I bear witness that nothing deserves to be worshipped except Allah. The West cannot endure without faith that a loving Father dwells beyond the clouds that obscure His throne. Horror - the perception that cruelty has no purpose and no end - is lethal to the West. Europe is dying slowly from the horror of the 20th century's world wars, ending the way T S Eliot foresaw in the poem cited above, "not with a bang but a whimper".
The final version to be presented to the January Board. One related to poor communication and approach and the other to misunderstanding of diagnosis.
Both had been investigated. JH confirmed that in the first instance the doctor concerned had left the Trust but that the poor communication skills displayed had been recorded and passed on. In the second instance the patient s GP had requested an initial diagnosis and the difficulty had since been resolved.
This was designed to reduce reliance on secondary care with a proper emphasis on addressing issues within the primary care sector. Risks to the delivery included undiminished urgent care demand, absence of real extra capacity, and insufficient efficiency improvements within the Trust.
The multi agency aspect of service provision added complexity and delay. The Board noted the written report.
AB asked if there were any measurable numerical targets. SM confirmed that these were measured within the primary care sector and were under review within the next few weeks. PK emphasised the importance of having data to identify progress. YB indicated that data existed within the various projects comprising the Care Closer to Home initiative, including some relating to QIPP plans where it was noted there had been slippage from expectation.
The Trust was able to identify where pressure for change needed to be exerted. TE indicated it was time for the Board to formally raise Board concern to the PCT with regard to its expectations of delivery in primary care. It was agreed that GC would communicate the wishes of the Board to Alan Tobias, the Chairman of the PCT regarding the expectation of this initiative would be continued at the highest level.
Directors attention was drawn to the previously circulated protocol adapted from Releasing Time to Care: Immediate future work centred upon redrafting the strategic objectives which would enable work on the principal objectives and associated risks process to continue. Board engagement would be required.
The Board indicated that a prompt and pragmatic approach was required to that engagement. CB confirmed his understanding of the urgency of the progress required.
Particular concern rested with meeting CQC Outcome expectations regarding nutrition and hydration and it had been agreed that this would be brought to the November Compliance Committee.
The report was noted.
The Trust was currently challenged to comply with national guidance because out of hours thrombolysis for stroke patients could not be provided on the Stroke Unit. Although demand was low between patients per month it was not always ideal to divert patients to Basildon or Addenbrookes for this service.
This would be to ensure patient safety and quality of care and take advantage of preexisting thrombolysis expertise within that Unit. The Board needed to note that this recommendation was likely to be considered contrary to national stroke guidance, which would anticipate such care being within a stroke unit.
YB endorsed the Committee s recommendation to the Board and was supported by SD who emphasised that the importance was providing thrombolysis in the best and most timely way. YB confirmed that there would be little pressure on beds from the proposed new action given that cardiac patients themselves were transferred to Basildon from the Cardiac Care Unit regularly, thereby providing temporary short term space.
TE asked what the implications would be of not complying with national expectations. YB considered that because patient safety was the driving factor this was unlikely to be considered a problem.
The Board endorsed the proposals for stroke thrombolysis detailed above. Whilst this remained an issue within the health economy it would not be correct to attribute these to care within the hospital. The two key issues were the development of emergency pathways and seeking to pursue the Care Closer to Home agenda.
Continuing to communicate the reduced financial circumstances of the Trust remained a feature. There had been no particular clinical concerns. The QIPP schemes were not having any material affect. It was hoped that CIP schemes would pick up in the second half of the year.
The Financial Risk Rating was 2. The Trust needed a minimum score of 3 to progress to FT status. The key issue was the income deficit. The Governance Risk Rating was green 0. Trust performance against contractual access targets had dipped with the 18 week admitted target achieving The non admitted target remains above standard.View Notes - bab 3 the project management process groups a case study3 The Project Management Process Groups: A Case Study Objectives After reading this chapter, you will be able to: 1.
Describe the. The objective of this project is to develop distributed algorithms to detect live zero-day attacks, as early as possible, through global analysis that leverages the power of big data, collected at multiple organizations.
Vision Statement, Mission Statement and Core Values The mission and vision statements are critical to the strategic planning process since they provide clear, guiding principles that further define who the health center is as an organization and why.
Gutter Bunnies. of the=20 World: UNITE! (OK, folks.=20 Here it is: the lowdown on being an urban two-wheel survivalist; = the real=20 =93skinny=94 on being a bicyclist in a world engineered for automobiles, = but first,=20 a bit of background reminiscing.).
The objective of the award is to develop knowledge, skills and analytical ability of students to enable them to enter a successful career in business organisations.
Programme Structure: Level – 6: • BM – Managing Innovation in Business • BM - Strategic Marketing • BM – Corporate Strategy and Governance • BM – Leading. Apr 08, · Broad hints have been coming out of China that the country might start small-scale military strikes over disputed waters that are believed to hold rich energy reserves.