Hc 502 Services To People With Neurological Conditions Progress Review

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HC 502 - Services to People with Neurological Conditions: Progress Review

Author : Great Britain. Parliament. House of Commons. Committee of Public Accounts
Publisher : The Stationery Office
Page : 25 pages
File Size : 55,5 Mb
Release : 2016-02-26
Category : Nervous system
ISBN : 9780215091185

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HC 502 - Services to People with Neurological Conditions: Progress Review by Great Britain. Parliament. House of Commons. Committee of Public Accounts Pdf

Over 4 million people in England have a neurological condition. Services for people with these conditions are not consistently good enough, and there remains wide variation across the country in access, outcomes and patient experience. As well as affecting patients, poor care has implications for the NHS; for example, it costs �70 million to deal with emergency admissions of epilepsy patients and many of these admissions are likely to result from shortcomings in care. Neurological services remain poorly integrated with a lack of joint commissioning of health and social care. Over 40% of people with a neurological condition do not think that local services work well together, and only 12% of people have a written care plan to help coordinate their care. There has been some progress in implementing the recommendations that the previous Committee made in 2012, including the appointment of a national clinical director for adult neurology and some improvements in data. However, these changes have not yet led to demonstrable improvements in services and outcomes for patients. It is clear that neurological conditions are not a priority for the Department of Health and NHS England, and we are concerned that the progress that has been made may not be sustained. We therefore intend to review the position again later in this Parliament.

Services for people with neurological conditions

Author : Great Britain: Parliament: House of Commons: Committee of Public Accounts,Margaret Hodge
Publisher : The Stationery Office
Page : 48 pages
File Size : 52,5 Mb
Release : 2012-03-16
Category : Medical
ISBN : 021504293X

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Services for people with neurological conditions by Great Britain: Parliament: House of Commons: Committee of Public Accounts,Margaret Hodge Pdf

Approximately two million people in the United Kingdom have a neurological condition, including Parkinson's disease, motor neurone disease or multiple sclerosis. But individual care is often poorly coordinated and the quality of services received depends on where you live. Some areas simply don't have enough expertise, both in hospitals and the community. In 2005, the Department for Health launched a new Framework to provide services for people with a neurological condition. There have been some improvements, such as a reduction in waiting times. But unlike the strategies for Cancer and Stroke, the model used to implement the Framework hasn't worked. For this clinical area, the Department left the implementation to local health commissioners but gave them no leadership at all and set no clear targets. It set no baselines and failed to monitor progress and so could not hold them to account where things went wrong. The present Government needs to understand what went wrong here for the future. Health spending on neurological conditions increased by nearly 40 per cent in three years. Over much the same period, emergency admissions have risen by 32 per cent and readmissions to hospital within 28 days have increased from 11.2 per cent to 14 per cent. The Department is moving towards a decentralised health and social care landscape. In doing so, it must set clear objectives for joint health and social care outcomes and services for people with neurological conditions

HC 643 - e-Borders and Successor Programmes

Author : Great Britain: Parliament: House Of Commons: Committee Of Public Accounts
Publisher : The Stationery Office
Page : 21 pages
File Size : 41,9 Mb
Release : 2016-03-08
Category : Border security
ISBN : 9780215091345

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HC 643 - e-Borders and Successor Programmes by Great Britain: Parliament: House Of Commons: Committee Of Public Accounts Pdf

On current projections the Home Office's e-Borders programme and its successors will cost over a billion pounds, be delivered 8 years late and not provide the benefits expected for transport carriers and passengers. A major reason for this delay was the termination by the Department in 2010 of its e-Borders contract with Raytheon. This had required Raytheon to deliver its own solution to meet the Department's objectives to a fixed price and timescale which turned out to be unrealistic as government had detailed and evolving requirements, and wanted high assurance that the proposed solution would work. The Department was emphatic that our borders are secure. However, the Department needs to accept that its assertion that it checks 100% of passports is both imprecise and unrealistic due to the complexity of our border. It is now five years since the e-Borders contract was cancelled yet the capabilities delivered so far still fall short of what was originally envisaged. Since 2010 the Major Projects Authority has issued seven warnings about these programmes. The Department's complacency about progress to date increases our concerns about whether the programme will be completed by 2019 as the Department now promises, and whether tangible benefits for border security, transport carriers and passengers will result.

HC 788 - Corporate Tax Settlements

Author : Great Britain. Parliament. House of Commons. Committee of Public Accounts
Publisher : The Stationery Office
Page : 21 pages
File Size : 43,8 Mb
Release : 2016-02-24
Category : Corporations
ISBN : 9780215091208

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HC 788 - Corporate Tax Settlements by Great Britain. Parliament. House of Commons. Committee of Public Accounts Pdf

A six year investigation by HM Revenue & Customs (HMRC) has resulted in Google paying a further £130 million to settle its corporation tax liabilities over the last 10 years. This vindicates the previous Committee's concerns in 2012 and 2013 that Google did not appear to be paying the full tax it owed in the UK. However, in the absence of full transparency over the details of this settlement and how it was reached we cannot judge whether it is fair to taxpayers. The sum paid by Google seems disproportionately small when compared with the size of Google's business in the UK, reinforcing our concerns that the rules governing where corporation tax is paid by multinational companies do not produce a fair outcome. Google's stated desire for greater tax simplicity and transparency is at odds with the complex operational structure it has created which appears to be directed at minimising its tax liabilities. Google admits that this structure will not change as a result of this settlement.

The Stationery Office Annual Catalogue

Author : Stationery Office (Great Britain)
Publisher : Unknown
Page : 304 pages
File Size : 53,5 Mb
Release : 2016
Category : Government publications
ISBN : OSU:32435086589900

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The Stationery Office Annual Catalogue by Stationery Office (Great Britain) Pdf

Sleep Disorders and Sleep Deprivation

Author : Institute of Medicine,Board on Health Sciences Policy,Committee on Sleep Medicine and Research
Publisher : National Academies Press
Page : 425 pages
File Size : 49,5 Mb
Release : 2006-10-13
Category : Medical
ISBN : 9780309101110

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Sleep Disorders and Sleep Deprivation by Institute of Medicine,Board on Health Sciences Policy,Committee on Sleep Medicine and Research Pdf

Clinical practice related to sleep problems and sleep disorders has been expanding rapidly in the last few years, but scientific research is not keeping pace. Sleep apnea, insomnia, and restless legs syndrome are three examples of very common disorders for which we have little biological information. This new book cuts across a variety of medical disciplines such as neurology, pulmonology, pediatrics, internal medicine, psychiatry, psychology, otolaryngology, and nursing, as well as other medical practices with an interest in the management of sleep pathology. This area of research is not limited to very young and old patientsâ€"sleep disorders reach across all ages and ethnicities. Sleep Disorders and Sleep Deprivation presents a structured analysis that explores the following: Improving awareness among the general public and health care professionals. Increasing investment in interdisciplinary somnology and sleep medicine research training and mentoring activities. Validating and developing new and existing technologies for diagnosis and treatment. This book will be of interest to those looking to learn more about the enormous public health burden of sleep disorders and sleep deprivation and the strikingly limited capacity of the health care enterprise to identify and treat the majority of individuals suffering from sleep problems.

Research in Education

Author : Anonim
Publisher : Unknown
Page : 740 pages
File Size : 42,5 Mb
Release : 1970
Category : Education
ISBN : CUB:U183048547305

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Research in Education by Anonim Pdf

Selected Health Conditions and Likelihood of Improvement with Treatment

Author : National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Identifying Disabling Medical Conditions Likely to Improve with Treatment
Publisher : National Academies Press
Page : 319 pages
File Size : 45,9 Mb
Release : 2020-07-12
Category : Medical
ISBN : 9780309670951

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Selected Health Conditions and Likelihood of Improvement with Treatment by National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Care Services,Committee on Identifying Disabling Medical Conditions Likely to Improve with Treatment Pdf

The Social Security Administration (SSA) administers two programs that provide disability benefits: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. SSDI provides disability benefits to people (under the full retirement age) who are no longer able to work because of a disabling medical condition. SSI provides income assistance for disabled, blind, and aged people who have limited income and resources regardless of their prior participation in the labor force. Both programs share a common disability determination process administered by SSA and state agencies as well as a common definition of disability for adults: "the inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months." Disabled workers might receive either SSDI benefits or SSI payments, or both, depending on their recent work history and current income and assets. Disabled workers might also receive benefits from other public programs such as workers' compensation, which insures against work-related illness or injuries occurring on the job, but those other programs have their own definitions and eligibility criteria. Selected Health Conditions and Likelihood of Improvement with Treatment identifies and defines the professionally accepted, standard measurements of outcomes improvement for medical conditions. This report also identifies specific, long-lasting medical conditions for adults in the categories of mental health disorders, cancers, and musculoskeletal disorders. Specifically, these conditions are disabling for a length of time, but typically don't result in permanently disabling limitations; are responsive to treatment; and after a specific length of time of treatment, improve to the point at which the conditions are no longer disabling.

Neurological, Psychiatric, and Developmental Disorders

Author : Institute of Medicine,Board on Global Health,Committee on Nervous System Disorders in Developing Countries
Publisher : National Academies Press
Page : 458 pages
File Size : 45,6 Mb
Release : 2001-01-01
Category : Medical
ISBN : 9780309170932

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Neurological, Psychiatric, and Developmental Disorders by Institute of Medicine,Board on Global Health,Committee on Nervous System Disorders in Developing Countries Pdf

Brain disordersâ€"neurological, psychiatric, and developmentalâ€"now affect at least 250 million people in the developing world, and this number is expected to rise as life expectancy increases. Yet public and private health systems in developing countries have paid relatively little attention to brain disorders. The negative attitudes, prejudice, and stigma that often surround many of these disorders have contributed to this neglect. Lacking proper diagnosis and treatment, millions of individual lives are lost to disability and death. Such conditions exact both personal and economic costs on families, communities, and nations. The report describes the causes and risk factors associated with brain disorders. It focuses on six representative brain disorders that are prevalent in developing countries: developmental disabilities, epilepsy, schizophrenia, bipolar disorder, depression, and stroke. The report makes detailed recommendations of ways to reduce the toll exacted by these six disorders. In broader strokes, the report also proposes six major strategies toward reducing the overall burden of brain disorders in the developing world.

Resources in Education

Author : Anonim
Publisher : Unknown
Page : 1188 pages
File Size : 51,6 Mb
Release : 1982
Category : Education
ISBN : CUB:U183048519190

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Resources in Education by Anonim Pdf

Disease Control Priorities, Third Edition (Volume 6)

Author : King K. Holmes,Stefano Bertozzi,Barry R. Bloom,Prabhat Jha
Publisher : World Bank Publications
Page : 506 pages
File Size : 52,5 Mb
Release : 2017-11-06
Category : Medical
ISBN : 9781464805257

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Disease Control Priorities, Third Edition (Volume 6) by King K. Holmes,Stefano Bertozzi,Barry R. Bloom,Prabhat Jha Pdf

Infectious diseases are the leading cause of death globally, particularly among children and young adults. The spread of new pathogens and the threat of antimicrobial resistance pose particular challenges in combating these diseases. Major Infectious Diseases identifies feasible, cost-effective packages of interventions and strategies across delivery platforms to prevent and treat HIV/AIDS, other sexually transmitted infections, tuberculosis, malaria, adult febrile illness, viral hepatitis, and neglected tropical diseases. The volume emphasizes the need to effectively address emerging antimicrobial resistance, strengthen health systems, and increase access to care. The attainable goals are to reduce incidence, develop innovative approaches, and optimize existing tools in resource-constrained settings.

Helping the Struggling Adolescent

Author : Les Parrott
Publisher : Zondervan
Page : 609 pages
File Size : 51,7 Mb
Release : 2009-08-30
Category : Religion
ISBN : 9780310862420

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Helping the Struggling Adolescent by Les Parrott Pdf

Helping the Struggling Adolescent is your first resource to turn to when a teen you know is in trouble. Whether you're a youth worker, counselor, pastor, or teacher, this fast, ready reference is a compendium of insight on teen problems from abuse to violence and everything between. Help starts here for thirty-six common, critical concerns. Topics are arranged in alphabetical order. Each chapter gives you essential information for several vital questions: What does the specific struggle look like? Why did it happen? How can you help? When should you refer to another expert? Where can you find additional resources? Arranged in three sections, this book first gives you the basics of being an effective helper, then it informs you on the different struggles of adolescents. The final section--a key component of this book--supplies more than forty rapid assessment tools for use with specific problems. Helping the Struggling Adolescent organizes and condenses biblical counseling issues for teens into one extremely useful volume. Keep it in arm's reach for the answers you need, right when you need them.

Disease Control Priorities Related to Mental, Neurological, Developmental and Substance Abuse Disorders

Author : Disease Control Priorities Project
Publisher : World Health Organization
Page : 111 pages
File Size : 48,6 Mb
Release : 2006
Category : Medical
ISBN : 9789241563321

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Disease Control Priorities Related to Mental, Neurological, Developmental and Substance Abuse Disorders by Disease Control Priorities Project Pdf

This publication brings together five chapters from 'Disease Control Priorities in Developing Countries' (2nd ed., 2006) (ISBN 9780821361795) along with an introduction and a conclusion by WHO. The chapters cover mental disorders, neurological disorders, learning and developmental disabilities, and alcohol and illicit opiate abuse. It considers the cost-effectiveness of interventions for these specific groups of disorders, with the aim of contributing to the reformulation of policies and programmes and the reallocation of resources, eventually leading to reduction of morbidity and mortality.

Botulinum Toxin E-Book

Author : Joseph Jankovic,Alberto Albanese,M. Zouhair Atassi,J. Oliver Dolly,Mark Hallett,Nathaniel H. Mayer
Publisher : Elsevier Health Sciences
Page : 527 pages
File Size : 51,8 Mb
Release : 2009-02-18
Category : Medical
ISBN : 9781437711196

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Botulinum Toxin E-Book by Joseph Jankovic,Alberto Albanese,M. Zouhair Atassi,J. Oliver Dolly,Mark Hallett,Nathaniel H. Mayer Pdf

The new, therapeutically-focused Botulinum Toxin presents comprehensive, cross-disciplinary guidance on current practices, covering more than 100 non-cosmetic conditions that occur in neurology, physical medicine and rehabilitation, pain medicine, ophthalmology, gastroenterology, urology, orthopedics, and surgery. International contributors review the current understanding of the biology and cellular mechanisms along with relevant research so you can easily apply them to the pathophysiology of the numerous disorders that botulinum toxin is used to treat—such as botulinum toxin applications for the treatment of cranial-cervical dystonias, motor disorders in cerebral palsy, bruxism and temporomandibular disorders, headache, overactive bladder, chronic pelvic pain syndromes, arthritis joint pain, and wound healing. With discussions of the latest in approved treatment practices as well as new and emerging uses, you’ll get in-depth management guidance on the application of the toxin. Provides clinical applications of botulinum toxin for over 100 disorders for immediate access and easy reference during practice and treatment. Covers a broad array of hot topics, including botulinum toxin applications for the treatment of cranial-cervical dystonias, motor disorders in cerebral palsy, bruxism and temporomandibular disorders, headache, overactive bladder, chronic pelvic pain syndromes, arthritis joint pain, and wound healing. Focuses on approved uses with expert advice on thoroughly tested applications but also discusses new and emerging applications to expose you to additional treatment options. Presents the most comprehensive and up-to-date material available so you get all the information you need from this one resource. Offers the cross-disciplinary guidance of the best world-class expertise through an authoritative, international group of authors who demonstrate the applications of botulinum toxin across various specialties.

Epilepsy Across the Spectrum

Author : Institute of Medicine,Board on Health Sciences Policy,Committee on the Public Health Dimensions of the Epilepsies
Publisher : National Academies Press
Page : 568 pages
File Size : 44,5 Mb
Release : 2012-07-29
Category : Medical
ISBN : 9780309259538

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Epilepsy Across the Spectrum by Institute of Medicine,Board on Health Sciences Policy,Committee on the Public Health Dimensions of the Epilepsies Pdf

Although epilepsy is one of the nation's most common neurological disorders, public understanding of it is limited. Many people do not know the causes of epilepsy or what they should do if they see someone having a seizure. Epilepsy is a complex spectrum of disorders that affects an estimated 2.2 million Americans in a variety of ways, and is characterized by unpredictable seizures that differ in type, cause, and severity. Yet living with epilepsy is about much more than just seizures; the disorder is often defined in practical terms, such as challenges in school, uncertainties about social situations and employment, limitations on driving, and questions about independent living. The Institute of Medicine was asked to examine the public health dimensions of the epilepsies, focusing on public health surveillance and data collection; population and public health research; health policy, health care, and human services; and education for people with the disorder and their families, health care providers, and the public. In Epilepsy Across the Spectrum, the IOM makes recommendations ranging from the expansion of collaborative epilepsy surveillance efforts, to the coordination of public awareness efforts, to the engagement of people with epilepsy and their families in education, dissemination, and advocacy for improved care and services. Taking action across multiple dimensions will improve the lives of people with epilepsy and their families. The realistic, feasible, and action-oriented recommendations in this report can help enable short- and long-term improvements for people with epilepsy. For all epilepsy organizations and advocates, local, state, and federal agencies, researchers, health care professionals, people with epilepsy, as well as the public, Epilepsy Across the Spectrum is an essential resource.