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Speci al i stNur si ng

Woment oI nspi r eatWor l dExt r emeMedi ci neConf er ence Att heWor l dEx t r emeMedi c i neConf er enc e,whi c hwi l l t ak epl ac eatDy nami c Ear t h,Edi nbur gh,EH88ASf r om Sat ur dayNov ember25t oMondayNov ember27 2017,womendoc t or s ,medi c sandendur anc eat hl et eswi l l t ak ec ent r es t ageand i ns pi r ef el l owex t r ememedi c i nepr ac t i t i oner s ,c l i ni c al doc t or sandt henex tgener at i onoft hemedi c al c ommuni t y .

Shes pec i al i s esi ns por t si nj ur i es–t endi ngt ot her i ppedmus c l esofI r onmanat hl et esandul t r amar at honr unner s–andi sal s oanex per tons pi nal c or di nj ur i es . Laur ai sc ur r ent l ywor k i ngast hePer f or manc eManagerf orendur anc ec y c l i s t Mar kBeaumontasheat t empt st oc y c l ear oundt hewor l di n80day s–anunpr ec edent edf eat .

Thec onf er enc ewi l l br i ngt oget hers pec i al i s tmedi c sf r om awi der angeofdi s c i pl i nes ,t y pi c al l yout s i deofac onv ent i onal hos pi t al env i r onment–i nc l udi ngs ome oft hewor l d’ smos tr es pec t ednamesi nhumani t ar i an,wi l der nes sandpr ehos pi t al medi c i ne.

Laur aal s ol edt heal l f emal e‘ Cox l es s Cr ew’ i nar ec or dbr eak i ngr owac r os s t hePac i f i cOc eanona257dayj our ney f r om t heUni t edSt at est oAus t r al i ai n whi c ht heyr owed24hour sadayi n t wohours hi f t s .

Speak er si nc l ude: Rac hel Ander s on,anEmer genc yMedi c i neCons ul t antf r om Edi nbur ghwhohas wor k edi nex pedi t i onenv i r onment satUni onGl ac i eri nAnt ar c t i c aandMountEv er es ti nNepal ,wher es hewor k edf orEv er es tERf ort wos eas onsasabas ec amp medi c .Shehaspr ev i ous l yc ompl et edt heDi pl omai nMount ai nMedi c i ne( DI MM) andwasl eadl ec t ur eronawi l der nes smedi c al ex pedi t i ont oAc onc aguai n2013 andt heEv er es tBas eCampt r ekf orEx pedi t i onMedi c i nei n2014and2017. Br i ght onbas edKat eYar r ow,t hec hai r manandf ounderofDoc t or sForNepal ,a UKc har i t ywhi c hi mpr ov esheal t hc ar ei nr ur al Nepal bys pons or i ngt het r ai ni ngof doc t or sandnur s esf r om i mpov er i s hedbac k gr oundsi nNepal .Shef oundedDFN i n2008,f ol l owi ngt womi s s i onswi t hMédec i nss ansFr ont i er s( MSF) .Herwor ki n Nepal wi t hMSFandDoc t or sForNepal i gni t edak eeni nt er es ti nheal t hc ar ei nt he Nepal es emount ai ns ,whi c hl edhert owr i t eandpr es ent“ Namas t e:AHi mal ay an J our ney ”–aHol l y woodawar dwi nni ngdoc ument ar yaboutheal t hc ar ei nt he Hi mal ay as . Kat e,whoi sal s ot hec l i ni c al l eadi nwes tKentf orSex ual andRepr oduc t i v e Heal t hc ar e,i spas s i onat eaboutwomen’ sheal t h,bot hi nt heUKandi nt hedev el opi ngwor l d.Shei sk eent oemphas i s eandt eac ht hei mpor t anc eofaddr es s i ng andmai nt ai ni ngwomen’ sheal t hi nc ompl exandc hal l engi ngenv i r onment s . Laur aPenhaul ,aphy s i ot her api s tf r om Cor nwal l whowor k satt heJ ohnRadc l i f f e Hos pi t al i nOx f or d,andhaswor k edwi t ht heGBs k i t eam,Par al y mpi cs k i and Par al y mpi cs ummers por t st eams .

Mar kHannaf or d,f ounderofc onf er enc e or gani s er sWor l dEx t r emeMedi c i ne s ai d,We’ r ef or t unat et ohav es uc han i ns pi r at i onal gr oupofwomenatt heWor l dEx t r emeMedi c i neConf er enc et hi s y earandhopet hatt heyc anhel pt oper s uadet henex tgener at i onoff emal e medi c sanddoc t or st hatt her ei sabr oadr angeofoppor t uni t i esout s i deoft he t r adi t i onal c l i ni c al c ar eer . “ Ex t r ememedi c i nei sanar eat hat ’ si nr eal gr owt h,andourmes s aget omedi c al pr of es s i onal si st hatat r adi t i onal c l i ni c al c ar eeri snott heonl yopt i onanymor e. Ex t r ememedi c i nec anof f erpr ac t i t i oner si nal l ar easofmedi c i neapor t f ol i o c ar eerwhi c hopensupahugenumberofopt i onsf orwor kandadv ent ur e. ” Webs i t e:ht t p: / / www. ex t r ememedi c i neex po. c om/ Vi deos :Bei ngaDoc t orJ us tBec amet heMos tEx c i t i ngCar eerht t ps : / / v i meo. c om/ 170846844 Ex t r emeandWi l der nes sMedi c i ne–ht t ps : / / www. y out ube. c om/ wat c h?v =ZQQLI Y6j h0o Wor l dEx t r emeMedi c i ne:ht t p: / / ex pedi t i onmedi c i ne. c o. uk /

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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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Ros sadds :“ I nheal t hc ar e,i t ’ sc r i t i c al t of i ndt her i ghtpar t ner ;onewhoc anpr ov i deaddedv al uet hank st ot hei rdeepunder s t andi ngandex per i enc eoft he s ec t or ,es pec i al l yi nmanagi ngs ec ur e,hos t edenv i r onment sandt r ans f or mat i v e pr oj ec t s .Adv anc edr eal l yunder s t oodwhatweneededandwhenc ombi nedwi t h ac l earc ul t ur al f i t ,i twasaneas ydec i s i ont omak ewhens el ec t i ngours t r at egi c I Tpar t ner .We’ r ec onf i dentt hatourhi ghl yc ol l abor at i v eappr oac hwi l l hel pbot h par t i esac hi ev el ongt er mv al ue,r educ i ngt heov er al l t ot al c os tofowner s hi p.For ex ampl e,ours t r at egyofmov i ngt oc l oudbas eds ol ut i onsc oul dnotbeac hi ev ed wi t houtt her i ghtpar t ner . ”

Pr ov i di ngf ul l I Tout s our c i ng,Adv anc edwi l l manageal l t hebus i nes s c r i t i c al s er v i c est hatStAndr ew’ sHeal t hc ar er equi r es ,f r om des k t opt odat ac ent r e,i nc l udi ng 24x 7hos t edi nf r as t r uc t ur emanagementi ni t i al l yondedi c at edi nf r as t r uc t ur e,wi t h bac k upanddi s as t err ec ov er ys er v i c es .

Thes ec ondphas ewi l l enc ompas saf ul l c hange managementpl an,ofwhi c h Adv anc edwi l l wor kwi t ht he c har i t yt of oc usont hr eek ey ar east odel i v erf ur t herpos i t i v e i mpac tf r om i t sdi gi t al t r ans f or mat i on;empower i ngs t af fwi t hmobi l et ec hnol ogy , s uppor t i ngpat i ent swi t ht ool st ohel pt hei rt her apyandac c es st of r i endsand f ami l y ;andf i nal l y ,l ev er agi ngt he“ I nt er netofThi ngs ”enabl i ngex t er nal s uppl i er s ’ s ec ur eac c es st or educ ec os t swhi l epr ot ec t i ngt hec or es y s t ems .

Les l i eRos s ,Di r ec t orofBus i nes sChangeandI TatStAndr ew’ sHeal t hc ar e, s ay s :“ Thewhol ewor l dhasc hanged,es pec i al l yov ert hel as tt woy ear swhi c h hass eenc y bers ec ur i t ybec omef r ont l i nenews .Somei ndus t r i es ,s uc hasf i nanc i al s er v i c es ,ar egear edupf ort hi sev ol ut i on,howev ert her es toft hewor l di s s t i l l hugel yv ul ner abl e.I t ’ st i mef orust os t epupt oens ur ewemi t i gat ef ut ur e r i s k s ,whi l s tbec omi ngmor emobi l e,agi l eandc onnec t ed,aswel l asmeet i ngSt Andr ew’ ss t r at egyanddi gi t i s at i onpl ans . ”

RoyWood,Managi ngDi r ec t or ,I TSer v i c es–Adv anc ed,c onc l udes :“ Asaf or war dt hi nk i ngment al heal t hc ar ec har i t yl i v i ngi nadi gi t al wor l d,StAndr ew’ shas r ec ogni s edt hei mpor t anc eofr ei magi ni ngi t sor gani s at i oni nor dert omeets t af f , pat i entandr egul at or yex pec t at i ons .Put t i ngt hei rf ai t hi nAdv anc edi st es t ament t ot hes uc c es swe’ v eac hi ev edi nadv i s i ngandt r ans i t i oni ngot herheal t hc ar eor gani s at i ons ,al l under pi nnedbyourr obus ts ec ur i t ymeas ur esandat eam of hi ghl yk nowl edgeabl es ec t ors pec i al i s t s . ”

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Heal t hcar eSt udyDay

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Pr essur eUl cerPr event i onFeat ur e

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Nat i onalChar i t i esAwar enessFeat ur e

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Char i t y&Thi r dSect orVacanci es

Vi si onDi r ectandFi ghtf orSi ghtl aunch#Thi nkUV Campai gn Eur ope’ sl ar ges tonl i nec ont ac tl ensr et ai l erandt heUK’ sl eadi ng ey er es ear c hc har i t yhav ej oi nedf or c esf ort hes ec ondy eari na r owt o#Thi nk UV. Vi s i onDi r ec tandFi ghtf orSi ghtar eur gi ngt henat i ont opr ot ec t t hei rey esandt hi nkaboutt hedanger soful t r av i ol et( UV)r ay st hi s s ummer .Aspar toft hei rc ampai gn,t hey ’ l l beenc our agi ngev er y onet ot ak eas ungl as s ess el f i et or ai s ef undsf orpi oneer i ngr es ear c hi nt os i ghtl os spr ev ent i on. Thec ampai gni sdes i gnedt ohi ghl i ghtt hei mpor t anc eofl ook i ng af t ery ourey esi nt hes uns hi neandt opr ot ec tt hem f r om har mf ul UVr ay s .Manypeopl ear epr oac t i v ei nwear i ngs ungl as s es ,but ar eunawar et hatev endur i ngc l oudyday st hei rey esar ev ul ner abl et ohi ghl ev el sofUVex pos ur e.Sundamaget oey esi sc umul at i v e,andov erex pos ur ec ani nc r eas et her i s kofdev el opi ng c ondi t i onss uc hasc at ar ac t sormac ul ardegener at i onov ert i me. Agoodqual i t ypai rofs ungl as s esc anbl oc kupt o95% ofUVr adi at i on,andc anev enhel pr educ et heamountofgl ar et hatr eac hes y ourey es . T ohel ps pr eadt hewor d,Vi s i onDi r ec ti sas k i ngev er y onet o r et weett hehas ht ag#Thi nk UVonTwi t t er .Vi s i onDi r ec thas pl edgedt odonat e£3t oFi ghtf orSi ghtf orev er yc us t omert hat t weet s#Thi nk UVf r om Monday1s tAugus tunt i l 31s tAugus t2017. Fort hedur at i onoft hec ampai gn£3f r om ev er ypai rofs ungl as s esVi s i onDi r ec ts el l swi l l al s obedonat edt ot hec har i t y .

T ohel pFi ghtf orSi ghtf undv i t al ey er es ear c h,y ouc anal s o donat ev i at ex t : J us tt ex tTKUV17£3t o70070. ( Youc angi v eupt o£10ata t i mebyal t er i ngt hedonat i on amount ) . Br endanO’ Br i en,COO of Vi s i onDi r ec tadded:“ Many peopl edon' tr eal i s et he pot ent i al l ydamagi ngef f ec tt hat UVc anhav eont hei rey e heal t h.That ' swhywe' r e enc our agi ngpeopl et o Thi nk UVt hi ss ummerandweart hei rs ungl as s es .We' r epr oudt o bewor k i ngal ongs i deFi ghtf orSi ghtont hi sc ampai gnandt o c ont i nuet os uppor tt hei rpi oneer i ngr es ear c h. ” Fi ghtf ors i ght ’ sChi efEx ec ut i v e,Mi c hel eAc t on,s ai d:“ Wear e pl eas edt opar t nerwi t hVi s i onDi r ec tt ohi ghl i ghthows i gni f i c anti t i st owears ungl as s est ohel pk eepy ourey esheal t hy .Wear e ur gi ngt henat i ont os uppor tt hef i ghtf ors i ghtandt ak ea #Thi nk UVs el f i et or ai s ef undsf orv i t al ey er es ear c h. ” Geti nv ol v edands howy ours uppor tbydonat i ngt odayands har i ngy our#Thi nk UVs el f i e. Rel eas ef r om Vi s i onDi r ec tEur opeL TD

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Ever estdonat es£8, 000t ochar i t yf ol l owi ngi t sgar dendi spl aypol l att heRHS Hampt onCour tPal aceFl owerShow Fol l owi ngapol l hel datt heRHSHampt onCour tPal ac eFl ower ShowbyEv er es t ,t hehomei mpr ov ement sc ompanyhaspr es ent ed adonat i onof£4, 000t ot heSav et heOr angut anc har i t y ,nomi nat ed byTVpr es ent erMi c hael aSt r ac han.

“ Thedonat i onwi l l hel por phanedor angut ansatt heor angut anr ehabi l i t at i onc ent erNy ar uMent eng,wher eappr ox i mat el y500r es c uedor phanedor angut ansar ec ar edf orunt i l t heyc anber el eas edi nt ot her ai nf or es t .

Sav et heOr angut anwasoneoft hr eec har i t i ess el ec t edbyt he BBC’ spopul arSpr i ngwat c hpr es ent er s .I naddi t i on,t het wor unner upc har i t i es–TheBatCons er v at i onTr us tnomi nat edbyChr i s Pac k ham andt heBr i t i s hTr us tf orOr ni t hol ogynomi nat edbyMar t i n Hughes Games–eac hr ec ei v edadonat i onof£2, 000.

“ Sav et heOr angut angr eat l y appr ec i at est hats omany peopl ehav es uppor t edour c aus e–t oget herwec an c ont i nuet omak eadi f f er enc e f orBor neo' sc r i t i c al l y endanger edor angut an. ”

TVgar denerDav i dDomoneyc r eat edt hr eedi f f er entf r ontgar den di s pl ay satt hepopul arhor t i c ul t ur al ev ent ,eac hdes i gnedasani nt er pr et at i onoft hec hos enc har i t y .Thes ewer epos i t i onedout s i de t heRHSCel ebr i t yTheat r eandv i s i t or swer egi v enanoppor t uni t yt o v ot ef ort hei rf av our i t eEv er es tgar dendi s pl ay ,wi t haddi t i onal v ot es bei ngc ol l ec t edv i as oc i al medi a. I nt ot al ,ov er4, 000v ot eswer ec as tdur i ngt hes how.Ther es ul t s wer ec l os e,wi t hal l t hegar denspr ov i ngv er ypopul ar ,butt heSav e t heOr angut angar dendi s pl ayc ameoutont opwi t h1, 648v ot es . BueHec k mann,HeadofCommuni c at i onatSav et heOr angut an, s ai d,“ Thi sdonat i onf r om Ev er es tHomeI mpr ov ement swi l l mak ea gr eatdi f f er enc ef ordi s t r es s edandor phanedor angut anson Bor neo,andwi l l hel pens ur et hatf ut ur egener at i onsal s owi l l be abl et oex per i enc ewi l dor angut ansonBor neo.

Ev er es t ’ sMar k et i ngDi r ec t or , Mar t i nTr ought on,s ay s ,“ Amas s i v et hanky ougoesoutt oev er y onewhov ot edandhel peds upppor tt hes ef ant as t i cc har i t i es ;t hey doamaz i ngwor kandal l des er v er ec ogni t i onf orwhatt hey ac hi ev e.Dav i dDomoneydi dawonder f ul j obc r eat i ngt hegar den di s pl ay st hatc apt ur edt hees s enc eoft het hr eev er ydi f f er ent c har i t i es .I ti sapl eas ur et os eet hes t r engt hofpubl i cf eel i ngf or s uppor t i ngwi l dl i f eac r os st hegl obe,f r om Bor neot oourv er yown Br i t i s hbac kgar dens . ” Rel eas ef r om Ev er es tHomeI mpr ov ement s

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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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I mpr oveyourphot ogr aphywi t hTheRPS TheRoy al Phot ogr aphi cSoc i et yi st hewor l d’ sol des t phot ogr aphyor gani s at i onwi t hahi s t or ybac kt o1853.I ti sa r egi s t er edc har i t ywhi c hex i s t st opr omot ephot ogr aphyand i magemak i ngandt os uppor tphot ogr apher si nr eal i s i ngt hei r pot ent i al ,i r r es pec t i v eoft hei rl ev el ofk nowl edge,equi pmentor s k i l l s .TheSoc i et yal s oac t sasapubl i cadv oc at ef or phot ogr aphyandphot ogr apher s . TheSoc i et yi sal s oamember s hi por gani s at i on–t heUK’ s l ar ges t–wi t hs ome1 1, 700member swhoj oi nt oengagewi t ha c ommuni t yofphot ogr apher sandt ol ear nnews k i l l s .I t s member si nc l udes omeoft hebes tk nownnamesi n phot ogr aphybutmember s hi pi sopent oany onewi t hani nt er es t i nphot ogr aphy . TheSoc i et y , t hr oughi t s r egi onsand s pec i al i nt er es t gr oups ,hol ds ov er700ev ent s eac hy ear .I tal s o or gani s est our i ng ex hi bi t i onsof phot ogr aphyand r unswor k s hops andc our s es ,ev er y t hi ngf r om Phot os hopt omot herandbaby phot ogr aphy .

I naddi t i on,i thasani nt er nat i onal l yr es pec t eddi s t i nc t i onsand qual i f i c at i onspr ogr ammeswhi c hr ec ogni s esani ndi v i dual ’ ss k i l l s atphot ogr aphy .Thel et t er si tc onf er sar ei nt er nat i onal l yk nown andr es pec t ed. So,whet hery ouar eanamat eurorpr of es s i onal ,us i ngf i l m or di gi t al ,as mar t phoneorat opendDSLRt heSoc i et ywoul dbe pl eas edt owel c omey ouandhel py oui ny ourj our neyby s howi ngy ougr eatphot ogr aphyt hr oughi t sawar dwi nni ng mont hl ymagaz i nesandt hr oughi t sac t i v i t i eswher ey ouc an l ear n,i mpr ov ey ourowns k i l l sandmeetot herphot ogr apher s . T of i ndoutmor ec hec koutt heSoc i et y ’ swebs i t eat :www. r ps . or g andi fy ouwantj oi nust henus et hec odeDG20onl i newhi c hwi l l gi v ea20perc entdi s c ountony ourf i r s ty ear ’ smember s hi p.

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Yourchancet owhal ewat chi nt heUK! Ev er yy ear ,s c i ent i s t satt heSeaWat c hFoundat i onl eadac ampai gnt ogetmember soft hegener al publ i cc ont r i but i ngt os c i enc et opr ot ec twhal es&dol phi nsandt hey ’ r ec al l i ngony out o geti nv ol v ed!

Amongt hei nc r edi bl es pec i est obes eenar oundours hor esar et heeni gmat i c k i l l erwhal e!Thes ewer ephot ogr aphedf r om t hes hor eatWi c kj us tanumberof week sago. ( Phot o:Col i nBi r d/SeaWat c hFoundat i on)

Shor t beak edc ommondol phi nsal ongs i deat our i s tboatdur i ngt he2016Nat i onal Whal eandDol phi nWat c h ( Phot o:NewquaySeaSaf ar i s&Fi s hi ng/SeaWat c hFoundat i on)

TheNat i onal Whal eandDol phi nWat c h2017i sj us tt woweek s awayandt her es ear c hc har i t ybehi ndt heev entar eur gi ng peopl et or egi s t ernowt or unwat c hesoft hei rownt oc ont r i but e v al uabl edat af ort hepr ot ec t i onoft hes emagni f i c ents pec i es ! Pl eas egeti nt ouc ht of i ndoutmor eandt ot ak epar t !

Forov erf or t yy ear s ,SeaWat c hFoundat i ons c i ent i s t saswel l asv ol unt eerobs er v er sal l ar oundt hec oas thav ebeenr epor t i ng onwhal es ,dol phi nsandpor poi s es( c et ac eans )t oi nf or m Sea Wat c h’ shugedat abas eofr ec or ds .I nf ac t ,t hes c hemei soneof t heol des tandl onges tr unni ngc i t i z ens c i enc es c hemesi nt he wor l ds .Nowi t ’ sy ourt ur nt ot ak epar ti nt hei rf l ags hi ps ummer ev ent ,t he‘ Nat i onal Whal e&Dol phi nWat c h’ whi c hi snowi ni t s 16t hy ear .Nat i onal Whal eandDol phi nWat c h2017t ak espl ac e 29t hJ ul y-6t hAugus tand,wi t hy ourhel p,c oul dbet hemos t s uc c es s f ul ev er ! “ Manypeopl edon’ tr eal i s et heweal t hofwhal esanddol phi ns wehav ear oundourc oas t s .Youdon’ tneedt ogoabr oadt ogo whal ewat c hi ngort ohav eadol phi nex per i enc e”addsKat hy .“ I n r ec enty ear swe’ v es eenanunus ual l yhi ghnumberofhumpbac kwhal es i ght i ngsar oundt heUK,f orex ampl e,andwehav e s omeamaz i ngl yr el i abl edol phi ns pot t i ngl oc at i ons ”s ay sKat hy J ames ,Si ght i ngsOf f i c erf orSeaWat c hFoundat i on.“ Andy ou’ d bes ur pr i s edatwhaty ous eeev eni npl ac est hatar en’ tdes i gnat edhot s pot s ;i t ’ sal l aboutget t i ngoutt her et os pott heani mal sus i ngy ourpat c handr epor t i ngwhaty ous ee.Ul t i mat el y , ev eni fy oudon’ ts eeanyc et ac eansdur i ngawat c h,t hati nf or mat i oni sj us tasv al uabl et ousasi thel psust obui l dapi c t ur e al l ar oundt heUK. ” “ Al l t hatpeopl eneedt odot ot ak epar ti st or epor tt hei rwhal e anddol phi ns i ght i ngst ousandt oei t herpar t i c i pat ei nt headv er t i s edor gani s edwat c hesort oar r anget hei rown.Noex per i enc ei snec es s ar y ! ”s ay sKat hy . Dur i ngt heni neday2016ev ent ,el ev endi f f er entwhal esand dol phi nswer er ec or dedi nUKwat er saswel l ast het i nyhar bour por poi s ewhi c hmeas ur esj us tamet r eandahal fwhenf ul l y gr own.Some1424s i ght i ngswer el oggedand7622i ndi v i dual ani mal si nc l uded!Formor ef ac t sandf i gur esf r om l as ty ear s ’ ev ent ,pl eas es eet he2016Nat i onal Whal eandDol phi nWat c h r epor t .

Ast hes mal l es toft heUK’ sc et ac eans ,har bourpor poi s ear eof t en ov er l ook eddes pi t ebei ngt hemos twi des pr eadt obes pot t ed. ( Phot o:Mi c kBai nes /SeaWat c hFoundat i on) .

TakePar t Fi ndoutmor eaboutt heev ent : www. seawat chf oundat i on. or g. uk/ nwdw J oi nar egi s t er edev ent : www. s eawat c hf oundat i on. or g. uk / nwdw2017wat c hl i s t( pl eas enot et hatnewev ent sar ebei ng addedal l t het i mes ok eepl ook i ng! ) Regi s t ery ourownwat c h: www. seawat chf oundat i on. or g. uk/ nwdw2017

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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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