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In this exclusive interview, Chan fills us in on how directives from the government on public private partnership (PPP) and inclusion of the private sector in the management of chronic disease like diabetes are urgently needed to make our health care sustainable which will also provide an ecosystem more conducive to the development of innovative health care and biotech industry in Hong Kong.
An imbalance between public and private sectors in Hong KongNote that there are at least 70,000 people with diabetes in our catchment area with a population of one million. Newly diagnosed patients or those with unstable condition need to be seen more often. Yet, we can't. While we can't discharge our patients to the busy public primary care clinic, unstable or high-risk patients attending the primary care clinic are also not finding their way to the specialist clinic in a timely manner," says Chan.
"Meanwhile, many patients are attending the emergency room or queueing to be seen at the specialist clinic with an average waiting time of 1-2 years while their conditions silently deteriorate. These people are missing the golden period for early intervention and may suffer from critical illness which are preventable, only if they can be seen early and treated properly," she notes.
"After all, these patients have few choices. It's either waiting for months or years to be seen under the heavily-subsidised public sector or spending a lot more to seek private treatment, which they either cannot afford or are not willing to pay due to the huge price differences between the private and public sectors," she adds.
Supposedly, one of the competitive edges of Hong Kong's healthcare system is that patients can choose between the public and private sectors. Nevertheless, under the current system, people tend to see private doctors only for vaccination, minor ailments or one-off treatment or procedure. For chronic diseases like diabetes, they visit the public hospitals or clinics instead due to the recurring treatment costs in the private sector.
"If a patient is diagnosed with diabetes at the age of 40, unlike a one-off treatment for cold and cough, he would need to visit his doctor or care team for regular follow-up for the next 30 years, assuming he lives up to the age of 70," says Chan.
Chan also points out the ramifications of the imbalance between the public and private sectors in Hong Kong. "There are just under 6,000 medical professionals hired full-time at various public hospitals or clinics in Hong Kong. Yet, we have similar number of private doctors, and many of them have expertise and experience in managing chronic diseases. It's not because we don't have sufficient manpower to manage this large volume of patients with chronic diseases. It is more of an issue of uneven resource distribution. Private doctors should be contracted to manage chronic diseases in order to stay current and competitive. The Hospital Authority (HA) is offering services which only charge a fraction of the real costs. The high demands mean long queues, inevitable rationing and few choices," says Chan.
"In Hong Kong, 2.5% of GDP which accounts for 17% of the government's revenue is used to support HA's services. The scope and quality of services provided by HA are comparable to healthcare services in many high-income countries in Europe and North America. However, sustaining these services will require 5-8% GDP supported by a high tax system and a compulsory insurance system," she suggests. "The HA now looks after the health care of nearly all citizens from cradle to grave. Unless there are new resources and major reforms, the system simply cannot cope."
Challenges and opportunities for the Public Private Partnership (PPP) ProgrammeOne of the initiatives to narrow the gap is the General Outpatient Clinic Public-Private Partnership Programme (GOPC PPP), which was launched by the HA in mid-2014. Currently, the programme offers HKD3,155 to each general practitioner per year for a maximum of 10 consultations. Meanwhile, at public hospitals, the HA's Annual Report 2015 – 2016 showed that the costs per specialist outpatient attendance and general outpatient attendance are HKD1,190 and HKD445, respectively. On top of consultations, there are also costs for medications, education, laboratory tests and clinical assessments which have not been addressed adequately.
To increase the reach and impact of GOPC PPP, Chan emphasises the importance of aligning the interests of both patients and care providers. "On average, it costs around HKD8,000-12,000 per year to manage one patient with diabetes who often has co-existing high blood pressure and high blood cholesterol. The management includes consultations, lab tests, medications and assessments," she said. "In patients with diabetic complications, the annual cost may go up to HKD20,000 or HKD30,000. Depending on their levels of control, these patients may need to be seen frequently until they are stable enough to be seen at longer intervals."
"During the patients' course of 30-40 years of diabetes, there are many events that can destabilise their condition. Investment for high quality outpatient care is value for money since it will prevent critical illnesses such as heart disease, stroke, kidney failure and cancer, which can easily cost half a million dollars per event. These serious illnesses now account for 50% of the HA's hospitalisation costs, although 50% of them are preventable" she continues.
Whether working in the public or private sector, Chan emphasises that healthcare professionals bear the responsibility in looking after these vulnerable patients with silent risk factors and multiple needs. However, as Chan points out, the question is: Are these patients being seen at the right time by the right people and managed in the most cost-effective manner?
"Worldwide, all countries are struggling to make chronic disease care sustainable. This is an issue that concerns all of us – we all need health care at some stages in our life and all of us have to pay for health care either through tax or insurance or out of pocket. If we provide expensive but ineffective or suboptimal services, then we will all lose out in the end," she says.
Currently, 50% of the medical workforce is providing health care to 90% of our population through HA. While a single healthcare provider has many merits, when it comes to chronic disease care, there are a lot to be said in capitalising both private and public resources to develop community-based services for addressing the many needs of people throughout their life journey." says Chan.
"People in Hong Kong have few health care choices when many young and middle-class people especially those in full-time employment, are looking for more flexible and user-friendly service. Some of these individuals are willing to pay a bit more for convenient and personalised service, so that they can see their preferred doctors at a preferred time in a preferred clinic. Why are we not providing these choices so that we do not stress our public system further, which has the primary mandate of looking after the sick and poor and training staff?" questions Chan.
Taking the overall cost effectiveness into considerationApart from giving patients more choices, narrowing the gap between public and private care could also enhance the cost effectiveness of our health care in the long run.
"Every time, when patients visit their doctors in public hospitals or community clinics, they only have around 10 minutes to talk to them. Can they really remember the advice given to them? Are they really taking the 3-month medications as prescribed to them? As many as 50% of these patients are not taking their medications regularly or changing their lifestyle. The HA is using a lot of paramedical staff to address these service gaps, while this is laudable, medical expertise in making diagnosis and formulating a treatment plan is extremely important when it comes to chronic and complex care." asks Chan.
"Perhaps five to ten years later, despite given free drugs aimed to prevent complications, these patients will still end up being hospitalised with critical illness. One of the reasons why so many patients are coming to HA is to have free medications. But, without quality consultations and reinforcements by a competent care team together with a stable patient-provider relationship, we cannot bring out the full benefits of these expensive medications. The frequent changes of doctors and insufficient integration between primary and hospital care teams are additional challenges in the over-burdened public care system. So, not until the government steps in and takes the lead to narrow the gap between the public and private sectors, we are not really using our finite resources in an effective manner."
As Chan observes, patients tend to visit different doctors in both the primary and hospital care settings and often receive different instructions. However, patients with chronic disease like diabetes should be managed by a stable team consisting of doctors, nurses, dieticians, pharmacists depending on how complex the medical condition is. Here, a trusting relationship is crucial for modifying these biological and behavioral risk factors. Importantly, structured assessment at diagnosis and then every 1-2 years is essential for quality assurance, care triage and reinforcement.
"Each person with diabetes has a unique set of risk factors and complications and depending on their access to treatment, education and self-management, they will have different trajectories and outcomes ranging from good health to life threatening critical illness to premature death. Thus, tracking and monitoring of their conditions is essential for the care team to identify needs and individualise care," highlights Chan.
"These risks do not appear to be urgent. However, prevention is the key. The earlier we identify the risks, the easier is the management. We shouldn't wait until disaster happens. Even if it's possible to provide treatment at late stages, it could be a lot more expensive —and this is not the most cost-effective way of using our finite resources."
More healthcare choices will drive biotech industry in Hong KongThe same philosophy of prevention, informed decision and team-based care is also deep-rooted in the first Hong Kong based genetic testing company specialised in diabetes founded by Chan.
"It's not just a genetic testing service provider. We have been working closely with doctors and other healthcare professionals. In particular, those who are interested in diabetes and chronic disease, as well as those who believe in education and early intervention," explains Chan.
"This network of healthcare professionals can use these genetic and other relevant information to educate and empower their clients or patients to manage and reduce their health risks through lifestyle changes, early use of drugs and personalised counselling," says Chan. "This is precision medicine where we use the unique set of risk profile to raise awareness and help at-risk individuals take early actions in order to avoid critical illness and stay well and healthy."
Chan has been witnessing the development of biotech industry in Hong Kong in the last two decades, although the sector has been lagging behind in terms of its competitiveness, she comments that there is now a silver lining with the new government fully committed to developing a long term and holistic plan to develop talents, build infrastructures and attract new investments.
"Until recently, there are very few job opportunities in biotech industry for PhD graduates and many have to join other industry while some return to China like Shenzhen to set up their companies," points out Chan. "They can't see their career prospect here. And we are losing our talents. The busy working environment in HA also makes clinical and applied research challenging. This is critically important if we want to translate results of basic research into service or technology."
Hong Kong has many challenges, as Chan describes. "Even if we are physically and mentally healthy, we are not living in an optimal state if we are surrounded by a lot of social problems. Our social wellbeing is interlinked with our living condition, job opportunities, economic competitiveness etc. After all, we are part of a larger community which we collectively shape its norm and define its culture," says Chan.
By embracing more health care professionals and reducing the price differences between the private and public sectors through government subsidy and health care reforms, we will give more healthcare choices and innovative technologies to our people. This will allow the public sector to focus on the sick and needy while researchers can continue to develop prototypes to address unmet needs. Despite the multiple challenges faced by Hong Kong's healthcare and biotech industry, Chan remains optimistic.
"What I envision in the future is that people can use innovative technologies such as genetic tests and wearable devices, to learn about their risks for common critical illnesses which are preventable and treatable. Their healthcare team can use this information to engage their patients and families in a meaningful conversation and deliver a holistic care plan, putting the doctor-patient relationship back into action," says Chan.
"If, unfortunately, when things go wrong, they have the choices to go to private hospitals with adequate insurance coverage or public hospitals, which I hope would not be too crowded by then. For their children, they can develop their careers in biotech, data science, healthcare along with financial, tourism and culture sectors. Through concerted efforts, our young generation will identify unmet needs in healthcare, brainstorm solutions and build their ideas into brands—and along the way, transform Hong Kong into a healthcare innovation hub and a more vibrant city," she envisions.
"This is our home and we all have a role to make it work—so that one day, we can proudly say to ourselves: We have made Hong Kong a great city to live in," echoes Chan. MIMS
Read more:
Surviving cancer: How do we battle escalating costs of treatment?
More than just manpower shortage: Why does Hospital Authority fail to address overburden over the years?
Medical expenses top financial concerns among Hong Kong's retired population


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Episode 15: De Sterren van BartlehiemFirst aired: Saturday, 19 December 2015 at 17.00 hours
In this special episode of Toneelmeesters we take a look behind the scenes and on the red carpet during the premiere of the Christmas show 'De Sterren van Bartlehiem' that plays in the Posthuis Theater during the Christmas holidays.
In 2010, the 125th anniversary of the Posthuis theater was celebrated. Therefore, the theater gave Rients Gratama and Clara Rullmann the opportunity to create a Christmas musical. They wrote their own version of the 'Christmas Carol' by Charles Dickens. The first performance was a great success and therefore the special Christmas show became an annual happening. This year the sixth edition of their own version of the 'Christmas Carol' will take place. 'De Sterren van Bartlehiem' has a great cast, with Aart Staartjes and Rients Gratama who represent the spirits of the Old Scrooge & Marley. Elske DeWall plays Charitea plays Scrooge, the great-great-great-great-great-granddaughter of Ebenezer Scrooge. The rest of the roles will be filled by a number of young and adult amateur players from Heerenveen and surroundings.
Our presenter Arno van der Heyden is present during the premiere of the show 'Sterren van Bartlehiem'. We take a look during the rehearsals of the show we talk to the main players and technician Eric Northman. During the premiere of the musical, we see several guests arrive on the red carpet and we talk to the director of the theater. Always exciting such a premiere and we are there to see how this special Christmas musical came together. The show can visited during the Christmas holidays in the Posthuis Theater in Heerenveen.
Website: https://www.posthuistheater.nl
Facebook: Posthuis Heerenveen
Twitter: @PosthuisTheater

subset: commoncrawl


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Darkness leaks around the edges of the windows. Midnight creaks within our bones. We are vigil-weary. You are the strongest man I know.
It's strange. Watching the unfolding. This ending. Here, where your world has been reduced to these four walls.
This is your happily ever after - her leaning over you, singing Jesus lullabies, wiping tears that shine like love. You grip her hand like forever and I have to move back because there's no reason it should be me to catch that final breath - that last piece of you that floats out into this dry air and paints us with your spirit.
Where does it come from? This will to fight? So hard that you won't even close your eyes. They shine glassy and sore and unseeing even in their openness. Don't you know that by closing them they will open on a new tomorrow...one that lays far beyond the reaches of these pale, uncompromising walls.
The weight of the love here is close to smothering. Has any man ever been given more? You're practically drowning in it, aren't you?
You're withered and white but I remember the sound of your laugh - so easy. A heart chuckle.
Half of my life has been lived with a Fred-space carved into my heart because you forced your way in there even before I decided that I would let myself love that boy of yours. And that me-space in yours...I know it's there...you take that with you...hang onto it...keep it safe...until we meet again.
October 18, 2011
2 comments:
- JennieOctober 24, 2011
So beautiful Alanna. It brought me to tears. Thinking of you lots. XoReplyDelete
- PhilOctober 24, 2011
Well saidReplyDelete
I love comments and I appreciate, consider and read each one. I welcome your thoughts, whether you're in agreement or not; however, this website is a happy place and I will remove any comment that I believe to be inappropriate, malicious or spam like.


text: The sunlight pump is a highly efficient portable solar water pump for small-scale irrigation and domestic water supply. It is an affordable technology that combines environment-friendliness and low maintenance costs with income, productivity and labour-saving benefits. The sunlight pump was developed by professors and students from the Berne University of Applied Sciences in Biel.


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Crestron has announced the release of their new 5-inch TSW-550 powered touch screen. The new TSW-550 joins the previously released 7-inch TSW-750 and 10-inch TSW-1050 to complete Crestron's Core 3 UI powered family of smart phone and tablet styled touch screens. The new TSW-550 incorporates high resolution graphics and interfaces for controlling home or commercial environment.
The TSW family provides the same high performance control as larger touch screens, with a consistent elegant look, yet smaller size. TSW touch screens install cleanly and easily to satisfy the requirements of the most demanding clients.
Capacitive touch offers fast, highly responsive finger touch action, making TSW as simple to navigate as your smart phone or tablet. It's fast, and easy to adjust and monitor any system including heating and cooling systems, lighting, video conferencing, multiroom audio, security cameras, and any other connected device. Powered by Core 3 UI graphics, users can interact with dynamic GUI effects and gestures navigation to swipe, scroll, drag, and drop.
Browsing through music and movie libraries, TV/radio stations, and control apps is amazingly intuitive. Cool kinetic effects bring controls to life when using custom knobs, sliders, and gauges. Five soft-touch buttons provide quick access to commonly used functions. Pre-labeled with icons for Power, Home, Lights, plus Up and Down functions, each button is programmable by the control system for custom functionality and added one-touch convenience.
Exclusive Rava SIP Intercom technology enables hands-free full-duplex VoIP communication between any two Rava-enabled Crestron touch screens and third-party door stations. Telephone and group paging service lets you communicate with anyone inside or outside of the home or across the world.
High-performance H.264 streaming video capability enables crisp and colorfully vivid viewing of streaming video on the razor sharp high-definition display. Users can view content from media servers, including the Crestron Network Video Streamer, security cameras, web cameras and other H.264 streaming video sources. PoE connectivity simplifies installation for both new and retrofit applications. All control, video, intercom, and power signals are transmitted over a single Ethernet wire with one connection, eliminating the hassles of pulling bundles of wire through walls and floors. By obtaining operating power through the LAN wiring, PoE technology eliminates the need for a local power supply or any dedicated power wiring.
TSW-550 installs easily with the included post-construction bracket. TSW magnetically adheres to its mounting bracket, eliminating any visible screws to provide a clean, hi-tech appearance in any interior design. For added design versatility, optional tabletop mounting kits are available for all TSW models.
More inforation on the Crestron TSW-550, TSW-750 and TSW-1050 can be found at: www.crestron.com.
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Great Lakes Region Conference Previews: HCAC
"This Week in Great Lakes Basketball" HCAC Preseason Poll:
1. Mount St. Joseph
2. Rose-Hulman
3. Hanover
4. Blufton
5. Defiance
6. Anderson
7. Transy
8. Franklin
9. Manchester
10. Earlham
The Heartland Conference preseason preview is on the air! I run through each team's schedules and size up where I think they will fall in the conference standings this year. Mount St. Joseph head coach Toby Carrigan joins me (22:45) to talk about the big goals they have in Cincinnati this year and the state of his squad as they head into the 2015-2016 season.


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Meet Kerri-Anne
Who I Am
I'm Kerri-Anne Brown but you might also call me a couple's confidant, a marriage mender or a relationship restorer. I'm also the founder of Healing with Wisdom. I guide individuals and couples through their journey of grief and mourning while strengthening their relationships to prepare for the future.
How I Help
I provide psychotherapy for reproductive trauma which helps to support partners who are:
• Grieving the loss of a pregnancy within a supportive environment.
• Coping with the multitude of losses and stressors that may arise when experiencing reproductive health challenges.
• Grieving and mourning their losses, wanting to find meaning in loss and strengthen their relationships and marriages.
• Working through feelings of anxiety, depression, and grief alongside feelings of joy that often comes with pregnancy after loss while preparing for motherhood.
Why I Help
I do great work with people who have been hit with the harsh reality that life had a different plan than what they intended for themselves and their families. It's incredibly rewarding for me to help my clients learn how to experience life after trauma and discover that they don't have to define themselves by their reproductive experience. I feel so grateful to be able to guide people towards recovery.
Because I've gone through this too, I know the work it takes to heal. I love what I do and I'm really good at it.
My Credentials
- Licensed Mental Health Counselor in Florida
- Pregnancy and Infant Loss (PAIL) Advocate
- Professional Membership with American Society of Reproductive Medicine (ASRM)
- Qualified Supervisor for Registered Mental Health Counselor Interns


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Hello everyone! I am new to bodybuilding but so far I am loving it. Not sure if this is the right place for this post...if not moderators please move it appropriately.
I have been a lacto-ovo vegetarian my entire life (34 years old) and am moving more and more into the vegan lifestyle. I was a high level athlete about 14 years ago and then life happened. I started working out and paying closer attention to my health last August (2013). There is so much information and bro-science that it is difficult to sort what is true and what is not.
Currently I am doing a modified beginner ALL PRO workout (Bodybuilding com forums popular workout + some isolation exercises to fatigue).
What I am wondering is what is an ideal diet for what I am doing. Recently I have dramatically increased by Protein intake with supplimental shakes. I have notices that I am starting to make great gains while also losing weight. I weighed in this morning at 241.5 (5'11") and am mesomorphic with broad shoulders.
So here is a typical day in my diet for the last 4.5 weeks (lost about 10 lbs of fat and estimating about 3 lbs of muscle).
45-50g 220 calorie Protein Shake (I am taking Dymatize ISO 100 Hydrolyzed whey).
1 ALA suppliment
2 CLA suppliment pills
Oxy Elite Pro 2 pills
MWF I workout about 30 minutes after this:
Pre-workout: HEMOVOL and Micro Creatine with 20 0z of water
Post Workout: Micro Creatine and another 45-50g Protein Shake (same brand)
Mid morning to lunch:
1 Banana
1 Granny Smith Apple Small
Handful of Black Berries
Large Handful of Carrots
3 Stalks of celery and 2 tablespoons of all natural peanut butter (no additives, Just peanuts and some salt).
Handful of Blueberries (when I can get them for a good price)
2-3 Small Sweet Peppers
Mid afternoon: 25g Protein Shake
Can of tri-bean organic blend.
1 package of broccoli/mixed vegetables.
Different dried herbs for flavoring.
I am drinking a ton of water over the course of the day. I do not feel hungry at all and I am seeing results. But I am concerned I am not getting enough micro-nutrients.
I do 600-1000 calories of cardio Tues Thurs Sat in the afternoons.
My goal is to build some nice muscle and get below 200 lbs to have a fitness model body style(9-12% bodyfat). (although the 200lbs is not important I am sure that I need to get below 200 to have this).
I would appreciate any diet recommendations and/or suppliment recommendations. Thanks!!!
New to Bodybuilding
All topics relating to health, diet, nutrition programs and any questions you might have about general health.
Moderators: Mini Forklift Ⓥ, C.O., Richard, robert, SyrLinus
2 posts • Page 1 of 1
- Finch
- Posts: 2
- Joined: Tue Apr 22, 2014 9:28 am
Re: New to Bodybuilding
My recommendation is more whole foods and less supplements. Check out the training journals for other peoples meal plans. And check out Brendan Brazier's and RObert Cheeke's books.
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These 3 way connectors are perfect for any project.
If you need to make a cube they are essential.
Excellent quality UV stabilised 3 Way Elbow to fit standard 25mm or 1" PVC plumbing pressure pipe (not electrical conduit).
1m lengths of PVC pipe can be purchased on our website.
Pipe Recommendation: the outside diameter of the pipe to be used for a 25mm connector is 33.4mm. Using 25mm PVC plumbing pressure pipe ensures that the connectors will fit perfectly.
Why not watch our video below


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|Think about Loose Coupling
RE: RE: Should Perl Gurus (Wall,Schwartz,Christiansen et al) receive mega XP based on who they are?by ergowolf (Monk)
|on Apr 27, 2000 at 23:43 UTC ( #9454=note: print w/replies, xml )
|Need Help??
All three of these guys are saints in my book. I think all three have earned it. For the reasons bellow:
1.) I own perl books from all three guys. They taught me perl! I would have missed the whole thing without them.
2.) There is no question about there ability in perl.
3.) Its cool to rub virtual elbows with Randal.
4.) They are developing the language we are using.
In Section Past Polls


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Marley Coffee rolls out celebration to mark Jamaica's 50th anniversary
Marley Coffee, a sustainably grown, ethically farmed and artisan roasted gourmet coffee, will help celebrate the 50th Jubilee Anniversary of Jamaica's Independence, which will be officially commemorated today.
The Jamaica division of Marley Coffee, based at historic 56 Hope Road in Kingston, will display the company's new mobile retail concept, the Marley Coffee BikeCaffe, at the National Arena in Kingston, where it will serve free, fresh brewed cups of Marley Coffee to those joining in the Jamaica Independence Day festivities on Monday, August 6.
"Jamaica is where it all begins for Marley Coffee, for me and for my family and I'm excited to roll our new Marley Coffee BikeCaffe concept onto the streets," said Rohan Marley, chairman, Marley Coffee. "We are blessed to celebrate the 50th Anniversary of Jamaican Independence and are very proud of the work we are doing to help spread a more sustainable, earth-friendly and people-friendly farming movement for the coffee industry in Jamaica and beyond."
BikeCaffe, found in select cities nationwide and in Europe, is a new approach to serving coffee to customers: the three-wheeled, geared bikes are full-service mobile cafes that can roll from location to location, leaving little carbon footprint behind. Moving forward, the Marley Coffee BikeCaffe will be stationed at 56 Hope Road / Bob Marley Museum, Nine Mile, and Falmouth Port, where hundreds of thousands of tourists go each season.
"We have lots of interest in our new Marley Coffee BikeCaffe from potential franchise partners in Jamaica," said Balram Vaswani, managing director of Marley Coffee Jamaica. "As the nation marks 50 years of independence, we're very pleased to join in the celebration as we bring our innovative new mobile franchise concept to the streets of Jamaica."


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Ariana Grande and a slew of superstars are playing a benefit concert less than two weeks after 22 people were killed by a suicide terrorist attack outside her Manchester Arena concert.
The One Love Manchester tribute show will bring together Grande alongside Justin Bieber, Coldplay, Katy Perry, Miley Cyrus, Usher, Pharrell, One Direction's Niall Horan and veteran British boy and Take That on Sunday, June 4. The concert will take place at Manchester's Old Trafford cricket grounds, which has a capacity of 50,000, and will be broadcast on BBC TV and radio.
All proceeds will go to the We Love Manchester emergency fund to help the victims and families of the attacks. Meanwhile, Grande is offering free tickets for anyone at the May 22nd show at Manchester Arena.
Grande recently suspended her Dangerous Woman Tour through June 5, but pledged that she'd return to "the incredibly brave city of Manchester" for a benefit concert and that she would continue her tour, calling it "a safe space for my fans," in a statement.
The BBC reports currently 50 people injured in the attack are still being treated in hospital including 17 in critical care. Tickets go on sale at 10:00 local time on Thursday, June 1.


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Festival Pass and Ticket Information
Volksfronten, the core program of steirischer herbst '18, can be visited with a Festival Pass. The Festival Pass can be purchased online, at the Visitor and Press Center, or at special sales points, see below. For a list of projects that can be visited with a Festival Pass, see below. The Festival Pass also offers reduced admission to musikprotokoll events and the collateral program of steirischer herbst.
The Festival Pass is non-transferable and only valid in combination with valid photo identification. Reservations are only valid in conjunction with your Festival Pass.
29/23 Euro
Buy Festival Pass 20.9.–14.10.
21/15 Euro
Buy Festival Pass 1.10.–14.10.
A copy of the Guidebook is included in the price of the Festival Pass.
Without a Festival Pass, the Guidebook can be purchased separately for 5 Euro and is available at the Visitor and Press Center.
Festival Pass holders can buy online tickets and make seat reservations at any time for a fee of 2 Euro per ticket/reservation.
For group bookings, please contact firstname.lastname@example.com.
Because the capacity of some venues of performative projects is limited, we advise you to reserve a seat. You can do so for a reservation fee of 2 Euro per seat online or at the Visitor and Press Center as long as tickets are available.
Reserve your seat
Single tickets for performances
15/11 Euro
For Volksfronten performative productions, single tickets are available online and at the Visitor and Press Center. Note that for the Laibach performance on 20.9., no single tickets are available (admission only with a Festival Pass, as long as available). For installative venues of Volksfronten, no single tickets are available.
Festival Passes and single tickets can be purchased at the Visitor and Press Center:
Volksgartenstraße 4–6, 8020 Graz
p +43 316 81 60 70
You can also buy Festival Passes and single tickets at all oeticket outlets and at the Ticketzentrum:
Kaiser-Josef-Platz 10, 8010 Graz, p +43 316 8000.
Please note that tickets are not sold at the respective venues of installative projects. Please visit us at the Visitor and Press Center to buy tickets in advance.
Admission to exhibitions is granted up to thirty minutes before closing.
Single tickets for performances can be bought at box offices located at the venue one hour before the performance begins. Tickets purchased in advance must be collected at least thirty minutes before begin. Uncollected tickets for events that are sold out will be released for resale. Please note that there is no late admission.
If events are sold out, the box office will start handing out wait-list numbers one hour before the event starts. Remaining tickets will be sold shortly before the beginning of the event. Thank you for your patience.
Volksfronten installative projects, free with Festival Pass:
– Igor & Ivan Buharov, Volkshaus Graz
– Tony Chakar & Nadim Mishlawi, Hotel Daniel
– Martin Behr & Martin Osterider, Ines Doujak, kozek hörlonski & Alexander Martinz, Victoria Lomasko, Ekaterina Muromtseva, Christoph Szalay, Kulturzentrum bei den Minoriten
– Irina Korina, Helmut List Halle (please note that this exhibition is only on view 21.9.–30.9.)
– Henrike Naumann, Haus der Architektur
– Funda Gül Özcan, Former Ankara Türkü Bar, Griesgasse
– Milica Tomić, Forum Stadtpark
– Department of Ultimology, Grazer Kunstverein
Volksfronten performative projects, free with Festival Pass:
– Christian von Borries, Helmut List Halle
– Igor & Ivan Buharov, Volkshaus Graz
– Nicoline van Harskamp, Karl-Franzens-Universität Graz, Heizhaus
– Igor Krutogolov's Toy Orchestra in concert, Postgarage
– Laibach,* Schloßbergbühne Kasematten
– Michael Portnoy, Orpheum
– Roee Rosen with Hani Furstenberg and Igor Krutogolov's Toy Orchestra, Orpheum
– Theater im Bahnhof,** Postgarage
– Michiel Vandevelde, Orpheum Extra
– Ivan Vyrypaev, Karl-Franzens-Universität Graz, Aula (Auditorium)
– Oliver Zahn/HAUPTAKTION,*** Orpheum Extra, 30.9.
Please reserve your seat in advance for a reservation fee of 2 Euro online or at the Visitor and Press Center. Alternatively, non-Festival Pass holders can also buy single tickets for each performance: 15/11 Euro.
*Please note: entrance to the Laibach performance only with a Festival Pass as long as available; no single tickets are available.
**Entrance is free with Festival Pass; no pre-sales and no single tickets are available, only at the box office.
***The performance on 29.9. is also free as part of the discursive program; free tickets will be issued during the symposium, starting 30 minutes before the performance.
Volksfronten projects in public space are free admission:
– Rossella Biscotti & Kevin van Braak, Am Eisernen Tor
– Bread & Puppet Theater, Europaplatz
– Yoshinori Niwa, Hauptplatz
– Michael Zinganel & Michael Hieslmair, Andreas-Hofer-Platz
– ZIP group, Volkshochschule Steiermark (Arbeiterkammer, roof)
Volksfronten Ideas events are free admission:
– Our Little Fascisms, Orpheum, including the performances by Oliver Zahn/HAUPTAKTION (29.9.) and Mazzaj & Ausländerbehörde, Orpheum Extra
– Conchita vs. Gabalier, Orpheum
– Photography Symposion XXI: The Violence of Images, Camera Austria
– Discursive events related to the Department of Ultimology project, Grazer Kunstverein
musikprotokoll and Collateral Program, reduced prices with Festival Pass
musikprotokoll 2018
Pass 4.10.–7.10.
55/45 Euro
Day pass 4.10.
12/8 Euro
Day pass 5.10.
22/18 Euro
Day pass 6.10.
18/14 Euro
One night in Cairo I & II, Dom im Berg, 6.10.
8 Euro
Künstlerhaus, Halle für Kunst & Medien
4/2 Euro
Camera Austria and Kunsthaus Graz
9.50/8 Euro
Schauspielhaus Graz, Tram 83
17.50/15.75 Euro
The discussion event Nâzım Hikmet's Human Landscapes. A polyphonic social critique at Literaturhaus Graz is free for Festival Pass holders.
Lange Nacht der Museen (Long Night of the Museums) 6.10.
15 Euro
Joanneumskarte for the half price
Reduced admission is available to schoolchildren, apprentices/trainees, and students up to the age of twenty-five, unemployed people, senior citizens, people doing national service (military/non-military), and members of Ö1-Club, Standard Club der Leser, and Kleine Zeitung Vorteilsclub as well as owners of the checkit.card. Please show proof of eligibility on admission. Tickets cannot be exchanged or returned after purchase. Discounts cannot be claimed retroactively. Not all reductions may apply to partner programs or tickets bought in advance. Proof of eligibility must be provided upon ticket collection and admission.
Please collect a Festival Pass from the Visitor and Press Center in advance for your children.
People with financial difficulties also have a right to experience art and culture. Hunger auf Kunst und Kultur benefits those who want to take part in cultural life but who cannot afford to. Proceeds from the sale of the herbst chocolate made by Schokoladen-Manufaktur Zotter, available for purchase at the Visitor and Press Center and box offices, are used to fund tickets that are issued free of charge to Kulturpass (Culture pass) holders. Please support this initiative.
We accept payment with American Express, Diners Club, MasterCard, and Visa.


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The draws for the men's and women's competitions at the ATCO PSA World Series Squash Finals 2013 have just been released and fans coming to Queen's Club 2-6 January are certainly in for an action-packed first three days even before both events head into nail-biting weekend of knockout matches.
With the women taking centre stage during day sessions and the men playing to the evening session crowds, there is something for everyone. English hope Laura Massaro has the honour of playing the opening match when she takes on Natalie Grinham of the Netherlands. Massaro has been drawn in the same group as top seed Nicol David, an indication of their form will be evident today when they face off in the final of the Cayman World Open
The elite field – which is made up of the top eight performers of the 2012 men's and women's World Series events – ensures that every match is of the highest quality. The format is based on two pools per draw, with four players in each pool who must play each other before progressing to Saturday's semi-finals. From the last four onwards the tournament moves into a knockout format, with the champions crowned on Sunday.
Men's Pools:
Ramy Ashour (EGY)
Nick Matthew (ENG)
Mohamed El Shorbagy (EGY)
Peter Barker (ENG)
James Willstrop(ENG)
Gregory Gaultier (FRA)
Amr Shabana (EGY)
Karim Darwish (EGY)
Women's Pools:
Nicol David (MAS)
Laura Massaro (ENG)
Annie Au (HKG)
Natalie Grinham (NED)
Raneem El Weleily (EGY)
Nour El Sherbini (EGY)
Jenny Duncalf (ENG)
Camille Serme (FRA)
Wednesday 02 January
Day Session Evening Session:
Laura Massaro v Natalie Grinham Nick Matthew v Peter Barker
Nicol David v Annie Au Ramy Ashour v Mohamed El Shorbagy
Raneem El Weleily v Jenny Duncalf James Willstrop v Amr Shabana
Nour El Sherbini v Camille Serme Gregory Gaultier v Karim Darwish
Thursday 03 January
Day Session: Evening Session:
Laura Massaro v Natalie Grinham Mohamed El Shorbagy v Peter Barker
Nicol David v Annie Au Ramy Ashour v Nick Matthew
Raneem El Weleily v Jenny Duncalf James Willstrop v Gregory Gaultier
Nour El Sherbini v Camille Serme Amr Shabana v Karim Darwish
Friday 04 January
Day Session: Evening Session:
Nicol David v Natalie Grinham Ramy Ashour v Peter Barker
Laura Massaro v Annie Au Nick Matthew v Mohamed El Shorbagy
Raneem El Weleily v Camille Serme James Willstrop v Karim Darwish
Nour El Sherbini v Jenny Duncalf Gregory Gaultier v Amr Shabana
Saturday 05 January
Day Session: E vening Session:
Women's semi-finals Men's semi-finals
Sunday 06 January
Women's Final, Men's Final


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- January 29, 2018
- 0 Comments
- Health & Wellbeing
Why the French don't get (quite) so fat!
If you are new to France, you are possibly thinking about croissants, pain au chocolat, gouter (the afternoon snack), apero (pre-dinner drinkies and nibbles) and lashings of wine and wondering 'How do they stay so slim?'
France has one of the lowest obesity rates in Europe
France still has one of the lowest obesity rates in Europe, though like many countries it is very dependent which area of the country you are living in. The 'Petits Parisians' and Parisian suburbs have an obesity rate of around 10% while further North, the rates of obesity are comparable to the UK and Ireland.
Three golden rules to help you manage your weight in France
So how do the French manage to balance gastronomy and weight more successfully than other European countries? How can you nibble on a croissant and daintily sip a glass of wine without your waistline expanding? In my opinion, it comes down to three 'golden' rules:
Respect the meal times
The French meal plan is based around three meals a day with a small snack in the afternoon, called a 'gouter' if you are a child and a 'collation' if you are an adult. The French tend to eat late in the evening, having supper at 8pm so a small snack becomes essential if you are to last from lunchtime through to supper without getting ravenous! The breakfast, is based around a tartine (a slice of bread or piece of baguette), a yoghurt and a fruit or fruit juice. The pain au chocolat and the croissants tend to be reserved for the weekends.
Lunch which is eaten between midday and 2 pm, tends to be the main meal of the day, often composed of 3 courses – entrée (starter), plat (main meal) and dessert (needs no translation!). The evening meal is lighter, a soup or salad with some cheese or yoghurt.
Eating outside of these meal times tends to be frowned upon and many restaurants shut at 2.30 pm and open again at 7 pm in the evening. This has its advantages and disadvantages! I've lost count of the number of times where I've been too late to have lunch. Equally, I've queued outside of restaurants from 6 pm in the evening, desperate to get a meal for my hungry and tired children. The solution was moving from English time to French time and letting my children have a longer siesta and an afternoon snack!
Another mistake many expats make (myself included!) is to eat both a big lunch and then an even bigger supper. The evening meal should be 'light' or at the very least, you should eat less than at lunchtime.
No snacking between meals
Traditionally the French do not snack between meals. While this is slowly changing as France, like many other countries becomes a 24/7 'snackathon', there is less of a tendency to eat between meals and far fewer people eating while walking around or on public transport.
This is a 'must have' French habit to cultivate! All the evidence shows that snacking is bad news for our waistlines. The snack foods tend to be high in energy and don't do a particularly good job of filling us up,so we tend to eat just as much at the next meal.
'Lurve' your water
In the UK you have aisles dedicated to fizzy drinks, whereas in France you have aisles dedicated to different mineral water! And, it's not rocket science. Fizzy drinks tend to be high in energy and sugar while water is a natural ' 0 calorie' drink. Everyone tends to drink water in France as opposed to soda and fruit juices and there's less of a tendency to use squashes or cordials to flavour water, so children get used to the taste of…..natural water!
While bottled mineral waters tend to be promoted in restaurants, it is fine to drink tap water. A French restaurant will give you a 'une carafe d'eau', a jug of tap water at no charge and will top it up for you as requested. In France, a meal is not complete without having water on the table.
Water is good both for our wallets and our waist lines, so don't hesitate to adopt this fabulous French habit!
In a nutshell, they snack less, respect their meal times and drink less fizzy drinks
Blog by: Charlotte Debeugny RNutr, MSc Nutrition


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The top green and Gristy stories of 2011
California doffs its cap (and trade)
The Koch brothers and their Big Oil buddies tried to kill it. Environmental-justice groups tried to kill it. But California's cap-and-trade system — the first such state-level scheme in the nation — was officially adopted anyway. Once it goes into effect in 2013, we'll find out if this sucker really works.


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How does Boston Baby Nurse & Nanny recruit caregivers?
Many nannies come to us as referrals from past clients or from trusted resources. We continually get childcare referrals from within our current nanny network. Our recruitment team is also actively involved in nanny associations within the industry. We also recruit through local colleges, on local job posting sites, and through our monthly nanny newsletters.
What are the Boston Baby Nurse & Nanny requirements?
Candidate must:
- Be eligible to work in the United States
- Be at least 21 years of age
- Have a High School Diploma (College preferred)
- Hold a valid Driver's License
- Be a Non-smoker: includes e-cigarettes and vapes
- Have at least 3 years of previous professional nanny/teaching/nursing experience
- Be proficient in the English language
- Have positive references from all former employers and personal references
- Have a professional childcare resume/cv
- Be an individual whose true passion is working with children
- Be willing to make a commitment to a family
How does Boston Baby Nurse & Nanny screen candidates?
Boston Baby Nurse and Nanny conducts a comprehensive, rigorous nanny screening process. We only represent the finest career nannies that have impeccable references, experience, and character. We understand the importance of knowing you have the most trustworthy individual in your home caring for your children. That is why we make it our first and foremost top priority to fully screen and get to know each and every caregiver. These are the steps we take:
Step 1 – Thorough review of resume and applications.
Step 2 – Phone/Skype interview, resume review and online presence search.
Step 3 – In person interviews. Candidate engages in at least one in-person, behavior-based interview. This interview is designed to uncover how a nanny reacts under certain stressful conditions. It also provides us with information that helps us to identify what age child (children) the nanny is qualified to care for.
Step 4 – Call and check all references. We speak directly to each reference and employer.
Step 5 – Professional background search completed.
- National criminal search
- National sex offender search
- County criminal search – all counties lived in for the past 7 years
- Social security trace, alias search, address history and verification
- Motor Vehicle / Driving Record
What is the placement fee if I choose to hire a nanny through Boston Baby Nurse & Nanny?
Long Term Nanny Placement:
To begin the process we require a non-refundable $300 application fee. If you decide to hire a nanny through Boston Baby Nurse & Nanny the remaining balance of $4500 is due upon hiring your nanny.
Short Term Nanny Placement:
To begin the process we require a non-refundable $200 application fee. If you decide to hire a nanny through Boston Baby Nurse & Nanny the remaining balance of $1300 is due upon hiring your nanny.
How do I begin the process?
To begin your search please complete the online Family Nanny Application. Once we receive your family application we will email you an information packet and follow up with a telephone call.
What can I expect?
- An in-home consultation with one of our recruitment specialists is scheduled. The in-home visits:
-Make the search process a more personal experience.
-Help our team to better understand your family dynamics, the specific job requirements are, and your personal preferences.
- Job description is created. After the in-home visit we create a detailed job description for your family and our customized childcare search begins. We hand select only candidates that directly match your criteria. Families review detailed profiles on each candidate.
- Interviews are scheduled. Family and caregiver connect to schedule an interview. Boston Baby Nurse & Nanny follows up with family and the candidates to get confidential insight and feedback about the interview. We offer our expertise on any questions families have throughout the interview process and provide helpful interview questions and tips.
- Hiring the perfect nanny. Once you've identified the perfect nanny for your family the team at Boston Baby Nurse and Nanny is available to answer any questions you may have. Starting the new relationship with clear expectations and guidelines is the key to success in any nanny/family placement. We provide all the information you need to hire your nanny.
- Ongoing support. We offer ongoing childcare support to your family and your nanny.
When should I expect to meet potential nanny candidates?
We pride ourselves on being very selective in the hiring process and only represent the best. Finding a nanny can take between two weeks and two months depending on how many candidates you interview and the availability of the type of nanny you require at the time of your registration.
What is average hourly rate for a nanny?
Nanny compensation ranges from approximately $20-25 per hour. Factors such as experience, education, number of children to be cared for in addition to other job responsibilities such as housework, grocery shopping, and meal preparation are all factors that should be considered when determining your nanny's compensation.
Are we required to pay overtime?
Yes. Massachusetts law states that "employers must pay overtime to workers who work more than 40 hours in any week. Overtime pay is at least 1.5 x the regular rate of pay for each hour over 40 hours."
What benefits should we provide our nanny?
In order to foster a positive employer/employee relationship, many families choose to provide their nanny with benefits such as paid holidays, vacation, and sick time. Additional benefits include a health insurance contribution, guaranteed hours, and transportation reimbursement (i.e. MBTA pass).
What if the nanny we hire does not work out?
We want both the family and the nanny to be completely satisfied with the position. We work hard to create an ideal match but we understand that changes can occur. The best way to ensure a lasting relationship is to sign an employment agreement and have your nanny sign it as well. It is so important that we will help you find a replacement nanny free of charge if you request a change within the first 60 days of the hiring date if you have a signed agreement with your current nanny.
Complimentary Hiring Tools & Resources
When you choose to work with Boston Baby Nurse & Nanny, we will provide you with several tools and resources designed to help you make the best decision for you and your family.
- Nanny/Family Work Agreements/Contracts – a customizable work agreement that you can provide to your new nanny to detail her job description, house rules, benefits, etc.
- Preparing for Nanny Interview – a document that contains suggested interview questions and suggestions on what to look for during your interview.
- Candidate Portfolio – contain documents that help you to learn about each individual nanny candidate.
- Employment & Tax Consultation – to help you understand what Massachusetts domestic employment laws are. We can provide resources to help guide you through the hiring and employment process.


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Javier Creus, Ideas for Change
Community economics. Alternative, complementary or parallel?
Community economics is not about sharing a resource, but about sharing a goal. By sharing a goal, the way people organize and collaborate radically changes. Sharing is not always and necessarily less efficient than private/proprietary/non-collaboratively ways of producing.
- People more important: more convergence of people and with higher added value.
- More shared resources: infinite if they are digital.
- Less capital needed: money is less important and there are networks of trust where money is cheaper (because you don't have to pay for risk).
Some dichotomies in communities/corporations: shared resources/goals, the driver is conservation/conquest, the value balance is positive/equal, development comes spontaneously/planned, users are contributors/costumers, producers are entrepreneurs/employees, the scope is the system / a need, the scale is resilience/efficacy.
Three huge changes: young (world average: 28 y.o.), educated and connected population.
Increasingly, there is the possibility to create full value chains, so that it is possible to create, sell, distribute and use some goods fully in alternative ways (both in the sense of platform and kind of usage).
Common resources generate entrepreneurs. There are mix designs where part of the resources is shared but another part is reserved or kept close so that business/profit can be made out of it.
Corporations support communities to guarantee their success, which is, at the same time, the foundation of the sustainability of the corporation.
How can we make the shift from extractive organizations to contributive organizations? Strategies of contribution: what can be shared, whom can I cooperate with, what can I keep to myself.
- Keep a nodal position inside the system.
- Keep the commercialization channel.
- Keed leadership.
- Keed homologation, the brand.
- Keep part of the profits
Javier Ortega Díaz, Coop57
Money is not neutral: the use we make of it determines the model of society we get.
An alternative and community system of financing: based on complementarity, an instrument for social transformation and serving the social and community economics, collectively owned, based on direct democracy.
Coop57 was born after Editorial Bruguera (a publisher) shut down business and 57 workers became unemployed. They used the money they got after being fired to fund the cooperative and help others with their own businesses. Nowadays it is a cooperative with circa 500 organizations and +2000 individuals as members. As a cooperative, it is self-managed and provides several services to their members.
Coop57 fosters community savings and ethical funding, especially in the field of the social economy. Principles: compatibility between social outcomes and economic viability, democracy and self-management, transparency, local development and social rooting.
Coop57 is a means, not a goal. Works as a network, with a unique identity but with several and quite-independent local nodes.
Enric Senabre, Goteo
Towards an open standard of collective funding
Is crowdfunding compatible with crowdsourcing? The idea of Goteo is opening the projects for the benefit of everyone.
Goteo combines individual incentives with collective incentives and social outcomes: generating economic opportunities for others, creating community and social capital, sharing knowledge and fosters learning, providing access to files/technology, and fully opening projects.
Besides funding projects, the activity of Goteo has other outputs, such as sharing their knowledge in the form of workshops, helping others learn about sharing and how to license content, etc.
Goteo is beginning to create a network so that there can be local nodes, being proximity usually a good helper for building trust.
Goteo has also created a fund, Capital Riego, to foster or accelerate some strategic initiatives.
Rubén Martínez: What is the secret of scalability? Javier Creus: the secret is not more resources but the possibility to add more people with less coordination. Coordination scales very badly, so the more distribution without (added) coordination, the better.
Open Parliament: the Senate in the Net (2012)
If you need to cite this article in a formal way (i.e. for bibliographical purposes) I dare suggest:
Peña-López, I. (2012) "Createdestruct (III). Comunity economics" In ICTlogy,
#110, November 2012. Barcelona: ICTlogy.
Retrieved month dd, yyyy from https://ictlogy.net/review/?p=4013
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Key documents
This provides direct access to main Year of Care documents:
The Year of Care approach: developing a model and delivery programme for care and support planning in long term conditions - The paper, published in BMC Family Practice in November 2019, describes the theory, learning and implementation journey to enable care and support planning to be introduced with high fidelity to the core principles, whilst tailoring it to the unique characteristics of each practice and their population.
Getting to Grips with Year of Care: A practical Guide: 2008 - This document was produced at the end of the Year 1. It summarises the background and learning from the first phase of Year of Care (YOC) programme including the key thinking around care planning and commissioning. It introduces and provides an overview of the Care Planning House. It remains a useful introduction to the Programme.
Personalised Care Planning for Diabetes: Policy Lessons from Systematic Reviews of Consultation and Self-Management Interventions. Primary Health Care Research & Development, 10, 210-222. Graffy J, Eaton S, Sturt J & Chadick P 2009. This describes the evidence base for the components that were put together to develop a practical approach to care planning.
Partners in Care: A Guide to Implementing a Care Planning Approach to Diabetes Care: 2nd ed. 2010 - This is the key Guide to the philosophy and delivery of the care planning consultation and is an important resource for practitioners wishing to reflect on their practice and introduce care planning. It is used in Year of Care training.
Care planning – Improving the lives of people with LTCs; encouraging partnership; increasing the quality of Care: RCGP: 2011 - Produced herewith kind permission of the Royal College of General Practitioners this document was produced with the support of key members of the YOC programme. It is a comprehensive account of the rationale for support for self-management in LTCs, the case for change, and practical delivery and monitoring of care planning. It provides practical examples and key tips on how to introduce care planning at practice level by 'walking around the house'. It provides a detailed 'how to do it' manual.
Year of Care report of findings from the pilot programme and Year of Care: Pilot Case Studies: 2011 - This is the formal report on the Programme describing the background, aims and objectives, parallel evaluations, the way the programme was delivered and its impact. Case studies of each of the pilot sites are provided as companion documents. Together they include key learning about implementing the Year of Care approach to care planning and the lessons for commissioning for LTCs. They will be of interest to policy makers, those with broad interests in commissioning and service delivery of personalised care for those with LTCs, and anyone contemplating introducing and embedding a programme of cultural change across the NHS.
Thanks for the Petunias – a guide to developing and commissioning non-traditional providers to support the self-management of people with long term conditions: 2011 - This Guide was produced in response to the discovery that there are numerous barriers and lack of experience in commissioning non-traditional community services to support self-management. It outlines these issues and provides a commissioning and delivery model which addresses them. It will be of particular interest to clinical commissioning groups, public health commissioners and Health and Wellbeing Boards.
King's Fund delivering better services for people with long term conditions 2013 - This report summarises the case for change and endorses the use of the Year of Care approach using the House model to demonstrate the essential elements which need to be in place to deliver better services for people with long term conditions. It provides examples of good practice and suggests what organisations need to have in place to deliver care planning and support for self-management more routinely.
Delivering person centred care in long term conditions: BMJ 2015 - This BMJ article describes the need to transform care for people with long term conditions, including support for self-management, and the need for comprehensive reform of health systems which are currently geared to provide acute care. Simon Eaton, Sue Roberts, and Bridget Turner explore the barriers to change, outlining the success of the Year of Care and House of Care approach as a driver for both cultural change and whole system change.
Care and support planning for people with MSK conditions
'Bringing MSK conditions in from the care planning cold - a feasibility study' phase one interim project report - this report comes at the end of phase 1 of a two phase approach designed to tease out the issues of practical delivery and develop the tools and MSK specific resources, so these can be tested and refined as part of a multimorbidity approach to CSP in phase 2.
'Bringing MSK conditions in from the care planning cold - a feasibility study' Final study report - This Final Report brings together the learning from both Phases of a feasibility study of care and support planning (CSP) for people living with joint, muscle and bone (MSK) conditions. It builds on the detail and lessons in the Phase 1 Interim Project Report, describes additional learning and highlights dilemmas and further questions which warrant future discussion and investigation. It also celebrates the successes of the study and describes some of the benefits seen by individuals who live with MSK conditions. We also make recommendations to Versus Arthritis, policy makers and commissioners and professional leaders and training bodies.
Other Year of Care Publications
Theory and the Real World – What happens in Practice: Introducing a complex intervention into a complex environment: ten challenges and dilemmas from the YOC Programme - This brief review from the Year of Care Stakeholder Reviewer is also summarised as Chapter 17 of Year of Care: Report of findings from the pilot programme. It describes some of the real challenges of introducing complex change within a complex organisation like the NHS. It should prove of interest to policy makers, service and project managers and innovation leaders.
Additional summaries and reports
'The Year of Care': 2011 A 2 page overview including achievements of the programme, benefits and lessons for wider implementation
Year of care: 2011: A 4 page summary of key information including details of the Year of Care approach to care planning and the house model
The Year of Care Programme: Commissioning for Diabetes and other Long Term Conditions: 2011. This two page summary outlines the Year of Care long term conditions commissioning model with examples of increased productivity
Workforce issues and service planning for people with Long Term Conditions (LTC): 2011. This single sheet clarifies the differing needs of people with LTC and the differing roles of NHS staff that provide care and support
Internal documents commissioned for use by Year of Care Pilot Programme
Year of Care: Evaluation Policy Statement: July 2009
Reports from Tribal Consulting (now Capita)
Evaluating Pilot Sites as they Prepare for Year of Care: 2008
Year of Care: Calderdale and Kirklees Case Study: September 2009
Year of Care: North of Tyne Case Study: September 2009
Year of Care: Tower Hamlets Case Study: September 2009
Evaluating the delivery and Impact of the Year of Care for diabetes Project: Interim report: November 2009
Reports from Annual Stakeholder Interviews
Wave 1: Stakeholder views on phase 1 of the Year of Care programme and its local and national achievements to date: February 2009
Wave 2: Views and decisions for consideration by Year of Care programme board: Wave 2 interviews with key stakeholders: January 2010
Wave 3: Year of care: Reflections on introducing a complex intervention into a complex environment February 2011
Year of Care in Scotland
From fixer to facilitator: evaluation of the House of Care programme in Scotland, 2020 (Cook A, Grant A)
Care and support planning and House of Care: A key enabler of the new GMS Contract: High level
Care and support planning and House of Care: A key enabler of the new GMS Contract: Practice level
Other resources
Realistic Medicine: Scottish Government 2014-2015
What is the role of voluntary, community and social enterprise (VCSE) organisations in care and support planning? National Voices: 2016
National Voices – an introduction to care and support planning: 2014
Gaun Yersel. The self-management for long term conditions in Scotland: 2008
Enabling people to Live Well. The Health Foundation: 2013 (Entwistle V, Cribb A)
The more you know, the more you realise it's really challenging to do: Tensions and uncertainties in person centred support for people with long term conditions. Patient Education and Counselling: 2018 (Entwistle V, Cribb A, Watt IS, Skea ZC, Owen B, Morgan HM, Christmas S)
Personalised care planning for adults with chronic or long term health conditions: 2015 (Coulter A, Entwistle VA, Eccles A, Ryan S, Sheppherd S, Perera R)
Improving Chronic Illness Care: Translating evidence into action: Health Affairs: Nov-Dec 2001 (Wagner EH, Austin BT, Davis C, Hindmarsh M, Schaefer J, Bonomi A)
Chronic Disease Management: What will it take to improve care for chronic illness? Aug-Sept 1998 (Wagner EH)
Organizing care for patients with chronic illness: 1996 (Wagner EH, Austin BT, Von Korff M)
British Heart Foundation 'House of Care' project
Gateshead BHF House of Care Report
Gateshead experience of the BHF House of Care Project
Hardwick cost analysis case study - this document offers a simple analysis of the differences in routine care and costs, pre and post the introduction of the House of Care - the British Heart Foundation (BHF) Year of Care project. It is intended to complement evidence about how the BHF funded programme impacted on the quality and outcomes of care. ICF, Clare Walker (Hardwick Project Manager) and Year of Care Partnerships, 2017.
Normalisation Process Theory
YOC - NPT - Spreading and embedding complex interventions
How to ensure your programme is a success


text: The diverse and picturesque contours of southern Italy, known for its boot-like shape, take centre stage in this Envisat image, acquired on 25 January 2011. This part of the Italian Peninsula is surrounded by the Tyrhennian (centre left), Ionian (bottom right) and Adriatic (top) Seas. The light green colour of the water along the Adriatic is caused by sediments being carried into the sea by rivers and then being distributed along the coast by currents. Stretching the entire length of the peninsula, the Apennine Mountains are visible under a dusting of snow. Mount Vesuvius is visible as a white circle inland from the Bay of Naples on the west coast, and the larger Mount Etna is visible in Sicily.


text: I was not the person I am today when I started my journey as a healer, in fact, I was far from it. I had to unlearn a lot of crap! I had to release a lot of baggage. I had to be healed so I could bring healing to others. I realize that the process of self healing is holding many healers back from stepping into their divine assignment with power. Personal development is a life long journey but we all need it. What's great is that being healed and healing can be done simultaneously. It's all about having a healthy commitment to life balance.


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Alma's integrated Student Information System empowers learning communities with a modern software platform ready to take on today's challenges and tomorrow's opportunities.
Impressively designed and easy to use, Alma provides the industry's best student information system, including: admissions, enrollment and registration, student demographics, attendance, advanced scheduling, discipline, grades, state reporting, custom report cards, parent portal, student portal, standards-based and traditional gradebook, reporting, custom form builder and much more.
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High-Density 2U, 24x NVMe All Flash Storage Array, High IOPS
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Time to clean out the closet and shelves and stop packing around all the crap I accumulated during a "collecting for collecting's sake" phase close to a decade ago. There's a lot of junk, but hopefully some of it will be worth something to someone so I don't just have to dump it all in the thrift store.
NOTICE: Forgot to add this earlier, but I don't hold items. I had a few situations on another forum a few years back where I had a queue of three or four people who would have gladly purchased an item right away, but I was caught holding it for someone waiting for payday, or trying to decide if they wanted other goods, etc. It was tough for me to keep track of then and I've got even less mental bandwidth to dedicate to it now. So everything is first-come, first-served. Sorry.
I grade a little on the harsh side. Condition will be indicated with the following grading scheme:
S - Sealed
EX - Excellent. Opened, with no visible scratches, tears, or scuffing.
VG - Very good. Minor scratches or scuffing, still suitable for display.
G - Good. More a "playing copy" than a "collecting copy." Scratches, cracks in the case, tears in manual--things which don't affect the playability, but don't look the best.
NA - Not available/not applicable.
Where possible, I'll report on the condition of the following: Media/Case/Manual/Spinecard
Of course, please let me know via PM if you have any questions, want a photo, etc. Prices seem a little off? Hit me and we'll try to negotiate. My intent is to move this stuff with the least hassle, but I'm flexible for the sake of a sale if you're cool. All games NTSC/UC unless otherwise specified. I test what games and hardware I can before I accept payment. All media boots and play fine unless noted.
Mars Matrix - G/NA/NA/NA $5
Project Justice - G/VG/G/NA $15
Gunbird 2 (EU) - VG/G/VG/NA Shitty European cases that break if you breathe on them wrong. Cover hinge is busted, but the rest is decent. Manual written in like a billion languages. $10
Ready 2 Rumble Boxing Round 2 (EU) - VG/NA/NA/NA White label beta, disc only. Probably one of the more common white labels. $4
Power Stone (JP) - G/G/G/NA $4
Nakoruru (JP) - EX/VG/VG/NA Visual novel style game featuring the Samurai Showdown character. Large box, includes Nakoruru figurine. $15
R-Type Final (JP) - G/G/G/NA $5
Radilgy Generic - VG/G/VG/NA $7
Detana Twinbee Yahho~! Deluxe Pack (JP) - VG/G/VG/NA $10
Dead or Alive (JP) - VG/G/G/VG $5
Panzer Dragoon Saga Disc 1 (Not for resale demo) (EU) - G/NA/NA/NA $7
Burning Rangers (EU) - G/NA/NA/NA $15
Hexen - VG/G/VG/NA Crazy US Saturn long box. $4
Castlevania Chronicles - VG/G/VG/NA $15
Capcom Generation 5 (Street Fighter II, II', II Turbo) (JP) - G/G/G/NA $7
F-Zero X (JP) - G/NA/NA/NA $5
Custom Robo w/box (JP) - VG/G/VG/NA $10
Cotton 100% (JP) - VG/G/G/NA Includes a mini-CD with a few tracks from the game or something. $7
GBA e-Reader with stack of cards (Ice Climbers, Clu-Clu Land, lots of item and level cards for Super Mario Bros. 3) - G/NA/NA/NA $4
[Misc. Games]
Pac-Man (NGPC) - VG/G/VG/NA $5
Metal Slug 2nd Mission (NGPC, JP) - VG/NA/NA/NA $5 (Take this and Pac-Man for $7)
Dragon Quest (MSX, JP) - G/NA/NA/NA $5
Final Fantasy I + II (Famicom, JP) - G/NA/NA/NA Both games on one cart. No Famicom, so I can't test. $7
R-Type (TG-16) G/G/G/NA $12
Tempest 3000 (Nuon) - VG/EX/EX/NA Jeff Minter's got a problem with releasing his games on shitty, obscure platforms--Tempest 2000 on the Jaguar, and the sequel on a little-known game console built into a DVD player. Looks purty. $10
Doubt there's any interest in these whatsoever, but here we go.
The Art of Neverwinter Nights - $5
The Art of Warcraft (mostly focused on Warcraft 3) - $5
Knights in the Nightmare: Tome of Lost Souls (ATLUS preorder bonus for US release) - $7
The Art of Tales of Symphonia - $7
Luminous Art (ATLUS preorder bonus for US release of Luminous Arc 2) - $5
The Art of Blazblue (little pamphlet-like thingie) - $3
Sakura Wars: So Long My Love (pre-order bonus for US release of Sakura Wars V. Nice hardback presentation, but the pages inside are either just game CG images or character portraits from in-game. A little disappointing.) - $5
The Art of Street Fighter (Hefty tome for the 20th anniversary of the series, filled with sketches from Capcom's resident artists over the past 20 years. Really nice variety.) - $25
[Misc. Other Junk]
Soundtracks, DVDs, etc.
Nintendo All-Star Playing Cards - A pack of trumps released as a bonus in some issue of a UK official Nintendo magazine a few years back. Pictures here. Cover looks a little sun-faded. $4
R-Type Final Dog Tag - R-9C Warhead) $5
Playstation Developer Blank CD-Rs CD-Rs for PSX devs to burn preview/review code on for use on blue or green dev units. Picture can be found here, Ctrl+F for "PLAYSTATION 1 BLANK CD-R." 4 of 'em for $10
Sekaiju no MeiQ2 piano sketch varsion [sic] CD (JP) - Piano arrangements of music from Sekaiju no Meikyuu 2 (Etrian Odyssey 2). Guess it was a promo release for a preorder or something. - $7
Dodonpachi Dai-Ou-Jou & EspGaluda Perfect Remix (JP) - This 'un. Spine card present and purty.) $20
Gradius Breakdown DVD (US) - Can't tell if it's Region 1 or region free. Promo release with Gradius V preorders. Interviews, history of Gradius series, and some Gradius V superplays. Roughly analogous to the Japanese release, I think. $10
Mushihimesama Futari t-shirt - Bright lime green with "Cave Sama" on the front in calliagraphy strokes and the Mushi Futari logo on back. Bought at the 2007 fall Cave Matsuri. Size medium on a regular Anvil t-shirt, fits a little on the snug side. Worn and washed a handful of times, but it's a little small for me to keep. Great condition, no holes, good for wear or display. $10
Yamaha CX5M MSX - One of maybe a handful of MSX units actually released in the US. A little dusty, works great, though you get an ultra-ghetto A/V cable cobbled together by yours truly. US shipping only unfortunately, since it's freakin' heavy. $30
May be adding more items as I go through the garage. I'm looking to get a moddable PSP unit in great working condition (no scratches on screen!), if there's a lot of items you see that you'd want to trade for.


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RADIATION levels have jumped 10-fold in days in seawater near Japan's tsunami-hit nuclear plant officials have confirmed.
Drinking a half-litre (20-ounce) bottle of similarly contaminated fresh water would expose a person to their annual safe dose, said an official, who however ruled out an immediate threat to aquatic life and seafood safety.
It comes as workers continue to battle the crippled power station.
The iodine-131 level in the Pacific Ocean waters just off the Fukushima plant was 1250 times above the legal limit compared with readings of 126 times higher taken on Tuesday, and 145 higher on Thursday.
"This is a relatively high level," nuclear safety agency official Hidehiko Nishiyama said in a televised press conference on the test results from Friday released by plant operator Tokyo Electric Power Company (TEPCO).
Assessing the likely impact on aquatic life, Nishiyama added: "Generally speaking, radioactive material released into the sea will spread due to tides, so you need much more for seaweed and sea life to absorb it."
He added that because iodine-131 has a half-life – the time in which half of it decays – of eight days, "by the time people eat the sea products, its amount is likely to have diminished significantly".
However, TEPCO in a statement also said that levels of caesium-137, which has a half life of about 30 years, was 79.6 times the legal maximum .
The assurances did little to lift the gloom that has hung over Japan since a massive 9.0-magnitude earthquake struck on March 11 and sent a monster tsunami crashing into the northeast coast in the country's worst post-war disaster.
The wave easily overwhelmed the world's biggest sea defences and swallowed entire communities. The confirmed death toll rose to 10,151 today, with little hope seen for most of the 17,053 listed as missing.
The wave knocked out the cooling systems for the six reactors of the Fukushima plant, leading to suspected partial meltdowns in three of them and hydrogen explosions and fires that have ripped through the facility.
Fire engines have hosed thousands of tons of seawater on to the facility in a bid to keep the fuel rods inside reactor cores and pools from being exposed to the air, where they could reach critical stage and go into full meltdown.
Radioactive iodine, caesium and cobalt levels in water in the turbine buildings next to reactors one and three were 10,000 times the normal level, raising fears that the reactor vessels or their valves and pipes are leaking.
The worst-case scenario at reactor three would be that the fuel inside the reactor core – a volatile uranium-plutonium mix – has already started to burn its way through its steel pressure vessel.
Worried about the salt buildup in the crippled plant, engineers have started pumping in fresh water instead. More is being shipped in, including on two US military water barges headed for the plant from a naval base near Tokyo.
Radioactive vapour from the plant has contaminated farm produce and dairy products in the region, leading to shipment halts in Japan as well as the United States, European Union, China and a host of other nations.
Higher than normal radiation has also been detected in tap water in and around Tokyo, about 250 kilometres from the plant, leading authorities at one stage to warn against using it for formula milk.
Japan widened the zone around the plant where it suggests people evacuate, to 30 kilometres – still below the 80 kilometres advised by the United States, and larger areas including Tokyo in other nations' alerts.
Environmental watchdog Greenpeace started its own monitoring near the plant, charging that "authorities have consistently appeared to underestimate both the risks and extent of radioactive contamination".
"We have come to Fukushima to bear witness to the impacts of this crisis and to provide some independent insight into the resulting radioactive contamination," said the group's radioactivity safety adviser, Jan van de Putte.
The campaign group said it would provide "an alternative to the often contradictory information released by nuclear regulators".


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For SBI PO-RRBs-IBPS PO/ Clerk
RBI notified the Banking Ombudsman Scheme 2006 on 26th December, 2005, in partial modification of its Banking Ombudsman Scheme 2002 to enlarge the extent and scope of the authority and functions of the Ombudsman, u/s 35A of Banking Regulation Act, 1949. The scheme that came into force i.e. 1st January, 2006 covers all Commercial Banks, Regional Rural Banks and scheduled Primary Co-operative Banks.
To facilitate the resolution of complaints relating to Banking services through conciliation and mediation between the bank and the aggrieved parties or by passing an Award.
Who Can Be Ombudsman?
CGM/GM of RBI (not exceeding 3years at a time).The cost is borne by RBI.
- Need more Banking Ombudsman (BOs)
- Net banking Frauds
Who Can File a Complaint?
A person himself/his/her authorized representative (other than an advocate) can file the compliant on paper or through electronic media (E-mail) or forwarded by RBI or Central Government.
For Credit card, the jurisdiction is with reference to Ombudsman having Justification over billing address of the card holder. For other accounts, it is as per location of the branch.
Type of Complaints:
- Non-payment or Inordinate delay in the payment or collection of drafts, cheques, bills etc.
- Non- adherence to prescribed working hours (i.e. 10am to 5pm)
- Non-disbursement or delay in disbursement of pension to the extent the grievance can be attributed to the action on the part of the bank concerned, but not with regard to its employees.
- Non-payment or delay in payment of inward remittances.
- Non- acceptance, without sufficient cause, of coins tendered and for charging of commission for the service;
- Failure to issue or delay in issue, of drafts cheques or pay orders;
- Failure to honor guarantee or letter of credit commitments;
- Non- adherence by the banks or its subsidiaries to the instructions of Reserve Bank on Debit Cards/ATM/ Credit Card operation;
- Delays in receipt of export proceeds, handling of export bills, collection of bills etc., for exporters provided the said complaints pertain to the bank's operations in India.
- Banking Ombudsman can order the bank to compensate the actual money loss or Rs. 10lakh.
- In Case of Credit card related cases, Banking Ombudsman can order the bank to pay additional fines (up to Rs. 1lakh) for the mental harassment to the customer.
Basic Information:
- Under this scheme all scheduled Commercial Banks, Scheduled Primary Co-operative Banks and Regional Rural Banks are covered.
- Banking Ombudsman is appointed by Reserve Bank of India (RBI).
- There are 16 regional offices of Banking Ombudsman in India. The offices are mostly situated at State Capitals.
- Around 15 Banking Ombudsman has been appointed.


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Beijing Amusement Park based around the Floating Dragon Lake used to be the premier theme park in Beijing attracting 2.4 million visitors a year.
It was famous for its roller coasters, 4D cinema, and the biggest Ferris Wheel in the capital.
Now all that remains is the Ferris Wheel which dominates the landscape, and the ruined remains of the aquarium which has lots of graffiti.
The site is sealed off from the public, but a quick hop, leap and jump make it pretty easy to enter.
The site is connected by a series of bridges between each of the islands, and while most of them are padlocked, you can just jump into the dried out lake bed and run to the islands.
The aquarium and the horror house are easy to get into, but not much remains, but the Ferris Wheel is safely contained behind a metal fence. It slowly turns creaking in the wind.
The central island is assessable by a Disneyesque bridge with turrets and a huge gate.
Once you are past the gate, you have free rein over the park, the security guards are far too lazy to chase you this far.
Beyond the bridge is the aquarium and the horror house. Pedlo boats line the empty basin of the lake also the lakeside.
This is a perfect Scooby-Doo location as you poke around the horror house and listen to the creaking of the Ferris Wheel. The site is a little bare now, which is why Burbex is giving Floating Dragon Amusement Park a B+ grade.
By the way, if you liked this post, be sure to check out these other great leisure sites like Olympic Homko Ghost Town and Dalian Waterpark, plus feel free to contact me on email@example.com if you want to come along. Don't forget to bring those Scooby Snax though.


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In the United States, the obvious fallout of globalization has been that fifteen percent of its food supply is imported- including nearly half of its fresh fruit and 20 percent of fresh vegetables. Not only has the entire food supply chain become more hi-tech and complex, there is addition of more foods into the market place, and along with it, new hazards in foods that were not previously seen. Take the recent case of large-scale outbreak of Salmonella in eggs and peanut butter. The recall cost of peanut butter was 1 billion USD in losses to its producer in production and sales. Such events are always followed by consumer lawsuits too. The United States is also witnessing a shift in demographic – with a growing population of about 30 percent individuals being especially "at risk" of contracting food borne illnesses. This group includes infants and young children, pregnant women, the aged and those undergoing chemotherapy. While foodborne illnesses may quite often manifest as 'just a stomach ache', it can get more serious, leading to chronic diseases like Arthritis and Kidney failure. Statistics show that about 48 million Americans (or one in six) get sick each year due to foodborne illnesses, about 128,000 are hospitalized, and about 3000 die.
These two situations have together turned food safety into more of a public health imperative than ever before, and prompted the U.S. Food and Drug Administration (FDA) to modernize and upgrade its food safety system, which is presented in the Food Safety Modernization Act (FSMA). This Act expands the authority of the FDA to unprecedented levels.
What's new about FSMA? The FDA Food Safety Modernization Act (FSMA) was signed into law by President Obama on January 4, 2011 and is now going through various stages of implementation. The cornerstone of this Act is prevention, rather than later responding to the flouting of safety norms. In principle, prevention is not new, but under the modernized Act, the Congress has given explicit authority to use prevention norms and protocol more broadly. Some ways by which this is made possible is by strengthening accountability for prevention, by having produce safety standards, by having standards for 'intentional adulteration' and transportation standards. While all this will extrapolate the frequency of inspections, new methods of inspection has also been put in place. These methods include i. Mandatory recall ii. Expanded record access iii. Expanded administrative detention iv. Suspension of registration v. Enhanced product tracing and vi. Third-party laboratory testing. The most ground-breaking shift within FSMA, however, is import safety, which requires imported foods to be just as safe as those produced domestically – the focus being on public health protection.
This would make importers responsible for ensuring that their foreign suppliers have adequate preventive controls in place. They are required to develop, maintain and follow a Foreign Supplier Verification Program (FSVP) for each food imported, unless an exemption applies. It requires mandatory certification for high risk foods, and a produce can be denied entry if FDA access to inspection is denied. Overall, the reliance on inspections by other agencies that meet standards will increase manifold, it will lead to more state, local and international capacity building and improve foodborne illness surveillance.
An improved laboratory network for testing will also make it easier to find recall information. This broad authority eliminates the need for FDA or its agents to require judicial approval for investigations.
Specifically, FSMA consists of seven final rule fact-sheets on each aspect of food import. These are as follows:
1. The Final Rule on Accredited Third-Party Certification establishes a voluntary program for the accreditation of third-party certification bodies, also known as auditors, to conduct food safety audits and issue certifications of foreign facilities and foods for humans and animals that they produce.
2. The Final Rule on Foreign Supplier Verification Program requires that importers perform certain risk-based activities to verify that food imported into the United States has been produced in a manner that meets applicable U.S. safety standards. This rule is the product of a significant level of outreach by the FDA to industry, consumer groups, the agency's federal, state, local, tribal and international regulatory counterparts, academia and other stakeholders. The FDA first proposed this rule in July 2013.
3. The Final Rule for Mitigation Strategies to Protect Food Against Intentional Adulteration is aimed at preventing intentional adulteration from acts intended to cause wide-scale harm to public health, including acts of terrorism targeting the food supply. Such acts, while not likely to occur, could cause illness, death, economic disruption of the food supply absent mitigation strategies.
4. The Final Rule on Preventive Controls for Animal Food: The FDA has finalized baseline CGMP (Current Good Manufacturing Practices) standards for producing safe animal food that take into consideration the unique aspects of the animal food industry and provide flexibility for the wide diversity in types of animal food facilities.
5. The Final Rule for Preventive Controls for Human Food: This requires that covered facilities must establish and implement a food safety system that includes an analysis of hazards and risk-based preventive controls. The rule sets requirements for a written food safety plan that includes Hazard analysis, Preventive Controls, Oversight and management of preventive controls.
6. The Final Rule on Sanitary Transportation of Human and Animal Food: This rule is one of seven foundational rules proposed since January 2013 to create a modern, risk-based framework for food safety. The goal of this rule is to prevent practices during transportation that create food safety risks, such as failure to properly refrigerate food, inadequate cleaning of vehicles between loads, and failure to properly protect food.
7. The Final Rule on Produce Safety establishes, for the first time, science-based minimum standards for the safe growing, harvesting, packing, and holding of fruits and vegetables grown for human consumption. Source: https://www.fda.gov/Food/GuidanceRegulation/FSMA/ucm247546.htm
Food Industry Trends prompted by FSMA FSMA recommends companies to move forward with updates to their food safety management system, and adjust it when the final rules are issued. This has created a surge in technology solutions, analytical tools and training products marketed to the food industry, in order to enable compliance to FSMA. For example, businesses are now integrating their food safety programs with technology solutions. To achieve automated food safety and quality management systems, 'Software-as-a-Service (SaaS) technology solutions have quickly gained a following. There's also a considerable record keeping requirement that is being filled in by increased use of mobile devices for electronic record keeping and verification. Efficient document management and on-demand data retrieval is a mandated requirement of the modern FSQMS. Food businesses recognize the inherent obstacles of manually operated systems and so are moving toward rugged mobile devices and electronic record keeping. While small and medium-sized businesses are facing an uphill task to meet new FSMA record-keeping mandate, the FDA has issued small entity compliance guidance documents to assist them.
No doubt, the FSMA has brought with it an enormous workload and tight deadlines. Building a new food safety system based on prevention will take time, and FDA is creating a process for getting this work done. The FDA requested and received a significant increase in its budget in the FY 2016 to the tune of USD 104.5 million, with anticipation of additional resources for complete implementation
Today, at SourceTrace we're happy to share our moment of pride and fulfillment, having made it as the cover story in the Food and Beverage Tech Review.
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