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England crabby about health care …

… sound familiar, Canada?


NHS chiefs predict ward closures and job cuts

King's Fund report finds NHS finance directors pessimistic about health service reforms as waiting times rise.

Photograph: Pulse Picture Library/Press Association Images

The government's controversial health service reforms threaten wards and jobs, the King's Fund think tank warns.

NHS finance directors predict ward closures, job cuts and other reductions as they struggle to make ends meet and prepare for the reorganisation of England's health system, according to the King's Fund think tank.

With some online pharmacy waiting times the worst for three years, A&E departments overstretched, and surgeons warning that patients are being denied key treatments, the first in a series of planned quarterly monitoring reports highlights "significant concern" among some of those responsible for contributing to £20bn of "efficiency savings" in the NHS over four years and for ensuring that new bodies taking over services in the next three years do not start with deficits. Most say they are unlikely to meet productivity targets this year.

The challenging picture painted by the report, from a respected independent analyst of the health service, comes during the government's two-month "pause " in trying to push through its controversial legislation. It has promised to listen and make "substantive" changes to its plans, although NHS staff have been told by the chief executive, David Nicholson, to "maintain momentum on the ground".

The report analyses recent government figures, including those pertaining to the period between referral to hospital and treatment. In February this year, nearly 15% of hospital patients had waited more than 18 weeks to be admitted, the highest figure since April 2008, and part of a steady increase since the government relaxed waiting-time targets in June last year.

The views of 26 trust finance directors, collected over the internet last month, provided government critics with more ammunition. The panel, made up of directors from acute hospital, mental health and primary care trusts, was not intended to be statistically representative, but to give "a qualitative account" of what is happening, according to the report. Most warned that they are unlikely to meet this year's productivity targets. Workforce changes, sometimes involving only cuts to agency staff, were mentioned 16 times as a way of meeting targets, and closures of wards or other services were mentioned 12 times. Four directors specified reducing the length of time people spent in hospital, with one panel member commenting: "A saving is not a saving until the activity has reduced AND the beds or theatres have closed AND the jobs taken out, Only then do commissioners and providers save money."

"Back-office" savings were listed by six directors, although others expressed scepticism, with one saying that although these were "particularly popular with politicians", they made only a modest contribution.

More than half the panel said the government should be more realistic, including over the impact of treatment tariff changes on trust incomes and the need to ration treatments. Several wanted an end to incremental pay progression for staff.

John Appleby, chief economist at the King's Fund and lead author of the report, said: "It highlights significant concern amongst NHS finance directors – who are well placed to report the stresses in the system – about the prospects for the years ahead. With hospital waiting times rising, the NHS faces a considerable challenge in maintaining performance as the financial squeeze begins to bite."

The shadow health secretary, John Healey, said the report would increase concerns that the NHS was "slipping backwards again" under the Tories.



Asus EEE Pad Transformer Beats iPad 2 To Become Amazon's Best Selling Tablets
The fact that the Asus EEE Pad Transformer is the cheapest of the Honeycomb-based viagra coupled with its unique charging keyboard docking station has brought it some good reviews and early sales figures suggest that it will sell well indeed

Amazon currently lists it as its best selling tablet, just over one week after having put it on sale. The fact that the Amazon still doesn't sell the iPad 2 officially (although many of its Marketplace partners have done so) did help.

What's more, the bundle that includes the tablet and the docking station is the one which is the more popular which shows that there is a market for cheap cialis with optional keyboard accessories.

The first generation Apple iPad are still selling very well even with a hefty price premium slapped on them. but none of the iPad 2 sold by Amazon partners feature on the list.

Like most of the recent tablets announced, the EEE Pad Transformer is built on a platform made up of a 10-inch 1280x800 pixel screen, an Nvidia Tegra 2 chipset and Google Android Honeycomb operating system.

The rest is pretty standard; Wi-Fi with optional 3G, HDMI port, USB port, microSD card slot, dual multi-megapixel front and rear facing cameras and a good battery life.

The docking station brings a SD card reader (ed : can we actually use the onboard microSD card slot AND the SD card reader simultaneously), two USB ports and a secondary battery that doubles the battery life.

by Desire Athow

Read more: http://www.itproportal.com/2011/04/11/asus-eee-pad-transformer-beats-ipad-2-become-amazons-best-selling-tablet/#ixzz1Jc9Uqlf2

ProjectManager,ClinicManager,Outreach team supervisor,STIcare providers,VCCT Counselor,Outreach work
Pharmaciens Sans Frontières - Comité International (PSF-CI) is a French Non Governmental Organization working in Cambodia since 1991 with its current programs focusing on STI/HIV/AIDS prevention and care. For its new project "STI/HIV prevention and care for those most at risk: The SMART girl and MStyle program" supported by FHI and funded by USAID, PSF-CI is now seeking for qualified Cambodian nationals to fill up positions as following. All positions are located in Phnom Penh.

1- Project Manager (1 position):
Job duties:
The project manager is in charge of the overall management of the project, including:
  • To manage a team of 21 persons and to directly supervise the Clinic Manager and Outreach team supervisor.
  • To develop monthly and quarterly planning with teams and to define strategy of the program
  • To overview monitoring and evaluation of the program activities and to ensure quality of interventions
  • To report regularly on program achievements
  • To coordinate with relevant government institutions, NGO partners and other NGOs involved in HIV prevention sector


  • Medical cheap cialis, Master of Public Health or other relevant certificate;
  • Management skills with at least 2 years of experience in NGO programme coordination, preferably in the field of HIV/AIDS;
  • Ability to lead a team, to analyze a situation and to take decision accordingly
  • Familiar with HIV/AIDS strategy in Cambodia;
  • English proficiency, both speaking and writing;
  • Good communication skills

2- Clinic Manager (1 position):
Job Duties:

  • To supervise the medical team and VCCT counselors
  • To ensure that the clinic is providing good quality services following NCHADS guidelines on STI/RTI case management.
  • To provide STI consultations and counseling about STI/HIV/AIDS to beneficiaries;
  • To collect and analyze all medical information and prepare monthly reports.
  • To participate to national technical working group on STI
  • To build capacity of PSFCI care providers and provide technical support to STI governmental staff

Job Requirements:

  • Medical Doctor, medical assistant
  • At least 2 years of STI/HIV/AIDS work experience with other organization, especially STI consultation;
  • Knowledge on STI/HIV/RH, including diagnosis, treatment and counseling;
  • English proficiency, both speaking and writing.

3- Outreach team supervisor (1 position)
Job Duties:

  • To organize and supervise the work of outreach team (6 persons)
  • To coordinate planning of outreach activities and ensure monitoring of activities
  • To ensure that outreach activities are consistent with national SOP on outreach and national 100% condom use program.
  • To collect and analyze information and prepare monthly reports
  • To build capacity of outreach workers and peer educators.
  • To strengthen network with other NGOs and government partners involved in STI/HIV prevention activities

Job Requirements:

  • Background in social science or other relevant qualifications;
  • Experience in HIV prevention outreach programs
  • Familiar with HIV/AIDS strategy in Cambodia;
  • English proficiency, both speaking and writing
  • Good interpersonal skills and computer literacy.

4- Male and Female STI care providers (4 positions):
Job Duties:

  • To provide STI consultations and counseling about STI/HIV/AIDS to beneficiaries;
  • To record medical information in patient files
  • To ensure sterilization of medical equipment and cleanliness of consultation room
  • To refer patients to care provider network when needed

Job Requirements:

  • Medical Assistant, midwife
  • Previous experience in provision of STI consultation;
  • Knowledge on STI/HIV/RH, including diagnosis, treatment and counseling;
  • Good interpersonal skills and computer literacy.

5- VCCT Counselor (1 position)
Job duties:

  • To provide pre and post counseling to clients of VCCT;
  • To refer beneficiaries to relevant OI/ARV sites when needed

Job Requirements:

  • Background in Social Work, Psychology, or any related field;
  • Training on VCCT counseling
  • Previous experience in counseling
  • Good interpersonal skills

6- Outreach workers (2 positions)
Job duties:

  • To carry out STI/RTI/HIV/AIDS health education in entertainment establishments
  • To provide counseling, protective services to the team and beneficiaries;
  • To refer beneficiaries to The clinic to receive STI consultations
  • To monitor peers educators in the fields and build their capacities;
  • To maintain good collaboration with CUWG and Outreach governmental staff, establishment owners and stakeholders;

Job Requirements:

  • Background in Social Work, Psychology, or any related field;
  • At least 2 years of work experience with other organization in health education program;
  • Knowledge on STI/HIV/AIDS;
  • Good interpersonal skills and computer literacy.

7- Accountant (1 position)
The Accountant will be under supervision of PSFCI Financial Officer:
Job duties:

  • Record all expenditures in PSFCI software
  • Collect all original invoices and classify it according to PSFCI requirement
  • Submit soft and hard copy of monthly accountancy to Financial Officer
  • Edit monthly financial report
  • Assist the Financial Officer in daily tasks

Job Requirements:

  • Degree in accounting
  • At least 2 years of work experience, preferably with International NGO
  • Computer competency, especially MS Excel and accounting software
  • Proficiency in oral and written English
  • Organization, strictness in work, ability to work within a team

8- Driver (1 position)
Job duties:

  • To transport mobile intervention team to their working places
  • To drive with consideration for the safety of the passengers and other road users, and according to the road condition and with respect of national traffic regulations
  • To record all travels in log book and make necessary daily / weekly checking of the vehicle
  • To keep the assigned vehicle clean and roadworthy


  • Valid driving license
  • Minimum 2 years driving experience, preferably with NGOs
  • Good interpersonal skills

Interested candidates should send their applications with CV and any relevant certificate before 5.00 pm on Friday 20th February 2009, to PSF-CI office: # 8, Street 328, Sangkat Tuol Svay Prey 1, Khan Chamkar Morn, Phnom Penh, or via e-mail at coordokh@psfci.org

Salary will be based on PSF-CI salary scale, diplomas and work experiences. Only short-listed candidates will be contacted. Women are encouraged to apply.

T-Mobile to offer two tablets
T-Mobile announced at CES that they will have two order cialis. The first is the LG G-Slate which will run Android 3.0 (Honeycomb) which is built just for cialis. The second is the Dell Streak 7. It is similar to the Dell Streak but has a larger display and upgrated features. Both will run T-Mobile's 4G network.