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Some of you might be interested in attending... Mary Hawking Retired from NHS on 31.3.13 because of the Health and Social Care Act 2012 "thinking - independent thinking - is to humans as swimming is to cats: we can do it if we really have to." Mark Earles on Radio 4 blog <http://maryhawking.wordpress.com/> http://maryhawking.wordpress.com/ And Fred! http://primaryhealthinfo.wordpress.com/2013/11/02/freds-saying-you-just-dont -get-it/ _____ From: nhsManagers.net [mailto:[log in to unmask]] On Behalf Of nhsManagers.net Sent: 21 February 2014 07:25 To: [log in to unmask] Subject: Hope you can make it Having trouble viewing this email? Click here <http://campaign.r20.constantcontact.com/render?llr=zfxea5cab&v=001VJlu5GGZP DR9Bur0kMIuINheNZFtboudeS1T9XigMC2UMfdsMY6XR1viO1GYTTdqMsfuJ7vXzk1sqJ-S8Ct5b Cqu0FrbuQq8ws6YWue-Ll-qpL8obIsV33-EL0ue9IQatxBShCxKokdwNfseug3gi6_DlszS_sah> <http://img.constantcontact.com/ui/images1/shr_drw_left.png> <http://s.rs6.net/t?e=TVXElP3oIUk&c=1&r=1> <http://s.rs6.net/t?e=TVXElP3oIUk&c=3&r=1> <http://s.rs6.net/t?e=TVXElP3oIUk&c=4&r=1> <http://img.constantcontact.com/ui/images1/shr_drw_divider.png> <http://s.rs6.net/t?e=TVXElP3oIUk&c=5&r=1> <http://img.constantcontact.com/ui/images1/shr_drw_right.png> <http://myemail.constantcontact.com/Hope-you-can-make-it.html?soid=110266589 9193&aid=TVXElP3oIUk#fblike> <http://r20.rs6.net/on.jsp?t=1116615848811.0.1102665899193.51950&ts=S1021&r= 3&o=http://ui.constantcontact.com/images/p1x1.gif> nhsManagers.net 21st February 2014 <http://ui.constantcontact.com/sa/fwtf.jsp?m=1102665899193&a=1116615848811&e a=maryhawking%40tigers.demon.co.uk> Forward this email to a Friend <http://visitor.constantcontact.com/manage/optin/ea?v=001Olbj1iTXQSVBrWlDa67 SfA%3D%3D> Subscribe for FREE here <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8lbF6Ozhy3y_mCKfvWwKeIVfVXvn3JkSyPV E16Vgs4Y-sXCQbTD6hcxwIwfXeNxdgv91xoG2mO71JUYKKoSk1OTYq9rycEcu6Hohf7kaF0Bbzha tA0y5cCE> Live Health News | <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8kRG1ky-Qo6PylT7fVYdhQurK-pmrd-s-iL -jp-SzaQNFTFI5A224KO27vkR1tra9bkMwDP341sBczVLftSGhmxXBvoCs38FvxO0qaeQNM-kbu0 tYQ1ObSZTmlQguh7EWdTaJRBdMhhgcb2QWSux32bgqMHV4PpeOGDvKzw8O_yZw==> Weather | <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8kDvCfYgqaKGp_ArAnpaVtKVjIIRnsQ3pmV jDvDfaxSWi9BenEQbK183YaLpmbSg8-qawqWbH0pwN7is-AjBdEfAUj7uKXUXvQysWDWXaH9WNYu Gxa274qlfD2fZ1ldeskuWS4TnLH-9bUsGHKGMMveg-NiFSfoUrZZDvD-ImX_kElRbLq2lPVDouso CR332zM=> Archive Conference: Jeremy Taylor, National Voices 'What's happened to the patient voice'? in conversation with Roy Lilley - Health-Chat 25th March Kings Fund, 5.30pm. <http://ih.constantcontact.com/fs065/1102665899193/img/66.jpg> Hope you can make it. News and Comment from Roy Lilley Here are my 9 Tips for Whistle-blowers: (1) Consult your loved ones before you blow. You will be ostracised and probably lose your job. (2) Test for support among colleagues; expect them to turn their backs on you. (3) Try and get the internal system to work for you but see (1 and 2) before you do. (4) Don't embellish concerns, if anything play them down. (5) Get legal advice; maybe a union or professional association but see (1 and 2) above. (6) Collect all the evidence at your own expense and resource, not the employers; write contemporaneous notes, assemble rock-solid, irrefutable evidence before you blow and think about (1) and (2) before you speak. (7) Try and stay on good terms with people not involved but expect them to regard you as toxic. See para (2) above. (8) Network; does anyone else have the same issues? But beware of (2) above. (9) Keep your nose squeaky clean at work. Don't have skeletons or be cynical and beware of (2) above. If you do all that still 'see (1) above'. Yes, my 9 Points are ludicrous but whistle-blowers know they have more than a hint of reality and will tell you they've been through them all. 'We played the flute but you wouldn't dance, we played a requiem but you wouldn't weep. We sang but you wouldn't listen'. I find it inconceivable that managers don't beg their staff to tell them what is going on; implore their people to say what they know. But; I'm not part of the labyrinth that is today's NHS and the job of keeping people happy; Off-Sick, Carbuncle, CCGs, media, guidance, finance, targets that aren't called targets but miss them and lose your job. Answering the phone to LaLite... and supporting the front-line. My post bag tells me; Boards on the fifth floor who think they have a clear line of sight to the ground floor, don't. Whistle blowing is tangled up in fault, fear and a corrosive culture of blame. Something's gone horribly wrong. Or has it? Last year, every hour of every day, someone like you <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8k82Ex7Rq_-tBGULlqB2XHE6pRxE4Z67I0R T-Sgt60whtmDGam5MhQkQqsF0SPd3ihVg2FmKh_X6xfEuV4B4IWMK7KlhgHytySNPermE4deELmk d0Vkvvj2W_BXSYXO2hcdJBFMi4EgekrEKhgw45w0ElK4S2buuiN3WpSr-Pig6My1zx0BqB6QVY5n qyasluyDyiF8cTsTmQ==> called the CQC Whistle-blower's line, roughly; 7,500 were about standards in social care and 300 the private sector. Six hundred were from the NHS. That's two-a-day out of 1.4m staff. Is that a lot; reasonable, likely, tip of the iceberg? Are they genuine or axe grinders? What were the outcomes? I've no idea. I am fortunate, there are few parts of the NHS you don't invite me to look at or you write to me about. I don't claim to be smarter or know more but by the end of the year I'll probably have meet as wide a range of NHS people as anyone. And, you and I have conversations like this 3-4 times a week. You trust me with a glimpse of what it's like to be: # a clinician; distressed at not being able to convince others to take your concerns <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8kwdG7hDIaJREyUPGuagWv-Cjan1TYpaLmk BNkbaYiX8xiILSFD-uojaXBETnWUfXruUiYOMJvxaGhAXQTfE3UAG054nrjm06fnG-0cv6Uf15FS N1juAAeRNDalcw4VQylqtfFnhAjHi0-WWQHvFgm1kuGXKS1h1BxlLGr2W-Bq-g==> seriously. # a manager under so much pressure to deliver <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8lTSdaI35UtS9K42yZ064xupXs-rs9K3WaH DHchidby9Kv4k05qYhgKqPt-AyaZWeVt42IYYBtdsoRX9TGwdhYU03TMxkGFt6vzar0V_kwcZ71f PXcwXpa1ngttbd-BIXWv0oPkpWyd36oT989NbtnUAN_HT_GIxolnaBSfCMG4-ePYlNJ5KnH2gV-g Oy5aKqSeq8rv24FCsS72YgMMeZtqqKVpvqU-UpI0XDq1yjwZI9fjg069wjBa8FJbSwWOKzzc36_9 QajQT3OZDsOOqIiPiAoI2N4mqHCBkPFlgq26nzUkESh3_XljgLR7Dnpoo5DyQB5lU5o_-ndPT7J- K01M6XnmV2Z6STIxJjPQ0ziu4ubgUvqnk-Ye> financial and performance targets you've no time to visit the front line and see what's happening. # on the frontline, too busy to be aware of how short of staff <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8l_OZhj-n66Oyh20Y0E5UrKMiSt76C1jqOy TcbmllJu1w67c2OYuzI_Tc7F50mNPYY34EbE9Q8bc44OuWdOOyHPmHQz-yJoRajHix_LaN1egFdK xyR-x7Is2gTFZrrJEEomGRATEBA8CI3B46H5VlYD4sDefu04uejq5EwtkTe4h3XE4OCiCsh_gmuZ _xseJofBM3DuPkUxTQ==> you really are and know nothing will improve if you complain # a board member, annealed to clinicians' shroud waving, not knowing <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8kj8IMRp8Ear77JfFVlYE0hm2FWQE6fIyc7 jyKg8tBHInP9VGBuZl9kvWkAPUY6YrqLqEXhMRaa3tcrT_liO92rXrr9Tl0jlPfUENTnLEtXVD9Z XE4-XVxmNvwlF9qUmXTgnmutj3nevRGeY3d-nPmX1_-CA9H0QKJQ_PGPFg12LlLk_rS44Ya3Zhgd 66ZWjxYCTD4K9e7WlDL2UkZ4BBZ6oOlh8jvscWU=> who to take seriously. There's a lot of smart people working on whistle-blowing but I just wondered what would happen if we put together, in one room, the kind of people I meet and write to me and quizzed them about what we should be doing. People like Sir Robert Naylor boss of UCH who could tell us how a huge Trust handles the problem. Doc, comedian and Private Eye journo Phil Hammond, whistleblower at Bristol, NHS Employers, actual Whistle-blowers like James Titcombe and David Drew sharing their experiences, plus academics in organisational behaviour and NHS specialist lawyer Chris Newdick. Could we come together and produce a consensus and advice on the practical everyday behaviours that would make my 9 Tips history? It's worth a try, isn't it? Let's give it a go. On 8th May we are <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8lRAUkc9eOaTOHnZRMDTiQWX741trFU4cVp NvDHINIHskyWzy1wyiaWYubq7A-HTckI9ihVsJZhMs_iOsLtUtKwuSJnnGvWJp18xO9r3wujmZwB nRhUEAKPXw13Dg4SnyVsNT0Ijd9y5PTPGRNTGkNbonH72XECeic-JboUQs7KkE6nSid4pqb9> planning the Speaking Out Summit, a different kind of conference; a get together, a chance to chat, talk and make a difference. There are more details <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8lRAUkc9eOaTOHnZRMDTiQWX741trFU4cVp NvDHINIHskyWzy1wyiaWYubq7A-HTckI9ihVsJZhMs_iOsLtUtKwuSJnnGvWJp18xO9r3wujmZwB nRhUEAKPXw13Dg4SnyVsNT0Ijd9y5PTPGRNTGkNbonH72XECeic-JboUQs7KkE6nSid4pqb9> about the SOS here. I hope you can make it. Have a good weekend. ------------- Contact Roy - please use this e-address [log in to unmask] Know something I don't - email me <mailto:[log in to unmask]> in confidence. Leaving the NHS, changing jobs - you don't have to say goodbye to us! You can update your Email Address from the link you'll find right at the bottom of the page, and we'll keep mailing. <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8kmASilS_7v5C-OVAfFqO80bxGlq16uxRsV uCPhZKi-JEm49QGUZIYp3A34CJDWzyDRVCDwbw1hSKfK6zjay15YMkCEuTvjKqf7aqto6wKVHddO lBUMruOUB8x5SzsN7wLm8W4M_NtmKoctcZoU0hg0lzrhcd-Do9mUnPoP9ZtWgG5J0EKUGgLB1SrV yyu6sAFB2V5jujoyQw==> Disclaimer MaM Logo <http://ih.constantcontact.com/fs065/1102665899193/img/647.jpg> Medicine for Managers ------------- Dr Paul Lambden <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8ns7r0DTfXFpk31X1zZMxZoX_b4wVWiUSTi gaObKWqwADV4xPSTzQMvuoM_QH1TtsRGIf9BWsTSQZH4T-fxF9TJR-0b1m132W-LmmnWFK4M8JU0 cts5E4KtcRa_uPdwAdDP723F0waNmZtGSSjNAhtL1ocUZR_yyvFf-KoNO0qfkBQhdl-kciJIq7ia 3U6v_2EcgTHa5X5G4w==> History of Surgery Surgeons, a cut above the rest? ----------- News and Stuff News boy <http://ih.constantcontact.com/fs065/1102665899193/img/259.jpg> ------------ >> <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8nahP6tEEsjHMIzE9JfrNL8QSQtwDfU1WRs 5fJtM8Ty34XS5T8z53gy9rDrP8nCdqXR-FAtMpk4RkHSAMLoGKxvC0yY2nNosS9t3FAzDZvpt4iN BvonTuqiaOYjzV--jS10kgXxd5Sjdj9qGTscZRcir0TVuwN4FgflP7tjRZbI1IEYQlc6Ad9haO5E paITfxFolKAgX4KPnBwAEKyAqYw5> 'Yer granny's too old for pills' story - continues to reverberate. How did the DH and the Press Office let this get so out of control? >> <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8knaYiOTywqXzuMtPASFjf7pJ865DiN9aQG hCOx7Kx8dAl930D6DF8fm4EZdZvP9r9rkgOUdWxJ5GcXBUNRzwUJEVgffJbeEyK1AWGim0OwGmVC MB2Nw7ovzVGfLnDEJLmnILLdMXpqZnUOGaY9Ln9k2niJ9dMayLQT8ZE_DmqHymMtlCvqi3fSuEyO oZVElwdZhb7lVwBGwCLAc2Rd5b_a0hyzhAetJ9sIElKTZ6lScy7j7kGi2Q1odIlnP0579dY=> Carbuncle - latest. >> <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8kV-tFGhDNQz_Afx1yGEuxKVr4r20GVGkB8 Z9ejDNneacB40ExIQVM9JHFOzWDBbuIPoKzDwQP2Eov9tK9CIYpsXE8zJ3yZC_03xDCylZZURbdf O3W0-814vfwGWkuvSe-IapyM_QITMnNdtuwwTUUBTmiOxMrUE1u-v-VBT2Dk1A==> Going to Expo - see you there. >> <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8ljaVKyIv1aDDKBlmUqzEMrQJW7Zcj9_SvN i51IMMSDxIbq9r1XXhAEds4A5duDmfQrzzroZiS_I8ucOIExzfGpX93Key8wI4aQk570cMq4fL7H 5dHUs09q9EaXq7rlbC8qrBSMiHC2mMjp4vFvlgqHWctA4R3sv8fGKo-YWDn-qorc8WxqBOodjCv6 zowdOBE=> The Flat-Earthers travel plans - 20 Trusts getting ready to be inspected. If they don't pass muster with this much notice they deserve to be shot. #whatawasteoftime. >> <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8kW937fAVZjHOIbCjbB4TwC2G0Dh1c4TSoV Cq2Sp3y-S-IGbAeVwgjGeuZWrVSRiQWqCHQYQNgS6OFdbTVO4vyxd9ft8U8ag_rqpa6T_C5_qjXX V7QIQI81FgQECn-J3-ic6C05MIY5KboT-Dzv3uJm9B5AIkQvz-jie-v8d85xgL_1YqvAEibRFOcz 1C2vHTiARVgkzZxkdksbbLPxwd927eGyX-mR4f5qay5OS1JCb6aJXjb9pS8eUWCHSfm3O35CIflg g2-TKw==> Commissioning and funding general practice - this is a new report from the King's Fund. It's a bit pedestrian, dense in places and not much new or exciting but it is a good snapshot of where we are, some solid history and interesting for the background story and what the problems are. Worth a look. >> <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8nvddjTc_5R7voIVOexe3_JpMKajG_3LO68 dduq6moAk4gZO8zb7RcCYW_W6SL19R8_RJUYSkyi_nOWl_TDDsfX4Y_6CB4z-41hmuHNCXQU6pPX Pld5QzAKGXP7LR3eaSg2l9tA4VEjg-T-Gpph8Foo> Post acute care - that's where the problems and costs are. This is from the New England Journal of Medicine and written for the US. However, it is a must read as I think you could cross out US and put in UK. >> <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8kktCPdhKK7cVR0ygJBkOnpLgyEdy2Wgdfm g8ysnZemwYS9a8BhMF2v3pct61LHTM53X3dCZIO7K7kdI35X4hXOA-aUP6-IHuIwSSZunk_enBHf 8786ZvSJq6oxGazySBC92YNpffBHuB-U9787urhfg0F4xV1UJKkoli7axl7waCtd7tOzY3mN> What's happened to the Nuffs - their latest is about payment reforms; I think they mean funding and tariffs. >> <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8n95lA0DmxZrHN2Jyptx5kqb5u8zIUWQJ5b s86V5sHSAW95ylQggF3hyUwnLo509t_scRaQEiUZ_1D17UoLhjO_RcdbJbcKS7MOW-n0RIxbYqV3 QqQ-nHlLep2onSQ3g7JcjFcHmlxcduGZfrs3lTJ48bnN229k-JpP0BY0lRgm9puhopp5Au_qh79N jHsGn6pBiKxknc0jkNgNGbRGR7ceP7E_49yVdOH5uPdtTJeR_3hugRaK2Vga> care.data delay - will cost lives. -------- <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8kA-PEHuF31gou4M87VYWKsEIgDizO4-emv TMDAvY1e7L63T5Bysav_B8Zt_AAMuAoae4-TJhlyRwCnWQYGrLqKB2lZkfZ0ANVPx4ifk_rwtl0D _BTPomOEaLqjZ9V__H2L-c8uAMJ3gFSlPHBKu5SU0wAXSh3gtEcpG59a0PcQ0EzvxP8_Zk3Dg48Q uNF4n3BiZnsz9zmEHA==> Book Review <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8kA-PEHuF31gou4M87VYWKsEIgDizO4-emv TMDAvY1e7L63T5Bysav_B8Zt_AAMuAoae4-TJhlyRwCnWQYGrLqKB2lZkfZ0ANVPx4ifk_rwtl0D _BTPomOEaLqjZ9V__H2L-c8uAMJ3gFSlPHBKu5SU0wAXSh3gtEcpG59a0PcQ0EzvxP8_Zk3Dg48Q uNF4n3BiZnsz9zmEHA==> Dr Paul Lambden reviews <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8kA-PEHuF31gou4M87VYWKsEIgDizO4-emv TMDAvY1e7L63T5Bysav_B8Zt_AAMuAoae4-TJhlyRwCnWQYGrLqKB2lZkfZ0ANVPx4ifk_rwtl0D _BTPomOEaLqjZ9V__H2L-c8uAMJ3gFSlPHBKu5SU0wAXSh3gtEcpG59a0PcQ0EzvxP8_Zk3Dg48Q uNF4n3BiZnsz9zmEHA==> Fast Facts Behind Skin Cancer <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8kA-PEHuF31gou4M87VYWKsEIgDizO4-emv TMDAvY1e7L63T5Bysav_B8Zt_AAMuAoae4-TJhlyRwCnWQYGrLqKB2lZkfZ0ANVPx4ifk_rwtl0D _BTPomOEaLqjZ9V__H2L-c8uAMJ3gFSlPHBKu5SU0wAXSh3gtEcpG59a0PcQ0EzvxP8_Zk3Dg48Q uNF4n3BiZnsz9zmEHA==> Karen Agnew, Christopher Bunker and Sarah Arron <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8kA-PEHuF31gou4M87VYWKsEIgDizO4-emv TMDAvY1e7L63T5Bysav_B8Zt_AAMuAoae4-TJhlyRwCnWQYGrLqKB2lZkfZ0ANVPx4ifk_rwtl0D _BTPomOEaLqjZ9V__H2L-c8uAMJ3gFSlPHBKu5SU0wAXSh3gtEcpG59a0PcQ0EzvxP8_Zk3Dg48Q uNF4n3BiZnsz9zmEHA==> '... a truly excellent book' Download a copy here. <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8nYq5WtMIW7kbZhkB9zGiICJ2fzbFuHe3JC gt9oLbESy5dPzedWTk-WCUGFbT1qzzD4nCaIVetgl7CKjtkdja9qp_6guM4WqWT5folOPPNWrCoc Cme7zcUBUMLxDAbkcqa_osx1I4fPbtwwhOTAETIIphkK8lnS48FmU_xju0JErQ==> -------------- Up-coming Health-Chat <http://ih.constantcontact.com/fs136/1102665899193/img/1427.jpg> Jeremy Taylor National Voices 'Why has the patient voice made so little impact - what will it take?' In conversation with Roy Kings Fund 25th March 5.30pm Don't miss this! Book here <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8mV1I2Wty3mLCtBwFMY-FKNINzbrhEg3LD- dm95OwHApBwagXyOMtvWP0O1Nx74JNmCi2sEzkrUUVTZkHJ38jkNiS8ly70i3qR5X8Y0MaPeV-2M rbRpvpoyFeIsPyro78MPr3I4O8lZyfHwAXwgISPKZZhbywrTXq2BxyDpUPZuwnsPLm7--v2CdU4t 1Lk8884=> ------------ Gossip shh <http://ih.constantcontact.com/fs065/1102665899193/img/1082.jpg> This is what I'm hearing; if you know different, tell me here <mailto:[log in to unmask]> >> I'm hearing the Big-Beast is upset because on a recent rail journey (2nd class) he was served porridge with a fork. Could I suggest we have a whip-round and buy him this <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8kS4wqFc7LR_sg7BnN_RIvrLg3FKrFGZcpQ cCK-iusD2LeOmgFYmn1h8l6oCWFsaqSH67DSXjqVfkn22Yr5b1NGk-paO2W5OwdW9iPkC7e1Ryjx il941DbCY3UTkyxgr17fXWyTLZuzqHjiSbUXlutLx38jSobO8vomvBaH_v5te1f5GwupkK9cXkfY LNjdVh_OfHUmvLIoETjfYxSeyA-NI6nb9Gof2kovZ2u4ixAUxg==> for a retirement present? >> NICE guidance that every man and his dog should have a Statin seems to fly in the face of advice from the US that they don't work <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8m9r2QKA_XXGLoPF7J4JScebGaGOzOctfFn v-P4j4lGItgc0HWRJ2ZppNJEH7vIVui0fT4eoOB9EGAA7lyackcvHxQoDCW1pxwNq9Np1YAe6lE3 _bT9hMUXgdWFENT75vcI5nDJZkBhkV1HBmjTyt5zqafDwkOSPFP3J4LZPRUOag==> ? >> Have we had a winter crisis? I can't quite decide. It seems it's a crisis all the time? ----------------- >> <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8k0FELLg1Gv9UK6MkRpFPjtvUH0Aq247xbZ BssGbmwIRhLKf4qg0sR_IUHEnfpk_6Kt7Ck0c3ubDuvLKgyHj6NQ0yEfCLLrXY2qAg4lqWpXoV65 YexRPCrpSwriLGZ23IcB0SRf7a5m7mw03pNcm9_V9ozQjlfkSjrW8CiFGPxDZFJ5FkITYz9HzWWW 2awa-GBy_Bo81GILdA==> The more I know the less I sleep - excellent global perspectives on clinical governance from Mark Britnell and others, via KPMG. A really interesting read. Cuppa-builder's moment methinks. >> <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8kNt-dPrSh0BeRpt001Azg9gINOCdWrcJ3l UKmb4azIo0MVtxKA-kGfzhkN4cAGjUlCmiE-BjLUYwTiS00e-4FrtnY2kO_3ok1Dch8nEv-6QMYh vQLbqHSGe_kR-FLfsPU0hWvzC2L-ng1vh_pbrVM2cuSEhQ0rrxg=> Health Select Committee - looking into careless.data; better be on your best behaviour Tim. >> <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8knhszfC3glJBtBFowa5uh78JVAUAWPtnb6 HzGiWc55z377pJkAJhFunRlXJzL_O-AXZFg4DzLbX_D1kvqNpfKpvcIUEEE2-0PbQvD4u8JQUQHS KM5ZdewdmffOXSjFggLGrVEpYfQ7Ze-SEfmAfrB35PC0dxu6ebWv9BYW8UbrVrQxZrFzCmKoVkjM _NHKwDPvwpGO9OghVLFx9gMGjSLLT0NZR7d9mRVtZhD7dP9mObYg3uHsys8pAR_HJFgfXA2FWmp0 TWYDEc4wzRFYKhKjlHQjzCaw6ipw9AQLbwei9gvH9-TlNe38bl9ngOVXhiYlsJjUMqaC_w==> care.data - here's what the HSCIC say about it. >> <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8k-VOivekPrgpEEy729TA3Kh4RrNY1_dKRJ IAKmpocNXaYnLuWuPq615WVdvwFx_1qNH0ADfY7l2E0BtRo4ueeaR4PIzQPnP6vzavmhr5CxZ5dc brpO76w2cmox_2VAp6C-cqRwRvpeB8J0ubY_J3mdKdOQytYY0aWPnEuux1A_r9ddNyS1Qo07su_R QCrwhBThq5uWt2v4tTr7_hxAmwC66x3yvXBeHXxxZkDIN0rZGQ==> Male suicide rate - national tragedy. >> <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8kUaRUcPH49KPg7MsXb8bXnSo3--HNnYOjR RM2IumhDZF44_CYhSrQ6QaKWV3NxI3tGecqzvnSAe5ClnTuIiwEbl7tEsE-xPwXwjztW4Sfli0zd J4GZgUWKsqoPRU51DlPEHNKL22TP8w==> Uncle Bruce - has concerns over Welsh outcomes. >> <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8lOQis4tErAWj0PZVjlweooUhBtrWcWmhq4 T4kEn0xceyRFue0IjzUlygHt0pcQR8bE49RxZSibPxQY_oUUQyP892DOoWWXjofHFycxoZi7L69_ Ngw-HbYaO1wW5n2zXX8W6Sk5IiU5APXTqfh-qR0zGrC3WinkbcZTjKLWDowgegTTfpl3ei85toas UM-okSx38RGugqc264ddTKKVNxQNZezTxGJG7aKxbKEQr3pqLbwNKqmteYOcpaTqvPtNFLk=> Wales, High death rate - cover-up? >> <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8nO0AWgq8GIOs7egoU7FF64JrFvGZd934k5 00efeaV7caXDiPEUQ73BNeCn6uUx3sKFV6ceZ5wJlzbWst_cYgNI8yS142Ilaj325BfIIcNdNB3Y FsqKrWro-R9sE9JCSkT-XgpqCh-Y_O_-ZT-GVV2vRquldKnsYPXcQl6ocEzaIaqTosdRKtQE6qGw LlR87d31e9jP1zTZbz8ZMGB2ZhbX-wUTeIaEimP2YA3G8BjI_w==> More defibrillators - needed says report. >> Twitteratti will know @mentalhealthcop <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8lsKnAJb7HI0n-fEah6o0jQ1KPGrKrsQTE4 pHtTbs78SquIzSXuWe4YLiFOrgZ1A1FpDxVR9L3HRfk8QgThL_siv-7oavEYBIwWzlwGzkitD-UO VTfyHWszv-qdQchVYwM=> - <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8npKXclvd5W2B70WDQvhg1lxDdc9_O9SfPS EuCcqx1DPxgIk9jLPLLg4WqNHryiUHfYGO9gH0m05gVrTQMqVA1GuY7QIBLFI5EUdvi7XS0v22J8 9kGEiBouJZFq-sM2WYwIPKREz16PGYZ-kiS2FI18NHwhOfobr48HihURM_8jUI3OCoWHrgvZm0Lt LN6BDKQaYR52KDUZbw==> he is a serving police inspector who writes and blogs on policing and mental health issues. He won awards but it didn't stop his clunky bosses closing down his Twitter account. He's back now and if you are on Twitter and MH is your thing, he is worth following. >> <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8mxLt3zg9uG_RsRv5yZIDWyAYDgRk88rymX wq-H85puGIqg0qmGb9J4wWFOVEe1djbGJT03zxkHPg9tsJh4HXaVm3JIA3z21DuaCezpgUW83rqT G2DeMRoBY2pYUym8XGG0YyIA3br-qwjvOe4xhHCdJ0NIVFMww2U=> Serco - dumped. >> <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8kg9Hzkrv84-AO3clG1ohqq_WoAOMF_2Ozc PPkBiRLXP9s7WppUAUuDlfuEueuNWZqaWKtuhRO50l244uW9RDd1U72-qt2l3YDjdfR2px--ckji RtMqV77SjJhAL4Lph_8=> F&F test is a wonderful thing - we all know it isn't but this article in the HSJ says it is, turns out to be little more than an advert for the bloke who runs the company that does the F&F test. Unusual for the HSJ to do trade puff? >> <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8ny6NI56NUgm8PTbBonh8GhtHUUZjO6c8HH zFs_tsRa6KLBGsvAXubsiTVOGx3oEz4bAV-yKM2pBQVUnKb5pGppXfZjT1QHjW4GUzFYI5X9e_L8 NQwZcTzdqsVlq_S4A6bevL409Xq4I4pGTRKrLGw0n2HA1rvm8OUj7u6pjtSYu3US2THlay32vUW2 7Gywxs69u7LAVw2W5eblKGZ_cyiDt_vSLYYnG1N9Oq_iJ_a0tiLYsp-vH9UyY72ABr3BM3Yi0Ich fqYvTlyPye09qRXZmbaWmZoOBz-qXdv_fsL3xaysBbjnrICP2-RJJCAX14HezhTMil78er9CMAWN pruCxh-dCt-cuJKDLsy-VXQKRQ==> Top slicing CCGs for the Better Care Fund - HSJ again but a very informative article, must read. >> <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8lVkt3k66hUGvIq9DBirs-czQc8tzCWLmSd b1C3znnnIhhzeUEG5HFGffA-nUFkGHFYBeAagq2G_rfL3F8UHIeVr9UkTGky3bPpG8Jeu3G29l1X D1tgtdp6iF9jFa0jaMceu8O2BG9Lu9Cq2nbVpyXlX26xrmVjzeFIcYtqAnKTeqBfy66C6dEe9_iT d0BTjta6pd3GMhvtOjiL0mIpiarBr-NyYWqaFOo=> LaLite tipped as the next PM - that means the next Sec o' State is probably Micheal Gove! >> <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8ncRzijd0b1z6nCxFHhs13dmnaOH1pH1sCx 85OgzuItXlOaMuKmZTItnFdjc-dxymfeOoPgd_fvtq-1fh_qHipyZJCdk7b5CdODTyTaHdMKTfW4 H70Yp3TG3Bgvtb00BqeL4wnYhryn-UISb79xFtmnV5UwqnnYLhhTlsfwKkUauXDN-xN2z0nxl8PI EEWIKSP1m1jmDj6rfhktD4UG2cfLkMMZKvuvbSB53lMvDwFyWWKrn4UJxVRJ> More resource for the front-line - no says Guardian writer. --------------- Today's Larf with Martin Shovel <http://r20.rs6.net/tn.jsp?e=001wAfgec_Lv8kw4-UFGjc2SvFfxkPcH6U4r5pvreCgYQs3 r9SdNsB0iWAdI_mywhlfkQESfa6cF02bRVmpSrX1I18adHMoolvpPdJ5q7gb99BL7jKHBkzD2Hic WAE0rXxwbQxSS1Gq0j_ECYzVoBZS5FyTG26PCdwDdMQCWtKZ4oPWEZqE61LKDg-ZdJkrr5sI> cartoon martin Forward this e-mail to colleagues <http://ui.constantcontact.com/sa/fwtf.jsp?llr=zfxea5cab&m=1102665899193&ea= maryhawking%40tigers.demon.co.uk&a=1116615848811> <http://visitor.constantcontact.com/do?p=un&mse=001Olbj1iTXQSWP0aqdob5q-VnIU xCe8O-XEFRbIDoykGc%3D&t=001cvsyLVtXzvc1XR-SUo-lIw%3D%3D&llr=zfxea5cab> <http://www.constantcontact.com/index.jsp?cc=newsVE02> This email was sent to [log in to unmask] by [log in to unmask] | Update Profile/Email Address <http://visitor.constantcontact.com/do?p=oo&mse=001Olbj1iTXQSWP0aqdob5q-VnIU xCe8O-XEFRbIDoykGc%3D&t=001cvsyLVtXzvc1XR-SUo-lIw%3D%3D&llr=zfxea5cab> | Instant removal with SafeUnsubscribe <http://visitor.constantcontact.com/do?p=un&mse=001Olbj1iTXQSWP0aqdob5q-VnIU xCe8O-XEFRbIDoykGc%3D&t=001cvsyLVtXzvc1XR-SUo-lIw%3D%3D&llr=zfxea5cab> T | Privacy Policy <http://ui.constantcontact.com/roving/CCPrivacyPolicy.jsp> . nhsManagers.net | 100 Pall Mall | St James | London | SW1Y 5HP | United Kingdom