Government, Health, Medical, Scotland

NHS drug bungles. Care home patients often receive ‘wrong’ medication…

ERRORS IN MEDICATION

Thousands of elderly care home patients are subjected to errors in their medication.

On any given day, seven out of ten residents are given wrongly administered drugs.

The errors, by care home staff, doctors and pharmacists, include giving the incorrect dosage, not giving drugs at the correct time or ensuring patients take their drugs.

Such mistakes can lead to adverse reactions, emergency hospital admissions and even death.

The Scottish Government’s Review of NHS Pharmaceutical care of Patients in the Community in Scotland noted that care homes residents have multiple ailments and complex drug regimes, but said:

… Seven out of ten residents receive some form of medication error each day.

Experts have agreed that action must be taken to address a ‘ticking time bomb’ as thousands of older patients face admission to care homes.

They said ‘poor medicines management’ is the reason for many errors and they called for regular input by pharmacists into patient care.

The Royal Pharmaceutical Society in Scotland has set up a working group to examine how pharmaceutical care in care homes could be improved.

Critics described the findings as ‘deeply worrying’ and called for urgent action to ensure the safety of patients.

A spokesperson for the Royal Pharmaceutical Society, said:

… Patients are extremely vulnerable when they transfer from one care setting to another and records do not always follow the patient or go to the community pharmacist.

… There is a need for sharing of information to one single electronic patient record.

According to the review, as the country’s population ages, and patients live longer with medical complications, there are likely to be ‘major challenges for pharmaceutical care in the future’.

After looking at the needs of residents in care homes, experts also found that most medication errors are caused by doctors or pharmacists.

The report found:

… The increasing dependency and multi-morbidity of residents, many with dementia, requires high quality pharmaceutical care, to meet the medication needs of individual residents.

The Royal Pharmaceutical Society added that the ‘time bomb’ is one of demography, saying that we have increasing numbers of elderly people with several long-term conditions and, to accommodate this, there is a need to develop more integrated care solutions.

In response to criticism that errors are occurring so shockingly frequently, and that everyone must get round the table to work out how this may be sorted, a Scottish Government official said:

… We are looking at ways to improve pharmaceutical services by working with GPs, the NHS and professional bodies.

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Britain, Government, Libya, Scotland, United States

Megrahi’s release linked to £400m arms deal. Revelations continue to emerge…

THE LOCKERBIE BOMBER: ABDELBASET AL MEGRAHI

The release of the Lockerbie bomber, Abdelbaset Al Megrahi, was linked to a £400 million arms deal with Libya, according to secret documents.

Following disclosures, obtained under Freedom of Information laws, the documents show ‘reprehensible’ connections between the Labour government that aimed to boost business and freeing the man convicted of Britain’s worst terrorist atrocity.

In an email communication between the then UK ambassador in Tripoli to the former British Prime Minister Tony Blair, further details have emerged of how a prisoner transfer agreement was aimed to be signed once Libya had fulfilled its promises to buy an air defence system.

At the time of Megrahi’s release in 2009, Labour’s government under Gordon Brown insisted there was no link to ‘blood money’ trade deals with Colonel Gaddafi.

Megrahi, a Libyan, was convicted under Scots Law of killing 270 people by blowing up a US airliner over the Scottish town of Lockerbie in December 1988. He was sent home early from Greenock prison on compassionate grounds because he had terminal prostate cancer. He died last year. Ministers have always insisted that his release from prison was a decision taken solely by the Scottish Government.

The email was sent by Sir Vincent Fean, then the UK’s most senior diplomat in Libya, to Mr Blair, ahead of his visit to Gaddafi in June 2008. Mr Blair, who quit Downing Street a year earlier, was being updated on the UK’s ongoing relations with the Libyan dictator.

Prior to this, Mr Blair met Gaddafi and his Prime Minister Al-Baghdadi Ali al-Mahmoudi in his infamous visit to Sirte in a desert tent. The meeting thrashed out a memorandum of understanding (MoU) on prisoner transfers just before BP announced the firm was investing £545 million to search for oil reserves in Libya believed to be worth £13 billion.

But according to the email, Mr Blair and Baghdadi agreed Libya would buy a missile defence system from MBDA, part-owned by BAE Systems. When he returned in June 2008 the Government appeared to see a chance for him to push for the arms deal to be sealed.

Sir Vincent Fean wrote:

… There is one bilateral issue which I hope TB (Tony Blair) can raise, as a legacy issue. On 29 May 07 in Sirte, he and Libya’s PM agreed that Libya would buy an air defence system (Jernas) from the UK (MBDA).

… One year on, MBDA are now back in Tripoli aiming to agree and sign the contract now – worth £400 million, and up to 2,000 jobs in the UK. We think we have Col Q’s (Gaddafi’s) goodwill for this contract. This issue can also be raised with Libya’s PM. It was PM Baghdadi who told the media on 29 May 07 that Libya would buy British.

… Linked (by Libya) is the issue of the 4 bilateral justice agreements about which TB signed an MoU with Baghdadi on 29 May. The MoU says they will be negotiated within the year: they have been. They are all ready for signature in London as soon as Libya fulfils its promise on Jernas.

The prisoner transfer agreement was signed in November 2008.

Lord Mandelson, the Business Secretary in Labour’s Government at the time of Megrahi’s release, said then it was ‘offensive’ to suggest it was linked to improving commercial relations with Libya.

On Sunday, Mandleson said:

… I was not aware of the correspondence covered in the FOI request.

A statement from Mr Blair’s side said the email did not show the UK government was trying to link the defence deal and Megrahi. A spokesperson for Mr Blair, said:

… Actually it shows the opposite – that any linkage was from the Libyan side. As far as we’re aware there was no linkage on the UK side. What the email in fact shows is that, consistent with what we have always said, it was made clear to the then Libyan leader that the release of Megrahi was a matter for Scotland. Of course the Libyans, as they always did, raised Megrahi.

MBDA says the Libyans never signed the arms deal.

But what is startling is the continuing emergence of revelations about the squalid relationship between the Blair government and Colonel Gaddafi.

First we learned of the willingness of the former British prime minister to fawn over an international terrorist as part of a charm offensive to win lucrative oil contracts.

With disclosures released under Freedom of Information, we now discover the grubby deal which allowed the only man convicted of the Lockerbie bombing to be freed early from a Scottish prison was linked to Libya agreeing to buy £400 million of British arms.

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Arts, Books, Scotland

Edinburgh International Book Festival 2013…

CELEBRATING 30 YEARS

30 years ago in 1983, Jenny Brown welcomed visitors through the gates of Charlotte Square Gardens for Edinburgh’s first Book Festival, presenting a vibrant programme of some 80 authors including John Updike, Liz Lochhead and Alasdair Gray. Little did anyone realise that over the next three decades the event would grow to ten times its original size, becoming the biggest and best-respected festival of books in the world.

At 30, the Edinburgh International Book Festival is well established as a key part of Scottish cultural life with an international reputation: a means of helping us think differently about our past, our present and our future. The Festival this year, which starts on the 10th August, will proudly celebrate its birthday with events looking back over three astonishing decades, and forward to what might happen over the next generation.

The 2013 Festival will include special events hosted by the Book Festival’s former directors, by Guest Selectors Margaret Atwood, Gavin Esler, Neil Gaiman and Kate Mosse, and Illustrator-in-Residence Barroux.

30 YEARS BACK, 30 YEARS FORWARD

The Edinburgh International Book Festival will also examine the impact of changes to our social, political and cultural life since the Edinburgh’s first Book Festival in 1983. Thatcherism was blossoming; the Berlin Wall still stood; Nelson Mandela was in prison and the internet was the domain of science-fiction.

In literature, 1983 was the year Roald Dahl published The Witches and Mairi Hedderwick’s Katie Morag was born; it was the year Hergé and Tennessee Williams died, while a young Iain Banks was writing his first book. Many of today’s leading Scottish authors, including Ian Rankin, Alexander McCall Smith, Irvine Welsh, James Kelman and J K Rowling, were yet to publish the novels that would bring them fame across the world.

All Book Festival events take place in Charlotte Square Gardens, Edinburgh. Author events last one hour (unless otherwise specified) and most are followed by a book signing.

All Book Festival events take place in Charlotte Square Gardens, Edinburgh. Author events last one hour (unless otherwise specified) and most are followed by a book signing.

Next year, Scotland faces a historic referendum whose outcome will affect the lives of future generations. The Festival’s 2013 programme attempts to provide a generation-wide, international (and politically neutral) context for the referendum debate. The Festival will also look at how writers are projecting forwards to imagine what might happen in the next 30 years. The Book Festival will look into its crystal ball through the eyes of leading public intellectuals, novelists and comics and graphic novel creators.

Opening day, Saturday 10th August…

The Edinburgh Book Festival begins at 10:00 and will see a range of authors on the opening day, from Graham Stewart’s ‘Thatcher’s Decade’ to Angus Peter Campbell’s work of ‘Gaelic Fiction in the 21st Century’, presented by Guest Selectors. List events are no more than £10 for entry (£8 for concessions). The Festival which will incorporate a Children’s Programme and Young Adult Events will close on Monday 26th August.

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