Friday, 8 October 2010

'Concern' over Scarborough and Bridlington hospitals

'Concern' over Scarborough and Bridlington hospitals

Scarborough hospital sign The hospital met only one of the 16 essential standards of safety and quality

Serious breaches of safety and quality standards have been found at Scarborough and Bridlington hospitals, the health service regulator has said.

The Care Quality Commission (CQC) said patients were at greater risk of receiving poor care at the hospitals.

Although there was no evidence of harm to patients, "the high number of breaches presented a serious concern".

The NHS trust said safety was "an absolute priority" and it was already working to make improvements.

However, it said it was working against a background of "extremely complex" financial and recruitment problems.

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The CQC warned the trust it could face enforcement action if swift improvements were not made.

Under a new system of regulation introduced in April the CQC can issue a fixed penalty of up to £50,000 for each serious breach of a standard.

At Scarborough Hospital, inspectors found the trust was fully compliant with only one of the 16 essential standards of quality and safety and at Bridlington Hospital with six of the 16 standards.

The regulator has now given the trust 14 days to produce its plans to show how it intends to achieve compliance.

Inspectors will return unannounced to check whether the necessary improvements have been made and to decide whether it needs to initiate formal enforcement action.

Jo Dent, regional director of CQC for Yorkshire and Humber, said: "No hospital will ever be risk-free, but risks can be minimised by meeting CQC's essential standards of quality and safety.

"We have no evidence of people being harmed as a result of the breaches at either Scarborough or Bridlington hospitals.

Start Quote

We have had a legacy of financial difficulties which we are still working to overcome”

End Quote Scarborough & NE Yorkshire NHS Trust statement

"But we want people to be aware that the risk of receiving poor care is greater in these hospitals because standards are not being met.

"When nurses don't keep proper records on patients or when staff aren't trained to protect vulnerable people from abuse, the consequences can be serious.

"If staffing falls below safe levels, or if staff are stretched too thinly, then people cut corners and mistakes can be made."

At Scarborough Hospital, the most significant concerns included incomplete records kept by nurses, a lack of training in adult safeguarding and staff shortages among nursing staff.

At Bridlington Hospital, the most significant concern related to training in safeguarding vulnerable people, which inspectors said was in place but most staff had not yet had.

A Scarborough and North East Yorkshire NHS Trust spokesman said: "Improvement actions are already happening across all standards however our improvement pathway is not yet complete.

"We have had a legacy of financial difficulties which we are still working to overcome.

"In addition, we have inherited an old, outdated and difficult-to-maintain hospital estate and due to our geographic location and demographic make-up, we also have recruitment difficulties.

"These issues are extremely complex and resolving them requires an intensive, long-term improvement programme, together with significant investment. "

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Thursday, 7 October 2010

In February 2007, depending on what newspaper you read, you might have seen an article detailing a "controversial new theory" of global warming.



Sun seen through spider web. Image: Getty
A web of theory has been spun around the Sun's climate influence
In February 2007, depending on what newspaper you read, you might have seen an article detailing a "controversial new theory" of global warming.

The idea was that variations in cosmic rays penetrating the Earth's atmosphere would change the amount of cloud cover, in turn changing our planet's reflectivity, and so the temperature at its surface.

This, it was said, could be the reason why temperatures have been seen to be varying so much over the Earth's history, and why they are rising now.

The theory was detailed in a book, The Chilling Stars, written by Danish scientist Henrik Svensmark and British science writer Nigel Calder, which appeared on the shelves a week after the Intergovernmental Panel on Climate Change (IPCC) had published its landmark report concluding it was more than 90% likely that humankind's emissions of greenhouse gases were warming the planet.

I think the Sun is the major driver of climate change
Henrik Svensmark
In truth, the theory was not new; Dr Svensmark's team had proposed it a decade earlier, while the idea of a cosmic ray influence on weather dates back to 1959 and US researcher Edward Ney.

The bigger question is whether it amounts to a theory of global warming at all.

Small change

Over the course of the Earth's history, the main factor driving changes in its climate has been that the amount of energy from the Sun varies, either because of wobbles in the Earth's orbit or because the Sun's power output changes.

Most noticeably, it changes with the 11-year solar cycle, first identified in the mid-1800s by astronomers who noticed periodic variations in the number of sunspots.

If it varied enough, it could change the Earth's surface temperature markedly. So is it?

Clouds. Image: Getty
Cosmic rays appear to influence the formation of clouds
"Across the solar cycle, the Sun's energy output varies only by about 0.1%," says Sami Solanki from the Max-Planck Institute for Solar System Research in Germany.

"When you look across much longer timescales, you also see changes only of about 0.1%. So just considering directly variations in energy coming from the Sun, this is not enough to explain the climatic changes we have seen and are seeing now."

This is why scientists have been investigating mechanisms which could amplify the changes in solar output, scaling up the 0.1% variation into an effect that could explain the temperature rise of almost half a degree Celsius that we have seen at the Earth's surface in just the last few decades.

One is Joanna Haigh from Imperial College, London, UK. She realised that although the Sun's overall energy output changes by 0.1%, it changes much more in the ultraviolet part of the spectrum.

"The changes in the UV are much larger, between 1% and 10%," she says.

"And that primarily has an impact in the stratosphere (the upper atmosphere) - UV is absorbed by ozone in the stratosphere and also produces ozone, and this warms the air."

FEELING THE HEAT
Three theories on how the Sun could be causing climate change

In graphics
Using computer models of climate, Dr Haigh's team showed that warming in the stratosphere could change the way energy is distributed across the troposphere, the lower atmosphere, changing wind and weather patterns. But not by much.

"We found it might raise temperatures by a maximum of half to one Celsius in certain regions," she says. "But in terms of an impact on the global average temperature, it's small, maybe about 0.2C."

Which is not enough to explain the warming that has occurred since the late 1970s.

Crash test

Henrik Svensmark and his collaborators at the Danish National Space Center (DNSC) believe the missing link between small solar variations and large temperature changes on Earth are cosmic rays.

"I think the Sun is the major driver of climate change," he says, "and the reason I'm saying that is that if you look at historical temperature data and then solar activity and cosmic ray activity, it actually fits very beautifully.

Proponents of this mechanism have tended to extrapolate their results beyond what is reasonable from the evidence
Joanna Haigh
"If CO2 is a very important climate driver then you would expect to see its effect on all timescales; and for example when you look at the last 500 million years, or the last 10,000 years, the correlation between changes in CO2 and climate are very poor."

When hugely energetic galactic cosmic rays - actually particles - crash into the top of the atmosphere, they set in train a sequence of events which leads to the production of ions in the lower atmosphere.

The theory is that this encourages the growth of tiny aerosol particles around which water vapour can condense, eventually aiding the formation of clouds.

And the link to the Sun? It is because cosmic rays are partially deflected by the solar wind, the stream of charged particles rushing away from the Sun, and the magnetic field it carries. A weaker solar wind means more cosmic rays penetrating the atmosphere, hence more clouds and a cooler Earth.

Maximum power

The theory makes some intuitive sense because over the last century the Sun has been unusually active - which means fewer cosmic rays, and a warmer climate on Earth.

"We reconstructed solar activity going back 11,000 years," relates Sami Solanki.

The Sky experiment. Image: Henrik Svensmark / DNSC
The Sky experiment showed ions could influence aerosol formation
"And across this period, the level of activity we are seeing now is very high - we coined the term 'grand maximum' to describe it. We still have the 11-year modulation on top of the long-term trend, but on average the Sun has been brighter and the cosmic ray flux lower."

There is evidence too that cosmic rays and climate have been intertwined over timescales of millennia in the Earth's past.

And the theory received some experimental backing when in October 2006, Henrik Svensmark's team published laboratory research showing that as the concentration of negative ions rose in air, so did the concentration of particles which could eventually become condensation nuclei.

Other scientists, meanwhile, had started putting the idea to the test in the real world.

Seeing the light

In 1947, British meteorologists began deploying instruments in various sites across the country to measure sunlight.

Whether through foresight or luck, they included one feature which was to prove very useful; the capacity to measure the relative amounts of direct and diffuse light.

It is the difference between a sunny day, when light streams directly from above, and a cloudy day, when it seems to struggle in from everywhere, and photographers give up and go home.

Giles Harrison from Reading University realised that the UK Met Office's record of hourly readings from its sunlight stations could be used to plot the extent of cloud cover over a period going back more than 50 years; the larger the ratio of diffuse to direct light, the cloudier the skies.

There is some double-speak going on
Giles Harrison
By chance, cosmic rays have been recorded continuously over almost exactly the same period. So Dr Harrison's team compared the two records, looking for a correlation between more intense cosmic rays and more clouds.

"We concluded that there is an effect, but that it is small - 'small but significant' was how we described it," he recalls.

"It varied UK cloud cover only by about 2%, although we suggested it would have a larger effect on centennial timescales; and it's difficult to assess what effect this would have on global surface temperature."

He concludes it would be premature to lay global warming at the door of cosmic rays. Perhaps surprisingly, you will find no references to his work in The Chilling Stars.

Cosmic flaw

In July, Mike Lockwood from the UK's Rutherford-Appleton Laboratory attempted a definitive answer to the question with what appeared to be a simple method. He simply looked at the changing cosmic ray activity over the last 30 years, and asked whether it could explain the rising temperatures.

His conclusion was that it could not. Since about 1985, he found, the cosmic ray count had been increasing, which should have led to a temperature fall if the theory is correct - instead, the Earth has been warming.

"This should settle the debate," he told me at the time.

Graphs of cosmic ray activity and temperature

'No Sun link' to warming
It has not. Last month Dr Svensmark posted a paper on the DNSC website that claimed to be a comprehensive rebuttal.

"The argument that Mike Lockwood put forward was that they didn't see any solar signal in the surface temperature data," he says.

"And when you look at [temperatures in] the troposphere or the oceans, then you do see a solar signal, it's very clear."

Dr Lockwood disagrees; he says he has re-analysed the issue using atmospheric temperatures, and his previous conclusion stands. And he thinks the Svensmark team has been guilty of poor practice by not publishing their argument in a peer-reviewed scientific journal.

"Lots of people have been asking me how I respond to it; but how should I respond to something which is just posted on a research institute's website?" he asks.

"This isn't on, because the report title says it is a 'comprehensive rebuttal'; if it were that, then it would be his duty to publish it in a scientific journal and clean up the literature - that's how science filters out what is incorrect, and how it comes to a consensus view as to what is correct."

Droplets of doubt

This dispute presumably has some distance to run.

But Mike Lockwood's larger conclusion that current warming has nothing to do with solar changes is backed up by others - notably the IPCC, which concluded earlier this year that since temperatures began rising rapidly in the 1970s, the contribution of humankind's greenhouse gas emissions has outweighed that of the Sun by a factor of about 13 to one.

Even though misguided journalists have sometimes mistaken his work as implying a solar cause to modern-day warming, Sami Solanki agrees with the IPCC verdict.

"Since 1970, the cosmic ray flux has not changed markedly while the global temperature has shown a rapid rise," he says. "And that lack of correlation is proof that the Sun doesn't cause the warming we are seeing now."

Even to prove that the link between cosmic rays and cloud cover matters in the real world needs a lot more work, observes Joanna Haigh.

Sunset. Image: AP
A weakening Sun could soon see the issue die down
"You need to demonstrate a whole long chain of events - that the atmosphere is ionised, then that the ionised particles act to nucleate the condensation of water vapour, then that you form droplets, and then that you get clouds; and you have to show it's important in comparison to other sources of nucleation.

"And that hasn't been demonstrated. Proponents of this mechanism have tended to extrapolate their results beyond what is reasonable from the evidence."

And Giles Harrison believes climate sceptics need to apply the same scepticism to the cosmic ray theory as they do to greenhouse warming - particularly those who say there are too many holes in our understanding of how clouds behave in the man-made greenhouse.

"There is some double-speak going on, as uncertainties apply to many aspects of clouds," he says.

"If clouds have to be understood better to understand greenhouse warming, then, as we have only an emerging understanding of the electrical aspects of aerosols and non-thunderstorm clouds, that is probably also true of any effect of cosmic rays on clouds."

Dr Svensmark agrees it would be wrong for anyone to claim the case has been proved.

"If anyone said that there is proof that the Sun or greenhouse gases alone are responsible for the present-day warming, then that would be a wrong statement because we don't really have proofs as such in the natural sciences," he says.

Waned world

Two events loom on the horizon that might settle the issue once and for all; one shaped by human hands, one entirely natural.

At Cern, the giant European physics facility, an experiment called Cloud is being constructed which will research the notion that cosmic rays can stimulate the formation of droplets and clouds. There may be some results within three or four years.

By then, observations suggest that the Sun's output may have started to wane from its "grand maximum".

If it does, and if Henrik Svensmark is right, we should then see cosmic rays increase and global temperatures start to fall; if that happens, he can expect to see a Nobel Prize and thousands of red-faced former IPCC members queuing up to hand back the one they have just received.

But if the Sun wanes and temperatures on our planet continue to rise, as the vast majority of scientists in the field believe, the solar-cosmic ray concept of global warming can be laid to eternal rest.

And if humankind has done nothing to stem the rise in greenhouse gas emissions by then, it will be even harder to begin the task.

Monday, 4 October 2010

Child benefit to be scrapped for higher taxpayers

Child benefit to be scrapped for higher taxpayers

Chancellor George Osborne on "tough but fair" welfare state

Child benefit is to be axed for higher-rate taxpayers from 2013, Chancellor George Osborne has announced.

He told the Conservative conference the "tough but fair" move - affecting couples where one parent earns about £44,000 - would save £1bn a year.

Labour said the benefit should remain universal and the families who wanted to "get on" were being penalised.

Mr Osborne also revealed the total state benefits one family can claim in future will be capped at about £26,000.

This will mean that no family on welfare will be better off than one earning an average income from work, the chancellor said.

He outlined the steps in a major speech in which he defended the government's austerity measures as cuts "not for their own sake" but savings "to secure our future".

About 7.7 million families with children currently get child benefit, costing about £12bn a year.

'Not super-rich'

Ministers estimate the change will affect about 1.2 million families.

The coalition says big reductions in expenditure are needed in nearly all areas of government if it is to bring down the budget deficit.

As recently as a year ago, Mr Osborne said the Tories would preserve child benefit as it was "valued by millions".

But the chancellor told delegates in Birmingham that in the current financial climate, he could no longer continue to spend £1bn a year in child support to those who were better off.

"Believe me, I understand that most higher-rate taxpayers are not the super-rich. It is very difficult to justify taxing people on low incomes to pay for the child benefit of those earning so much more than them," he told delegates.

Describing the measure as "tough but fair", he added: "These days we really have to focus the resources on where they are most needed.


Start Quote

I will have to go to my boss and ask for a pay cut. I'm absolutely fizzing”

End Quote Iain from Basildon

"When the debts left by Labour threaten our economy, where our welfare costs are out of control, this measure makes sense."

What it means

At the moment, parents are paid £20.30 a week for the eldest child and £13.40 for subsequent children, with payments continuing until the age of 19 for those in full-time education.

Families with three children who will no longer be eligible to receive child benefit face being £2,500 a year worse off.

Mr Osborne confirmed the cut would hit homes with a single or two high earners but families with two parents on incomes up to £44,000 - which might add up together to over £80,000 - would keep the benefit.

The chancellor defended this by saying his plan was "the most straightforward" option - which would avoid across-the-board means testing.

The alternative was to introduce a "complex" system of means testing where all households had their incomes assessed, he said.

Analysis

George Osborne's decision to cut child benefit for higher-rate taxpayers is as political as it financial.

Yes, it will save £1bn a year to help pay off the deficit. Yes, it will be relatively simple to enact. And yes, many people will think it is a fair hit on the better off.

But there will be squeals.

Middle England will protest that it unfairly hits single-earner families hardest, that it acts as a disincentive to earn more, that it breaches the principle of universal benefits, that it is an attack on the family, that it is a breach of Mr Osborne's promise last year to "preserve" child benefit.

But the chancellor will not mind this. Why?

Because the vocal middle-class anguish - led by vocal middle-class media types - will give him political cover for other cuts that will affect the less well off.

This is only the start of a process that will see benefits and spending cut across the piece. Mr Osborne says we are all in this together and he has slaughtered one of welfare's sacred cows to prove it.

People will be expected to declare on their tax returns whether they fall within the 40% and 50% tax brackets and the money will then be clawed back through the tax system.

However, Mr Osborne urged top-rate taxpayers to stop claiming child benefit altogether, saying this would be the "most sensible" thing to do.

The chancellor insisted this was a "one-off" measure and did not mark the end of the principle of universal benefits which have underpinned the welfare state for decades.

BBC political editor Nick Robinson said the government's move amounted to a middle-class tax rise that would directly hit most delegates at the Conservative conference.

He said that this reflected the contradiction that, while the party was delighted to be back in government, it was having to come to terms with the reality of the painful decisions facing the country if it was to meet its objective of eliminating the structural deficit within five years.

But critics say the move - coming on top of the three-year freeze in child benefit announced in June's budget - will put even more of a squeeze on average families.

'Unfair'

"We support child benefit for all children and all families," said shadow work and pensions secretary Yvette Cooper.

"Of course there are difficult choices to make and we need more welfare reform, but it's better to get the economy growing faster and raise more tax from the banks than to cut support for children in middle-income families.

Spending review branding

A special BBC News season examining the approaching cuts to public sector spending

"Whatever people's income, it is families with children who are paying most - through cuts in child tax credit, maternity allowance, child benefit and housing benefit."

Trade union leaders said no-one was now safe from what it said were precipitous budget cuts.

"This is a big blow to the principle that has served Britain well for decades that welfare should be available to all, not just the poorest," said TUC general secretary Brendan Barber

The Child Poverty Action Group said it was "unfair" that families should be paying the price for a debt crisis not of their making.

Lib Dem leader Nick Clegg has said child benefit costs should be looked at but some party members are likely to be alarmed, having passed a motion at their conference last month to ring-fence child benefit from austerity measures.

Miranda Whitehead, vice-chair of the Women Liberal Democrats, told the BBC she was "disappointed" by the announcement, as child benefit guaranteed families a certain amount of money even if their circumstances changed.

Saturday, 2 October 2010

Vulnerable elderly 'forced to pay for medical care'

Vulnerable elderly 'forced to pay for medical care'

Elderly woman Patients can apply for NHS funding through the continuing care system

Vulnerable elderly people are being unfairly forced to pay for health care, the new chairman of the House of Commons health committee says.

Stephen Dorrell said patients with conditions such as dementia used to get free care in NHS geriatric hospitals.

But the number of places has fallen by nearly 80% in the UK over the past 20 years - despite the ageing population.

He said this had pushed people into the means-tested social care system where they were often charged for treatment.

In an interview with the BBC, he said the redrawing of the boundaries had been allowed to creep in without proper debate or scrutiny and urged politicians to face up to the issue.

An expert commission has already been set up by the government to look into the issue of social care funding in England.

But Mr Dorrell was speaking about a specific group of patients whom he believes the NHS has turned its back on.

Ignored

As well as dementia patients this includes people such as stroke victims and those with Parkinson's disease who struggle to get the NHS to pay for medical treatment they receive.

Mr Dorrell, who was health secretary towards the end of John Major's time as prime minister, said: "People are being charged for care that they would have got free from the NHS 20 or 30 years ago.

"In effect there has been a change in the definition of what constitutes NHS care and that has happened without proper debate.

"Unfortunately, it has been ignored because both politically and financially it is tricky for politicians to face up to it. But because it has not been done in a planned way there is great unfairness in the system. We see examples of cost shunting and bureaucracy that cause individuals problems.

"I would not want to see a return to the old system of geriatric hospitals - care is much better now - but you have to question whether it is fair that this group of people are being charged in this way?"

Evidence on the changes to the nursing care home and geriatric hospital sectors lend support to his view.

Case study

Mair Schwodler's family spent years fighting to get the NHS to pay for the care she needs - but to no avail.

The 84-year-old, who has Alzheimer's disease, has been immobile and incontinent since 2006.

She gets round-the-clock care in a £700-a-week nursing home in Bedford.

But despite her medical condition her family have been forced to sell her home to help pay for the specialist care she needs.

They say the pressure of her situation contributed to her husband, Bob, killing himself.

Mrs Schwodler's son-in-law Douglas Clegg, 68, says: "They worked hard all their lives and not to have health care paid for when the NHS is meant to be free is unbelievable."

Figures from analysts Laing and Buisson show that the number of geriatric beds fell from more than 80,000 in 1988 to 16,300 last year.

During the same period nursing home places more than doubled from 78,300 to 179,400. On top of that there are now nearly 300,000 residential care places, although these are less likely to have patients with severe medical conditions.

NHS funding is available to people with the most severe medical needs who are in care homes or living independently under a system called continuing care.

But campaigners claim the funding is too bureaucratic and difficult to qualify for. Little over 50,000 people currently get it.

Age UK policy adviser Stephen Lowe agreed Mr Dorrell was right to highlight the issue, saying the NHS had "unilaterally retreated" from its responsibilities.

Ruth Sutherland, interim chief executive of the Alzheimer's Society, added: "There are hundreds of thousands of people missing out on valuable financial help because they don't 'tick the right boxes'.

"People with dementia are some of the hardest hit by this deliberately tricky system. They have complex physical health needs which should often be covered by the NHS but arguments over funding see them denied this care.

"Instead they are forced to pay for social care which adds huge financial burden to people already under emotional and physical strain. Faced with exhaustion, they may not have the strength to challenge being turned down."

A Department of Health spokeswoman acknowledged there had been problems with people accessing NHS funding, but said the situation was now improving following new guidance to NHS trusts.

She added that recent data showed there had been an overall increase in the numbers of people getting continuing care funding.

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Friday, 1 October 2010

Ancient giant penguin unearthed in Peru

Ancient giant penguin unearthed in Peru



Inkayacu paracasensis An artist's impression of the giant penguin
The fossil of a giant penguin that lived 36 million years ago has been discovered in Peru.
Scientists say the find shows that key features of the plumage were present quite early on in penguin evolution.
The team told Science magazine that the animal's feathers were brown and grey, distinct from the black "tuxedo" look of modern penguins.
It was about 1.5m (5ft) tall and nearly twice as heavy as an Emperor Penguin, the largest living species.
The bird, named Inkayacu paracasensis, or Water King, waddled the Earth during the late Eocene period.
It had a long, straight beak, much longer than that of its modern relatives.
'Pedro'
The fossil was found in Reserva Nacional de Paracas in Peru. The scientists nicknamed the penguin "Pedro" - after a scaly character in a Colombian TV series.
One of the highlights of the study was the presence of well-preserved feathers and scales.
"Before this fossil, we had no evidence about the feathers, colours and flipper shapes of ancient penguins," said Julia Clarke, a palaeontologist at the University of Texas, US, and lead author of the study.
"We had questions and this was our first chance to start answering them."
She explained to BBC News that the fossil also shows that penguins' main physical features evolved millions of years ago, but the colour of penguin feathers switched from reddish brown and grey to black-and-white quite recently.
Great divers
It is the particular shape of flippers and feathers that makes penguins such powerful swimmers.
During wing-propelled diving - the so-called aquatic flight - these birds are able to generate propulsive forces in an environment about 800 times denser and 70 times more viscous than air.
Julia Clarke The team excavated the fossil in Reserva Nacional de Paracas in Peru
"One thing that's interesting in living penguins is that how deep they dive correlates with body size," said Dr Clarke.
"The heavier the penguin, the deeper it dives. If that holds true for any penguins, then the dive depths achieved by these giant forms would've been very different."
To get an idea about the colour of the feathers of the long-dead penguin, the team examined melanosomes - microscopic structures in the fossil, whose size, shape and arrangement determine the colour of a bird's feathers.
"Insights into the colours of extinct organisms can reveal clues to their ecology and behaviour," said co-author Jakob Vinther of Yale University, US.
"But most of all, I think it is simply just cool to get a look at the colour of a remarkable extinct organism, such as a giant fossil penguin."
The researchers say that the find, together with some other recent discoveries from the same area, is just another evidence of a rich diversity of giant penguin species in the late Eocene period of low-latitude Peru.
"This is an extraordinary site to preserve evidence of structures like scales and feathers," said Dr Clarke.
"So there's incredible potential for new discoveries that can change our view not only of penguin evolution, but of other marine vertebrates."

Sunday, 26 September 2010

Ed Miliband

Labour leader Ed Miliband makes vow to middle classes

Click to play

Ed Miliband: "You have put your trust in me and I am determined to repay that trust"

Ed Miliband has begun his first day as Labour leader with a vow to defend the "squeezed middle" of the country.

Mr Miliband won the leadership after beating brother David in a dramatic vote ahead of the party's conference.

Writing in the Sunday Telegraph, he said a "new generation was entrusted with transforming our party".

Mr Miliband also said Labour would now aim to "set out an alternative" but would support the coalition government "when it is right" on making cuts.

His victory comes as the Labour party conference starts in Manchester.

The former energy secretary, who will be interviewed on BBC One's Andrew Marr Show later, wrote in the Telegraph: "My aim is to show that our party is on the side of the squeezed middle in our country and everyone who has worked hard and wants to get on.

"My aim is to return our party to power. This is a tough challenge. It is a long journey. But our party has made the first step in electing a leader from a new generation."

Mr Miliband pledged not to oppose every government cut, saying public services would need to learn to do more with less, and he suggested he wanted to replace tuition fees.

He added: "As well as setting out an alternative when the government gets it wrong, we will support it when it is right."

Referring to the leadership result, Mr Miliband said: "A new generation was entrusted with transforming our party and making sure that, once again, we stand up for the interests of families across Britain.

"We have a lot of ground to make up if we are to rebuild the broad coalition of support that swept us to power in 1997."

He said the party needed to accept it made mistakes in government and show it had changed, adding: "We must never again lose touch with the mainstream of our country."

Personnel decisions

Mr Miliband won the leadership by just over 1% from his brother after second, third and fourth preference votes came into play.

How Ed Miliband won

  • Round 1: David Miliband 37.78%, Ed Miliband 34.33% Diane Abbott eliminated
  • Round 2: David Miliband 38.89%, Ed Miliband 37.47%. Andy Burnham eliminated
  • Round 3: David Miliband 42.72%, Ed Miliband 41.26%, Ed Balls eliminated
  • Round 4: David Miliband 49.35%, Ed Miliband 50.65%. Ed Miliband wins

Ed Balls was third, Andy Burnham fourth and Diane Abbott last in the ballot of MPs, members and trade unionists.

In the first three rounds of voting David Miliband was ahead - it was only when votes were reallocated as the other candidates were knocked out that his younger brother was pushed over the winning line.

Prime Minister David Cameron called Mr Miliband from his Chequers country retreat to congratulate him on his victory.

In a three-minute conversation, he told the new leader of the opposition that people would tell him that his was "the worst job in the world" but that it was not that bad and promised to keep him in touch with matters of national security.

Ed and David Miliband Ed Miliband is the 20th person to take leadership of the Labour Party

Mr Miliband, 40, replaces acting leader Harriet Harman in the contest triggered by the resignation of Gordon Brown.

He has immediate questions of personnel as well as policy to address, chiefly whether his defeated older brother - whom he does not mention in his Sunday Telegraph article - will be willing to take a job on his front bench.

After the result, David Miliband told BBC News: "This is Ed's day, it's a big day for the Miliband family, not quite the day for the Miliband family that I would have wanted - the Miliband D family, rather than the Miliband E - but that's the way things go."

However, BBC Newsnight's political editor Michael Crick says a source in the Ed Miliband camp said the brothers held several secret meetings during the week, once it became clear Ed would win.

Our correspondent adds that the source says David will be offered the job of shadow chancellor, although the Ed Milliband team is not very confident he will accept it.

The new leader will not be short of advice from colleagues.

In the Independent on Sunday, shadow Home Secretary Alan Johnson warned him not to move to the left.

Analysis

By Michael Crick, political editor, BBC Newsnight

An MP in the Ed Miliband campaign tells me they had predicted exactly the parliamentary Labour party section vote, and quite closely the union and affiliates' section vote, but they were disappointed with the members' section vote, as their figures had shown them winning among ordinary party members.

This might explain why several senior Ed Miliband supporters I've bumped into have been looking pretty glum.

Not to have a majority of your MPs, or party members, and to depend on union votes, leaves Ed Miliband in a very exposed position.

Ironically, he'll have to spend much of the next few weeks distancing himself from the unions and showing he's not in their pocket.

Shadow Welsh Secretary Peter Hain said Mr Miliband should not rely solely on attacking the coalition, but focus on policies for the next election.

Conservative Party chairman Baroness Warsi congratulated Mr Miliband on becoming leader of the opposition, but she said he owed his victory to votes of trade unionists, which she feared would lead to an "abandonment of the centre ground" by Labour.

She said it was now time for Mr Miliband to "to tell us how he'd cut the deficit".

But the joint leader of the Unite union, Derek Simpson, said the new leader was no "blast from the past".

"We're not extremists at all, Ed's not an extremist, he knows how to unite the party, we don't expect him to write blank cheques for us on policies - why would he and why should he?"

Ed Miliband, who has been MP for Doncaster North since 2005 and was energy and climate change secretary until Labour's election defeat in May, is a former aide to Gordon Brown at the Treasury. He joined the Labour Party at the age of 17.

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Friday, 24 September 2010

Unison withdraws claim of right to NHS judicial review





The government wants GPs to take on more responsibility
Unison has withdrawn its claim that it had won the right to seek a judicial review of government plans for changes to the NHS in England.
The union now says it is still waiting for a decision by a High Court judge.
StethoscopeUnison is seeking to challenge plans by the government to give GPs control of their own budgets, and abolish the existing local health trusts.
It says the proposals were not in the election manifestos of either the Conservatives or Liberal Democrats.
Unison put out the correction at 2120 BST, just under three hours after it had said its bid for a judicial review had been successful.
The government's plans for radical changes to the health service in England were published in a white paper in July.
The proposed abolition of primary care trusts came as a surprise to many within the NHS, as the coalition programme for government had envisaged a continuing role for the NHS organisations.
Unison argues that the public should have a legal right to be consulted on the changes, which it describes as "drastic".
The government says it is making every effort to listen to members of the public, unions, and NHS staff about the proposals.
It claims that the changes would mean greater choice and accountability, and it wants to see them completed across England by April 2013.


Thursday, 23 September 2010

Cerebral malaria may have passed

Cerebral malaria may have passed from gorillas to us

Gorilla (Nature) Gorillas may be the source of human cerebral malaria

Humans may have originally caught malaria from gorillas, scientists say.

Until now, it was thought that the human malaria parasite split off from a chimpanzee parasite when humans and chimpanzees last had a common ancestor.

But researchers from the US, three African countries, and Europe have examined malaria parasites in great ape faeces.

They found the DNA from western gorilla parasites was the most similar to human parasites.

Cerebral malaria

Malaria is caused by a parasite called Plasmodium, and is carried by mosquitoes.

The most common species found in Africa, Plasmodium falciparum, causes dangerous cerebral malaria. Over 800,000 people die from malaria each year in the continent.

Until now, scientists had assumed that when the evolutionary tree of humans split off from that of chimpanzees - around five to seven million years ago - so had Plasmodium falciparum.

This would have meant that humans and malaria co-evolved to live together. But new evidence suggests human malaria is much newer.

Dr Beatrice Hahn of the University of Birmingham, Alabama, in the US, is part of a team that had been studying HIV and related infections in humans and great apes.

Cerebral malaria (SPL) Cerebral malaria kills nearly a million people in Africa every year
DNA analysis

To study the DNA of infections in wild apes, you cannot use blood samples. So the team collected 2,700 samples of faecal material from two species of gorilla - western and eastern - and from common chimpanzees and bonobos, also known as pygmy chimpanzees.

They tried sequencing Plasmodium DNA from the faeces with techniques that use a large sample, and drew a genetic family tree to see which parasites were related. Dr Hahn said "When we did conventional sequencing, the tree didn't make any sense, because each sample contained a mixture of parasites."

They diluted the DNA so that they had just one parasite's genome represented in a single sample, and then amplified the DNA from there. This means they were able to separate the DNA from different species of the parasite much more effectively.

They then found the tree made much more sense. But they also found some surprising results.

The human Plasmodium was not very closely related to chimpanzee Plasmodium, as had been thought - but it was very closely related to one out of three species of gorilla Plasmodium from western gorillas in Central and West Africa.

There was more genetic variety in the gorilla parasites than in human parasites, and Dr Hahn said this means the gorilla is likely to be the "reservoir" - the origin of the human parasite.

"Other studies have just looked at chimps, so didn't find the gorilla parasite," said Dr Hahn. She added that some studies have looked at animals in captivity - so it is possible any parasites have "jumped" from their human keepers.

Start Quote

Other studies have just looked at chimps, so didn't find the gorilla parasite”

End Quote Dr Beatrice Hahn University of Birmingham, Alabama, US
Cross-infection

The researchers, who report their findings in Nature, are now going to investigate further to see exactly how different the gorilla and human parasites are. Dr Hahn says that it is possible they are even the same species, and that cross-infection between humans and gorillas may be going on now.

Members of the team Dr Martine Peeters and Dr Eric Delaporte of the University of Montpelier in France are working with hunters and loggers in Cameroon, who spend a lot of time in the forests.

They will investigate whether these workers carry malaria parasites from the gorillas, which would suggest that new infections from other species can still happen.

They also do not yet know how badly apes are affected by malaria. Dr Hahn said that the team would now like to find out whether apes are able to catch the malaria parasite, without getting ill or dying in the way that humans do.

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Monday, 20 September 2010

warning over vitamin D levels

Scottish warning over vitamin D levels

Woman sitting in the sun Sunlight on the skin helps generate vitamin D

New leaflets are to be handed out urging people to make sure they get enough vitamin D.

Doctors are concerned people in Scotland are not getting enough of the vitamin from sunlight and are not topping up their levels with a healthy diet.

There is increasing evidence that a lack of vitamin D could be linked to cancer and multiple sclerosis.

Doctors are also concerned about a rise in the bone disease rickets.

Rickets is a rare condition which causes the softening and weakening of bones in children.

Pregnant and breastfeeding women are particularly at risk of vitamin D deficiency, along with children under five, the elderly, the housebound and people with darker skin.

About 10 to 15 minutes a day of sunshine is considered safe.

Analysis

Although the advice in these leaflets isn't new, the Scottish NHS is the only health service in Britain highlighting the dangers of vitamin D deficiency.

If you live in Scotland you'll be familiar enough with the Scottish weather to know why!

On the one hand we're always being warned about the dangers of too much sunshine, now we're being told we're not getting enough.

It's an easy balance to strike though - 10-15 minutes a day is safe and avoid the middle of the day when the sun's rays just burn you.

But in Scotland the sun is only strong enough to provide vitamin D between April and September.

If the body's reserves of vitamin D run out during the winter, they need to be topped up from oily fish, eggs, meat or a supplement.

Health Secretary Nicola Sturgeon said: "We know that in Scotland the winter sun is not strong enough to provide the minimum vitamin D needed for health - especially for those with darker skin.

"A significant proportion of the UK population has low vitamin D levels. This leaflet aims to ensure that those at risk are aware of the implications of vitamin D deficiency and know what they can do to prevent it."

She added: "Vitamin D is key to maintaining healthy bones. Young children have a high risk of deficiency and we are seeing an increase in reported cases of rickets in Scotland.

"These conditions are easily prevented by improving diet and taking a supplement if you are at risk.

"Recent research suggests that vitamin D deficiency may also contribute to a range of other medical conditions. The Scottish government are keen to continue to monitor this evidence."

The health secretary is due to speak at the Shine on Scotland conference on Tuesday, which will bring together academics from across the world to consider the possible links between vitamin D deficiency and various health problems.

The event is taking place after schoolboy Ryan McLaughlin took a petition to the Scottish Parliament which called on ministers to produce new guidelines on vitamin D supplements for children and pregnant women, along with an awareness campaign about the issue.

Ryan took up the cause after watching his mother Kirsten suffering from MS.

He said: "It's amazing that I only launched Shine on Scotland early last year and so much has happened since.

"The petition lodged at the Scottish Parliament got great support and I'm really grateful to the Scottish government for being prepared to look at this issue.

"I hope the summit is a great success and that something positive can be done for people with MS and to prevent future generations from developing it."

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Wednesday, 15 September 2010

Pope adviser calls the UK a 'Third World country'

Pope adviser calls the UK a 'Third World country'


Cardinal Walter Kasper The Vatican said the cardinal was pulling out of the visit solely on health grounds
One of the Pope's senior advisers has pulled out of the papal visit to Britain, after reportedly saying the UK is a "Third World country" marked by "a new and aggressive atheism".
Cardinal Walter Kasper, 77, made the remarks in a German magazine interview.
The Vatican said the cardinal had not intended "any kind of slight", and was referring to the UK's multicultural society.
It added that he had simply pulled out of the Pope's visit due to illness.


They are saying it is ill health, but I wonder if that is the fact. I wonder if he has been dropped because he is an embarrassment”
End Quote Clifford Langley The Tablet
The German-born cardinal was quoted as saying to the country's Focus magazine that "when you land at Heathrow you think at times you have landed in a Third World country".
He also was reported to have criticised British Airways, saying that when you wear a cross on the airline "you are discriminated against".
Vatican sources said Cardinal Kasper - who stepped down in July as the head of the department that deals with other Christian denominations - was suffering from gout and had been advised by his doctors not to travel to the UK.
The Pope is spending four days in Scotland and England, starting on Thursday.
'Talking nonsense'
The BBC's correspondent in Rome, David Willey, said the cardinal's reported comments were "a slightly clumsy thing to have done on the eve of the visit".
However, he added that he did not think it would have much effect on the Pope's trip to the UK.
Clifford Langley, from Catholic newspaper The Tablet, said the cardinal was "obviously talking nonsense".
"I don't think he believes Britain is in the grip of secular atheism, and he shouldn't have said so," said Mr Langley.
"They are saying it is ill health [that has forced the cardinal to drop out of the visit], but I wonder if that is the fact. I wonder if he has been dropped because he is an embarrassment."
British Airways said the cardinal had been "seriously misinformed" in his claims about the airline.
"It is completely untrue that we discriminate against Christians or members of any faith," it said in a statement.

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