Ministers ‘are hiding details of £2bn NHS cash crisis’

 

 

Jeremy Hunt, the health secretary, is under pressure to explain why data that is in effect from the NHS’s own regular health checks has been withheld from publication.


Denis Campbell Health correspondent

Government ministers have buried NHS statistics that show the service hurtling towards an unprecedented £2bn deficit to avoid overshadowing the Tory party conference, say top NHS officials.

One senior figure at the health service regulator Monitor said his organisation had been “leaned on” by Whitehall to delay its report, which shows that NHS finances are worsening.

Neither Monitor’s quarterly report on how the NHS is faring, nor equivalent data from the NHS Trust Development Authority (TDA), have been published, as they usually are around the time of the organisations’ board meetings last month. Hospital trusts passed their information to the two regulators two months ago.

NHS insiders said it was “very, very odd” and significant that, in a departure from its usual practice, Monitor discussed the financial and treatment waiting time performance of the 152 foundation trusts it regulates in the private – rather than the public – session of its board meeting last Wednesday.

Bosses of NHS hospitals who were expecting to see the matching data for the non-foundation trusts overseen by the TDA, an arm of the Department of Health, are concerned that it is the first time that its board has failed to publish key statistics when it has held its regular monthly meeting.

Sources at the TDA and Monitor confirmed to the Observer that both organisations had been asked to delay publication, which means the figures will not appear until later this week or next.



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They reject official explanations that the figures are not ready, as both reports were prepared for publication before the alleged intervention. “We are being leaned on to delay them and I have a suspicion that the sensitivity would be less after the Tory party conference,” said one Monitor boss.

While the TDA is part of the health department, Monitor is an arm’s-length body. The requests to delay publication were made verbally rather than via email, so they could not be proved to have occurred, insiders say.

The data is understood to show that hospitals in England ended the first quarter (April, May and June) £800m in the red – almost as big as last year’s £822m annual deficit – and that, without a major crackdown on agency staff, are on course to lose £2bn by next March.

Jeremy Hunt, the health secretary, is under pressure to explain why data that is in effect from the NHS’s own regular health checks has been withheld from publication, and if the delay has happened at the request of his department. Hunt recently told MPs on the Commons health select committee: “I know it will be tough, but I am confident that the NHS overall will balance its books at the end of the year.”

Heidi Alexander, the shadow health secretary, said on Saturday: “This appears to be a cynical attempt to suppress bad news ahead of the Tory party conference. It makes a mockery of Tory claims to be committed to transparency in the NHS, and leaves Jeremy Hunt with very serious questions to answer. These figures must now be published in full as a matter of urgency.”

The row comes as Hunt prepares to announce that a widely admired hospital boss has been appointed to undertake a powerful new role in the NHS to try to get its finances back in order.
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Jim Mackey, the chief executive of Northumbria healthcare foundation trust, will be unveiled as the chief executive of a new body called NHS Improvement, which is being created by merging Monitor and the TDA.

Professor Chris Ham, chief executive of the King’s Fund thinktank, recently said that the NHS’s fast-ballooning deficit was leading to “panic” at the health department and “denial” at the Treasury. The service’s overspend was so large that it needed an emergency injection of £1bn in the comprehensive spending review to keep functioning, added Ham.

Without extra funding, he argued, the NHS would end up unable to cope, “most likely during the winter when many hospitals run out of money … With NHS hospitals unable to go bankrupt…, the Treasury will be forced to intervene or accept a rapid decline in performance.”

Monitor and the TDA issued a curt joint response to an inquiry about their unpublished figures and declined to comment on claims of political interference. A spokesperson said: “The figures for NHS providers’ financial performance in the first quarter of the year will be published shortly.”

BREAKING: Mchungaji Christopher Mtikila wa DP amefariki

Mchungaji Mtikila Enzi za uhai wake

Gari aliyopata nayo ajali Mch.Christopher Mtikila 

 

Mwanasiasa maarufu nchini Tanzania mwenyekiti wa chama cha DP Mchungaji Christopher Mtikila amefariki dunia kwa ajali ya Gari leo Majira ya saa 10 alfajiri akitokea mkoani kwake Njombe katika kampeni .

Taarifa zilizothibitishwa na mgombea Ubunge jimbo la Iringa Mjini na mwenyekiti wa DP Mkoa Robart Kisinini wakati akizungumza na SIMBAYA BLOG amesema ni kweli mwenyekiti wake huyo Taifa amefariki dunia.

Taarifa zilizotufikia kupitia kwa kamanda wa Polisi Pwani Jafari Mohamed amethibitisha kutokea kwa ajali hiyo na alifarika saa 12 kasorobo katika kijiji cha Msolwa, Chalinze akiwa kwenye gari ndogo huku wenzake watatu wakijeruhiwa vibaya. 

 

Ajali hiyo imetokea eneo la Msolwa mkoani Pwani huku Kamanda wa Polisi wa Mkoa wa Pwani akithibitisha kutokea kwa ajali hiyo.

Mtikila alitangaza kugombea Urais kupitia chama chake cha DP lakini chama chake ni moja ya vyama ambavyo vilikatwa na NEC kutokana na kutotimiza baadhi ya masharti na vigezo vilivyomo kwenye fomu ya Mgombea Urais.

Everything You Need to Know About Your Baby's Placenta

Your baby is just half of what your doctor checks during routine ultrasounds. That's because you're not just growing a baby — you're growing a one-stop shop for all your baby's needs: the placenta.

While your baby grows and matures over nine months of pregnancy, there’s something else growing in your uterus too — and it’s responsible for keeping your baby alive. You’ve likely already heard of the placenta, but what does it do? And what do you need to know about it to have a healthy pregnancy?

SO WHAT IS THE PLACENTA?

The placenta is the lifeline between your baby (or babies!) and your own blood supply. Through all stages of pregnancy, it lets your baby eat and breathe — with your help, of course. The connection is also why consuming substances such as alcoholand caffeine can impact your baby.

To grow, your baby needs nutrients, water, oxygen, antibodies against diseases, and a way to get rid of unneeded waste like carbon dioxide. The placenta provides all of these. As your own blood flows through your uterus, the placenta seeps up nutrients, immune molecules and oxygen molecules circulating through your system. It shuttles these across the amniotic sac — through the umbilical cord that connects placenta to baby — and into your baby’s blood vessels. Likewise, when your baby builds up carbon dioxide or other things he or she doesn’t need, the placenta passes these back to your blood.

The placenta also acts as a barrier — it’s vital that germs in your body don’t make your baby sick and also that your body doesn’t reject your baby as foreign material. So at the same time the placenta allows blood cells and nutrients through, it keeps most (but not all) bacteria and viruses out of the womb and also prevents many of your baby’s cells from entering your bloodstream (where they might set off alarms).

In recent years, doctors and scientists have discovered that your placenta has even more functions than they’d known about in the past. Rather than just being a passive bridge between you and your baby, the placenta also produces hormones and signaling molecules, such as human placental lactogen (HPL), relaxin, oxytocin, progesterone and estrogen, which are necessary for both of you during pregnancy. Some of these molecules encourage new blood vessels to form — both between your body and the placenta, and between the placenta and your baby — to carry oxygen to the fetus, some help your body prepare to make milk (but also prevent you from lactating before you give birth), and others boost your metabolism to help supply energy to both you and your growing baby.

WHERE IT COMES FROM

After an egg is released to be fertilized around week 3 of pregnancy, the follicle in the ovary that it came from — called the corpus luteum — collapses, starts producing the hormone progesterone, and provides nourishment and support for an embryo throughout the first trimester of pregnancy.

Meanwhile, seven or eight days after a sperm fertilizes an egg inweek 4 of pregnancy, a mass of cells — the earliest form of an embryo — implants into the wall of the uterus. Some cells from this mass split away, burrowing deeper into the uterine wall. Instead of preparing to form fingers and toes and a brain like the rest of the embryo’s cells, these ones are destined to form a disc-shaped organ that’s chock-full of blood vessels and will take over for the corpus luteum in the second trimester: the placenta.

If you have fraternal twins, each baby will have its own placenta. With identical twins, whether you have one or two placentas depends on when the fertilized egg splits — if the placenta has already formed when the embryo split in two, one placenta will sustain both twins — they’ll each have an umbilical cord linking them to the shared placenta. If the split happened earlier, though, you may have two placentas — one for each baby.

Over the next two months, the placenta develops. Small capillaries turn into larger vessels, providing your growing baby with more oxygen and nutrients. By week 12 of pregnancy, your placenta has all the structures it needs to step in for the corpus luteum and sustain your baby for the rest of pregnancy — although it will continue to grow larger as your baby grows. By the time you’re full-term at 40 weeks pregnant, your placenta will, on average, weigh about a pound.

POTENTIAL PROBLEMS & MONITORING THE PLACENTA

To remain fully functioning and grow at the right pace, a placenta requires the same healthy lifestyle as your baby — which means smoking or using illegal drugs can negatively impact it. But even if you follow every rule for a healthy pregnancy, things can go wrong with the placenta due to genetics — or just chance.

Other factors that can influence placental health include maternal age, blood pressure, previous cesarean sections and being pregnant with multiples. If you experience vaginal bleeding, severe abdominal or back pain or rapid uterine contractions (when you’re not full term), talk to your medical practitioner as these could be signs of placental problems.

Otherwise, your medical practitioner will be on the lookout for any abnormalities with the position and size of your placenta during your ultrasounds. He or she might notice that you have ananterior placenta, placenta previa, enlarged placenta, placental abruption or placenta accreta. In most cases, these conditions just mean that your doctor will keep an extra eye on your pregnancy, since the placenta can have a wide variety of sizes and positions and still do its job.

Scientists have also discovered that since the placenta shares genes with your baby, its appearance or molecular properties might provide early signs of other conditions includingpreeclampsia, premature birth, genetic diseases and even autism. As they begin to understand these links better, tests related to placental health may become more common.

DELIVERING THE PLACENTA

When you finally give birth to your baby, the last thing on your mind is the placenta that remains inside your uterus. But now that your baby is out and the umbilical cord is cut, the placenta has no use (a new one will develop with every future pregnancy). That means after you deliver you baby, you also need to deliver the placenta (called stage three of childbirth). You’ll continue to havecontractions, and your practitioner may speed along the placenta delivery by pulling gently on the umbilical cord or massaging your uterus. Whether you keep the placenta as a memento, eat it or let your practitioner take it away is up to you — and your birthing center’s policies.

MAGAZETI LEO JUMAPILI

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FREIGHT IN TIME (TZ) LTD, UPS’ AUTHORISED SERVICE CONTRACTOR IN TANZANIA

Mr Shamit Shah, Group Executive Director FiT.

Mr Dave (Centre) Freight in Time Financial Controller and guests.

Mr. Fred Mlay, Freight in Time Business Development Manager Tanzania with Guests.

Victor Maina, Air and Sea Freight Commercial Manager exchanging views with the invited guests.

CEO sign industries M.P Esmail giving a comment.

Invited guests mingle during the event.

Freight In Time (TZ) LTD (‘FiT’), the Authorized Service Contractor of UPS (NYSE: UPS), a global leader in logistics,opened its doors tovalued customers at a special event today at The Southern Sun Hotel in Dar es Salaam. The event highlighted FiT’s appreciation to local customers and in turn provided customers with an opportunity to meet FiT’s management and ask questions first hand.

FiTopened in Tanzania in 1997 and provides customers with a broad range of services with flexible pick-up and delivery times. Since 2005, the company became the authorized service contractor in Tanzania ofUPS and has served its customers with the highest level of service backed by UPS’s world class network and technology, its focus on service quality, and a deep-rooted culture of precision and innovation..UPS is a recognized leader with expertise in international air freight forwarding, regional supply chain management and intra-Africa logistics. Customers can combine package and freight services for greater supply chain efficiency and cost-effectiveness.

Shamit Shah, Group Executive Directorof FiT commented, “FiT and UPS’partnership in Tanzania has gone from strength to strength over the last 10 years and we wanted to give something back to our loyal customers. The event is a testimony of our commitment to providing our customers with an efficient, reliable service. Providing a platform for discussion and interaction, the event also offered an opportunity to demonstrate our appreciation of their loyalty.”

“Our customers are at the heart of what we do, we will continue to support our clients to develop their businesses, through our global network and innovative services facilities”, he added.

FiTemploys 72 local citizens and operates at airports in Dar, Zanzibar, Kilimanjaro, Mbeya and Mwanza. UPS Border point offices include Namanga, Holili,HoroHoro, Tunduma, Kasumulu and Sirare, whilst also serving seaports in Dar Es Salaam and Mombasa.

UPS, a global leader in logistics with 435,000 employees worldwide, has been in the region since 1988, with its regional headquarters based in the UAE. The India Sub-Continent, Middle East and Africa region is the largest UPS region with more than 70 active countries. Through access to a worldwide network serving over 220 countries and territories, UPS is invested to the success of a daily delivery average of more than 18 million packages and documents.

MO ATUA SINGIDA KUSHIRIKI MKUTANO WA KAMPENI ZA URAIS

Aliyekuwa Mbunge wa jimbo la Singida mjini, Mohammed Dewji akisalimiana na mmoja wa madiwani waliofika kumpokea mara tu baada ya kuwasili katika uwanja wa ndege wa Singida mjini pamoja na wasaidizi wake.(Picha zote na Zainul Mzige wa Modewjiblog).

Aliyekuwa Mbunge wa jimbo la Singida mjini, Mohammed Dewji akiwa ameambatana na Mgombea Ubunge wa jimbo la Bumbuli, January Makamba ambaye pia ni mmoja wa wanakamati wa timu ya ushindi ya kampeni za Mgombea urais kupitia tiketi ya CCM, Dk.John Pombe Magufuli, wakielekea sehemu ya mapokezi mara baada ya kuwasili katika uwanja wa ndege Singida mjini.

Aliyekuwa Mbunge wa jimbo la Singida mjini, Mohammed Dewji akilakiwa kwa furaha na watoto wanaoishi kwenye eneo la uwanja wa ndege Singida mjini.

Watoto wakimpokea kwa shangwe aliyekuwa Mbunge wao jimbo la Singida mjini, Mohammed Dewji mara tu baada ya kuwasili kwenye uwanja wa ndege Singida mjini kwa ajili ya kuhudhuria kampeni za Mgombea urais kupitia tiketi ya CCM, Dk.John Pombe Magufuli pamoja na kumuombea kura kwa wana Singida.

Pichani juu na chini ni Mohammed Dewji akibadilishana mawazo na watoto waliojitokeza kumpokea uwanjani hapo.

Aliyekuwa Mbunge wa jimbo la Singida mjini, Mohammed Dewji akiagana na Mgombea Ubunge wa jimbo la Bumbuli ambaye pia ni mmoja wa wanakamati wa timu ya ushindi ya kampeni za Dkt. Magufuli, January Makamba kabla ya kuelekea kwenye viwanja vya Peoples Singida mjini ulipofanyika mkutano wa kampeni za Mgombea urais kupitia tiketi ya CCM, Dk.John Pombe Magufuli. Kulia ni Msaidizi wa MO, Duda Jumanne.

Aliyekuwa Mbunge wa jimbo la Singida mjini, Mohammed Dewji akipata picha ya ukumbusho na wanaSingida wanaoishi karibu na maeneo ya uwanja wa ndege wa Singida mjini.