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Showing posts with label free GP care. Show all posts
Showing posts with label free GP care. Show all posts

Monday, February 9, 2015

Donie's Ireland daily news BLOG update

Irish Water plans to borrow €550m just weeks after a Ulster Bank deal

  

Irish Water will agree loans worth at least €550m from private-sector banks within weeks.

The utility has recently signed a €100m loan agreement with Ulster Bank – the first of a series of loan deals that could finally end Irish Water’s dependence on State funding. The troubled utility’s €100m commercial loan will be kept off the Government’s balance sheet because it is not guaranteed.
While the Ulster Bank loan is unsecured, Irish Water plans to refinance the loan with longer-term revolving credit from a syndicate before the end of the year.

THE UTILITY THEN INTENDS TO BORROW ON THE BOND MARKETS.

In November last, Irish Water agreed a €50m overdraft facility with Bank of Ireland that was also not covered by a Government guarantee.
Sources said credit approval has now been secured for another €250m from domestic and international commercial banks.
The utility is also understood to be in advanced discussions with two other international commercial banks for a further €200m of bilateral loans.
The banks involved in the talks include AIB, Barclays, BNP Paribas, BOI, Danske, HSBC, Ulster, Royal Bank of Scotland and Royal Bank of Canada.
An Irish Water spokesperson confirmed some aspects of the deal with Ulster Bank but would not comment on the interest rate the utility is paying.
Informed market sources said that the company is likely to have secured financing at very competitive rates of less than 1.75pc.
Irish Water’s model sees all short-term bilateral facilities rolled into a long-term syndicated loan by the end of the year.
The utility expects the next loan will be on a three to five year basis once Irish Water begins domestic billing.

Pre Election & nervous politicians shout down IAG’s Aer Lingus bid

  

The owner of British Airways ICAG.L is running out of time to secure Ireland’s Aer Lingus AERL.I as questions over its commitment to keep jobs and key Heathrow routes stoke opposition from politicians facing a tough election next year.

Aer Lingus’ board recommended the 1.36 billion euro (1.01 billion pounds) offer from International Consolidated Airlines Group ICAG.L (IAG) last month, subject to the agreement of the Irish state to sell its 25 percent holding.
Since then IAG has said it will maintain key landing and take-off rights at Heathrow, Europe’s biggest travel hub, for its Irish routes for five years. But that has failed to quell attacks from trade unions, opposition parties and government MPs, who want stronger guarantees and assurances about employment.
“If IAG are going to do something they have to do it very quickly if the entrenched positions people have been forced to take are to be unwound,” a senior government source told Reuters.
A year out from parliamentary elections the bid risks becoming politically toxic for the coalition government of Prime Minister Enda Kenny’s Fine Gael and Labour.
Polls indicate that the two parties will lose around half of their combined seats because of a series of austerity budgets that have fuelled the rise of left-wing Sinn Fein and a large group of populist independent candidates.
Transport Minister Paschal Donohoe, said on Friday Dublin was not yet convinced: Kenny has demanded “cast iron permanent guarantees” on flights to Ireland.
At a recent meeting of the Labour party, which is affiliated to the IMPACT trade union that has warned of 1,200 job losses at the airline, all of the 20 or so members who spoke on the issue opposed the sale.(Full Story) One source said it was likely some would seek a veto of the sale at the party’s annual conference later this month.
“We would still be of the view that the state should retain its share until we see something that would alter the situation,” Sean Kenny, a Labour Party MP in a constituency where Aer Lingus is a major employer, told Reuters this week. (Full Story)
Shares in Aer Lingus have fallen to 2.21 euros from 2.45 on Jan 26. when IAG made the 2.55 euro a share approach.
“RUNNING SCARED”
Had IAG’s Irish boss Willie Walsh made a bid for the airline back in September 2011, when Dublin first said it would consider selling its stake, the government might have bitten off his hand to get the money.
Just six months in office and grappling with the onerous terms of an EU/IMF bailout, it was under pressure to sell state assets, revive a crisis-hit economy and was watching yields on 10-year debt hover just below 9 percent.
But three and a half years on, the economy is growing faster than the rest of Europe and just last week Ireland sold 30-year debt at record low 2.1 percent.
However, say analysts and industry experts, the government may not get as good an offer again given pressure on the industry to consolidate. On top of that, while IAG may not be offering the exact guarantees that the state wants, Ireland’s government could see its influence entirely wiped out if IAG buys the remainder of the airline or if another carrier takes majority ownership.
The management of Ryanair, which is trying to sell its 30 percent of Aer Lingus, has been generally supportive of the bid in public comments. “It’s only a question of which parent or family it is going to join,” Ryanair chief executive Michael O’Leary said of Aer Lingus’ future last week.
Nonetheless, months from an election and bruised by mass street protests against the government’s recent attempt to charge for tap water, short-term political calculations are likely to guide the government. (Full Story)
“The government is running scared because they made such a balls of Irish Water,” said Liam Heron, an 80-year-old retired shopkeeper from Swords, a town near Dublin airport.
“With the election coming up the government are looking over their shoulders the whole time.

Ireland’s GPs call to reject free care for under-sixes

   

Doctors have been asked to reject the Government’s plan to give free GP care to under-sixes.

The National Association of General Practitioners has called on GPs to not comply with the scheme, saying that it is unfair to older children with chronic and life threatening conditions.
“Our problem with the scheme is that a seven-year-old who has cancer being unable to get a medical card, while a perfectly healthy six-year-old would be entitled,” said NAGP boss Chris Goodey.
Speaking on RTE’s This Week, he said that: “The starting point should not be the age of a child but rather their need. No child with a chronic or life-threatening disease should be denied a medical card.”
“With hundreds of patients on trolleys in our emergency departments every day, it is morally reprehensible to invest scarce funds into providing free care to those that do not have a genuine medical need,” he added.
In an email sent to the country’s 2,300 GPs this morning, the NAGP they had an “ethical and moral responsibility” to prevent the introduction of the scheme, believing that it interferes with guidelines from the Medical Council which state that doctors have a “duty to ensure efficient use of resources and their allocation.”
“In the interest of our patients and our duty as doctors, we have been left with no alternative but to recommend on a point of principle that GPs refuse to sign any contract providing free care to under-sixes,” the statement said.
The association is asking Health Minister Leo Varadkar to postpone the introduction of the scheme until more serious issues within the health service are  resolved.
“We need to end the county’s two-tier health system that benefits the wealthier. In our capital, a north-side Dubliner will die seven years earlier than his south-side neighbour and yet the south side has one GP for every 1,600 people while the north side has one GP for every 3,000.”

Irish company leading the global revolution in online payments

 

Colm Lyon left a safe, permanent job at a bank to set up on his own – and has never looked back. Armed with nothing more than a good idea, a mobile phone and a laptop, he set out to create a new online payments business.

Payments, has offices in Dublin, London and Paris, employs 170 people and has an annual turnover of €20m.
His story is an inspiring one and proof of Victor Hugo’s adage: “There is nothing so powerful as an idea whose time has come.”
This week I visited Colm at his company’s headquarters on the third floor of the Observatory Building on Sir John Rogerson’s Quay, in the area of the city now referred to as Dublin’s Silicon Docks.
His is a cool, Google-esque type office space that looks out over the river Liffey and on to two of the city’s newest and iconic landmarks, the Convention Centre and the Samuel Beckett Bridge. There’s even a staff area called Craggy Island 2.0 with a full wall-sized picture of the Father Ted House.
“Simply put, Realex Payments provides the technology that enables large and small online businesses to accept payments from their customers,” explains Colm.
Now one of Europe’s most successful online payments businesses, the company processes a staggering €28bn in payments annually on behalf of their 12,500 customers internationally.
“Our customers come from a wide range of sectors that include insurance, airlines, online retail, gaming, telecommunications, financial services and even government services like motor tax payments,” explains Colm.
Among them are well-known brand names such as Vodafone, Aer Lingus, Virgin Atlantic, Paddy Power, AA Insurance, notonthehighstreet.com and boohoo.com.
While the UK currently accounts for 60pc of its turnover, the company has customers in more than 30 different countries around the world. They have also partnered with a number of international financial services firms such as Global Payments and Santander Elavon Merchant Services and many other institutions across Europe are also distributing their services under their own brand labels.
It’s been an exciting journey so far for Colm and his company and one which shows no signs of slowing down.
Colm grew up in Clontarf in Dublin. He got his first taste for business while in his teens. Each morning before school, he and his five brothers would deliver morning newspapers to houses in the area.
Apart from the money he made, he also made a number of important contacts. One of those was a neighbour who would eventually become a trusted mentor and friend. His name was John Teeling, himself a well-known entrepreneur and at that time, a lecturer in Commerce at UCD.
After what he jokingly calls a “practice run” at the Leaving Cert, Colm decided to repeat the year and with the encouragement of his new mentor, secured the points he needed to pursue his dream of studying commerce in UCD. His dream was achieved when he later graduated with a BComm as well as a master’s in management science.
Even with his newly acquired qualifications, Colm found it difficult to find work. Unemployment was high in Ireland at the time and most of his friends and family had emigrated in search of work. After 18 months of sending out CVs, persistence paid off when he was offered a three-month contract with Ulster Bank.
“That three months turned into 14 years,” explains Colm who eventually ended up becoming head of central IT for Ulster Bank markets. But the desire to start his own business never faded.
“While working in the bank, I found myself becoming increasingly frustrated at the pace at which things were happening,” admits Colm. “The internet had come along and the whole world was starting to go digital. I knew the problem of online payments would be one that would soon need to be solved,” he adds.
He began to study the market and as he did, he became increasingly aware that more and more retailers were contacting the bank looking for a solution as to how to accept payments online. But the banks didn’t really have a solution.
“I quickly realised that someone needed to create a gateway to link the retailers to the banks. The simplicity of the business model just made complete sense to me,” insists Colm.
In the middle of 2000, he decided it was time to strike out on his own. He left the bank and, along with John Mooney, a friend from UCD, set up Realex Payments. No longer involved in the operational side of the business, John now works as an academic in California, but remains a non-exec director.
Colm was later joined by a former bank colleague, Owen O’Byrne, and together the pair set about designing and developing the first version of their new online payments system.
By March of the following year, they had secured that important thing that all new entrepreneurs desire most – their first customer. And by the end of the same year, over 20 businesses were using their system.
However, raising money to fund the growth of the business proved even more challenging than winning their first customer. Firstly, a VC firm almost invested. Then a high net-worth business angel was close to putting up money but the deal never got across the line.
“It was a month before the Nasdaq crashed and the dot-com turned to dot-bomb,” explains Colm.
Frustrated but more determined than ever, Colm turned to his suppliers and asked if they might consider providing their services free, initially, in order to help him get the business established. These included providers of computer hardware, firewalls, hosting, and software, as well as office space, legal and accounting support. To his surprise, most agreed. It is something he has never forgotten.
“Today, people call this a ‘lean’ approach. For us it was simply survival and perseverance,” he admits. “When you have no money and you can’t manage to raise it, you have to learn to ask for help.”
At the end of 2001, the business did manage to raise €320,000 by way of BES funding from a mixture of family and friends. It would turn out to be the only capital raised by the business.
As we continue to talk, one of the things that strikes me is how strategic a thinker Colm is. He talks about strategy, company culture, building capability and core values. I am not surprised to hear that in 2008 he attended Stanford Business School as part of Enterprise Ireland’s Leadership 4 Growth programme.
“Up to that point we weren’t growing at the rate we knew we were capable of,” he admits. “Many companies get to the €2m-€3m mark quickly but struggle to push beyond that. That’s when you need to focus more on strategy.
“Entrepreneurial drive gets you started but as you begin to grow and scale, you have to start developing processes for managing your business and people. In essence you have to become a better leader.”
The following year, he set up The Realex Academy – an in-house staff development programme which has now become an essential part of each new staff member’s training and the place they first learn about the company’s values of passion, innovation, security, delivery and service.
Colm has also brought his focus on strategy to life in the company’s physical environment. A series of ‘ring forts’ are located around the office, a concept developed by Colm, himself. These tall circular walled structures are where teams hold their short stand- up meetings every morning and where they go to brainstorm on possible solutions to challenges as they arise.
Called after ancient forts in Clare, and with names like Caher Mor and Caher Connell, they are entire whiteboard spaces where people write up ideas and suggestions on the walls to be discussed and developed with team members.
“The idea is that everyone is encouraged to leave their judgment outside. Here they are free not to be constrained by where we are today but are encouraged to envisage instead, where we might be tomorrow. It’s about creating a space where people can be free to come up with new solutions,” explains Colm.
“We have 22 different nationalities working in the business and the average age of them is 29. Some are leading teams of 30 and 40 people. For that reason, we constantly look to attract, develop and retain the very best staff. We want people who are not happy with the ordinary and who want to excel in whatever they are doing,” he insists.
Looking to the future, Colm sees a new generation of payment concepts emerging.
“How does it make sense that, when you buy something, you have to take out your credit card, give it to the retailer, who swipes it though a device, and then ends up getting less than you paid them and has to wait three or four days to get their money,” he says. “It’s a dated model, technology has moved on.”
His vision of the future is about enabling payments to be made directly from a customer’s account to the retailer’s account. To this end he has set up a new company called Realex Fire and has already launched a free mobile payments app for the UK and Ireland, with more products to be launched in the near future.
Like most successful entrepreneurs, Colm wants to make a difference – he wants to change the way we pay for goods and services and improve that process for customer, retailer and bank. Full of energy, exploding with ideas and bubbling with passion, Colm exudes the essence of a successful entrepreneur.
Having spent the morning with him and his team, one thing is certain: both he and Realex Payments are set to achieve even greater success.

Man too busy texting misses a whale under his nose?

  

Technically Incorrect: It isn’t every day you see a humpback whale. You won’t see one at all if you’ve always got your nose in your phone.

For those attuned to certain values, it’s an image that defies belief and defines how far modern culture has sunk.
There is a man on the deck of a sailboat. Just feet below is a humpback whale. Perhaps the whale is saying hello. Perhaps the whale can smell some nice fish the man has grilling. It’s less likely that the whale wants to phone home.
The glory of the story, you see, is that the man can’t see the whale, because he’s too busy texting on his phone.
The image was taken by photographer Eric Smith and posted to his Instagram feed, where some are suggesting that the shot is faked.
Smith, though, told ABC News that he took the shot during a whale watch at Redondo Beach, Calif.
He said: “A small private sailboat maneuvered really close to the whales, and this guy on it was literally sitting in that position and never moved.”
Though it’s easy to suggest that the man must have been a sad slave to his screen, even Smith admitted that there could be other possibilities. He said: “He could have been texting his mom in the hospital for all I know.”
Quite. Or he could have been dumped by his callous lover and was composing a last, languorous haiku in order to win her back. He could have been texting about a job, a debt or a coming fortune.
He might have seen the whale earlier and they’d had a nice chat before he had to explain that he had to get on, as his girlfriend was wondering where he was.
He might even have already taken his own picture of it and was now posting it to his Instagram account.
The camera never lies. Oh, but it tells fibs all the time.
Clearly, many people are so deeply embedded in their phones that they seem barely to notice real life at all. They fall into fountains while texting. They fall into Lake Michigan too. It’s even been known for a texter to fall off a cliff.
Perhaps, when this man sees the picture all over the world, he might come forward to tell us what was really happening.          

Tuesday, August 12, 2014

Donie's Ireland daily news BLOG update

Ireland eyes a gradual reversal of crisis cuts in public sector pay

 

Ireland’s Finance Minister Michael Noonan (R) stands with Minister for Public Expenditure Brendan Howlin as they present the budget to waiting media at the Government Buildings in Dublin October 15, 2013.

Ireland’s government will start talks next year with trade unions on the gradual reversal of public sector pay cuts that helped it overcome financial crisis, the spending minister was quoted as saying on Saturday.
Ireland’s coalition government won praise in Europe for meeting all major targets under the 85 billion euro (67.36 billion) EU-IMF aid programme it completed last year, but is under pressure at home to ease austerity measures.
Public spending minister Brendan Howlin said talks would begin next year on reversing some elements of the Financial Emergency Measures in the Public Interest Acts (FEMPI) which included a pension levy averaging 7.5 percent and a pay cut averaging 6.5 percent for public sector workers.
The acts were introduced between 2009 and 2013, after a property crash left the banking sector near collapse and dragged Ireland into the euro debt crisis.
“Next year, we certainly will have to engage with the unions on the orderly winding down of FEMPI and who should benefit first and how that should be done over time,” Howlin was quoted as saying by the Irish Independent newspaper.
“We have to have agreement with the public sector unions that it is not going to be a big bang, because that would undo all the good work we have done over three years. There has to be an orderly wind-down, as opposed to a sudden ending,” he said.
Howlin is a member of the junior coalition Labour party, which suffered a collapse in support in midterm elections in May.
New Labour party leader Joan Burton last week said the fact that the economy was growing faster than expected meant the government would be able to ease austerity measures when it sets its budget for 2015 in October.

The drunken Irish still struggle to beat demon drink

 

ALCOHOL CAUSES HUGE PROBLEMS IN IRISH SOCIETY, YET WE CONTINUE TO REMAIN IN DENIAL ABOUT ITS EFFECTS. DOES ANYBODY CARE?

By definition, a binge means more than six units of alcohol – that’s three pints. It’s a factual medical term, which relates to the fact that more than six units causes adverse physical effects. But when you say three pints is a binge to an Irish person, you almost always get the same response, “That’s not a binge!” Generally followed by description of climbing a crane, langers, in your underwear. In Irish terms, a binge is being legless. Twenty or 30 units can constitute a binge around here. We consider six units drinking in moderation. It’s not.
This latest study talks about our ‘collective denial’ of the issue, and, indeed, that’s the case. 1.3m harmful drinkers. Eight pc of the total health spend going on alcohol-related problems. A&Es ugly, violent places at night. Our major cities family unfriendly on our national saints’ day. Public disorder endemic on our streets after dark.
And yet we baulk at the ‘drunken Irish’ stereotype.
We go nuts when British politicians refer to it, and when we’re lampooned on The Simpsons. Irish doctors in the US campaigned to have a medical text book there changed – it suggested there should be a high suspicion of alcoholism in patients of Irish extraction. Collective denial.
We talk out of both sides of our mouths when it comes to alcohol in this country. On the one hand we say, “It’s a disgrace!” when we see people puking, urinating, fighting and copulating in the streets. And on the other hand, we continue to describe as ‘legend’, the mad nights out we’ve had when we were pissed.
We wonder why our young people drink like fish, while the older generations do the exact same. Only work, babies and age reign us in. And in women over 45 – whose children are no longer babies – we see drinking patterns increase once more.
So I think it’s time for debate. Is it actually worth it? Is all the havoc wreaked, worth the night out, that you cut loose and lived to tell the tale – of stealing a Garda’s hat and throwing up in your handbag? Because that’s the issue. The madder the tale, the funnier the story – the more we frame it as having a good time. The more we perpetuate the drink culture.
The fact is that alcohol is implicated in three quarters of suicides. And it is the single biggest risk factor for death in young men under 30. It is also a factor in countless rapes, assaults and accidents. It sucks up a huge amount of our health budget, while sober patients lying in wait on trolleys continue to be ignored.
So let’s have the debate and please let’s keep the drinks industry out of it. Let’s decide if it’s worth it. Because while we still talk about it like it’s cool – despite other nations thinking we’re basically drunks – it’s never going to change.
Railing against the drunken Irish stereotype while lauding the nights we were most pissed, says we want to continue this pattern of drinking but just don’t want anyone to notice.
If we really do want to change our relationship with drink, drunkenness has to stop being cool and become, in fact – like in many countries – uncool and unacceptable. Drunk tanks might be a good place to start. It’d clean up our streets, and ending up in one might be harder to eulogise.

OTHER NATIONS CAN SEE WE’RE DRUNKS.

SUCK IT UP LIKE YOU’RE IRISH: We baulk at the ‘drunken Irish’ stereotype. We complain when British politicians refer to it, and we went nuts when we were lampooned on ‘The Simpsons’
Isn’t it time we had a grown up debate about alcohol? Recently, yet another study has shown that we Irish drink far in excess of other countries. It says that 1.3m of us have a harmful drinking pattern and that 75% of our episodes of drinking constitute a binge. In other words, we don’t drink to add pleasure to a meal, or oil the social machinery. Ireland drinks to get drunk.

Ireland’s ‘Free’ GP care will come with a fee for every doctor’s visit

  

New health Minister Leo Varadkar is planning a small fee for every visit to the doctor under his free GP care plan – to prevent abuse of the system and clinics being overwhelmed.

The fee has yet to be set, but would act similarly to the prescription charge, which serves as a deterrent to patients getting unneeded medicines.
But the fee would not apply to patients already on a medical card or a GP-only medical card.
The free GP scheme is being rolled out for the under-sixes, followed by the over-70s.
But these categories are also expected to be exempt from any fee. From there, the Government plans to extend the scheme to primary and secondary school children.
Ultimately, the entire population will be covered. But the minister has not put a timescale on everybody having free GP care.
Talks are continuing with the doctor’s unions and the Irish Medical Organisation about the free GP care.
Mr Varadkar’s spokesman said the details had yet to be finalised on the size of the fee.
“No decision at all has been taken on this matter. Talks are continuing with the IMO.
“We want to ensure that anyone with health concerns can access GP services. We are especially aware that the under-sixes and over-70s have particular needs.

BREAKING

“But we do not want services to be overwhelmed and we don’t want people with legitimate concerns to find that GP services are struggling to cope.
“That may require a very modest charge but no final decision has been taken on that matter,” the spokesman said.
Ireland is unusual as three in five of the population do not have access to GP or primary care as part of the 
State’s healthcare system.
Nominal fees have been used in other countries which provide universal GP care.
The possibility of a small fee was first suggested by former Junior Health Minister Alex White and others.
Last week, Mr Varadkar said he was delaying the introduction of the Government’s controversial plan to reform the health insurance system and end the two-tier service.
But the Health Minister said free GP care remains a priority, but he separated the universal health care aspects from Universal Health Insurance.
“Personally, I think we need to get Universal GP and Primary Care right and show people that it works,” he said.

Spar South Africa has entered into an agreement to buy an 80% stake in the BWG group for €55m.

  
BWG owns Spar in Ireland and services more than 1,100 stores with annual revenues of €1.2bn.
Its brands here include Spar, EuroSpar, Mace, ValueCentre and XL and it has 35% of the Irish convenience store market.
Spar South Africa is a wholesaler and distributor to over1,800 independent retailers spread across Southern Africa with annual sales of around €3.5bn and a market capitalisation of approximately €1.5 billion.
Today’s announcement also secures a further reduction in BWG’s borrowings following a buyback of exiting banks’ debts. This further reduction in debt comes on top of that achieved as part of a successful refinancing concluded in November 2013, which also saw BWG agree new five year banking facilities.
These facilities have been reaffirmed by BWG’s lenders as part of this transaction with Bank of Ireland and AIB increasing their commitment, the company said today.
The new partnership will have up to €100m  to invest in the expansion of BWG’s leading wholesale and convenience retailing operations over the next five years.

Zoo animal trainer awarded masters’ degree for research into sea lion’s whiskers 

  

Alyx Milne, 27, combines her work at Blackpool Zoo with her MSc studies at Manchester Metropolitan University

An animal trainer at Blackpool Zoo has become the first person to be awarded a masters’ degree for her research …. into sea lion whisker’s.
Alyx Milne, 27, has been fascinated by the mammals ever since she went on holiday as a five year-old to SeaWorld in Florida.
Now working at Blackpool Zoo, Alyx combined her work as an animal trainer and presenter, with her MSc studies at Manchester Metropolitan University.
Her dissertation on the motor neuron abilities of sea lions’ whiskers, which she said are so sensitive they pick up vibrations in the water to help them find fish, earned her a distinction from the university.
And because hers is the first masters’ degree research into the subject – her sea lion whisker paper is being featured in the Comparative Physiology Journal.
Today, M/s Milne, from Liverpool, said: “From the moment I was splashed by a killer whale while visiting SeaWorld, Florida, I knew that I was going to be a ‘Shamu’ trainer one way or another.
“Working with the sea lions at Blackpool Zoo has been a major part of my research.
“I’m so pleased I have something so great to show for it.”
It is already widely known that sea lions are tactile mammals. Their whiskers contain nerve fibers, which make them sensitive.
They may use their whiskers to aid in navigation or to detect vibrations from prey in the water.
M/s Milne is now aiming for a PhD relating to marine mammals.
California sea lions belong to the family Otariidae which means “little ears.” In the scientific community, there are many debates concerning the ancestry of eared and true seals.
Some scientists believe that eared seals and walruses may have evolved 30 million years ago from bear-like creatures in the North Pacific, and that seals evolved from otter-like carnivores in the North Atlantic.    

Friday, July 18, 2014

Donie's Ireland daily news BLOG update

Bill providing free GP care for children under six years now passed

 

Minister Lynch accepts amendment lifting ‘gagging clause’ on GPs

Minister of State Kathleen Lynch: “It is the first step along the way to ensuring that all our citizens have GP cover.
The Minister for Health has removed the “gagging clause” in the legislation providing free GP care for children under six. The Health (General Practitioner Service) Bill, passed all stages in the Dáil yesterday.
Leo Varadkar accepted an amendment removing the restriction on GPs speaking out, which was moved by Independent Prof John Crown in the Seanad recently and passed by the House. Prof Crown had argued that GPs would be prevented from expressing their views under the Bill’s terms.
Mr. Varadkar said that while it was always the intention to ensure freedom of expression for GPs, Prof Crown’s amendment copper fastened their freedom to voice their opinions or concerns about the health service.
“This Act is a significant step in the Government’s plan to provide universal health care,” he added, “starting with access to general practitioners without fees for children under six. This particular measure is the keystone of the Government’s policy in the area of primary care. We are shifting the focus of healthcare from hospitals to the community, and from treating illnesses to maintaining good health.”
Minister of State for Primary Care, Mental Health and Disability Kathleen Lynch said: “It is the first step along the way to ensuring that all our citizens have GP cover. It will be of enormous benefit to hard-pressed families with young children, helping them to overcome the obstacle of the financial burden of GP care.”

Over a thousand pubs have closed in Ireland since 2007

  
Over a thousand pubs have closed in Ireland since the economic crisis hit in 2007 leaving the industry in a state of despair, according to the Drinks Industry Group of Ireland (DIGI).
Speaking to the Joint Oireachtas Committee of Finance, DIGI said that a higher tax rate on alcohol, coupled with a poor economy, has left the industry in tatters.
“Excise damages our rural pubs and independent off-licences,” said Padraig Cribben, CEO of the Vintners Federation of Ireland.
“Since 2007 over 1,000 pubs throughout Ireland have been forced to close. The small pubs in rural communities cannot soak up excise increases across a wide product mix, like a supermarket can.”
In the case of small pub operators they have no recourse but to pass the costs on to consumers. Cribben added that Ireland’s high alcohol prices is also having a detrimental effect on tourism, as visitors flock to Northern Ireland, where hospitality is more affordable.
He said that Ireland is the most expensive country in Europe to buy alcohol, which should be a chief concerns to the country, “second only to the weather”.
“There has been rise in cross-border activity as a result of excise increases, causing pubs, independent off-licences and the exchequer to lose out,” Cribben said.
“On average, there is a 35% price difference between the Republic and Northern Ireland across all categories of alcohol, with Revenue Commissioner Figures showing that a bottle of Irish whiskey is €5.50 cheaper in the north.”

Job-seeker benefit payments of 14.7% goes to non-Irish nationals

  

NEW RESEARCH SHOWS 14% OF PEOPLE IN RECEIPT OF JOBSEEKERS BENEFIT ENTITLEMENTS ARE NON-IRISH NATIONALS.

That represents an under-representation of the group, compared to the proportion of the workforce they comprise.
A new report published by the ESRI looks at the proportion of non-nationals in receipt of key social security benefits during January of this year.
The research shows a mixed picture with regards to various welfare payments.
“There was no consistent pattern of over-representation among recipients of social welfare benefits,” said author of the report, Emma Quinn, who is also the National Programme Coordinator with the European Migration Network.
There was a distinction, she found, between the two types of unemployment payment – Jobseeker’s Benefit, paid to those covered by their past PRSI contributions, and Allowance, a lower rate paid to those who do not qualify for Benefit.
“I would consider benefits paid to people who have made PRSI contributions – contributory jobseekers’ benefit – non-Irish nationals are under-represented among all recipients of those types of benefits,” she said.
“[But] non-Irish nationals are over-represented among recipients of means-tested benefits – so those are benefits paid to people whose contribution has expired.”
Migrant workers make up 15.4% of the Irish workforce, but only 14.7% of Jobseekers Benefit recipients. The same group makes up 17.5% of Allowance recipients.

Common medications now switched to over the counter sale

 

THE REGULATOR SWITCHES DOZENS OF POPULAR PRODUCTS AWAY FROM PRESCRIPTION ONLY STATUS.

The Health Products Regulatory Authority today published a list of 12 active substances that are currently classified as prescription-only but are being switched to over-the-counter sale.
Dozens of commonly used medicines will be made available over the counter for the first time following a decision by the drugs regulator to remove their prescription-only classification.
The Health Products Regulatory Authority (formerly the Irish Medicines Board) today published a list of 12 active substances that are currently classified as prescription-only but are being switched to over-the-counter sale.
As a result, 34 medicines containing the substances singly or in combination will henceforth be available in pharmacies without prescription.
The list includes medicines used for the treatment of migraines, acid reflux symptoms, hay fever, cold sores, muscle pain and inflammation, fungal skin and nail infections and other inflammatory skin conditions.
Pharmaceutical companies that hold the marketing authorisation for the medicines will first have to apply to the authority to have their products reclassified before the change takes effect.
The decision was taken following examination by the authority of unmet needs in the availability of non-prescription medicines as well as recommendations by an independent consultative panel.
“The authority is pleased to bring this reclassification initiative forward with this initial list of products,” saidLorraine Nolan, director of human products authorisation. “This will see an increase in the range of medicines that can be made available to patients through pharmacies without prescription.
“Dependent on the nature, quality of applications and the relevant engagement process with marketing authorisation holders, further lists of appropriate substances may be considered in the future.”
Earlier this month, the authority switched the classification of a first nicotine replacement product from prescription-only to over-the-counter.
The medicines affected by the latest switch include diclofenac salts for muscle pain relief, penciclovir for cold sores, sumatriptan for migraine and mixtures of hydrocortisone with other drugs for skin problems.
Most of these drugs are better known under their commercial names.

Coral reefs face increased risk of fatal disease from dredging

 

WORLD-FIRST STUDY IN AUSTRALIA SHOWS IMPACT OF UNDERWATER DEVELOPMENT ON CORAL REEFS AND RAISES FURTHER CONCERNS ABOUT THE THREAT TO THE GREAT BARRIER REEF

Australian scientists have discovered that coral reefs face a serious threat of disease from underwater excavation activity, raising further concerns about the future of the Great Barrier Reef.
The world-first study examined the impact of 7 million cubic metres of dredging on 11 reefs off the coast of Western Australia and found that underwater excavation doubles the level of disease in nearby coral. It found that dredging forces corals to spend more energy cleaning the sediment from their surface and this can lead to chronic stress.
“Just like in any other organism, it seems that chronic stress can lead to increased levels of disease in corals,” said Joe Pollock, a marine scientist who led the study for the Australian Research Council’s Coral Reef Studies Centre of Excellence.
“Dredging is a pressing issue on many coral reefs throughout the world, including the Great Barrier Reef.”
The study, published in PloS ONE, comes amid growing concerns about the impact of a series of ports being built along the Great Barrier Reef, the world’s largest reef system.
The United Nations has expressed concern about the development activity along the 1,500-mile stretch of reefs and cays off Australia’s east coast and is considering downgrading the reef’s heritage status.
In January, Australia’s Prime Minister Tony Abbott approved a controversial port expansion which will allow three million cubic metres of dredged sediment to be disposed of in the Great Barrier Reef waters. A separate project to expand the port of Gladstone has involved significant dredging in the reef marine park and led to claims that it has affected water quality, sea grass cover and creatures such as turtles and dugongs.
Scientists and environmentalists have warned that the dredging will further endanger the reef, which they say is already facing widespread loss of coral cover due to coastal development, climate change, agricultural and industrial pollution, storms and the crown-of-thorns starfish.
The latest research examined large-scale dredging conducted to build a channel to transport liquefied gas from a resources project in the state of Western Australia and is believed to be the first study examining the link between dredging and coral disease.
“Corals require both light and food to survive,”
Mr Pollock said. “Unfortunately, dredging impacts corals reefs on two fronts, increased turbidity mean less light for photosynthesis, while increased levels of sediment falling onto the coral can interfere with their ability to feed.”

MEANWHILE:-

Climate changes happening more rapidly than at any point on record

  
A new look at the “vital signs” of Earth’s climate reveals a stark picture of declining health. As global temperatures rise, so do sea level and the amount of heat trapped in the ocean’s upper layers. Meanwhile, mountain glaciers and Arctic sea ice are melting away beneath an atmosphere where concentrations of three key planet-warming greenhouse gases continue to rise.
“Data show that the climate is changing more rapidly now than it has at any time in the historical record,” says Thomas Karl, director of the National Oceanic and Atmospheric Administration’s (NOAA’s) National Climatic Data Center in Asheville, North Carolina. “The numbers speak for themselves.”
The numbers speak pretty loudly, too. Depending on which data set scientists look at, 2013 falls somewhere between the second warmest and sixth warmest year since record keeping began in 1880. Global sea level reached a new record high last year—about 3.8 centimeters (1.5 inches) above the average measured by satellites between 1993 and 2010. Overall, sea level is rising about 3 millimeters (one-eighth of an inch) each year. And for the 23rd straight year, mountain glaciers on the whole lost more ice than they gained, says Jessica Blunden of ERT Inc., who works with Karl at the climate monitoring agency in Asheville. “Changes in these [glaciers] are visible and obvious signs of climate change,” Blunden says.
The new study, State of the Climate in 2013, was released online today in the Bulletin of the American Meteorological Society. The detailed, peer-reviewed analysis was based on data from environmental monitoring stations on land, sea, and ice and from sensors on satellites and planes. More than 400 scientists from 57 countries contributed to the report. (Previous State of the Climate reports, issued annually since 1991, can be found here.)
Increases in the levels of three key greenhouse gases are likely to be the root of recent warming, scientists suggest. The global average concentration of carbon dioxide reached more than 395 parts per million last year, a 2.8 ppm increase over 2012 levels, according to the new report. Levels of both methane and nitrous oxide (N2O), which on a pound-for-pound basis trap heat more effectively than CO2, rose last year about 0.3%. 
(Nevertheless, about two-thirds of the atmosphere’s heat-trapping power comes from CO2, which is much more prevalent than the other two gases, the researchers report. Carbon dioxide levels are now in uncharted territory, the scientists say: Ice core records reveal that until the early 20th century, CO2 concentrations hadn’t risen above 300 ppm during the previous 800,000 years.)
From pole to pole, few parts of the globe are being spared warm-up. In the Eurasian Arctic, average temperatures last summer ranged between 1°C and 3°C warmer than the average temperatures there from 2007 through 2012. Fairbanks, Alaska, had a record number of days (36) in which the daily high temperature reached 27°C (80°F) or higher. All that warmth is seeping into the ground, too.
Permafrost temperatures measured 20 meters below ground at many sites in Alaska reached record highs last year, the scientists report. And 2013’s Arctic sea ice coverage in September, the month it usually falls to its lowest for the year, was 18% below the average coverage for that month from 1981 through 2010. Although not a record low amount, the scientists note that September sea ice coverage is declining almost 14% per decade since satellites started measuring sea ice extent in 1979.
At the other end of Earth, 2013’s average annual temperature at the South Pole was –47.4°C (–53.3°F): chilly, yes, but nevertheless a record high since scientists started collecting weather data there in 1957.
In between, China, Japan, and South Korea suffered their warmest summer on record, and Australia really suffered: With large swaths of the Land Down Under tallying summertime highs above 45°C (113°F), Australia had its warmest year since record keeping began in 1910.
The amount of heat stored in the upper 700 meters of the world’s oceans, which has increased substantially over the past 2 decades, also reached a record level last year. That increased heat content helps boost the strength of typhoons and hurricanes, Karl suggests. In the next couple of months, he notes, NOAA will release a report that discusses how climate change might be related to several episodes of extreme weather last year.