to meet its promises to build back better and level up. More seriously still, we face the prospect of a disunited kingdom. The UK is one of the most economically divided countries in the developed world; it is also the most centralised (CEJ 2018, Raikes and Giovannini 2019, McCann 2019, UK2070 2020). This is not a coincidence. Research shows that where you live in the UK determines your ability to live a “good life” (Johns et al 2020). However, it has been the metro mayors, local government, civil society and business which have proved most agile and responsive to the challenges and impacts of the Covid-19 pandemic. Similarly, while central government may try to claim the credit, the recovery will be led by those same organisations. They know their communities best and are already deploying their limited resources, creativity and collaborative capital to rebuild local economies, support those who are out of work, and co-ordinate the recovery of people and place. -
Cornwall and the Politics of Recognition Written by Simon Thompson
Cornwall and the Politics of Recognition Written by Simon Thompson This PDF is auto-generated for reference only. As such, it may contain some conversion errors and/or missing information. For all formal use please refer to the official version on the website, as linked below. Cornwall and the Politics of Recognition https://www.e-ir.info/2014/10/26/cornwall-and-the-politics-of-recognition/ SIMON THOMPSON, OCT 26 2014 I’m very interested in what’s called the politics of recognition. This phrase is used to describe a wide range of political phenomena in which individuals and groups of various kinds struggle to be recognized for their particular characteristics or identities or achievements. Some groups want to be recognized for being the same as others. So, for example, the American civil rights movement can be understood as a struggle by black Americans to be treated in the same way as all other American citizens. But other groups want recognition of their distinctiveness – of the fact that they are not like others. The recent announcement that Cornish people are to be granted minority status within the UK looks like a case of this kind. The announcement was made by the Council of Europe, a body which describes itself as ‘the continent’s leading human rights organisation’. Founded in 1949, its principal objective is to oversee the implementation of the European Convention on Human Rights, which the Council describes as ‘a treaty designed to protect human rights, democracy and the rule of law’. Of particular importance to the present case is the Framework Convention for the Protection of National Minorities, drawn up in 1995 (http://conventions.coe.int/Treaty/en/Treaties/html/157.htm). -
Staustell-Cna-Profile.Pdf
References 2017 Introduction 1. Cornwall Council, Electoral divisions 2013 http://www.cornwall.gov.uk/council-and-democracy/elections/electoral- services/ (Accessed:06/07/17) 2. NHS Kernow Clinical Commissioning Group, CCG localities https://www.kernowccg.nhs.uk/localities/ (Accessed:06/07/17) Population 1. Office for National Statistics (ONS) Mid-2015 Population Estimates for Lower Layer Super Output Areas in Cornwall & Isles of Scilly by Single Year of Age and Sex https://www.ons.gov.uk/peoplepopulationandcommunity/populationandmigration/populationestimates/datasets/lowersuperoutputareamidyearpopulationestimatesnationalstatistics (Accessed :06/07/17) 2. Edge Analytics, Cornwall Small Area Projections 2016 (utilising the POPGROUP Demographic Forecasting Software) http://www.edgeanalytics.co.uk/ (Accessed:06/07/17) 3. ONS, Healthy Life Expectancies 2015 http://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/healthandlifeexpectancies (Accessed:06/07/17) 4. ONS, Life Expectancy http://www.ons.gov.uk/peoplepopulationandcommunity/birthsdeathsandmarriages/lifeexpectancies (Accessed:06/07/17) 5. Public Health England (PHE), Slope index of inequality, http://www.phoutcomes.info/search/slope%20index#page/0/gid/1/pat/6/par/E12000009/ati/102/are/E06000052 (Accessed:06/07/17) 6. ONS Nomis 2011 Census, Ethnic group of the usual resident https://www.nomisweb.co.uk/census/2011/ks201ew (Accessed:06/07/17) 7. NHS Digital (Births Accessed via PCMD agreement with NHS Digital. Calculated by applying LSOA of residence of Mother to CNAs) 8. NHS Digital, Primary Care Mortality Database (Pooled Dec 2013 – Dec 2016), accessed via OPEN-Exeter on license. 9. NHS Digital, GP registration http://content.digital.nhs.uk/article/2021/Website-Search?productid=24229&q=gp+practice+registration&sort=Relevance&size=10&page=1#top (Accessed:06/07/17) 10. -
Review of Our Performance So Far
Draft: Final. APPENDIX 6: South Gloucestershire Council Climate Emergency Declaration Review of Year One of the Climate Emergency Action Plan South Gloucestershire Council Climate Emergency University Advisory Group UWE Bristol October 2020 1 Draft: Final. Index Section Page Executive Summary 3 Introduction and Context 8 South Gloucestershire’s Climate Emergency Process 10 South Gloucestershire’s Baseline 13 South Gloucestershire’s Climate Emergency Year 1 15 Action Plan Gaps in the Content of the Year 1 Plan 19 Year on Year Reduction in Emissions Required to 20 Meet the Target Areas of Focus for the Year 2 Plan 22 Recommendations for Improving Partnership Work 24 and Increasing Area Wide Engagement on the Climate Emergency Strategic Context (Political, Environmental, Social, 29 Technical, Legal, Economic) analysis Comparison of South Gloucestershire’s Climate Action 30 with that of North Somerset, Oxford, Plymouth and Wiltshire. Fit of South Gloucestershire’s Actions with the 42 National Policy Direction Summary, Conclusions and Recommendations 46 Appendix 1. 50 Setting Climate Commitments for South Gloucestershire. Quantifying the implications of the United Nations Paris Agreement for South Gloucestershire. Tyndall Centre Method Appendix 2. Oxford City Council Climate Emergency 52 Appendix 3. Wiltshire Climate Emergency 58 Appendix 4. North Somerset Climate Emergency 60 Appendix 5. Plymouth City Council Climate 62 Emergency Appendix 6. Global Warming of 1.5°C IPCC Special 64 Report. Summary Report for Policymakers Appendix 7 A Note on Terms 64 Note: All web sites accessed in September and October 2020 2 Draft: Final. Executive Summary South Gloucestershire Council asked UWE’ University Advisory Group to review Year One of the Climate Emergency Action Plan. -
Brighton and Hove Bus Company Complaints
Brighton And Hove Bus Company Complaints If slumped or twistable Zerk usually arrived his lempiras fuss becomingly or outdrank uniaxially and circumstantially, how unforeseeable is Earle? Harcourt is attributively pompous after poor Gretchen hiccupping his polje spiritedly. Augustin is admissibly dished after bigoted Lars birches his singspiel vascularly. Yes vinegar can be used on all Brighton Hove and Metrobus services except City. Absolute gridlock on bus company introduced the brighton fans are much you have not to complaints about the atmosphere was the whole day! Mel and hove face as company operates from my advice but it can i got parked vehicles with a complaint has really soak up. The brighton and was a bit after was the train at least link to complaints from over ten minute walk to queue for? Brighton have a skill set of fans and far have lots of respect for their manager Chris Houghton. The Brighton Hove Bus Company has reduced the price of Family Explorer tickets from 10 to 9 This addresses the complaint we often describe that bus fares. 110 eastern bus schedule Fortune Tech Ltd. Frustrating with brighton fans had picked this company operating companies and hove bus operator for best dealt with a complaint about to complaints from last month. Fans taht i bought one. The worth was established in 14 as Brighton Hove and Preston United. Hagrid, the giant, becomes besotted with another industry giant mine is played by Frances de la Tour. Uncorrected Evidence 1317 Parliament Publications. Devils dyke 04 2aw Walk & Cycle. Chiefs at the Brighton and Hove Bus Company told has the short lay-by made that too dangerous for their buses to control out board the series dual. -
Recreation 2020-21
Conservation access and recreation 2020-21 wessexwater.co.uk Contents About Wessex Water 1 Our commitment 2 Our duties 2 Our land 3 Delivering our duties 3 Conservation land management 4 A catchment-based approach 10 Engineering and sustainable delivery 12 Eel improvements 13 Invasive non-native species 14 Access and recreation 15 Fishing 17 Partners Programme 18 Water Force 21 Photo: Henley Spiers Henley Photo: Beaver dam – see 'Nature’s engineers' page 7 About Wessex Water Wessex Water is one of 10 regional water and sewerage companies in England and About 80% of the water we supply comes from groundwater sources in Wiltshire Wales. We provide sewerage services to an area of the south west of England that and Dorset. The remaining 20% comes from surface water reservoirs which are includes Dorset, Somerset, Bristol, most of Wiltshire, and parts of Gloucestershire, filled by rainfall and runoff from the catchment. We work in partnership with Hampshire and Devon. Within our region, Bristol Water, Bournemouth Water and organisations and individuals across our region to protect and restore the water Cholderton and District Water Company also supply customers with water. environment as a part of the catchment based approach (CaBA). We work with all the catchment partnerships in the region and host two catchment partnerships, Bristol What area does Wessex Water cover? Avon and Poole Harbour, and co-host the Stour catchment initiative with the Dorset Wildlife Trust. our region our catchments Stroud 8 Cotswold South Gloucestershire Bristol Wessex -
Board Meeting Agenda
Board Meeting Agenda Wednesday 21st July 2021, 1400 to 1600. Location: Virtual Meeting (see link in calendar invitation) 1 Elect New Chair & Vice Chair – Peter Mann (Secretariat) 14:00 2 Introductions – Chair 14.10 3 Minutes and actions from the previous meeting – Chair 14.20 (See Appendix 1 below, pg.2) 4 Public Participation – Chair 14.25 (Paper circulated separately to Board members) • Questions or Representations from Members of the public in line with the Board’s Public Participation Scheme. 5 *Urgent Item* 14:30 Publication of Government’s Decarbonising Transport Plan – James White. 6 Strategic Transport Plan – Ben Watts (Gloucestershire) / Craig Drennan (WSP) 14:35 Presentation • Explanation of Corridor Scenarios 7 WGSTB Programme & Finance Update 14:55 Paper A – Nuala Waters & James White (West of England Combined Authority) • Current thinking on forward plan 8 WGSTB Carbon Audit – Rob Murphy (Wiltshire) Presentation 15:10 Update on Carbon Baseline & Forecasting 9 WGSTB Rail Update 15:25 Paper B – James White (West of England Combined Authority) 10 Network Rail Study Updates - Jonathan Lovatt (Network Rail) Presentation 15:40 • Bristol to Birmingham Corridor • Bristol to Exeter Corridor 11 AOB – Chair 15:50- • Note request to move meetings to morning of 22/09 16:00 Date of next meeting – Wednesday 22nd Sept 2021 – Time TBA, Virtual Meeting. Summary of Previous Meeting - Actions & Allocated to Target Update Decisions Date: Request an update to WG on NR’s electrification DR 23/06/21 Network Rail to update at 1 Programme next meeting. Review Comms Protocol in line with DfT comments and Prog. Team 23/06/21 Protocol being revised in line bring back to next Board for approval. -
West of Exeter Route Resilience Study Summer 2014
West of Exeter Route Resilience Study Summer 2014 Photo: Colin J Marsden Contents Summer 2014 Network Rail – West of Exeter Route Resilience Study 02 1. Executive summary 03 2. Introduction 06 3. Remit 07 4. Background 09 5. Threats 11 6. Options 15 7. Financial and economic appraisal 29 8. Summary 34 9. Next steps 37 Appendices A. Historical 39 B. Measures to strengthen the existing railway 42 1. Executive summary Summer 2014 Network Rail – West of Exeter Route Resilience Study 03 a. The challenge the future. A successful option must also off er value for money. The following options have been identifi ed: Diffi cult terrain inland between Exeter and Newton Abbot led Isambard Kingdom Brunel to adopt a coastal route for the South • Option 1 - The base case of continuing the current maintenance Devon Railway. The legacy is an iconic stretch of railway dependent regime on the existing route. upon a succession of vulnerable engineering structures located in Option 2 - Further strengthening the existing railway. An early an extremely challenging environment. • estimated cost of between £398 million and £659 million would Since opening in 1846 the seawall has often been damaged by be spread over four Control Periods with a series of trigger and marine erosion and overtopping, the coastal track fl ooded, and the hold points to refl ect funding availability, spend profi le and line obstructed by cliff collapses. Without an alternative route, achieved level of resilience. damage to the railway results in suspension of passenger and Option 3 (Alternative Route A)- The former London & South freight train services to the South West peninsula. -
SWAG Breast Stratified Pathway FINAL
Somerset, Wiltshire, Avon and Gloucestershire Cancer Alliance SWAG Breast Cancer Follow-Up Guidelines At end of all treatment patients are stratified to either a supported self-management pathway with routine surveillance, or to complex case management. NB. Patients participating in clinical trials will receive individualised follow-up SUPPORTED SELF-MANAGEMENT COMPLEX CARE MANAGEMENT Criteria: Criteria: Treatment with curative intent Advanced disease +/- known Stable disease pattern metastatic disease Patient able to comply with self-supportive Ongoing treatment required management Patient unable to comply with supportive self-management Follow-up procedures: Follow-up procedures: No patients receive routine face to face All patients receive face to face follow- follow-up up in a consultant-led clinic All patients offered HNA and care plan and Frequency of appointments determined provided with H&WB support by the treatment regime, disease Signs & symptoms of recurrence and likely progression, ongoing symptoms and consequences of treatment explained to information/ support required by each patient individual patient Treatment summary to be completed at Ongoing surveillance is managed on an the end of each primary treatment individual basis with regular breast, Remote surveillance in the form of annual bone & body imaging as required, blood mammograms for 5 years post-treatment. tests and tumour markers Younger patients will have appropriate breast imaging (mammogram or MRI) annually until the age of 50 Ongoing Support and -
Cornwall Council) (Respondent) V Secretary of State for Health (Appellant)
Trinity Term [2015] UKSC 46 On appeal from: [2014] EWCA Civ 12 JUDGMENT R (on the application of Cornwall Council) (Respondent) v Secretary of State for Health (Appellant) R (on the application of Cornwall Council) (Respondent) v Somerset County Council (Appellant) before Lady Hale, Deputy President Lord Wilson Lord Carnwath Lord Hughes Lord Toulson JUDGMENT GIVEN ON 8 July 2015 Heard on 18 and 19 March 2015 Appellant (Secretary of Respondent (Cornwall State for Health) Council) Clive Sheldon QC David Lock QC Deok-Joo Rhee Charles Banner (Instructed by (Instructed by Cornwall Government Legal Council Legal Services) Department) Appellant /Intervener (Somerset County Council) David Fletcher (Instructed by Somerset County Council Legal Services Department) Intervener (South Gloucestershire Council) Helen Mountfield QC Sarah Hannett Tamara Jaber (Instructed by South Gloucestershire Council Legal Services) Intervener (Wiltshire Council) Hilton Harrop-Griffiths (Instructed by Wiltshire Council Legal Services) LORD CARNWATH: (with whom Lady Hale, Lord Hughes and Lord Toulson agree) Introduction 1. PH has severe physical and learning disabilities and is without speech. He lacks capacity to decide for himself where to live. Since the age of four he has received accommodation and support at public expense. Until his majority in December 2004, he was living with foster parents in South Gloucestershire. Since then he has lived in two care homes in the Somerset area. There is no dispute about his entitlement to that support, initially under the Children Act 1989, and since his majority under the National Assistance Act 1948. The issue is: which authority should be responsible? 2. This depends, under sections 24(1) and (5) of the 1948 Act, on, where immediately before his placement in Somerset, he was “ordinarily resident”. -
9.4 SAS System Output
Think kidneys CCG Acute Kidney Injury Quarterly Report for NHS BRISTOL, NORTH SOMERSET AND SOUTH GLOUCESTERSHIRE CCG (E38000222)-July 2020 to September 2020 The quarterly rate of AKI alerts in this CCG is 2,727 per million population The confidence that this is an accurate estimate of the real rate of AKI alerts is AMBER How to interpret the confidence rating In respect of quarterly AKI rates all CCG are categorised as: GREEN - where we are confident that all the labs serving this CCG population provided data for this period. This means that all labs in the CCG, and all labs in neighbouring CCGs, provided data. This is likely to be the real rate of AKI alerts in the CCG population during these three months. AMBER - where only some of the labs serving this CCG population provided data for this period. The labs within the CCG provided data but not all the neighbouring CCG labs. Data for people living towards the boundaries of the CCG may well be missing. This means that the score is likely to be an under-estimation of the real rate of AKI alerts in the CCG population during these three months. RED - where we have little or no data from the labs covering the CCG population for this period. This is because at least one of the labs within the CCG has not provided data. This means that the score is likely to be a significant under-estimation of the real rate of AKI alerts in the CCG population during this quarter. How is this report different to earlier reports Since the last CCG report there have been several changes to NHS structures – and in particular a significant reduction in the overall number of CCG in England.