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In the News

RHWP:  Being sick is no holiday - The National Director for Health and Work, Dame Carol Black, published the first ever review into the health of the working age population - Working for a Healthier Tomorrow - calling for urgent & comprehensive reform and a new approach to health & work in Britain.

The review recognises that for most people work is good both for their long-term health and for their family's well-being.  Its proposals focus on keeping people healthy at work and also on helping them return to work if they get ill.

The review found that ill health was costing the country £100bn a year - enough to run the entire NHS.  But Dame Carol emphasised that although the economic cost was substantial, the human cost to families was immeasurable.  She spelled out the key challenges in the review, which include insufficient access to good work-related health support in the early stages of sickness, including mental health conditions.

Provision is currently disproportionately concentrated among a few large employers, leaving the vast majority of small employers without support.  Other issues include the current sick note process which concentrates on what people can't do, instead of what they can.
Press release ~ Health, Work and Wellbeing website ~ Carol Black's review ~ Consensus statement ~ Other related documents ~ DWP - Pathways to Work - Welfare Reform ~ Health, work and well-being – Caring for our future A strategy for the health and well-being of working age people ~ Stress: Why tackle work-related stress? ~ Line Managers' Resource ~ DWP - Welfare Reform - In work, better off: next steps to full employment ~ HSE - Managing sickness absence & return to work ~ Faculty of Occupational Medicine statement ~ Health and Well-being of Working Age People ~ Workplace Health Connect ~ HSE – Back pain in workplace ~ HSE – case study ~ Managing sickness absence in the public sector ~ Lone Parents, Health and Work (report series number 214) ~ Seven steps to managing absence in the workplace ~ New approaches to cutting staff absence ~ Rehabilitation: the missing link in workplace safety and sickness absence ~ Wales Centre for Health - Workplace Health

DH:  Why not just let Health Visitors keep doing it more cheaply & cost effectively? - The government has published a new updated Child Health Promotion Programme (CHPP) which is meant to build on the children's National Service Framework (NSF) that was published in 2004 and it is intended to ‘provide services tailored to the individual needs of children and families, acting as a best practice guide for health and social services’.

At the launch of the updated programme, Beverly Hughes also announced details of 20 new sites which will test the Family Nurse Partnership scheme - a model of intensive nurse-led home visiting for vulnerable first time young parents which involves family nurses visiting young, disadvantaged young parents from early pregnancy until the child is two years old.
 
SC:  Postal voting, a good idea destroyed by bad implementation - The Standards Committee has called for its recommendations on restoring integrity to the electoral system to be implemented following the judgement of the electoral petition relating to the local elections held in Slough on 3 May 2007.

Sir Christopher Kelly, Chairman of the Committee on Standards in Public Life commented: "This latest example of electoral fraud in Slough at last year's local government elections highlights the need for fundamental changes to our electoral system as recommended by my Committee in its Eleventh Report on the Electoral Commission.

Electoral fraud is not a trivial matter. It is an affront to the democratic principle of one-person one vote. Left unchecked it will eventually undermine trust and confidence in the democratic process and by implication the electorate's consent to the outcome of elections.

This case has shown that the safeguards introduced by the Government to combat electoral fraud particularly in relation to postal voting are easily bypassed because of the fundamental weaknesses in the current system of electoral registration.  The current system of household registration has no robust safeguards to stop bogus names being registered and then to be used as fraudulent postal votes".
DH:  Not ‘life threatening’ but no less deserving of a 'full life' - Children and young people must be given the support they need to overcome speech, language and communications difficulties so they enjoy the same opportunities to learn, socialise and succeed as anyone else, according to an interim report presented by John Bercow MP.

The Bercow Review, which the Government commissioned in September 2007, aims to improve services for children and young people from birth to 19 who have speech, language and communications difficulties, which could range from a delay in speaking to a severe stammer, or could be related to other disabilities such as autism or cerebral palsy.


The report found that some families feel their children are not a priority for local services and they have to struggle to obtain help. Information can be hard to find and services hard to access.  Many feel agencies do not work together effectively or share a common language. Others found it difficult to maintain continuous support, especially as some professionals are stretched for time and resources - while others don't have the training to step in.

The interim report highlights the main issues and has identified five key themes:
* Speech, language & communication are essential life skills and a fundamental human right
* Early identification of problems & intervention are essential to avoiding social & economic problems later in life
* Services should be a continuous process from an early age - not just the odd session
* Joint working between services and with families is critical
* The current system is patchy - there is in effect a 'postcode lottery'

John Bercow said: “Although there are some skilled professionals and very good facilities, the overall position is highly unsatisfactory……….. Above all, local commissioners attach a low priority to the subject and this must change”.
NICE:  Planned transition helps ensure healthier outcome - Ivan Lewis, Care Services Minister, has announced the publication of good practice guidance for health professionals and their partners on the transition planning for young people moving into adulthood.  Transition from children's to adult health services is recognised as an important issue, as more children are now surviving into adult life with conditions which once would have been fatal in early childhood. 

Many of these conditions will be unfamiliar to health professionals working in adult service and often the young person needs care from a number of different specialities.  The co-ordination of care which they have received in children's services all too often fades away when they transfer to adult care.

Young people with a neuro-disability such as cerebral palsy or muscular dystrophy are the least well served when the time comes to move on to adult care. 

The guide is intended to help ensure that the young person and their family are better prepared for the move to adult care and that the adult care team has been involved in planning for the transfer.
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General News

Cabinet Office: Phil Hope, Minister for the Third Sector, has announced the appointment of Sir Bert Massie as the new Commissioner for the Compact.  In his role, Sir Bert Massie will push for greater public sector compliance with the Compact, the agreement defining Government's responsibilities in dealing with charities and voluntary groups.
 
Phil Hope has also pledged an increased investment to the Commission for the Compact of £6m over the next three years, ensuring it has all the necessary resources to get the job done.  And Compact Voice, which represents sector interests, will receive nearly £1m in funding, also up from the previous year.
 
The Office of the Third Sector (OTS) has also agreed an implementation plan setting the key milestones on the path to partnership.  Developed in coordination with Compact Voice and the Commission, the plan lays out what is expected from each of the three partners in order to improve the impact and support of the Compact.
 
HA: Motorists on a section of the M42 are now allowed to drive on the hard shoulder at up to 60mph, as from last week, following a detailed safety study. The innovative M42 'active traffic management' scheme - the model for new proposals for similar schemes across England's motorways - has previously operated at a maximum of 50mph.
 
The increased maximum speed limit will apply to the two & a half mile southbound stretch of the M42 motorway between junctions 4 and 3A, with the electronic overhead signs clearly displaying the speed limit in force.
 
STFC: A UK/US team of astronomers using the NASA/ESA Hubble Space Telescope has made the first detection ever of an organic molecule in a planet orbiting another star.  This breakthrough is an important step in eventually identifying signs of life on a planet outside our Solar System.
 
The scientists found the tell-tale signature of the molecule methane in the atmosphere of an extrasolar planet called HD 189733b, which is about the size of Jupiter and orbits a star 63 light years away. Under the right circumstances methane can play a key role in prebiotic chemistry – the chemical reactions considered necessary to form life as we know it.  Although methane has been detected on most of the planets in our Solar System, this is the first time any organic molecule has been detected on a world orbiting another star.

This discovery proves that Hubble and upcoming space missions, such as the NASA/ESA/CSA James Webb Space Telescope, can detect organic molecules on planets around other stars by using spectroscopy, which splits light into its components to reveal the ‘fingerprints’ of various chemicals.
 
ScotGov: First Minister Alex Salmond has been enjoying a week-long commitment to only 'eat Scottish' food. The pledge to 'eat Scottish' was made in support of Stephen Jardine's 'Eating for Scotland' campaign for STV. The Rowett Research Institute and professional cook Wendy Barrie provided advice to the First Minister on his meals to ensure they were nutritionally balanced.  

The Cabinet Secretary for Rural Affairs and the Environment Richard Lochhead recently announced a new £60m scheme to help develop Scottish food.
 
STFC: The Science and Technology Facilities Council has offered its usual full quota of studentships and fellowships for the academic years starting in October 2008, continuing its investment in research careers.  A significant proportion of its prestigious Advanced Fellowships applicants are from overseas, demonstrating that the UK and STFC remains competitive internationally in the research arena.

Policy Statements and Initiatives

DCSF: The Government has set out the details of the transfer of £7bn to local authorities to help colleges and sixth forms deliver the reforms needed to raise the education and training leaving age to 18. At the same time, Government will direct £4bn a year through a new agency to provide training & skills for adults, ‘transforming the system to be responsive and demand-led’.
 
The proposals are published for consultation (closes on 9 June 2008)by the Department for Children, Schools & Families and the Department for Innovation, Universities and Skills in a White Paper, Raising Expectations: enabling the system to deliver. The plans will mean the dissolution of the Learning and Skills Council (LSC)by 2010 and instead make local authorities responsible for offering all young people in their area a full menu of choices - both the new Diplomas and Apprenticeships alongside GCSEs and A levels.
 
Cabinet Office: The Prime Minister has announced the publication of the first National Security Strategy for the UK, which claims to highlight the nature of the new security challenges, how they have changed, and how we are responding.
 
The strategy also claims to set out how the government has learned the lessons of recent years, including experiences of terrorism and civil emergencies in the UK and overseas.  Rwanda, the Balkans, Sierra Leone, Iraq, Afghanistan, Darfur, Burma and Kenya all show the need for the international community to be united and act decisively, but also to plan for the longer term, including supporting failing states and stabilising areas recovering from conflict, and tackling violent extremism.
 
The Prime Minister also announced a review of UK Reserves, to see how they can play a greater role in stabilisation and reconstruction in post-conflict zones
 
MoD: Increased retention bonuses worth up to £15,000 (for those below officer level) have been announced, to reward those who stay in the armed forces, alongside a new £20m pound pilot scheme to offer more affordable home ownership for service personnel and their families.
 
The Commitment Bonus, which encourages people to extend their service in the Armed Forces, will almost treble for service personnel staying in service for eight years.  The bonus can also help more junior personnel achieve their home ownership aspirations.
 
Cabinet Office: A new Centre of Expertise is to be set up to help Whitehall departments achieve their targets for reducing carbon emissions & waste across the government estate. Details of the Centre of Expertise for Sustainable Procurement (CESP) were unveiled as the Government published its response to the Sustainable Development Commission's latest report on how the Government is meeting its own sustainable objectives for tackling climate change.
 
The 6th annual Sustainable Development in Government (SDiG) report by the independent watchdog and adviser on sustainability shows a small improvement in the Government's overall performance against its key 'eco' commitments - including a 4% fall in carbon emissions across the estate by the end of 2006/7.
 
The CESP will be set up within the Office of Government Commerce (OGC) alongside the Government's Chief Sustainability Officer - a new post to be appointed to take forward a culture of change across all departments in sustainable operations and procurement.
 
WAG: Pooled council and NHS budgets will help create more efficient services in Wales Minister for Social Justice and Local Government, Dr Brian Gibbons, said recently when he issued new guidance to local authorities and NHS bodies on how to set up & manage pooled budgets.
 
Joint budgets should help local public bodies plan more effectively and provide clearer direction for people, resulting in joined-up services built around the needs of the citizen rather than the financial constraints of the organisations providing the services. Budgets could be pooled where councils and NHS bodies provide services for the same groups of people ensuring that funding is directed to those people in most need no matter

Consultations

Defra: Neighbouring local authorities, working together, could deliver better integrated and cost-effective waste services, according to a new consultation (closes on Monday 9 June 2008). Any group of two or more authorities will be able to apply to the Government to voluntarily transfer waste collection, disposal, and/or street cleansing functions to a Joint Waste Authority (JWA).
 
Joint Waste Authorities will be voluntary and would only be created with agreement of all authorities concerned. The Government claims that it introduced the powers in response to requests from local authorities and that it will be up to elected members for any particular area to decide whether they wish to establish a JWA for their area, and they will be required to consult local people about any such proposals.
Responses to the consultation should be submitted by to LAWFG@defra.gsi.gov.uk.
 
CLG: Housing Minister Caroline Flint has claimed that the building industry, local authorities and home owners will all benefit from a shake-up to the building control system which is intended to crack down on illegal construction. The ‘Future of Building Control’ consultation (closes on 10 June 2008)recommends a more efficient risk-based inspection process for local authorities that focuses on the most dangerous failings.
 
Good builders who comply with them will be relieved of the burden of unnecessary inspections, while cowboy builders will face ‘tougher’ scrutiny. A more systematic approach to the review of building regulations will also give the industry more certainty and allow better forward planning.
 
CLG: Communities Secretary Hazel Blears has set out a new draft strategy for consultation (closes Tuesday 10 June 2008) to ‘give people in every local authority area a greater say on how public money is spent by 2012, including exploring for the first time using 'community kitties' for projects to fight crime and tackle obesity’.
 
Ideas will be developed in the forthcoming community empowerment White Paper and will explore:
* Giving people a direct influence over how cash pots to tackle crime & anti-social behaviour in their area are spent.
* The potential for using kitties to get more people involved in commissioning local community health services, building on pioneering work by Southampton PCT
* By 2018 giving young people a direct say over 25% of all money spent on things to do & places to go for young people.
 
WAG: The Welsh Assembly Government’s Single Equality Scheme will set a benchmark for how the public sector promotes equality and tackles all forms of discrimination, Equalities Minister, Dr Brian Gibbons, said recently.
 
The proposals for a Single Equality Scheme, which have just gone out to consultation (closes 11 June 2008), is intended to set out the Assembly Government’s commitment to promoting diversity & equality as an integral part of the way it does business.
 
It highlights how the Assembly Government plans to work with partner organisations, such as Local Authorities and the NHS in tackling inequality and improving circumstances for all the people it represents and serves. The final Scheme, which will be effective for three years, will build on the foundations laid by the Assembly Government’s existing disability, race and gender equality schemes.
 
RFA: The Renewable Fuels Agency (RFA) HAS announced the launch of a call for evidence on the indirect impacts of biofuels, with a deadline for submissions of 14 April 2008.  Reacting to recent scientific evidence which questions the benefits of biofuels, Transport Secretary Ruth Kelly has asked the RFA to carry out a review of their indirect impacts.  The RFA hopes that the call for evidence will bring in the most up to date and rigorous information possible to the study.
 
The RFA is specifically seeking evidence on what causes land use change & food insecurity and the effect of biofuel.  It is also looking for evidence on the economic benefits of biofuels, particularly for developing countries and opportunities to restore degraded land?
 
DCSF: The Government has published for consultation (closes on 9 June 2008)in a White Paper, Raising Expectations: enabling the system to deliver details of the transfer of £7bn to local authorities.  The plans will mean the dissolution of the Learning and Skills Council (LSC)by 2010 and instead make local authorities responsible for offering all young people in their area a full menu of choices - both the new Diplomas and Apprenticeships alongside GCSEs and A levels – See ‘Policy statements and initiatives’ section for more details.

Guidance Notes and Best Practice Guides

NICE: The National Institute for Health and Clinical Excellence (NICE) has issued a clinical guideline on antibiotic prophylaxis against infective endocarditis (IE).  In a significant change to current clinical practice, the guideline recommends that antibiotics to prevent IE should not be given to adults and children with structural cardiac defects at risk of IE who are undergoing dental and non-dental interventional procedures.
 
NICE: Ivan Lewis, Care Services Minister, has announced the publication of good practice guidance for health professionals and their partners on the transition planning for young people moving into adulthood. Transition from children's to adult health services is recognised as an important issue, as more children are now surviving into adult life with conditions which once would have been fatal in early childhood.  
 
Many of these conditions will be unfamiliar to health professionals working in adult service and often the young person needs care from a number of different specialities.  The co-ordination of care which they have received in children's services all too often fades away when they transfer to adult care.
 
WAG: Pooled council and NHS budgets will help create more efficient services in Wales, Minister for Social Justice and Local Government, Dr Brian Gibbons, said recently when he issued new guidance to local authorities and NHS bodies on how to set up & manage pooled budgets.
 
Joint budgets should help local public bodies plan more effectively and provide clearer direction for people, resulting in joined-up services built around the needs of the citizen rather than the financial constraints of the organisations providing the services. Budgets could be pooled where councils and NHS bodies provide services for the same groups of people ensuring that funding is directed to those people in most need no matter
 
PR: Following industry-wide consultation, the Pensions Regulator has published updated guidance to support trustees & employers dealing with events that may impact upon their pension scheme, and when applying for a clearance statement – See ‘Business and other Briefings’ for more details.

General Reports and Other Publications

CLG: The most senior fire & rescue service expert in the country, Sir Ken Knight, has published his report on the service's operational response to the floods of summer 2007. He concludes that ‘the service responded magnificently - working tirelessly in difficult conditions to rescue countless people trapped in their homes, and successfully deploying new high volume pumps to help protect vital infrastructure.  However, there are aspects that can be improved upon, including responding to 999 calls from the public’.
 
In his review, 'Facing the Challenge', Sir Ken makes 28 recommendations, including covering co-ordinating responses, sharing of information co-ordination, resources, training and health issues.
 
TfL: Transport for London (TfL) has published two road safety reports that explore the relationship between deprivation, ethnicity and road safety.  Findings show that the situation regarding road accidents involving London's BME communities has improved greatly since 2000, with the casualty rate for black child pedestrians falling slightly faster than for white children over the last five years.  
 
The new research shows that there is strong evidence of a link between deprivation & child injury rates and this differs by ethnic groups. However, regardless of their levels of wealth, the injury rate for black child pedestrians is one and a half times greater than for white children.  While the causes for this are not yet clear, TfL is focusing on the issue by funding a number of pilot projects that work directly with local communities.
 
NAO: The National Audit Office has reported that UK Sport has developed a strategy to achieve the Government’s ambitions for the GB teams to finish fourth in the Olympic medal table and to maintain second in the Paralympics table at the London 2012 Games.
 
Although the achievements of athletes at recent elite international events suggest performance levels are improving, the NAO’s report identifies a number of risks to be managed if those ambitions are to be realised, in particular the fact that plans depend on raising £100m of funding from the private sector, which has yet to be identified.
 
DCMS has met the Committee of Public Accounts’ recommendation to draw on specialist fundraising expertise to help raise the £100m from the private sector, though it did not put out to tender for a fundraising partner until November 2007, 16 months after the Committee identified the need for expertise!
 
BERR: The Government has announced the start of a prioritisation process to select no more than three nuclear reactor designs to proceed to the next stage of Generic Design Assessment (GDA). The objective of this is to allow the nuclear regulators to focus their resources on those designs which are most capable of being licensed & operational in the UK within a 2016-2022 timeframe.
 
The nuclear regulators, the Health and Safety Executive (HSE) and the Environment Agency (EA), recently announced the findings from the first step of GDA carried out on the four eligible designs submitted for new nuclear power stations.  The next steps of GDA encompass the majority of the detailed assessment work on the designs and is expected to run until 2011.

Legislation / Legal

MoJ: Plans designed to protect householders from unscrupulous Bailiffs in England and Wales have been unveiled by the Ministry of Justice and the new measures will hopefully mean:
* More training for bailiffs to stamp out cowboy practices
* Set qualifications to raise standards
* A powerful independent regulator
* Regulation would provide safeguards to ensure debtors rights were not violated
 
The plans were announced in the response to the consultation paper ‘Regulation of Enforcement Agents’ published this week, which recommends that bailiffs in England & Wales should be regulated by one body, the Security Industry Authority (SIA).
 
MoJ: A major clean-up of meaningless and defunct laws from the Statute Book is being launched in the House of Lords. All or part of 328 Acts of Parliament masquerading as live laws are to be removed under the Statute Law (Repeals) Bill, which had its Second Reading this week.  
 
This bill implements joint recommendations of the Law Commission and Scottish Law Commission and it was prepared on the basis of extensive consultation, and those potentially affected by the repeal of the provisions were given opportunity to contribute their views.
 
The Bill is the 18th Statute Law (Repeals) Bill and the subject matter covered by the repealed Acts relates to a wide range of subjects including the Armed Forces, County Gaols, the Criminal Law, the East India Company, London, the Police, Rating, Tax and Duties, Town and Country Planning, and Turnpikes.  The oldest statute affected is the London to Harwich Roads Act 1695.
 

EU Legislation, Initiatives, etc.

UK-IPO: A judgment in the case of Symbian's Patent Application was issued last week by the High Court overturning an earlier decision of the UK Intellectual Property Office (UK-IPO) to refuse the application because it relates to nothing more than a computer program - See ‘Business and other Briefings’ for more details.

Charity and Voluntary Sector

Cabinet Office: Phil Hope, Minister for the Third Sector, has made the third commencement order of the Charities Act 2006.  This will bring into force a range of changes to bring charity law up to date and give charities greater flexibility.
 
The main changes are:
* Allowing charities to pay trustees for goods & services
* Wider powers to help the Charity Commission protect charities
* Flexibility for charities changing their charitable purpose
* Power for the Charity Commission to remove or suspend membership of a charity
* Helping charities deal with difficult circumstances
* Establishment of a new Charity Tribunal
 
TS: A brand new tribunal, set up to make it easier for charities to appeal against decisions of the sector regulator, started work last week, administered by the Tribunals Service. It has been created by the Charities Act 2006 and is designed to provide a more informal, cheaper and easier independent route of appeal against decisions of the Charity Commission.
 
The President of the Charity Tribunal is Alison McKenna and she will be supported by five legal members and seven non-legal members.  They are currently being recruited by the Judicial Appointments Commission for appointment by the Lord Chancellor.  The Tribunals Service expects legal members to be in place in the spring and the latter in the summer.
 
BIG: ITV’s News At Ten co-anchor Julie Etchingham is calling for people across the UK to ‘go for gold’ with the People’s Millions contest launched last week.  The Big Lottery Fund is giving communities up & down the country the chance to win the public’s support in their region and share in £5m of Lottery good cause money.

Five awards of up to £50,000 will be up for grabs in each of ITV’s 18 regions – a total of 90 awards across the UK and a potential quarter of a million pounds for each region for projects that improve & enrich the communities they live in.

Organisations across the regions have until the 15 May 2008 to enter the contest.  The finalists will be screened on ITV regional evening news programmes later in the year when the public in each region will be able to cast their vote for the projects they want to win the Lottery good cause cash.

Business and Other Briefings

UK-IPO: A judgment in the case of Symbian's Patent Application was issued last week by the High Court overturning an earlier decision of the UK Intellectual Property Office (UK-IPO) to refuse the application because it relates to nothing more than a computer program.
 
The UK-IPO will be appealing this judgment with a view to seeking clarification from the Court of Appeal.  Pending a decision by the Court of Appeal, the UK-IPO will be continuing to follow the practice, set out in its Practice Notices issued in November 2006 and February 2008, which are founded on the established Aerotel /Macrossan test.  When applying this test, the UK-IPO will take account of the Symbian judgment in appropriate cases.
 
PR: Following industry-wide consultation, the Pensions Regulator has published updated guidance to support trustees & employers dealing with events that may impact upon their pension scheme and when applying for a clearance statement. The guidance has been updated taking into account the PR’s experience of operating clearance and reflects the way that both the regulator and the market have developed since the process was introduced in April 2005.
 
Alongside the guidance, the regulator has also published a consultation report, which describes the consultation that has taken place on this guidance, and explains how the consultation has shaped the final version.
 
FSA: The Financial Services Authority (FSA) has published a discussion paper (DP) (closes on 25 June 2008) that looks at intermediary commission disclosure and wider issues of transparency in the commercial insurance market.  
 
In December 2007 the FSA published an independent report that considered whether disclosure of commission earned by commercial insurance intermediaries should be made mandatory.  The report, however, raised wider concerns about market inefficiencies and the FSA announced that it would publish a DP to look into this area.
 
The DP examines the conditions necessary to ensure an environment that encourages market efficiency.  Key to this is that buyers have access to clear, comparable information about the role of the intermediary including their services and the way they are paid.

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