Friday, December 29, 2006

Obese may be denied priority NHS care: Patients with 'self-inflicted' illnesses face discrimination

No word yet, however, about fatties, smokers and drinkers being refunded their compulsory health insurance payments

Smokers, people with alcohol problems and the obese could be denied priority treatment on the NHS if they do not try to change their lifestyle. The Cabinet is discussing the controversial idea as part of a drive by Tony Blair to secure his domestic political legacy by pushing through a final round of public service reforms before he departs next year.

Ministers will confront a panel of 100 ordinary people with some of the "tough choices" facing the Government under a consultation exercise giving the public a direct say in the new policies. One question will be whether people whose lifestyle makes them ill should get the same priority as other patients. This would mean changing NHS guidelines saying that people should not be discriminated against "even if their illnesses are to some extent self-inflicted".

A Cabinet review group on public services was shocked by the scale of the burden caused by people's lifestyles. "Ministers were shocked by the fact that half of all years of healthy life are lost as a result of behavioural factors (e.g. smoking and diet)," a Government source said. Ministers want a "cultural change" in public services so the state can support and encourage people to change their behaviour to improve their life chances and well-being. They also want to extend the number of "contracts" between the citizen and the state, such as the 30 pounds -a-week education maintenance allowances paid to over-16s who remain in further education.

Experts warned this month that obesity, which costs the NHS 7 billion a year, could bankrupt it if left unchecked and predicted that the proportion of obese adults would rise from one in five to one in three by 2010. Smoking-related diseases cost an estimated 1.7bn a year, with the same amount spent on alcohol-related problems. The treatment of alcohol-related harm, such as violent crime and traffic accidents, costs an estimated 20bn.

Downing Street sources said no decisions had been taken on whether to change the guidelines and stressed that the public would be asked their views on the issue first. The suggestion is bound to provoke criticism. Forest, the pro-smoking group, has claimed that some smokers have already suffered discrimination. It argues that tobacco revenues, which bring in 7bn a year for the Government, dwarf the cost of smoking-related illness.

The cabinet group, one of six drawing up the Blair Government's last policies, will also look at how public satisfaction measures can improve state-run services. Ministers will try to learn lessons from retailers like Tesco, which has used the technology behind its Clubcard system to offer a more personalised service. The 100 people, a representative cross-section of the British public, will be recruited across the regions in the new year and organised lobby groups will be excluded. In February, they will see the papers discussed by the six cabinet groups and, in March, a public services summit will be held in Downing Street at which the "people's panel" will reach decisions. These will be presented to the Cabinet in mid-March.

Hazel Blears, the Labour Party chairman, is looking at other ways in which the public could influence government policy and the way that services are run. A Blair aide said: "This process of public engagement recognises that politics is changing. The public level of expectations is rising both in terms of the provision which they receive and the right which they have to influence those services. It will identify in more detail the areas which the public want us to focus on and develop a series of radical and progressive solutions."

The cabinet reviews have already provoked controversy. A paper for the security, crime and justice group, leaked at the weekend, suggested that crime could rise for the first time in more than a decade as economic growth slows, and that the prison population, already at a record 80,000, could rise to 100,000 over the next five years. The Government has promised an extra 8,000 prison places but it is not clear how they will be funded. The Treasury has frozen the Home Office budget in real terms from 2008-11 other than for spending on security and anti-terrorism work.

Yesterday David Davis, the shadow Home Secretary, challenged the Chancellor, Gordon Brown, to address the "chronic shortage" of prison places. He said: "All we have seen from Gordon Brown has been a miserly approach which, as well as putting the public at risk, is short-sighted. The cost of having a serious criminal free on the streets to commit crime far outweighs the cost of imprisoning and rehabilitating that individual."

Source. Tangled Web has some comments.





MORE HOMOSEXUAL-WORSHIP IN BRITAIN

And yet more encouragement for people to lie to keep out of trouble

Businesses have been warned by a Government watchdog they must individually quiz every member of staff on gay rights - or risk being sued for discrimination. Industrial relations quango Acas has spent thousands of pounds of taxpayers' money drawing up a detailed 18-question test to establish whether workers are being unfair to any homosexual colleagues. Employers are advised to use the so-called 'audit tool' on all staff, then check their answers against a special score sheet to ensure staff do not have a bad attitude. A poor score earns a 'STOP' warning, which, according to Acas, means the company is at risk of being sued for discrimination.

Questions range from knowing how many gays live in the UK, to whether the business displays a 'rainbow flag' - a symbol of homosexual rights - on the premises. Poor scores are awarded for, for example, any 'jokes or banter' relating to gay or bisexual people. Acas said it was part of the 'Government's drive to promote good practice' on the Employment Equality (Sexual Orientation) Regulations 2003. Any firm which is alarmed by its results can ask for two free days consultancy, from Acas, paid for by the taxpayer. An expert will help the firm to develop an 'action plan'. The equivalent cost of the consultancy advice is an estimated 1,000 pounds.

Acas is the Government quango in charge of industrial relations in Britain, and provides advice and a reconciliation service to stop disputes reaching the tribunal stage. It has not sent the quiz to businesses, but they are all required to be up-to-date on Acas advice if they want to avoid being sued, and would be expected to download it from the website. In practice, most companies are so anxious about expensive tribunals in litigious modern-day Britain that they make sure they follow all Acas guidelines.

The test, however, was last night dismissed as a politically-correct waste of employers' time and public money. Business leaders said it was more likely to create rather than solve problems, by raising issues which had not previously caused any concern. Matt Hardman, of the Forum of Private Business, said: 'This is indicative of the state we have got ourselves into over discrimination laws. 'They seem determined to go to ridiculous lengths to flag up something which is unlikely to be an issue in most workplaces. 'In instances where it does arise, it will be dealt with informally in the first few weeks of employment and be dealt with quickly, and in an amiable away. It does not require something like this. 'We must be sensible, not take politically correct steps that are perhaps more likely to create problems than solve them.'

James Frayne, campaign director of the TaxPayers' Alliance, said: 'It's bizarre to think that people actually sat down and came up with this idea and thought it was great. 'This is just the latest in a long line of absurd schemes public sector bodies have come up with and which all add up to a small fortune for the taxpayer. Unfortunately, it's very unlikely 2007 will say anything different.'

The questions ask staff if nicknames are more likely to be given to gay members of staff than homosexual ones, or if there is an office equality policy or lesbian, gay and bisexual support group. Answers which Acas wants to see - such as ticking 'no' to the suggestion gay workers are more likely to be teased - receive a green rating, or 0 points. Saying yes would earn a red rating, or two points. A total of 31 points or more earns a 'STOP' rating. This carries the warning: 'Your organisation may well not be properly addressing issues relating to lesbian, gay or bisexual people in the workplace. 'Importantly this suggests that there is a lack of awareness relating to treating people fairly regardless of their sexual orientation, which may mean discrimination on the grounds of people's sexual preferences. 'Remember organisations that discriminate against people because of their sexual orientation, whether perceived or not, leave themselves open to a potential legal challenge under the Employment Equality (Sexual Orientation) Regulations 2003.' A total of 0-10 is a clean bill of health, while 11-30 means proceed with caution, according to Acas.

Earlier this month, Acas came under fire for warning firms they could be sued unless they ensured office Christmas parties were politically correct. In an extraordinary advice pamphlet, the quango told firms they had a 'duty of care' to drunken staff and could face crippling legal action if they do not get home safely. Managers were also told age discrimination laws could be breached if the music and entertainment caters only for younger staff, and holding a raffle or giving out alcoholic prizes could offend Muslims. It even added a 'proper risk assessment' must be carried out before any decorations were put up, particularly if they could be fire hazards. Businesses said it made holding a Christmas party barely worth their while.

Acas said: 'Promoting equality and diversity and ensuring employees feel valued and can give their best are key issues for today's workplaces. 'This audit tool is designed to give an indication of where (an) organisation is in regard to sexual orientation and gender reassignment.' The organisation added: 'It is definitely not a test; it's designed to bring a sensitive topic out into the open and gauge whether an organisation protects basic equal rights at work whatever the individual's beliefs and practices in their personal lives.'

Source





Indigestion remedies linked to fractures?

Taking potent drugs to combat indigestion can increase the risk of breaking hip and other bones, researchers say. Drugs that restrict the production of acid in the stomach are among the most effective and best-selling treatments in the world, with sales worth more than £7 billion a year. But a study of nearly 150,000 British patients by American researchers found that they increased the risk of hip fracture by as much as 44 per cent.

The study, published today in the Journal of the American Medical Association, suggests that taking proton pump inhibitors (PPIs) may decrease cal-cium absorption or bone dens- ity in certain patients, leading to increased risk of fractures.

Many of the one in twenty people who visit doctors in Britain each year complaining of heartburn are prescribed acid-suppressive drugs — or PPIs — to alleviate their problems. Prescriptions for PPIs such as omeprazole — sold under the brand names Losec, Prilosec and Zegerid — rose by more than 5,000 per cent during the 1990s.

A team from the University of Pennsylvania School of Medicine, Philadelphia, analysed data from the UK General Practice Research Database, which contains information on millions of British patients.

Limiting the study to people aged over 50, the researchers examined 13,556 hip fracture cases and 135,386 control patients. After screening for other factors that might lead to a fall or brittle bones, they found that more than one year of PPI therapy was associated with a 44 per cent increased risk of hip fracture.

They suggest that elderly patients taking high doses of PPIs for long periods should boost their calcium intake.


Source





Brits flocking to Australia

Amusing the reason given below: Sun and sand. No doubt that is a factor but might it not be that escaping high taxes and the high rate of black crime are important too?

Australia welcomed more than 130,000 immigrants in the last fiscal year, most of them swapping the cold of Britain for sun and sand down under. Figures released by the Department of Immigration show Australia welcomed about 8000 more immigrants than the previous year, with the majority choosing to settle in New South Wales.

While many of the new settlers arrived and stayed in Sydney, Immigration Minister Amanda Vanstone said immigrants were finding it easier to settle outside the city. "A network of support services has now been established in regional NSW and throughout Australia and this has made it more attractive for migrants to live and work away from the big metropolitan centres of Sydney and Melbourne," she said.

The biggest increases in immigration were in South Australia and the ACT. South Australia welcomed 9099 new immigrants, an increase from 6364 in 2004-05, while the capital territory became home for 1372 new Australians, up from 1217. A building boom, low unemployment and the aesthetics of Canberra were all behind the ACT's attractiveness, Senator Vanstone said. "The Canberra community is to be congratulated for welcoming these people into their lives so readily and willingly." [Really! Poms are a universal feature of Australian life. Completely unremarkable]

Source






Global cooling in Queensland

If an unusually hot summer in London proves global warming, surely an unusually cool summer in Brisbane proves global cooling!! Or don't the colonies count?

It still hasn't broken the drought, but more good soaking rain across much of the state yesterday seemed to wash away our concerns - at least for a moment or two. As a southerly air stream brought more record cold December temperatures and unseasonal drizzle, many swapped the traditional post-Christmas day at the beach for a rare stroll in the rain....

There were smiles too on the Darling Downs, where the light drizzle was just enough follow-up to storm rain a fortnight ago. Graingrower Frank Stenzel said the 8mm of light rain that had fallen since Christmas Day at his Greenmount property, 25km south of Toowoomba, was a welcome boost for his 120ha crop of sorghum. But Mr Stenzel said he would need a further 100mm in coming weeks to ensure a reasonable harvest. "The cool weather has allowed the rain to soak in and hopefully well get more by the weekend," he said.

The bureau has forecast cloudy skies and patchy rain for today in a band from the northwest to the southeast of the state, slowly clearing northwards. Tomorrow, rain is expected to ease and clear northwards, with temperatures climbing but still generally below average. The highest rainfall recorded yesterday was 29mm at Baralaba, 200km southwest of Gladstone.

Bureau senior forecaster Geoff Doueal said record low December maximums had been recorded at several places, including Brisbane Airport (19.1C), Toowoomba (13.9C), Ipswich (18.4C) and Oakey (15.5C). Emerald's maximum of 16.7C was the lowest December maximum for a century. The previous lowest December temperature was 18.3 in 1907.

More here

And it is indeed a remarkably cool summer here in Brisbane. There is a distinct nip in the air at night. Usually, at this time of the year, I am accustomed to having a warm shower by turning on the cold water only!

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