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How mappi ngyourl ymphat i cssyst em i schangi ngl ymphoedemat r eat ment Knownani nnov at or ,J aneWi gg,di r ec t oroft he Ly mphoedemaTr ai ni ngAc ademyandLy mphVi s i on,i s al way sl ook i ngf ornewway st ohel ppeopl el i v i ngwi t h l y mphoedema.Thi sc hr oni ci l l nes sr eal l ydoeshav e l i f ec hangi ngef f ec t sbutt hei nt r oduc t i onofi nnov at i v e t r eat mentandas s es s mentt ool shasal t er edt hewayt hat l y mphoedemac anbet r eat ed.Oneoft hemos ti nnov at i v e andc ondi t i onc hangi ngt ool si st heus eofaNeari nf r ar ed f l uor es c enc ei magi ng( NI RFI )appl i edt oi dent i f y l y mphat i c si nr eal t i me,f ort hef i r s tt i me.Ami nut eamount off l uor es c entf l ui di si nj ec t edi nt r ader mal l yi nt ot het i s s ue andt ak eni nt ot hel y mphat i c s( i ft heyar ef unc t i oni ng) .The dy e,whi c hbec omesat t ac hedt opr ot ei nandal bumi n mol ec ul eswi l l mov ewi t hi nt het i s s ueorl y mphat i c sov er t i me.ANI RFIc amer awi l l ex c i t et hedy eandr ef l ec tt he i mageal l owi ngt oi dent i f ywher et hel y mphat i c sar e dr ai ni ngorpr obl em ar eas . Al t houghnew,t heRoy al Col l egeofNur s i ng( RCN) ,has r ec ogni s edJ aneandLy mphVi s i onasaf i nal i s tas i nnov at i onoft hey ear .Ly mphVi s i onc ar r i esoutc l i ni c s ar oundt heUK,meani ngt hatwec ant r ac kt hel y mphat i c dr ai nageanddes i gnnewt r eat mentandmanual l y mphat i c dr ai nagepl ans .Thr oughs c r eeni ng,NI RFLi magi ng( al s o c al l edI CG mappi ngorl y mphof l uor os c opymappi ng)al s o meanst hatwec ans eewhent hel y mphat i c sar es t ar t i ng t of ai l .Res ear c hhass hownt hatder mal r er out i ng( ear l y c hanges )wi l l dev el opi nt ol y mphoedemas oear l y r ec ogni t i oni spar amount . Ly mphoedemai soneoft he bi gges tf ear sf ol l owi ngbr eas t s ur ger yoc c ur r i ngbet ween840% ofpeopl eandoc c ur si nar ound 25% ofgy naec ol ogi c al and mel anomac anc er s .Thr ough l y mphat i cs c r eeni ng,ear l y t r eat ments uc hass el f dr ai nage c anas s i s tt hel y mphat i c st of i nd di r ec t i onoff l owandr educ eors t opt hec hange.Sc r eeni ng i sc ar r i edoutass oonaspos s i bl ebutf or msaspar tofan annual ear l ydet ec t i onpr ogr amme. Manyoft hepat i ent swhoat t endLy mphVi s i onal r eady hav el y mphoedemaandt heyort hei rt her api s t sar e l ook i ngt oas s i s tt hei rc ondi t i onbet t er .Thr oughNI RFLI , of t enanac c ur at edi agnos i sc anbeac hi ev edc onf i r mi ng genet i cc aus es .I naddi t i on,t heex t entoft he l y mphoedemac anbes eenal l owi ngf ort hei nt r oduc t i onof di f f er i ngt r eat mentpr ogr ammesandbes pok el y mphat i c dr ai nage.Thi si sc ompl ement edwi t hJ anesk nowl edge, whoasani nnov at or ,get st opr es entonagl obal pl at f or m andhasawar enes sofi nt er nat i onal t r eat mentt r ends .
NI RFLIhasal l owedf ort he dev el opmentofanewandadv anc eManual Ly mphat i c Dr ai nage( MLD)ormas s aget ec hni que.Fl uor os c opyhas s hownusnewpat hway s ,howt hel y mphat i c sdr ai nand r es pond,wher et heydr ai nandhowandi sr eal l y c hal l engi ngt he‘ hi s t or y ’ book sofpat hol ogyandMLD.Wi t h l i t t l er es ear c hbehi ndex i s t i ngt ec hni ques ,Fl uor os c opy gui dedMLD( FGMLD)us i ngt he‘ Fi l l andFl us h’ t ec hni que i shav i ngs uper i orout c omes ,f as t err es ul t sands av i ngbot h t heNHSandpat i ent smoney .Onepat i ent sr epor t st hat s hehass av edov er£1000s i nc emappi ngandc hangi ng herMLD. TheLy mphoedemaTr ai ni ng Ac ademy( L TA)wases t abl i s hedi n 2002andpr ov i desi nt er nat i onal t r ai ni ng.I n2014,J aneandL TA s t ar t edt eac hi ngFGMLDandt he‘ f i l l andf l us h’ t ec hni que.Pr ofBel gr ado, f r om t heBr us s el sLy mphol ogyand Res ear c hCent r ei nBel gi um, pi oneer edt heFGMLDt ec hni que andr ef i nedNI RFLi magi ng.TheL TAar et heonl ypr ov i der s oft hi st ec hni queandpr ov i det r ai ni ngi nt heUKand i nt er nat i onal l y .Asl y mphedemai sbec omi ngi nc r eas i ngl y r ec ogni s edt heneedf orgoodt her api s t si nc r eas esand wi t hc l os el i ai s on,L TAi st r ai ni nghol i s t i ct her api s t sand hi ghl ys k i l l eds por t sandmas s aget her api s t s ,t oas s i s ti n s uppor t i ngl y mphoedemat her api s t si nt hepr ov i s i onof manual l y mphat i cdr ai nage.Tr ai nedatav er yhi ghl ev el , t heywi l l pr ov i deFGMLDt opat i ent s .Al i s toft her api s t s c anbef oundatwww. l y mph. or g. uk .Tr ai ni ngonal l t hi ngs l y mphoedema,L TAar epi oneer si nt hei rf i el d,c oac hi ng ov er150newt her api s t seac hy ear .TheMLDand l y mphoedemamanagementt r ai ni ngi shel pi ngt hous ands ofpeopl e. Don’ tbel i eveus,ourt her api st sandpat i ent sspeakf ort hemsel ves… ‘ I havebeenqual i f i edt ot r eatl ymphoedemasi nce1998,t hecour sewas f ant ast i candIam f i ndi ngIam get t i ngmuchbet t erandf ast err esul t s f r om ‘ Fi l landFl ush’ t echni que,t heyar emai nt ai ni ngbet weenandmy pat i ent sar ever yhappy . ’ ‘ Imustsayt hankyousomuchf ort heent i r ecour se!Iabsol ut el yl oved i t !Isawt wopat i ent sf orFGMLDl astweek.Wecoul dseean i mmedi at edi f f er ence.Yest er day ,atr evi ew,sher epor t ed:“ Myar mf el t ext r emel yl i ght er ,If el tIcoul df l y…Thankyousomuchf orhel pi ngme f eell i keahumanagai n. ”Onesessi onandamazi ngf eedback!The cour sehasdef i ni t el ychangedmeasacl i ni ci an! ’
AtLy mphVi s i on,t hr oughs c r eeni ng,weai mt oi dent i f y l y mphoedemaear l yt or educ eorr ev er s et hei mpac tand i mpr ov et r eat mentbyi dent i f y i ngl y mphat i cpat hway s .I n addi t i on,wepr oduc ehi ghl ys k i l l edt her api s tt ohel ppeopl e l i v i ngwi t hl y mphoedemar ec ei v ei mpr ov edc ar eand out c omes .
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Woment oI nspi r eatWor l dExt r emeMedi ci ne Conf er ence Att heWor l dExt r emeMedi ci neConf er ence,whi chwi l lt akepl aceatDynami cEar t h,Edi nbur gh,EH88ASf r om Sat ur dayNovember25t oMondayNovember272017,womendoct or s,medi csandendur anceat hl et eswi l lt akecent r est ageandi nspi r ef el l owext r eme medi ci nepr act i t i oner s,cl i ni caldoct or sandt henextgener at i onoft hemedi calcommuni t y .
Shespeci al i sesi nspor t si nj ur i es–t endi ngt ot her i ppedmuscl esofI r onmanat hl et esandul t r amar at honr unner s–andi sal soanexper tonspi nalcor di nj ur i es.Laur ai scur r ent l ywor ki ngast hePer f or manceManagerf orendur ancecycl i stMar kBeaumontasheat t empt st o cycl ear oundt hewor l di n80days–anunpr ecedent edf eat .
Theconf er encewi l lbr i ngt oget herspeci al i stmedi csf r om awi der angeofdi sci pl i nes,t ypi cal l yout si deofaconvent i onalhospi t alenvi r onment–i ncl udi ngsomeoft hewor l d’ smost r espect ednamesi nhumani t ar i an,wi l der nessandpr ehospi t almedi ci ne.
Laur aal sol edt heal l f emal e‘ Coxl essCr ew’ i nar ecor dbr eaki ngr owacr osst hePaci f i c Oceanona257dayj our neyf r om t heUni t edSt at est oAust r al i ai nwhi cht heyr owed24 hour sadayi nt wohourshi f t s.
Speaker si ncl ude:
Mar kHannaf or d,f ounderof conf er enceor gani ser sWor l dExt r eme Medi ci nesai d,We’ r ef or t unat et ohave suchani nspi r at i onalgr oupofwomenat t heWor l dExt r emeMedi ci neConf er ence t hi syearandhopet hatt heycanhel pt o per suadet henextgener at i onoff emal e medi csanddoct or st hatt her ei sabr oad r angeofoppor t uni t i esout si deoft he t r adi t i onalcl i ni calcar eer .
Rachel Ander son,anEmer gencyMedi ci neConsul t antf r om Edi nbur ghwhohaswor kedi n expedi t i onenvi r onment satUni onGl aci eri nAnt ar ct i caandMountEver esti nNepal ,wher e shewor kedf orEver estERf ort woseasonsasabasecampmedi c.Shehaspr evi ousl y compl et edt heDi pl omai nMount ai nMedi ci ne( DI MM)andwasl eadl ect ur eronawi l der nessmedi calexpedi t i ont oAconcaguai n2013andt heEver estBaseCampt r ekf orExpedi t i onMedi ci nei n2014and2017. Br i ght onbasedKat eYar r ow,t hechai r manandf ounderofDoct or sForNepal ,aUKchar i t y whi chi mpr ovesheal t hcar ei nr ur alNepalbysponsor i ngt het r ai ni ngofdoct or sandnur ses f r om i mpover i shedbackgr oundsi nNepal .Shef oundedDFNi n2008,f ol l owi ngt womi ssi onswi t hMédeci nssansFr ont i er s( MSF) .Herwor ki nNepalwi t hMSFandDoct or sFor Nepali gni t edakeeni nt er esti nheal t hcar ei nt heNepal esemount ai ns,whi chl edhert o wr i t eandpr esent“ Namast e:AHi mal ayanJour ney”–aHol l ywoodawar dwi nni ngdocument ar yaboutheal t hcar ei nt heHi mal ayas. Kat e,whoi sal sot hecl i ni call eadi nwestKentf orSexualandRepr oduct i veHeal t hcar e,i s passi onat eaboutwomen’ sheal t h,bot hi nt heUKandi nt hedevel opi ngwor l d.Shei skeen t oemphasi seandt eacht hei mpor t anceofaddr essi ngandmai nt ai ni ngwomen’ sheal t hi n compl exandchal l engi ngenvi r onment s. Laur aPenhaul ,aphysi ot her api stf r om Cor nwal lwhowor ksat t heJohnRadcl i f f eHospi t ali nOxf or d,andhaswor kedwi t ht he GBskit eam,Par al ympi cskiandPar al ympi csummerspor t s t eams.
“ Ext r ememedi ci nei sanar eat hat ’ si n r ealgr owt h,andourmessaget omedi cal pr of essi onal si st hatat r adi t i onalcl i ni calcar eeri snott heonl yopt i onanymor e.Ext r eme medi ci necanof f erpr act i t i oner si nal lar easofmedi ci neapor t f ol i ocar eerwhi chopensupa hugenumberofopt i onsf orwor kandadvent ur e. ” Websi t e:ht t p: / / www. ext r ememedi ci neexpo. com/ Vi deos:Bei ngaDoct orJustBecamet heMostExci t i ngCar eerht t ps: / / vi meo. com/ 170846844 Ext r emeandWi l der nessMedi ci ne–ht t ps: / / www. yout ube. com/ wat ch?v=ZQQLI Y6j h0o Wor l dExt r emeMedi ci ne:ht t p: / / expedi t i onmedi ci ne. co. uk/ Aboutt heWor l dExt r emeMedi ci neExpo: TheWor l dExt r emeMedi ci neConf er enceandExpowi l lbehel datDynami cEar t h,Edi nbur gh,EH88ASf r om Sat ur dayNovember25t oMondayNovember272017.
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Ca n’ t ndgr ea tpeopl et owor ki ny ourc a r ehome? Ma y bei t ’ sy ourf a ul t ? F i ndi nga ndr et a i ni ngt a l enti shott opi cr i ghtnowi nt hec a r e s ec t ora ndwi t h90, 000openv a c a nc i esona nygi v enda y , y ouc a n s eewhy . Obv i ous l y , i fy our unar ec r ui t mentc ompa ny , t hent hi si s f a nt a s t i cnewsbec a us et heCa r es ec t orr epr es ent sal i c ens et o pr i ntmoneya nd, gues swha t ?Noonewa nt st odoat hi ngt o c ha ngei tbec a us ea tt heendoft heda y , whywoul dy ouk i l l t he gol dengoos et ha tl a y st hegol deneggs ? Ont he i ps i de , i fy ou’ r e t hema na gerorownerof ac a r ehomet heny ou’ r e pr oba bl yt hi nk i ngi t ’ sa l l doom a ndgl oom. Ma y be y ouf eel t r a ppedont he s t a ffingmer r y gor ound wi t hnoobv i ouswa yout a ndy ou’ r ef edupa t s eei ngy ourha r dea r ned pr ot sdr a i neda wa y ev er ymont hbyov er i na t eds t a ffinga genc y f eesa ndy ouc a n’ ts eem t o ndas ol ut i ont ot hi snev erendi ngpr obl em.
F ACT2)T heCa r eHubs t a r t edapi l otpr oj ec twi t hCa r e T ec h Communi t yS er v i c ePL Ci nJ a nua r y2017. T hegoa l wa st o i nc r ea s et hequa l i t ya ndqua nt i t yofc a ndi da t ea ppl i c a t i onsa nd t ohel pt het ea m bec omemor eeffic i enta ndul t i ma t el ydr i v e downorel i mi na t ea genc ys pend. Wor k i ngi npa r t ner s hi pwi t h Ca r e T ec h, T heCa r eHuba r ehel pi ngt or es ha peCa r e T ec h’ s r ec r ui t mentpr oc es s esa nds y s t emsa ndha v ema r k et ed42 v a c a nc i esf r om s uppor twor k er , t hr ought onur s ea ndhome ma na gerf ork eyhots pota r ea sa c r os st heUK. T oda t e , we ’ v e gener a t edat ot a l of1820a ppl i c a nt si nj us t9week s .34. 75%of a l l a ppl i c a nt swer ec l a s s eda ss ui t a bl ea ndaf ur t her10. 5%wer e c l a s s eda spot ent i a l l ys ui t a bl ef orei t hert her ol et heya ppl i edf or ora not herpos i t i onwi t hi nCa r e T ec h. T ha t ’ s823pos i t i v e a ppl i c a t i onsi nj us t9week sa ndnotas i ngl er ec r ui t menta genc y i ns i ght ! T hes ea r er ea l c l i ente x per i enc es . T hef a c t sdon’ ts uppor tt he per c ept i ont ha tt her e ’ sas hor t a geofpeopl ei nt er es t edi nbei nga S uppor tWor k er .I ta l s odoes n’ ts uppor tt het heor yt ha tpa yi st oo l owort ha tha v i ngac a r eeri nc a r ei saba dt hi ng?I fa ny t hi ng, i t ’ s qui t et heoppos i t e .
I nmyopi ni on, t hebi gpr obl em i st ha tmos tc a r epr ov i der ss i mpl y don’ tk nowhowt or ec r ui teffec t i v el y . T heydon’ tha v et he y s t ems , t r a i ni ngora ny onet os uppor tt hem t ohel pt hem S owhyi st her es uc haper c ei v edpr obl em wi t hr ec r ui t i ngpeopl e s bec omegooda tr ec r ui t i ng. Al l t ooof t en, J oba dv er t sl ookmor e i nt ot hec a r es ec t or ?T hemos tc ommonr ea s onI hea ri st ha t ; l i k eaba dl ywr i t t enj obdes c r i pt i onst ha na na dv er tt ha t ’ smea nt ‘ T her ea r en’ tenoughpeopl ewi l l i ngt owor ki nc a r e ’ a ndt he t os el l t heoppor t uni t yt ot hepot ent i a l a ppl i c a nt . T her e ’ sof t en s oc a l l ed‘ l a c kofwi l l i ngnes s ’ i sa ppa r ent l ybec a us es a l a r i esa r e ens eofur genc ya ndl i t t l eornoc ommuni c a t i ongi v ent o t ool owa ndt hegener a l per c ept i onofwor k i ngi nc a r ei sa l s oba d. nos a ppl i c a nt st hr oughoutt hepr oc es s .Rec r ui t mentdr i v esa r eopen T heTVa ndnewspa per sj umpont oa nybi tofba dnewsi tc a n f a rt ool onga ndunk nowi ngl y , al otofma na ger sa r et obl a met oo nda ndunl es sy ouc a ngetGeor geCl ooneyt opopi na nds a y bec a us ea ppl i c a ntCV’ ss i tont hei rdes kf orweek sonendbef or e hel l ol i k et het ea ma tS unRi s eS eni orL i v i ng, t henunf or t una t el y bei ngr ev i ewed. Byt het i met heyev ent ua l l ydo, t hec a ndi da t es a l l t hegr ea tt hi ngst ha tha ppenda i l y , nev ergetament i on. ha v el os ti nt er es torf ounda not herj ob. Bef or ey ouk nowi t , i t ’ s ba c kt odr a wi ngboa r dt os t a r tt hepr oc es sa l l ov era ga i n. I nt he F ormos thi r i ngma na ger sr ea di ngt hi sa r t i c l e , al otoft hes es o mea nt i me , c a l l t her ec r ui t menta genc ya ndgeti na not her c a l l ed‘ f a c t s ’ wi l l pr oba bl yr i ngt r ue . Wel l , y ou’ l l bepl ea s edt o empor a r ywor k era tnea r l ydoubl et hehour l yr a t e . I t ’ sma dnes s ! k nowt ha ti t ’ snota sba da sy ouma yt hi nk . Wha ti fI t ol dy out ha t t y ouc a nt a k ec ont r ol ofy ourr ec r ui t menta ndt ha ty ouc a nc ut heCa r eHub’ smi s s i oni st ohel pCa r ePr ov i der s , r ega r dl es sof y oura genc ys penda ndi mpr ov ebot ht hequa nt i t ya ndqua l i t yof T i z e , t a k ec ont r ol oft hei rr ec r ui t ment . Ouri nnov a t i v es of t wa r e t hepeopl et ha ty oua t t r a c ta ndhi r e . Al l y ouneed, i st obes hown s a ndf r i endl ys uppor tt ea m wi l l pa r t nerwi t hy out oena bl ey out o howt os our c e , a t t r a c t , i dent i f ya ndhi r et hebes tpeopl ef ory our i v edowny ourr ec r ui t menta genc ys pend, i mpr ov ey our bus i nes sa ndy ouneedas y s t em i nwhi c ht oma na get hepr oc es s dr c a ndi da t equa l i t ya ndqua nt i t ya nds a v ey out i mea ndmoney . effec t i v el y . Vi s i tusa twww. t hec a r ehub. c om orc a l l uson03303358999t o r eques taf r eet r a i l a nd ndouthowy ouc a ns t a r tt a k i ngba c k Her ea r et wof a c t st ha ts houl dgi v ey out hec on denc ea ndt he ont r ol ofy ourr ec r ui t ment . s oc i a l pr ooft ha ty oudon’ tha v et ot ur nt os t a ffinga genc i esev er y c t i mey ouneedt ohi r es omeone . Ar t i c l ewr i t t enbySc ot tSher r i den Managi ngDi r ec t orofTheCar eHub F ACT1)T heCa r eHubgener a t ed163c a ndi da t ea ppl i c a t i onsi n t hec ar ehub. c om l es st ha n4week sf oraS uppor tWor k erv a c a nc y , pa y i ng£7. 80per www. hour . Howdoest hi smea s ur eupt oy ourc a ndi da t ea ppl i c a t i ons ?
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MHR announcet r ai ni ngr oadshow t ohel pl ocalaut hor i t i esget GDPR r eady Wor kshopst opr ovi depr act i calsuppor tandadvi cet oHR & Payr ol lPr of essi onal s MHR,oneoft heUK’ sl eadi ngpr ov i der sofhumanc api t al s ol ut i ons ,hasannounc edar oads howoft r ai ni ngwor k s hopst hr oughoutt heUKt ol oc al aut hor i t i espr epar ef ort he newGener al Dat aPr ot ec t i onRegul at i on( GDPR) . TheGDPR,duet oc omei nt of or c eon25t hMay2018,i s t hebi gges tc hanget ot hemanagementandpr oc es s i ngof per s onal dat as i nc et heDat aPr ot ec t i onAc t1998. Wi t hf i nesofupt o€20mi l l i onor4% ofanor gani s at i on’ s gl obal t ur nov er ,whi c hev eri shi gher ,i npl ac ef ornonc ompl i anc e,or gani s at i onsc ani l l af f or dt opayl i ps er v i c et ot he newr egul at i onsandf ac ear ac eagai ns tt i met ogett hei r hous ei nor derandpr ot ec tt hei rbus i nes s . Res ear c hov err ec entmont hss ugges t st hatmanyor gani s at i onsar eunder es t i mat i ngt hei mpac tofnewdat apr ot ec t i onr egul at i onandar ei nadequat el ypr epar ed,wi t hs ome s t i l l i nt hedar korc onf us edabouti t si mpl i c at i ons . I ndeed,ar ec ents ur v eyofHeadsofHR,Pay r ol l Manager s , I TandFi nanc i al Di r ec t or sc ar r i edoutbyMHRt odet er mi ne GDPRr eadi nes sr ev eal edt hat68perc entofr es pondent s hadnoty etr ec ei v edanyGDPRawar enes st r ai ni ng. Af ur t her53perc enthady ett oas s es sandappoi ntaDat a Pr i v ac yOf f i c er ,amandat or yobl i gat i onf ors omec ompani es ,whi c hc oul dbec omemor ec hal l engi nggi v ent hepr edi c t eds hor t ageofs ui t abl ec andi dat es . Theonedaywor k s hops ,t ak i ngpl ac ei nf i v er egi onsac r os s t heUKt hr oughoutSept emberandhos t edbyCl ai r eWr i ght , Qual i t y&Dat aPr i v ac yManagerandJ ul i eLoc k ,Ser v i c e Dev el opmentDi r ec t oratMHR,wi l l debunkt hec ommon my t hss ur r oundi ngGDPRandpr ov i depr ac t i c al s uppor tand adv i c et odel egat esonk eyar easofGDPR,i nc l udi ngt he i mpl i c at i onsonHRandPay r ol l andt hel egal bas i sf ordat a pr oc es s i ng,dat ar et ent i on,dat as ec ur i t yandwhatt odoi n t heev entofabr eac h.
Chi efCommer c i al Of f i c eratMHR,Ti mJ ohns on,s ay s :“ As t hei nt r oduc t i onoft heGDPRdr awsev ernear er ,t hemedi a i sl i t t er eddai l ywi t hl ot sofs c ar emonger i ngar t i c l es ,f al s e s t at i s t i c sandc ont r adi c t i ngi nf or mat i onaboutwhator gani s at i onsmus tdot oenf or c ec ompl i anc e,r es ul t i ngi nwi des pr eadc onf us i onandagener al l ac kofawar enes sandunder s t andi ngofi t sappl i c at i on. “ Theai m oft hewor k s hopsi st or emov et hi sc onf us i onand pr ov i demuc hneededc l ar i t yt oHRandPay r ol l pr of es s i onal ss ot heyar eequi ppedwi t hal l t hei nf or mat i ont heyneed t opr epar ef ort hei mpendi ngr egul at i onswi t hc onf i denc e. ” Thes es s i onswi l l behel datt hef ol l owi ngl oc at i onsand dat es : Manc hes t er–Radi s s onBl u,Manc hes t erAi r por t ,Tues5t h Sept ember Sc ot l and–Radi s s onBl u,Gl as gow,Thur s7t hSept ember Mi dl ands-Hi l t onEas tMi dl andsAi r por t ,Weds13t h Sept ember Wal es-J ur y sI nn,Car di f f ,Weds20t hSept ember London–Radi s s onBl uEdwar di anGr af t on,Thur s21 Sept ember Thec os tofeac hs es s i oni s£495( +VAT)perper s on.Pl ac es ar el i mi t eds obooknowt oav oi ddi s appoi nt ment .Formor e i nf or mat i onandt obooky ourpl ac e,pl eas ev i s i tht t ps : / / www. mhr . c o. uk / ev ent s / hos t ed/ gdpr t r ai ni ngf or hr andpay r ol l pr of es s i onal s / T oas s i s tbus i nes s eswi t ht hei rpr epar at i onsf orGDPR,MHR hasal s ol aunc hedaFREESel f As s es s mentonl i net ool , whi c hpr ov i desas i mpl es t epby s t epc hec k l i s t ,ans wer st o c ommonques t i onsandpr ac t i c al gui danc eont hear easor gani s at i onsneedt oc ons i dert oens ur ec ompl i anc e.T ot ak e t het es tv i s i tht t ps : / / www. mhr . c o. uk / bl og/ gdpr t hef ac t s / Di s t r i but edbyt heMacAgenc yonbehal fofMHR Forf ur t heri nf or mat i on,phot ogr aphyandi nt er v i ewspl eas e c ont ac t Chr i s t i anMus gr av e–01 132883232orc m@mac agenc y . c o. uk
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Banksyt of i nal l yber eveal edwi t hnew pi ct ur es PI CTURESOFBANKSYPAI NTI NG HI SARTWORKTO BERELEASEDI NA NEW BOOK
Asex pl ai nedont hewebs i t ewww. s t eal i ngbank s y . c om wer ey ouc anpr eor der oneoft heex t r emel yl i mi t ededi t i onbook s :
Fory ear st het r uei dent i t yofwor l dr enowneds t r eetar t i s tBank s yhasbeeni n ques t i on.Manyt heor i eshav ebeenputf or war ds ,noc onc l us i v eev i denc ehas ev erbeenf or t hc omi ng.Thati sunt i l now.
I ns i det hebookwedi s pl ay2pi c t ur esoft hear t i s tc r eat i ngt hepi ec ewhi c h c l ear l yi dent i f i eshi m.Oneoft hem i st hei magewehav ebl ur r edont hi swebs i t e,t heot heri sac l os eupi mage.I nbuy i ngt hebooky ouagr eet ot hef ol l owi ng:
Al i mi t ededi t i onbooki snowav ai l abl ef orpr eor derwhi c hs howst hear t i s t , wi t hpai nt br us hi nhand,bus yatwor kpai nt i ngoneofhi smos tf amousmur al s . Thebooki saf ol l owupt ot he2014pr oj ec tbySi nc ur aAr t sent i t l edSTEALI NG BANKSY?whi c hex pl or edt hes oc i al ,l egal andmor al i s s uess ur r oundi ngt he s al eofSt r eetAr t .I tc ul mi nat edi nanex hi bi t i onands al es howc as i ngt hemos t ex pens i v ec ol l ec t i onofBank s ys t r eetar tev eras s embl edunderoner oof .Or s owet houghtast hi sc l oakanddaggerex hi bi t i onwasac t ual l yas t untt o s ec ur ei nt er es ti nt hewor l d’ sf i r s ts t r eetar tmus eum. Thenewbook ,al s oc al l edSTEALI NG BANKSY?,r ev eal st heunt ol ds t or yof t heex hi bi t i onandt hepi ec est hatwer es howc as ed.I tgi v esaf i r s tev er gl i mps ei nt ot hewar ehous esandpr oc es s esus edt or es t or et hes eex t r aor di nar yar t wor k sbac kt ot hei rf or mergl or y .I tgi v esani ns i ghti nt ot hef ut ur eof t henot or i ouswor k i ngs . Howev er ,t het hi ngt hatwi l l gr abt heey eoft hepubl i candt heheadl i nesmos t , i st hatt hebookf i nal l yr ev eal s2pi c t ur esofBank s yhi ms el f ,wi t hbr us hi n hand,pai nt i nghi snowf amousar t wor k .Ther ehasnev erbef or ebeenc onc l us i v ephot ogr aphi cev i denc eoft hei l l us i v es t r eetar t i s tpai nt i ngoneofhi smany pi ec es . Asex pl ai nedbydi r ec t orT onyBax t er“ wef ol l owedonepi ec e,t heGi antRaton TheWhi t ehous ePubi nLi v er pool t oc at al oguet hes t or y .Whi l s tf ur t herr es ear c hi ngt hepi ec eal oc al of f er edusphot ost ak enf r om t heni ghtwhi c hl i t er al l yk noc k edusof fourf eet .Wet oi l edf or6mont hsov erwhet hert oi nc l ude t hedamni ngphot osandf i nal l yc hos et odos ounderanumberofc av eat s f r om t her eader s ” .
1. Thaty ouwi l l notr epr oduc eors har eanypi c t ur ef r om t hebooki nc l udi ngpubl i s hi ngt hem i nt hepubl i cdomai n.Eac hbookhasanenc r y pt edpi x el t hatal l ow ust ot r ac eeac hpi c t ur et oeac hbook . 2.Thaty ouwi l l notus eanypi c t ur ei nal egal orc r i mi nal pr oc eedi ngagai ns tt he ar t i s t . 3.Shoul danyoft heabov e2poi nt sbebr eac hedy ouagr eet oaf i nanc i al donat i onof£250, 000t oar egi s t er edc har i t y . “ Ourgoal wasnev ert oex pos eBank s y ”s ay sar tc ur at orAnt honyMonac o,“ but i nc l udi ngt hes epi c t ur esc ompl et et hes t or y .Ot her wi s ei twoul dbel i k et el l i ng t hes t or yofNapol eonbutomi t t i ngt heFr enc hRev ol ut i on” . Al i mi t ed,number ed,r unofbook swi l l bec r eat edr eadyf ordi s pat c honDec ember1s t .Book sar epr i c edat£15. 99pl usdel i v er yandc anbepr eor der edat ht t ps : / / s t eal i ngbank s y . c om/ . Onc et hel i mi t ededi t i onr unhass ol doutt hebook swi l l beav ai l abl eongener al s al et hr oughs el ec t edout l et sf r om Febr uar y2018.
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Envi r onment alOppor t uni t i es
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Cour tr ul i ngcr eat esi ncr easedenvi r onment alr i skconcer nsf or l andowner s Ar gyl lEnvi r onment al ,t heBr i ght onbasedenvi r onment alr i skmanagementconsul t ancyandpar tofLandmar kI nf or mat i onGr oup,bel i evest hat acont r over si aldeci si onbyt heCour tofAppealt hatr ul edaLocal Aut hor i t ycannotbehel dl i abl ef orpol l ut i oni tcausedonapi eceofl andduet o t heAut hor i t yhavi ngr est r uct ur ed,cr eat est hepot ent i alf orgr eat eruncer t ai nt yf orcur r entandf ut ur el andowner s. TheLocal Aut hor i t yi nquest i onhasr est r uct ur edandi snowadi st i nct ent i t yf r om t heor i gi nalpol l ut er( PowysCount yCounci lvPr i ce&Anor ) . Whi l et hi si sgoodnewsf orLocal Aut hor i t i eswhomaybeabl et opass r esponsi bi l i t yont ol andowner s,i twi l lbeapol i t i cal l ydi f f i cul tdi scussi on f ort hem t ohavewi t ht hepubl i c. Jai meBai nbr i dgeBSc( Hons)MScPI EMA M Envi r onment al Audi t or ,Consul t ancyManagerofAr gyl lEnvi r onment alsai d:“ Nowt her ei spot ent i al l y gr eat err i skf orl andowner soroccupi er st hatt heymayf i ndt hemsel ves r esponsi bl ef orpol l ut i ont heydi dnotcause,si mpl ybecauset heyownor occupyt hel and.If eart hi sj udgementcoul dal soencour agebusi nesses t of i ghtl i abi l i t ycasesusi ngasi mi l arar gument ,i ft heyr est r uct ur edatt he r i ghtt i me. ” Al lt hi schal l engest hel ongst andi ngPol l ut erPaysPr i nci pl eassoci at ed wi t hcont ami nat edl and;adi r ect i onwhi chappear scount eri nt ui t i vet o whatt hepubl i cwoul dexpect . Cont i nuesJai meBai nbr i dge:“ Thef al l outf r om t hedeci si oni scausi ng someLocal Aut hor i t i est or eval uat et hei rCont ami nat edLandl i abi l i t i es. Gi vent hel ackofr esour ceLocal Aut hor i t i eshavet odealwi t hcont ami nat i oni nt hei rar ea,t her emaynowbel esshesi t ancyi ndet er mi ni ngsi t es becauset hecost scoul dsi twi t ht heowneroroccupi er .Ouradvi cei s ‘ buyerbewar e’ andensur ecor r ectl andcont ami nat i onduedi l i gencei s under t aken,wi t houthesi t at i on. ”
Thi scasehi ghl i ght st he i mpor t anceofduedi l i gence whenbuyi ngorl easi ngsi t es. I tsi mpl ycannotbeassumed t hatbecauseasi t ewas f or mal l yownedbyLocal Aut hor i t y ,t hatt heyar e r esponsi bl ef orcl eani ngup anyi dent i f i edl and cont ami nant sundert he ‘ pol l ut erpays’ pr i nci pl e. Ashor tvi deoexpl or i ngt he r i sksf r om l andf i l lsi t esand howt hesecanbemanaged canbef oundher e– ht t p: / / www. ar gyl l envi r onment al . co. uk/ consul t ancy/ cont ami nat e. . . . Ful ldet ai l soft hej udgement r el at i ngt ot hel andf i l lsi t ecan bef oundher e-ht t ps: / / cour t appeal . vl ex. co. uk/ vi d/ a2201701 19689130721. Formor ei nf or mat i onr egar di ngAr gyl lEnvi r onment al ,cal l0845458 5250orvi si twww. ar gyl l envi r onment al . co. uk.
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UK’ sl eadi ngment alheal t hcar epr ovi derpar t ner swi t hAdvancedt odel i vera mul t i mi l l i onpounddi gi t alt r ansf or mat i onpr oj ect TheUK’ sl eadi ngment alheal t hcar echar i t y ,StAndr ew’ sHeal t hcar e,has sel ect edAdvancedasi t sst r at egi cpar t nert odel i veraf ul ldi gi t alt r ansf or mat i onpr ogr ammewor t hsever almi l l i onpoundsoverf i veyear s.Desi gnedt omi t i gat eI Tr i skwhi l stdr i vi ngsi gni f i cantef f i ci enci es,t hecont r act wi l lseeAdvancedt aket hechar i t yonani nnovat i vechangepr ogr amme enabl i ngi tt of ocusoni t scor ecompet enci es–del i ver i ngspeci al i stcar et o pat i ent swi t hsomeoft hemostcompl exandchal l engi ngment alheal t h needs. StAndr ew’ sHeal t hcar eempl oysmor et han4, 500peopl eacr ossf ourl ocat i ons,andcar esf orupt o900pat i ent si n78war ds.Or i gi nal l yest abl i shedi n1838,mor et han90percentoft hechar i t y’ spat i ent sar er ef er r ed vi at heNHS.Thechar i t yf ol l owedar i gor ousI Tpr ocur ementpr ocess.Advancedwaschosenbymappi ngi t sr esponset ot hechar i t y’ st r ansf or mat i onagendawhi l stdemonst r at i ngast r ongt r ackr ecor dofsuccesswi t h ot heror gani sat i onsi nsi mi l arenvi r onment s. Pr ovi di ngf ul lI Tout sour ci ng,Advancedwi l lmanageal lt hebusi nesscr i t i calser vi cest hatStAndr ew’ sHeal t hcar er equi r es,f r om deskt opt odat acent r e,i ncl udi ng24x7host edi nf r ast r uct ur emanagementi ni t i al l yondedi cat edi nf r ast r uct ur e,wi t hbackupanddi sast err ecover yser vi ces. Lesl i eRoss,Di r ect orofBusi nessChangeandI TatStAndr ew’ sHeal t hcar e,says:“ Thewhol ewor l dhaschanged,especi al l yovert hel astt wo year swhi chhasseencybersecur i t ybecomef r ont l i nenews.Somei ndust r i es,suchasf i nanci alser vi ces,ar egear edupf ort hi sevol ut i on,however t her estoft hewor l di sst i l lhugel yvul ner abl e.I t ’ st i mef orust ost epupt o ensur ewemi t i gat ef ut ur er i sks,whi l st becomi ngmor emobi l e,agi l eand connect ed,aswel lasmeet i ngSt Andr ew’ sst r at egyanddi gi t i sat i on pl ans. ”
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I nt hef i r stphase,Advancedwi l lover seet heser vi ceadopt i onandmanagementofStAndr ew’ sHeal t hcar e’ sexi st i ngi nf r ast r uct ur e,wi t hani mmedi at ef ocusonmi t i gat i ngr i ski nt hear easofext er nalsecur i t yt hr eat s. Rossadds:“ I nheal t hcar e,i t ’ scr i t i calt of i ndt her i ghtpar t ner ;onewho canpr ovi deaddedval uet hankst ot hei rdeepunder st andi ngandexper i enceoft hesect or ,especi al l yi nmanagi ngsecur e,host edenvi r onment s andt r ansf or mat i vepr oj ect s.Advancedr eal l yunder st oodwhatwe neededandwhencombi nedwi t hacl earcul t ur alf i t ,i twasaneasydeci si ont omakewhensel ect i ngourst r at egi cI Tpar t ner .We’ r econf i dentt hat ourhi ghl ycol l abor at i veappr oachwi l lhel pbot hpar t i esachi evel ongt er m val ue,r educi ngt heover al lt ot alcostofowner shi p.Forexampl e,our st r at egyofmovi ngt ocl oudbasedsol ut i onscoul dnotbeachi evedwi t houtt her i ghtpar t ner . ” Thesecondphasewi l lencompassaf ul lchangemanagementpl an,of whi chAdvancedwi l lwor kwi t ht hechar i t yt of ocusont hr eekeyar east o del i verf ur t herposi t i vei mpactf r om i t sdi gi t alt r ansf or mat i on;empower i ng st af fwi t hmobi l et echnol ogy ,suppor t i ngpat i ent swi t ht ool st ohel pt hei r t her apyandaccesst of r i endsandf ami l y;andf i nal l y ,l ever agi ngt he“ I nt er netofThi ngs”enabl i ngext er nalsuppl i er s’ secur eaccesst or educe cost swhi l epr ot ect i ngt hecor esyst ems. RoyWood,Managi ngDi r ect or ,I TSer vi ces–Advanced,concl udes:“ Asa f or war dt hi nki ngment alheal t hcar echar i t yl i vi ngi nadi gi t alwor l d,StAndr ew’ shasr ecogni sedt hei mpor t anceofr ei magi ni ngi t sor gani sat i oni n or dert omeetst af f ,pat i entandr egul at or yexpect at i ons.Put t i ngt hei rf ai t h i nAdvancedi st est amentt ot hesuccesswe’ veachi evedi nadvi si ngand t r ansi t i oni ngot herheal t hcar eor gani sat i ons,al lunder pi nnedbyour r obustsecur i t ymeasur esandat eam ofhi ghl yknowl edgeabl esect or speci al i st s. ”Rel easef r om Advanced
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THE ULTI MATE CHECKLI ST FOR PARENTS AHEAD OF EXAM RESULTS Whi l est udent sacr osst hecount r yar ener vousl ywai t i ngt hei rALevelr esul t st hi scomi ngThur sday( Aug17)orGCSEs( Thur sdayAug24) ,a t houghtshoul dbespar edal sof ort hei rof t enequal l yanxi ouspar ent s. Tohel pever yonegoi ngt hr ought hest r essesandst r ai nst hati nevi t abl y comewi t ht hi st i meofyear ,t heDepar t mentf orEducat i on’ sExam Resul t s Hel pl i neopensat7. 30am onALevel sDayandwi l lcont i nuet obeal i f el i neofsuppor tandgui danceunt i lt heendoft hemont h. Al t houghst udent smaket hebul koft hecal l s,aquar t erar ef r om par ent s phoni ngt of i ndouthowbestt ohel pt hei ryoungst er st aket henextst eps. Her e,Exam Resul t sHel pl i necar eer sadvi sorI wanWi l l i amshasout l i ned t he‘ Ul t i mat eCheckl i st ’ f orpar ent st oensur et heycanhel pt hei rt eenager smaket her i ghtdeci si onswhent het i mecomes. So,whatdopar ent sr eal l yneedt oknow? 1)Theopt i ons:Havi ngasol i dunder st andi ngoft heopt i onscanhel pcal m t hei ni t i alshocki fr esul t sar eunexpect ed.Cl ear i ngmaybeanopt i oni f f i r m andi nsur anceof f er sar enotsecur edandknowi nghowt oaccesst he l i st scanpr ovi der eassur ance.Adj ust menti ssomet hi ngt oconsi deri fr esul t sar ebet t ert hanexpect ed.Gapyear s,def er r edent r yandal t er nat i ves t ouni ver si t y ,l i keappr ent i ceshi ps,canal lbeconsi der edi nt her i ghtci r cumst ancest oo. 2)Fr eeupsomet i me:Uni ver si t i esar enot or i ousl ybusyf i el di ngphone cal l sandi tcanbef r ust r at i ngwai t i ngt ospeakt ot her i ghtper son.I fanew uni ver si t yi sbei ngconsi der ed,i tcanbeusef ulhaveal ooki nper sonand makeaf l yi ngvi si t( geogr aphi cal l ydependentobvi ousl y) .Havi ngapar ent avai l abl et ohel pt hem got hr ought hi spr ocessi si nval uabl e. Rel easef r om Ri cePR
3)Speakt ot heschoolorcol l ege:Despi t eani ncr easei nt heel ect r oni cnot i f i cat i onofr esul t s,t heschoolorcol l egewi l lst i l lbeopenonr esul t sdaywi t h st af fandt eacher savai l abl et ospeakt obutpot ent i al l ynotal lday .Knowt he openi ngt i mes,knowwhatsuppor ti savai l abl eandf act oral lt hi si nf or mat i on i nt ot heday’ spl an. 4)Bet hevoi ceofcal m:Tr yt obe cal m,r eassur i ngandposi t i ve r egar dl essofwhat evert heday hasi nst or e.Ber eadyt ocel ebr at e t hei rsuccessandenj oyt hei r upcomi ngt r ansi t i ont oanew chapt er .But ,j usti ncase,ber eady t ocomf or tt hem i ft hi ngsdon’ tgo aspl anned. 5)Cal lt heExam Resul t sHel pl i ne: I nt heeventofanypar tofr esul t s daycausesconf usi onordoubt , encour ageyourchi l dt ocal lus.Or cal lusyour sel f-wespeakt o hundr edsofpar ent seachyeart oo. Ast r ai nedcar eer sadvi ser s,we canhel passesst heopt i ons, eval uat et hepr osandconsand suppor tyourchi l dt omaki ngt he bestdeci si onf ort hem.Wear ean i mpar t i alandknowl edgeabl evoi ce i nwhatcanbeacompl i cat edbut exci t i ngt i meandwel ovehel pi ngever ycal l er .Weopenat8am ont hemor ni ngoft her esul t sandwear eavai l abl eon08081001000.Goodl uck!
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