Pages

Showing posts with label Irish mental health. Show all posts
Showing posts with label Irish mental health. Show all posts

Thursday, June 26, 2014

Donie's Ireland daily news BLOG Thursday

Ireland now on top of the world as It is ranked as a ‘most good’ country

  

IRELAND is now ON TOP OF THE WORLD

Known round the globe as the land of a thousand welcomes, our international reputation continues to thrive as Ireland has officially been ranked the “goodest” country in the world.
The results of the “Good Country Index” has found that Ireland tops the list of 125 countries – aimed towards determining which country on earth contributes to the planet and human race the most.
Ireland was determined to have contributed the most to the planet, and was almost identical to Finland who came second, while our British neighbours trailed behind in seventh.
Nine of the top 10 spots were comprised of Western European countries, while Kenya was the highest ranking African nation at 26th. The world’s largest country, the Russian Federation, ranked 95th and Libya was last.
The survey is the first of its kind and is based upon analysis and research from 35 separate indicators from the United Nations, the World Bank, the Basel Convention, the Global Footprint Network, as well as several other international NGOs and institutions.

INDICATORS

The indicators include the number of Nobel prize winners, exports of creative goods and services, as well as drug seizures and humanitarian aid contributions.
These 35 indicators were then grouped into seven different contributory categories, including science, technology, culture, peace, world order and health. Care was taken to ensure countries with weaker economies weren’t “unduly penalised” when compiling the list, and their Gross Domestic Product (GDP) was also taken into account.
International independent policy advisor Simon Anholt, founder of the “Good Country Index”, said that he believes countries need to stop “behaving as if they were islands, disconnected from the rest of the world”.
“We live in an age where the impacts of everything we do are always felt around the world, and we need to start taking responsibility for those impacts,” he continued.
“The Good Country Index is a tool that can help start this process”.
He added: “We need a world made of good countries, not a world of successful countries.

Irish Government agrees to a partial merger of Bord na Móna and Coillte

 

FOCUS OF MERGER WILL BE ON AREAS OF OVERLAP, SAYS SIMON COVENEY

Minister for Agriculture Simon Coveney: “A joint venture between the two companies will manage their common business activities in biomass, wind energy, shared services, and recreation and tourism.”
The Government has agreed to a partial merger between two large semi-State companies, Bord na Móna and Coillte. The Cabinet made the decision yesterday following a year-long analysis of the implications of a beneficial merger.
Minister for Agriculture Simon Coveney, who is leading a four-day trade-and-investment mission to the US, said the focus of the partial merger would be on areas of overlap.
“A joint venture between the two companies will manage their common business activities in biomass, wind energy, shared services, and recreation and tourism. This decision will maximise the levels of benefit to the State and the two companies in the medium term,” said Mr Coveney.

IN-DEPTH ANALYSIS

He added the decision was the culmination of an indepth analysis by the New Economy and Recovery Authority, and the relevant Government departments and it also included input from both companies.
Mr Coveney said he had considered the issue with Minister for Public Expenditure and Reform Brendan Howlin and Minister for Energy and Natural Resources Pat Rabbitte and they had agreed a partial merger was best.
In relation to Coillte, which forms part of his responsibility for forestry, the Minister said it was over 25 years in operation and the analysis of the sale of harvesting rights and a merger had been timely.
“The decision allows Coillte to focus on its core activities in forestry and operating its board mills while allowing the company to harness those areas of synergy it has with Bord na Móna. Ultimately this decision will allow the State to derive as much value as possible from both companies.”
Coillte said it fully supported the decision and was committed to implementing the joint venture which would focus on wind energy, biomass supply, shared services and green tourism.

Irish Mental health services are in danger of ‘moving backwards’

 

STATE WATCHDOG WARNS STAFF SHORTAGES could MEAN that PROGRESS IN SOME AREAS of Mental Health HAS GROUND TO A HALT.

Mental health services are in danger of “stagnating and moving backwards”, the State’s watchdog for psychiatric care has warned.
A combination of staff shortages and slow changes to work practices means progress in some areas has ground to a halt, the Mental Health Commission said.
“While some service providers are making progress toward providing a truly modern mental health care service, there are many others that are struggling,” said John Saunders, chairman of the commission.
 “We are moving to a dangerous area of stagnation in terms of progress in the development of mental health services in Ireland.”
Mr Saunders was speaking at the launch of the commission’s annual report which shows key areas of service provision fall below what the watchdog body deems as acceptable.
Some 44 per cent of services complied with staffing requirements last year, while 60 per cent met regulations in relation to individual care plans for patients.
Patricia Gilheaney, the chief executive of the commission, said the level of adherence to these statutory regulations was not acceptable.
“Seven years on, we should be at the stage where we’re moving on and aiming for higher standards.”
In all, there are a total of 9,000 staff working across mental health services in the State , although official policy states there should be 12,000.
Mr Saunders said service providers were under massive pressure to do more with less and that staffing issues were in danger of impacting on basic services.
He said the staffing of community mental teams, in particular, was a priority but significant gaps remained.
A Vision for Change, the blueprint for the development of mental health services, was adopted as official policy in 2006 and envisaged the development of a recovery-oriented services.
While it found there was “considerable commitment” to the policy, it was being implemented unevenly and inconsistently across the State.
Other areas of concern include the over-use of seclusion and physical restraint, as well as the admission of children into adult psychiatric units.
Last year a total of 91 children were placed in adult psychiatric units, despite warnings from the commission that practice should only occur in extreme cases.
Ms Gilheaney also called for the commission to be given powers to inspect community-based services, such as nurse-supervised residences and other settings.
While the commission may inspect these services from time to time, it has no statutory role and care regulations do not apply to these settings.
A report from the Inspectorate for Mental Health Services expressed concern in recent days that many of these nurse-supervised community residences are institutional in nature and have limited access to therapy and support.

"Minister Fitzgerald" says some €12.8m paid to 357 Irish Magdalene women

  

MINISTER FOR JUSTICE SAYS LEGISLATION WILL PROVIDE EXTRA SUPPORTS FOR THE WOMEN. 

Ruth Coppinger TD:  (above right picture) “This is an important landmark for women. Gender-based violence is at epidemic levels and one in four women in Ireland has experienced domestic violence.”
Some 357 former Magdalene laundry residents have been paid a total of €12.8 million in lump sum payments, Minister for Justice Frances Fitzgerald has told the Dáil. “A further 106 formal offers have been made and letters of provisional assessment on the length of stay in a relevant institution have been issued to an additional 35 applicants,’’ she added.
She said the ex-gratia scheme covered the 10 Magdalene laundries, which were the subject of the McAleese report, as well as St Mary’s training centre, Stanhope Street, and the House of Mercy training school, Summerhill, Wexford. A substantial body of work and engagement had already taken place with those eligible for the scheme, she added. Seventy-one of the 754 applications had been refused because the applicants were not in the 12 specified institutions.
Ms Fitzgerald said the Government, in her proposal, had agreed to the publication of the scheme of a new Bill providing for services and supports for women who worked in the laundries. Its purpose was to make additional provision for access to health services and the exempting of payments made to by the State to the women on the basis of means-tested criteria. “It also provides for legal provision for relatives, or other appropriate persons, to act on behalf of any of the women who do not have the capacity to act on their own behalf.”
The Minister was replying to Independent TD Maureen O’Sullivan who asked why An Grianán was not included on the list of institutions covered by the restorative justice scheme. Ms Fitzgerald said the scheme was primarily for women who were in the laundries. “Obviously, we are in a different situation now with a new inquiry to be initiated following the Tuam situation,” she added.
Meanwhile, Ms Fitzgerald told Socialist Party TD Ruth Coppinger she was anxious to see Ireland ratifying the Council of Europe convention on preventing and combating violence against women and domestic violence as quickly as possible. It would require changes to domestic legislation which her department was working on.
Ms Coppinger said the convention had been signed in 2011, but it had not yet been ratified by the Government. “This is an important landmark for women,” she added. “Gender-based violence is at epidemic levels and one in four women in Ireland has experienced domestic violence.”
Ms Fitzgerald said the Government was committed to introducing consolidated and reformed domestic violence legislation.

Greater white-toothed shrew spreads across Ireland

   
Greater white-toothed shrews could colonise abandoned farmland across Ireland by 2050.
An invasive species of shrew is spreading across the Irish landscape at a rate of more than five kilometres a year, according to new research.
Greater white-toothed shrews were first discovered in Ireland in 2007.
They have greyish brown hair and a yellowish grey lower belly. The shrew have distinctive bright white teeth, prominent ears and long, white hairs on their tail.
Prof Ian Montgomery, Queen’s University Belfast, said: “The invasive small mammals of Ireland, the greater white-toothed shrew and the bank vole should be recognised as an invasive species that has the potential to have a large negative impact on the Irish ecosystem.”
He added that “the ecological impact of these alien species is likely to be far greater than, for example, the grey squirrel.”
Expansion: Scientists fear the greater white-toothed shrew could colonise field boundaries and abandoned farmland across the entire island by 2050.
Dr Allan McDevitt, University College Dublin, said “the invading population of the greater white-toothed shrew currently covers an area of 7,600 km2 and is found in Counties Tipperary, Limerick, Cork, Waterford, Kilkenny, Offaly.”
The greater white-toothed shrew has a competitive advantage over native shrew, in eating large insect prey.
This advantage combined with a fast paced expansion could lead to the disappearance of the pygmy shrew, which has been in Ireland for thousands of years.
The Pygmy shrew is one of the world’s smallest mammals.
Limiting the impact: The invasive species has not yet crossed the River Shannon.
However, it is understood that rivers and other barriers are only a temporary hindrance for the greater white-toothed shrew.
Research suggests the only means of limiting the impact of invasive small mammals is to encourage bigger hedgerows and more deciduous woodland across Ireland.
These habitats favour indigenous species against invaders.
Prof Montgomery said: “Ireland has a pitifully small area of woodland.
“Biodiversity would be greatly enhanced by a serious effort to increase the ecological value of hedgerows and expansion of woods and forests throughout the island. “  

Saturday, October 19, 2013

Donie's Ireland daily news BLOG Friday

Merkel and Schaeuble are friends of Ireland says Michael Noonan

  
German Finance Minister Wolfgang Schaeuble, left pic. gestures as he speaks to German Chancellor Angela Merkel.

NOT CLEAR YET IF IRELAND WILL NEED A LIFELINE TO EXIT BAILOUT 

GERMAN finance minister Wolfgang Schaeuble is a friend of Ireland who would do nothing damaging to the country, Finance Minister Michael Noonan said tonight.

The comments come just days after Mr Schaeuble signalled Europe’s bailout pot was unlikely to pay some of the cost of our multi billion euro bank bailout, despite hopes from the Government to the contrary.
“They don’t have a lot of leverage on us now that we’re nearly out of the (bailout) programme. He wouldn’t do anything that would be damaging to Ireland, ” Mr Noonan told the Dublin Economics Workshop being held in Limerick.

“HE’S A FRIEND AS IS CHANCELLOR MERKEL.”

The German comments earlier this week appeared to be the latest blow to Ireland after the country’s second biggest party insisted the Government must raise the 12.5pc corporation tax rate.
Reports last week said early coalition talks between the social democratic SPD and Angela Merkel’s conservative CDU were snagged on Irish issues. The SPD is also completely opposed to the direct recapitalisation of troubled European banks through the European Stability Mechanism (ESM)
Mr Noonan reiterated in the Budget that our 12.5pc rate will be maintained. He said tonight that Tanaiste Eamon Gilmore has a good relationship with the SPD and that there was a “bit of diplomatic activity going on in the background” to ensure that nothing is said in the negotiations to form a coalition that would damage Ireland’s interests.
On elements of the Budget, Mr Noonan said “taking things away from people is always very difficult.”
“It’s probably the hardest thing in politics,” he said.
He said some people had been calling on the Government not to scale back from the originally planned €3.1bn adjustment, but that there had to bepolitical management, pointing out there were little protests following Tuesday’s Budget announcement.
The minister also said that the announcement in the Budget of measures to tackle aggressive tax avoidance by multinationals had not sparked threats from companies to leave the country.
“Actually there’s been a very good international response and by lookingafter our reputation, I think we have enhanced Ireland as a location for foreign direct investment.”
Mr Noonan said the banking sector in Ireland wasn’t sufficient to carry an economy to which he would aspire.
“Im not sure that any banking sector in Europe is at this stage, because they’ve all deliveraged so much,” he said.
Mr Noonan is travelling to Strasbourg and Frankfurt next week to meet with the European Commission and European Central Bank, and the following week to the IMF in Washington, to discuss exiting the bailout.
He said no decision had been made on seeking a so called precautionary credit line, a form of overdraft, to ease the country’s full return to the money markets.
“There is a strong view that we don’t need alternative arrangements. Im risk averse on all these things so Ill take the best advice I can get, we’ll reflect on it and see what our next move will be.”

Funding of €15 million promised for mental health says Minister Lynch 

     

MENTAL HEALTH MINISTER KATHLEEN LYNCH HAS SAID SHE HAS BEEN ASSURED THAT €15 MILLION THAT WAS DUE IN 2014 FOR MENTAL HEALTH WOULD BE RESTORED IN 2015 AND THAT SHE WAS NOT DISAPPOINTED WITH THE €20 MILLION PROVIDED IN LAST WEEK’S BUDGET.

She also said she hoped that mental health would secure the full €35 million in 2015 in line with the Programme for Government. Therefore, she hoped that €50 million would be given to mental health in 2015, €35 million as per the Programme for Government and €15 million due from 2014.
Speaking to IMN, Minister Lynch said it was now time to take a step back and review the value that has been provided and service delivered for mental health.
She also said one of her priorities was to ensure that all the promised community mental health posts are in place where they are needed, with a particular emphasis on child and adolescent, old age and intellectual disability mental health teams.
The Programme for Government commits to ringfencing “€35 million annually from within the health budget to develop community mental health teams and services as outlined in A Vision for Change”.
According to the Minister, it is now a good time to consolidate what has been achieved to ensure that resources received to date are utilised to the best possible extent for mental health.
In a statement to IMN, the Department of Health said “mental health has again succeeded in obtaining a substantial ringfenced allocation, within the overall budgetary context. The current economic environment presents a significant challenge for the health system generally in delivering services.  However, mental health is being treated as a priority in so far as we can”.
“This €20 million means that, despite serious resource pressures overall, funding of €90 million has been made available since 2012, up to the end of 2014, that has been specifically earmarked for mental health and suicideprevention,” the Department stated.
The actual amount of funding to be provided to run the mental health service will not be available until the HSE publishes its Service Plan for 2014 in the coming weeks.
The national coalition Mental Health Reform has given a guarded welcome to last week’s Budget announcement.
According to Dr Shari McDaid, Director of Mental Health Reform: “While we welcome the commitment to invest €20 million in 2014 in community mental health services, we had hoped to see the Government fully honour their Programme for Government commitment of €35 million for community mental health services. We are concerned that the €20 million investment will not translate into the needed staff on the ground.”

Sleep cleans the human brain of toxins

  

The brain uses sleep to wash away the waste toxins built up during a hard day’s thinking, researchers have shown.

The US team believe the “waste removal system” is one of the fundamental reasons for sleep.
Their study, in the journal Science, showed brain cells shrink during sleep to open up the gaps between neurons and allow fluid to wash the brain clean.
They also suggest that failing to clear away some toxic proteins may play a role in brain disorders.
One big question for sleep researchers is why do animals sleep at all when it leaves them vulnerable to predators?
It has been shown to have a big role in the fixing of memories in the brain and learning, but a team at the University of Rochester Medical Centre believe that “housework” may be one of the primary reasons for sleep.
“The brain only has limited energy at its disposal and it appears that it must choose between two different functional states – awake and aware or asleep and cleaning up,” said researcher Dr Maiken Nedergaard.
“You can think of it like having a house party. You can either entertain the guests or clean up the house, but you can’t really do both at the same time.”
Plumbing
Their findings build on last year’s discovery of the brain’s own network of plumbing pipes – known as the glymphatic system – which carry waste material out of the brain.
Scientists, who imaged the brains of mice, showed that the glymphatic system became 10-times more active when the mice were asleep.
Cells in the brain, probably the glial cells which keep nerve cells alive, shrink during sleep. This increases the size of the interstitial space, the gaps between brain tissue, allowing more fluid to be pumped in and wash the toxins away.
Dr Nedergaard said this was a “vital” function for staying alive, but did not appear to be possible while the mind was awake.
She told the BBC: “This is purely speculation, but it looks like the brain is losing a lot of energy when pumping water across the brain and that is probably incompatible with processing information.”
She added that the true significance of the findings would be known only after human studies, but doing similar experiments in an MRI machine would be relatively easy.
Commenting on the research Dr Neil Stanley, an independent sleep expert, said: “This is a very interesting study that shows sleep is essential downtime to do some housekeeping to flush out neurotoxins.
“There is good data on memory and learning, the psychological reason for sleep. But this is the actual physical and chemical reason for sleep, something is happening which is important.”
Dr Raphaelle Winsky-Sommerer, a lecturer in sleep at Surrey University, said: “It’s not surprising, our whole physiology is changing during sleep.
“The novelty is the role of the interstitial space, but I think it’s an added piece of the puzzle not the whole mechanism.
“The significance is that, yet again, it shows sleep may contribute to the restoration of brain cell function and may have protective effects.”
Many conditions which lead to the loss of brain cells such as Alzheimer’s or Parkinson’s disease are characterised by the build-up of damaged proteins in the brain.
The researchers suggest that problems with the brain’s cleaning mechanism may contribute to such diseases, but caution more research is needed.
The charity Alzheimer’s Research UK said more research would be needed to see whether damage to the brain’s waste clearance system could lead to diseases like dementia, but the findings offered a “potential new avenue for investigation”.

Screening significantly reduces death from prostate cancer

  
(Right picture) Prostate Cancer Picture

The long-running European Randomised Study of Screening for Prostate Cancer (ERSPC) last week published its 11-year follow-up results, which add weight to their original findings by confirming that screening does significantly reduce deaths from prostate cancer.

Published in the New England Journal of Medicine, the study finds that a man who undergoes prostate-specific antigen (PSA) testing will have his risk of dying from prostate cancer reduced by 29 per cent.
Screening for prostate cancer is controversial. Prostate cancer can develop so slowly that it will never cause problems during a man’s lifetime. A major consideration for any national screening protocol, regardless of disease type, is to weigh up the possibility someone will have needless treatment against saving lives.
“The difficulties around screening for prostate cancer occur because the PSA test is not a specific test for prostate cancer; it can only indicate that a man may have a problem with his prostate gland that needs further investigation. Up to two-thirds of men with a raised PSA do not have prostate cancer, therefore routine PSA testing of all men could lead to much anxiety and alarm,” concluded a 2010 analysis on the subject. The US Preventive Services Task Force continued: “The evidence is insufficient to recommend for or against routine screening for prostate cancer using PSA testing or digital rectal examination (DRE).”
Many doctors also argue against PSA testing for men who are in their 70s or older, because even if prostate cancer were detected, most men could be dead of something else before the cancer progressed. Others argue against PSA testing for men who are too young, because too many men would have to be screened to find one cancer, and too many men would therefore have treatment for cancer that would not progress.
The European Randomised Study of Screening for Prostate Cancer, initiated in the early 1990s, aimed to evaluate the effect of screening with PSA testing on death rates from prostate cancer. The trial involved 182,000 men between the ages of 50 and 74 years in seven European countries randomly assigned to a group that was offered PSA screening at an average of once every four years or to a control group that did not receive such screening.
During a median follow-up of almost nine years, the cumulative detected incidence of prostate cancer was 820 per 10,000 in the screening group and 480 per 10,000 in the control group. Deaths from these cancers in this time was much lower.
There were 214 prostate cancer deaths in the screening group and 326 in the control group, a difference of 7.1 men per 10,000 in the tested group compared to the control. The researchers concluded two years ago that PSA-based screening did reduce the rate of death from prostate cancer by 20 per cent, but that this was associated with a high risk of over-diagnosis: 1,410 men would need to be screened and 48 additional cases of prostate cancer would need to be treated to prevent just one death from prostate cancer.
Now, the 11-year follow-up results have confirmed that a man who undergoes PSA testing will have his risk of dying from prostate cancer reduced by 29 per cent. By extending the patient follow-up to an average of 11 years, the study shows that 31 per cent fewer men than previously indicated would need to be diagnosed with cancer to save one life.
As Professor Fritz Schroeder, the international coordinator of the ERSPC study and Professor of Urology, Erasmus Medical Centre, The Netherlands, explains: “Extending the follow-up period strengthens the argument for screening. But it does not decide it. Even so, the risk reduction trend in our study is promising and it is imperative that we continue the follow-up. So far, only about 30 per cent of all men in the study have died. If a larger reduction of prostate cancer mortality is seen by further extending the study beyond the current median of 11 years, we can determine with greater certainty whether the benefit of screening outweighs the disadvantages.
“Screening programmes for prostate cancer will not be feasible until the medical communities can confidently balance the risk of reducing death from prostate cancer with these unacceptably high levels over diagnosis and overtreatment,” adds Prof Schroeder.
Compared with the US, individual PSA testing started late in most European countries and meant that only a relatively small number of men taking part in the control arm of the ERSPC study had previously taken a PSA test.
“This makes the ERSPC study fundamentally different from the US-based Prostate, Lung, Colorectal, and Ovarian (PLCO) Cancer screening trial where there was a high contamination rate in the control arm, with at least 44 per cent of participants already PSA-tested prior to being randomised into the study,” says Prof Schroeder.
The PLCO study has been unable to demonstrate any difference in prostate cancer mortality between the two arms of the study.
The ERSPC study and the PLCO study are the scientific world’s main chances to determine the benefits of screening for prostate cancer.
If a relevant difference of 20 per cent or more is shown in these trials at an acceptable cost in terms of quality of life and money, it can be expected that governments worldwide will introduce screening programmes for prostate cancer, which will then be included into paid healthcare policy packages.
“The great hope of all investigators is that this in fact will happen and that early diagnosis can be offered to all men at risk to decrease the burden of suffering and potential death from prostate cancer,” says Pror Schroeder.

Asteroid could collide with Earth in 2032, says Ukrainian astronomers

 

Scientists say there is a chance an asteroid could hit our planet in 2032, creating an explosion 50 times greater than the most powerful nuclear bomb.

Astronomers say the 1,345-foot (410m) rock could pass by or hit the Earth on 26 August 2032.
The asteroid was discovered moving through the Camelopardalis – or Giraffe – constellation by scientists at the Crimean Astrophysical Observatory in southern Ukraine last week.
“I was watching the Giraffe constellation, monitoring it as part of our comet search programme,” astronomer Gennady Borisov said.
“The first observations show that it moves quickly and is relatively close.”
Astronomers in Italy, Spain, the UK and Russia have now confirmed the presence of the rock, and it has been added to the Minor Planet Center’s list of potentially hazardous asteroids.
If it hit the Earth, the asteroid would create an explosion equivalent to 2,500 megatons of TNT, or 50 times greater than the most powerful nuclear bomb ever used.
However, in reality the threat is minor, with astronomers putting the chance of direct impact at one in 63,000 – the likelihood being that its orbit will miss our planet by some 1.7 million kilometres.
But this did not stop Russian Deputy Prime Minister Dmitry Rogozin announcing that the asteroid would pose a “great challenge for our national space industry” on Twitter.
Mr Rogozin has previously pushed for the development of anti-asteroid defence systems, like former MP Lembit Opik in the UK.
Nasa played down the possibility of impact, with Don Yeoman, manager of the administration’s Near-Earth Object Profram Office, saying: “The current probability of no impact in 2032 [is] about 99.998 per cent.
“This is a relatively new discovery. With more observations, I fully expect we will be able to significantly reduce, or rule out entirely, any impact probability for the foreseeable future.”

Friday, June 14, 2013

Donies Ireland news BLOG Thursday

Pro Life Campaign IRELAND welcomes THE HSE REPORT

 

GROUP SAYS REVIEW HIGHLIGHTS ’MULTIPLE FAILURES’ THAT CONTRIBUTED TO SAVITA DEATH

The Pro Life Campaign welcomed the publication of the HSE review of Savita Halappanavar’s death and said efforts by the political establishment and the media to use it to bolster calls for abortion legislation had been “opportunistic”.
The group said the report clearly indicated that it was a series of medical shortcomings that were at fault.
 It’s spokeswoman Dr Berry Kiely said the review “highlights yet again that the key issues in the death of Ms Halappanavar were multiple failures to properly assess and monitor her condition which resulted in a tragic failure to recognise the very real risk to her life posed by serious infection.
“If this risk had been recognised, the outcome might have been very different.”
She said the media and political response to her death had sought to take advantage of the case.
“This confirms what the Pro Life Campaign has always claimed, that the way some politicians and media fastened on Savita’s tragic death as somehow bolstering their call for abortion legislation was misplaced and even opportunistic,” she said.
“Surely it is a moment for reflection on the rush to judgment in this tragic case? The Government has plans to introduce very radical abortion legislation and so far there has not been anywhere near the level of scrutiny needed.
“I hope the findings of the HSE and inquest reports will give some measure of comfort to Praveen Halappanavarand Savita’s extended family and that all the lessons to be learned will be implemented,” she concluded.
The Catholic Bishops Conference of Ireland, which has been vocal in the wider debate surrounding abortion legislation, did not respond to a request for comment on the HSE report this evening.

Meanwhile:

The University Hospital Galway apologises over the death of Savita Halappanavar

 

Hospital says it has implemented changes to avoid a repeat of events surrounding death of Savita Halappanavar

University Hospital Galway today apologised to Savita Halappanavar’s husband Praveen and the Halappanavar family “for the events related to his wife’s care that contributed to her tragic death” .
  In a statement issued on behalf of the hospital, Dr Patrick Nash, who was clinical director and commissioner of the inquiry into the death of Ms Halappanavar, said the hospital is “committed to operating to the highest standards” and wanted to reassure all concerned that changes have been implemented “to avoid the repeat of such an event.”
Dr Nash noted Mr Halappanavar has stated that he does not want any other woman to go through what happened to his wife. “The recommendations from this review will result in changes and improvements that will minise the risk of this ever happening again in Ireland, ” Dr Nash said in the statement.
Ms Halappanavar’s death was the first direct maternal death at the hospital in 16 years, Dr Nash said, adding that “it is clear from the report that there were failures in the standard of care provided at University Hospital Galway.”
The hospital has undertaken “a number of significant improvements” in response to the interim safety recommendations issued to the hospital.

These include:

  1. the implementation of early warning scoring systems

  2. the education of all staff in the recognition, monitoring and management of sepsis and septic shock; and

  3. the introduction of new multi-disciplinary team-based training programme in the managment of obstretric emergencies, including sepsis.

The hospital has also improved communications processes and are implemening procedures for doctors’ handovers.
Dr Nash said the hospital and the HSE will “work to fully implement all of the recommendations arising from the report”.
THE HSE: In a statement issued by the HSE accompanying the publication of the report, the HSE and University Hospital Galway apologised “unreservedly” to Mr Halappanavar “for the tragic and untimely death of his wife”.
The HSE said it had commissioned the report “to establish the facts and contributory factors” leading up to the death of Ms Halappanavar “and to provide recommendations”.
“The investigation to identify key causal factors involved a systems analysis of relevant records, interviews with 19 members of staff involved in Ms Halappanavar’s care and the review of local, national and international guidelines.
“Mr Halappanavar inputted to the investigation process through his representatives,” the statement said.
Outlining three causal factors identified by the investigation team, the statement said University Hospital Galway has already undertaken “significant measures in response to the interim recommendations.”
The three causal factors were:
  1. Inadequate assessment and monitoring of Ms Halappanavar that would have enabled the clinical team in UHG to recognise and respond to the signs that her condition was deteriorating
  2. Failure to offer all management options to Ms Halappanavar who was experiencing inevitable miscarriage of an early second trimester pregnancy where the risk to her was increasing with time from the time that her membranes had ruptured.
  3. UHG’s non-adherence to clinical guidelines relating to the prompt and effective management of sepsis, severe sepsis and septic shock from when it was first diagnosed.
The statement said UHG has “improved communications processes” and is “implementing new procedures for doctors’ handovers”.
“Both University Hospital Galway and the HSE will work to fully implement all of the recommendations arising from the report in all hospitals,” the statement said.

Praveen HALAPPANVAR to seek a meeting with Minister for Health

 

Further legal options to be considered

PRAVEEN HALAPPANVAR IS SEEKING AN URGENT MEETING WITH MINISTER FOR HEALTH JAMES REILLY FOLLOWING THE PUBLICATION OF A HSE INQUIRY INTO HIS WIFE’S DEATH.

His solicitor Gerard O’Donnell said his client, who is out of the country until the end of next week, was pleased the process of finding out what had happened to his wife Savita, had “come this far” but added he was still seeking accountability for her death.
“Praveen is still in search of that. We will want to discuss the findings of this report with the Minister and to hear what he has to say.
“We note that the Minister has sent the report to theMedical Council and the nursing board [An Bord Altranais] and that will offer some level of accountability perhaps.”
There was a number of further avenues open to Mr Halappananavar and these would be discussed with junior and senior counsel in coming weeks, Mr O’Donnell added.
“The possibility of taking a case to Europe is still there, though first we would consider a constitutional action within Ireland, where we would be seeking a declaration that Savita was deprived of her statutory right to have her life protected.
“There is also a possible negligence case, about which we have done nothing as yet. It would be unusual to have a constitutional and a negligence case running in parallel so we may pursue one and not the other or one first and the other later, or just one. These are all going to be discussed.”
A negligence case would have to be lodged within two years of Ms Halappanavar’s death, which would be October next year.
Mr O’Donnell said Mr Halappanavar was “surprised and very disappointed” that the HSE report appeared to have been published “in such a rush”.
Mr Halappanavar had gone away on Monday and had no idea publication was imminent.
“We had the impression we would get copies of the report and that he would be able to give one to her parents and to read it before everyone else in the country did.
“So I had to call him on Tuesday and tell him to get in contact with her parents and his own parents and just to warn them it was about to be published.”
He said his client was “very stressed and burnt out” but was pleased the report gave further vindication, after that already achieved at the inquest in April.

Ireland agrees to early review of its troubled banks loans

  

IRELAND HAS AGREED TO A DETAILED REVIEW OF ITS TROUBLED BANKS‘ LOAN BOOKS THIS YEAR TO PLACATE ITS INTERNATIONAL LENDERS AND WILL HAVE ITS STRESS TESTS BEFORE A EUROPE-WIDE EXERCISE IN 2014.

The move is designed to appease concerns of the European Union and International Monetary Fund, which wanted the banks to get a clean bill of health before the end of Ireland’s sovereign bailout in December.
Ireland’s financial regulator, Matthew Elderfield, said the country would conduct two exercises – one on the quality of assets before the end of 2013, followed by full stress tests in the first half of 2014.
The comments confirmed in a report in May that Ireland had resolved a standoff with its lenders over the timing of the stress tests, which aim to gauge banks’ resilience to economic shocks.
“What we will see is towards the end of this year a kind of first phase of work – asset quality review, look at provisioning levels, look at the risk models the banks have got,” Elderfield told a parliamentary committee on Thursday.
“That will feed into the asset quality review of the ECB and then the stress tests will come after that. So it will be a phased process with some deliverables before the end of the year.”
Ireland’s banks have not been stress-tested since 2011 when consultant BlackRock identified a 24 billion euro ($32 billion) capital hole.
Dublin had wanted the tests carried out in conjunction with a European-wide exercise, expected in mid-2014.
The finance ministry said it would produce a final report on the banks’ implementation of their deleveraging plans, and compliance with asset disposal and run-off targets will be discussed with the European Commission, IMF and European Central Bank.

Irish mental health service becoming stagnant and in danger of slipping backwards

Dr Patrick Devitt, inspector of mental health services, said nursing staff numbers continued to dwindle last year, while unfilled vacancies were resulting in professionals being pulled out of community services to plug gaps in inpatient care. Photograph: Bryan O’Brien 

Dr Patrick Devitt above left, inspector of mental health services, said nursing staff numbers continued to dwindle last year, while unfilled vacancies were resulting in professionals being pulled out of community services to plug gaps in inpatient care.

Watchdog says failure to hire community-based staff will hamper services
The country’s mental health services are stagnant and in danger of slipping backwards as a result of dwindling staff numbers and poor governance, the inspector of mental health services has warned.
His comments are in the annual report of the State’s watchdog on mental health services, the Mental Health Commission, which raised concern about the state of community based services.
Dr Patrick Devitt, inspector of mental health services, said nursing staff numbers continued to dwindle last year, while unfilled vacancies were resulting in professionals being pulled out of community services to plug gaps in inpatient care. This is despite the Government’s policy of investing in community-based treatment rather than institutional care.
Community services with access to a range of therapeutic services are considered by most experts to be more suitable than the older “medical model” of hospital-based care.
His comments were echoed by the chairman of the commission, John Saunders, who warned that standards of care would worsen unless community mental health posts were filled.
Community services
Mr Saunders said only a third of the 414 promised community mental health posts due to be filled last year to strengthen community services were in place at the beginning of this year. These posts include psychologists, occupational therapists and social workers.
While most have since been filled, he warned that a backlog was threatening to delay the appointment of hundreds of community-based personnel.
“There is a real danger that standards will fall unless these posts are filled promptly,” Mr Saunders said.
“We have incomplete mental health teams trying to provide multidisciplinary care. In many cases they’re football teams with half their players missing.”
The commission reported progress in several areas such as the development of new inpatient centres for children and adolescents who require acute treatment.
Despite these new services, there were 106 admissions of young people into adult units last year, a practice previously criticised by the commission as “inexcusable and countertherapeutic”.
The commission also expressed concern at “slippage” in the compliance of services with their legal obligation to provide quality psychiatric services.
While many services performed well, the commission used its legal powers to attach conditions to the registration of nine psychiatric services last year. These included a failure on the part of services to have individual care plans for patients or to provide sufficient training for staff.
If these issues are not resolved the commission has the power to deregister or close down a service.
Nine centres,  Six of the nine centres have since tackled these shortcomings in care. However, three centres – the psychiatric units at Connolly Hospital Blanchardstown in Dublin; St James’s Hospital, Dublin; and UniversityHospital Galway – have yet to address them, according to the commission.
Dr Patricia Gilheaney, the commission’s chief executive, said in general there was a high level of compliance with regulations.
“This is a very effective method at our disposal and, as we work to improve standards, we will continue to use it whenever it is appropriate,” she said.

Are you worried about type 2 diabetes? Then walk 15 mins after your every meal

 

A NEW STUDY SHOWS THE BENEFITS OF WALKING FOR 15 MINUTES AFTER EVERY MEAL.