June 2014 Archive

Will disputes and the law of the land

Many UK residents dream of retiring or moving abroad to a warmer climate in the hope of a better life for themselves and their family. It’s an experience many people find fulfilling and rewarding: they settle into their new life with renewed vigour and enjoy the sunshine and variety a new country and culture can offer.

Tollbar: Road to success

Galliford Try gave a very interesting presentation about the A45/A46 Tollbar End road alterations, highlighting the challenges faced not only on a civil engineering level (because they are not allowed to use cranes to drop in bridges due to radar interference) but also on a public awareness level.

Coventry and Warwickshire: best for business!

It is not just London profiting from an influx of foreign investment: Birmingham is drawing the eye of investors unable to get a toehold in the south east and this will undoubtedly create a ripple effect across the region. Coventry and Warwickshire stand first in line - the major infrastructure improvements currently underway to upgrade the city environment, county road network and employment space provision are all contributing to a vibrant local economy. Barry Sankey gives his personal take on the upward trajectory of the Coventry and Warwickshire economy.

The ethics of end of life care

A recent legal case regarding resuscitation and a national audit carried out by the Royal College of Physicians in partnership with Marie Curie, have reopened the debate about end of life care for those dying in hospital. In 2013 the Neuberger report into the Liverpool Care Pathway (an initiative to introduce a hospice level of palliative care into hospitals) found that, in too many cases, the framework was not being used appropriately and people in the last stages of life were suffering needlessly. The resulting phasing out of the LCP in favour of individually tailored ‘end of life’ plans is, in the eyes of some professionals, a case of throwing the baby out with the bathwater.

Maternity services under pressure

A case in which I advised the parents of a four-day old baby who died in 2012 after being deprived of oxygen has recently been in the news as the family has only just received a five-figure settlement and an apology from Warwick Hospital. An inquest, held in June 2013, heard how failings in Daniel’s care during labour had led to his death. These included three different midwives failing to read his mother’s antenatal notes which would have revealed her as a medium risk patient; one of the midwives having a history of making mistakes; and a failure by staff to monitor the foetal heart properly.

Health and social care integration – can it be done?

When the new Chief Executive of NHS England, Simon Stevens, made his inaugural speech in May to the NHS Confederation in Liverpool, setting out what he saw as the priorities for a reformed NHS, concerns about the future affordability of the NHS in its current guise continued to pepper the front pages. The most pressing worry is the impact of an aging population on health and social care resources. A solution to the difficulty of coordinating medical and social care provided by two different entities on different charging bases is the creation of the Better Care Fund, due to be launched in 2015.
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