scholarly journals The Role of the Paramedic Practitioner in the UK

2015 ◽  
Vol 4 (1) ◽  
Author(s):  
Malcolm Woollard
Keyword(s):  
Care Service ◽  
Chronically Ill ◽  
Scope Of Practice ◽  
Unscheduled Care ◽  
Number Of Patients ◽  
Emergency Ambulance ◽  
Job Title ◽  
The Uk ◽  
The Right

The ‘Paramedic Practitioner’ role has developed against a background of change in primary care service provision, apparently resulting in an increasing utilisation of emergency ambulance services. This presents opportunities to extend the scope of practice of paramedics and other health professionals in the diagnosis and management of patients with minor illnesses and injuries. Such patients commonly present via calls to traditional emergency numbers (999) or are referred from other unscheduled care agencies. Paramedic practitioners can reduce the number of patients inappropriately transported to hospital by approximately half, thus meeting an NHS aim of ‘treating the right patients in the right place at the right time’. Other opportunities exist in the form of extended roles in critical care and the management of the chronically ill in the community. Currently, a number of pilot programmes exist but vary considerably with respect to type and duration of training, permitted scope of practice, and even the job title of these new practitioners. To be successful, these major changes in the role of ambulance professionals will require the paramedic profession to take leadership through its own professional body (the British Paramedic Association (BPA) in the establishment of defined standards of practice. A shift from vocational training to university-based education will be necessary to meet the intellectual demands of the autonomous management of these patient populations. Uniformity of job title and legal restrictions on its use are also required. These new opportunities for practice will offer a structured clinical career for ambulance professionals for the first time. The BPA has proposed that Emergency Medical Technicians will have a university Certificate; paramedics a university Diploma; paramedic practitioners an Honours Degree; and advanced paramedic practitioners a Masters Degree. Consultant paramedics holding PhDs will support their peers in furthering professional practice. The ambulance profession is coming of age…

scholarly journals Translation, Copyright & Authority

Pólemos ◽  
2018 ◽  
Vol 12 (2) ◽  
pp. 361-391 ◽  
Author(s):  
Alan Cunningham
Keyword(s):  
Institutional Change ◽  
Critical Point ◽  
Copyright Law ◽  
The Uk ◽  
The Right

Abstract The UK copyright law regime presents the right to adapt as the sole, authoritative instrument in matters of legitimising translation; a legal “Big Other” conferring an otherwise unreal objective commodity status on what are instead always only ever individual and subjective acts of translation. Drawing primarily on the work of Theo Hermans, and the experiences of poet Jack Underwood in unsuccessfully attempting to formally translate poems by Mascha Kaléko, this article argues for (a) the development and (at the very least) implicit recognition of deviationist and subversive translative replies within – or at the very least alongside – the traditional UK legal schema and (b) a softening of the UK right to adapt by application of the integrity moral right to translations. In addition, a deeper quasi-Ungerian notion of institutional change that accommodates both principles (e. g. legitimate translations can, of course, be argued to exist, to which copyright accords) and counterprinciples (there are also, however, in the long term only multiple acts of translation, some preferred and commoditized, some existing outside that sphere, less functional and more creative/expressive but no less important and not to be prevented for those reasons) can also be advanced. Finally, a much broader critical point regarding the nature and role (or non-role) of law in the context of creative practices more generally can also be presented.

Public Libraries and the Right to the [Smart] City

2018 ◽  
pp. 1720-1735
Author(s):  
John Blewitt
Keyword(s):  
Public Libraries ◽  
Freedom Of Information ◽  
Library Services ◽  
Traditional Role ◽  
Ready Access ◽  
The Uk ◽  
Access To Knowledge ◽  
The Right ◽  
Funding Cuts

The future of public libraries has been threatened by funding cuts and new digital technologies which have led many people to question their traditional role and purpose. However, freedom of information, ready access to knowledge and information literacy in all its digital and analog guises are more important than ever. Thus, public libraries remain significant spaces and places where people can socially interact and learn. In many countries public libraries are reinventing themselves and part of this process has been the redesign of library services and the design and construction of new library building and facilities that articulate the values, purpose and role of what has been termed ‘the next library'. Following discussion of new library developments in London, Birmingham and Worcester in the UK, Aarhus in Denmark and Helsinki in Finland, the article concludes that public libraries are now both social and media spaces as well as being important physical places that can help city dwellers decide what type of urban world they want to see.

The right to healthcare

2020 ◽  
pp. 195-208
Author(s):  
Ann Marie Gray
Keyword(s):  
Human Rights ◽  
Social Care ◽  
Health And Social Care ◽  
Human Rights Act ◽  
Human Rights Act 1998 ◽  
The Uk ◽  
The Right ◽  
The Impact ◽  
The Relationship

This chapter explores the relationship between human rights and health and social care. It begins by setting out the main international mechanisms, at UN, EU and ECHR levels, and the obligations they place on governments. It then discusses the impact of international and domestic human rights instruments through an examination of developments in social care policy, and with regard to reproductive health care rights in Northern Ireland. It also highlights issues relating to devolution and the implementation of human rights in the UK and in particular the role of the Human Rights Act (1998).

scholarly journals Evidence ν. rights-based decision making for nutrition

2003 ◽  
Vol 62 (2) ◽  
pp. 553-562 ◽  
Author(s):  
Roger Shrimpton
Keyword(s):  
Human Rights ◽  
Large Body ◽  
Well Being ◽  
Evidence Base ◽  
Wide Distribution ◽  
Role Of The State ◽  
Food And Nutrition ◽  
The Uk ◽  
The Right

The need for an evidence base for human nutrition action is analysed in the context of human rights. Over the last 50 years the twin tracks of development, economical needs based and normative rights based, have come progressively closer in terms of goals and objectives, even if they do maintain different orientations and origins. The international human rights machinery is described, together with those parts that are of relevance to the right to food and nutrition. The role of the State in respecting, protecting and facilitating these rights is further described. The evidence base for the benefit of nutrition interventions during the fetal and infant period to the health and well-being of populations throughout life's course is briefly reviewed, and reasons why such a large body of evidence has not been acted upon are discussed. The power of nutrition is in prevention more than cure, and the prevention of nutritional deficiency is best suited to radical population-wide strategies rather than high-risk strategies targeted at individuals. The population-wide distribution of benefits of nutrition is in congruence with universality of human rights. In the UK much remains to be done to ensure that food and nutrition rights are realised, especially during the critical period of fetal and infant growth. What role the Nutrition Society might play in the realisation of these rights, including the creation of a robust evidence base for nutrition action, is further discussed.

The Current Legal Framework on the Right to Seek Health Care Abroad in the European Union

2007 ◽  
Vol 9 ◽  
pp. 261-286
Author(s):  
Tamara K Hervey
Keyword(s):  
Health Care ◽  
European Union ◽  
Legal Framework ◽  
Eu Law ◽  
Seek Health Care ◽  
Number Of Patients ◽  
The Uk ◽  
The Right ◽  
To Receive ◽  
The Eu

Cases involving patients such as Mrs Yvonne Watts, who travelled from the UK to France for a hip replacement to avoid a ‘waiting list’ in the UK, relying on rights in European Union (EU) law, attract high levels of media attention. While the vast majority of patients are either unwilling or unable to travel across borders to receive health care, it is clear that some patients are seeking health care abroad. Although data on patient mobility within the EU are significantly limited, nevertheless, a relatively steady, small but not insignificant number of patients are moving across borders within the EU to receive health care. This paper considers the current legal framework on the rights in EU law of those patients who seek health care in another Member State. As the right to seek private health care abroad is (largely) non-contentious, and has been a well-established feature of EU law since at least the mid 1980s, the focus of this paper is on publicly or quasi-publicly funded health care.

scholarly journals Back to Square One: Revisiting How We Analyse the Right of Access to Environmental Information

2019 ◽  
Vol 31 (3) ◽  
pp. 465-485
Author(s):  
Sean Whittaker ◽  
Jonathan Mendel ◽  
Colin T Reid
Keyword(s):  
Environmental Protection ◽  
Environmental Governance ◽  
Negative Impact ◽  
Environmental Information ◽  
Aarhus Convention ◽  
The Common ◽  
The Uk ◽  
The Right ◽  
Right Of Access

Abstract The right of access to environmental information has become a key aspect of contemporary efforts to promote environmental governance in the UK. The right is enshrined in international law through the Aarhus Convention which, alongside other legal developments, has influenced how academics analyse the right in the UK. How research into the right has been conducted is significant because it has led to gaps in how we understand the right and undermines environmental protection efforts. This article identifies and critiques the common analytical trends used to analyse the right of access to environmental information in the UK. The article considers two of these trends, examining their negative impact and the role of the Aarhus Convention in creating these trends. The article concludes by discussing the need to critically engage with these knowledge gaps to improve how the right is guaranteed and, ultimately, the implementation of environmental protection efforts.

scholarly journals Taking Complaints Seriously: The Role of Informality in Complaints About Public Services

2011 ◽  
Vol 10 (4) ◽  
pp. 483-493 ◽  
Author(s):  
Jackie Gulland
Keyword(s):  
Dispute Resolution ◽  
Public Services ◽  
Research Evidence ◽  
Social Care ◽  
Care Service ◽  
Recent Discussion ◽  
Social Care Service ◽  
The Uk ◽  
User Friendly

Recent discussion in the UK has focused on proportionate dispute resolution to deal with people's problems with public services. Complaints procedures, which are seen to be user-friendly and informal, have been held up as good examples of proportionate dispute resolution mechanisms. Most complaints procedures include an informal first stage where, it is argued, most complaints should be resolved but there is little research evidence about what happens at this stage. This article looks at the informal stage of complaints procedures from the perspective of social care service users and considers some of the issues raised by informality.

scholarly journals P118 The 134-year-old problem meets the 1-year-old problem: lessons learned in managing acute appendicitis during the COVID era

BJS Open ◽  
2021 ◽  
Vol 5 (Supplement_1) ◽  
Author(s):  
Sherwin Fernando ◽  
Diwakar Ryali Sarma ◽  
Sherwin Fernando
Keyword(s):  
Pain Treatment ◽  
Iliac Fossa ◽  
Lessons Learned ◽  
Open Approach ◽  
Patient Demographics ◽  
Right Iliac Fossa Pain ◽  
American Society ◽  
The Uk ◽  
The Right

Abstract Introduction The Right Iliac Fossa Pain Treatment (RIFT) study highlighted the rate of negative appendicectomies in the UK as one third of all procedures. However, the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2/COVID) pandemic has changed surgical practice. New practices in the COVID era have changed the rate of negative appendicectomies. Methods A retrospective analysis was conducted of patients admitted with appendicitis from March 2020 to June 2020. Patient Demographics 58 patients were identified, 43 (74%) were adults and 15 (26%) were children. The median age of the adults was 33 (range 18-80) and the median American Society of Anaesthetists (ASA) grading was 1. The median age of children was 11 (range 4-17) and all were ASA grade 1. Results 73.8% (31) of adult patients had a Computerised Tomography (CT) scan as part of their workup. 40% of paediatric patients underwent an ultrasound scan of the abdomen whilst the remaining 60% were diagnosed clinically. The open approach was favoured in both cohorts (39.5% and 46.7% respectively). No negative appendicectomies were performed. Conclusion COVID19 has changed practice resulting in better outcomes for colorectal units. Further studies (COVID SURG and COVID HAREM) are needed to fully assess the role of imaging in reducing the number of negative appendicectomies.

scholarly journals The Role of Islamic Counselling in Pandemic COVID 19: A Conceptual Study for Developing Positive Emotion of Parents and Children

2020 ◽  
Vol 11 (1) ◽  
pp. 18
Author(s):  
Fitriah M. Suud ◽  
Abdul Gaffar ◽  
Kana Safrina Rouzi ◽  
Moh. Toriqul Chaer
Keyword(s):  
Psychological Health ◽  
Empirical Studies ◽  
Mental Condition ◽  
Parents And Children ◽  
Literature Searches ◽  
Number Of Patients ◽  
Phenomenological Studies ◽  
Conceptual Study ◽  
The Right

<p>Pandemic COVID 19 had a global and comprehensive impact. The consequences arising from the epidemic of corona diseases are felt by all religious adherents, countries, and people without the age limit. COVID 19 also comes through economic, political, social, and spiritual space. This virus also not only assaults physical but has disrupted the psychological health of many people.  This study aims to discuss and propose several solutions that can be given related to the response due to COVID 19 through the Islamic counselling approach. This research is a literature review both in concept and the results of empirical studies. Data is collected through artificial intelligent search engines to find the right theme according to the survey within a specific time limit. The results of literature searches and phenomenological studies developed during the pandemic in this community have found that Islamic counselling can reduce the number of patients exposed to the virus. The virus can strike out the weak physical. The brittle physique is affected by a fragile mental condition. Therefore, Islamic counselling strengthens the psychological health that can enhance the body's resistance from corona disease through several stages.</p>

Public Libraries and the Right to the [Smart] City

2014 ◽  
Vol 5 (2) ◽  
pp. 55-68 ◽  
Author(s):  
John Blewitt
Keyword(s):  
Public Libraries ◽  
Digital Technologies ◽  
Freedom Of Information ◽  
Library Services ◽  
Traditional Role ◽  
The Uk ◽  
Access To Knowledge ◽  
The Right ◽  
Funding Cuts

The future of public libraries has been threatened by funding cuts and new digital technologies which have led many people to question their traditional role and purpose. However, freedom of information, ready access to knowledge and information literacy in all its digital and analog guises are more important than ever. Thus, public libraries remain significant spaces and places where people can socially interact and learn. In many countries public libraries are reinventing themselves and part of this process has been the redesign of library services and the design and construction of new library building and facilities that articulate the values, purpose and role of what has been termed ‘the next library'. Following discussion of new library developments in London, Birmingham and Worcester in the UK, Aarhus in Denmark and Helsinki in Finland, the article concludes that public libraries are now both social and media spaces as well as being important physical places that can help city dwellers decide what type of urban world they want to see.

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