It is reported that US Secretary of State John Kerry is to issue a clarion call for more 'global action' on climate change. This is all well and good but there isn't a 'global body' that can take 'global action'. There are economies competing in a 'global market'. How that translates into 'global action' against climate change I cannot see. Persuading individual countries that they are the ones that need to make a sacrifice for the sake of saving the world is very difficult. For the most part the West has already contributed its share of global emissions. Their damage is done. Now developing countries will have to be persuaded that there are better ways to economic growth and prosperity.
There has been in recent years concern that care in the NHS has not been sufficiently 'patient centred', or responsive to the needs of the patient on a case basis. It has been felt in care that it as been the patient who has had to adapt to the regime of care, rather than the other way around. Putting patients at the centre of care means being responsive to their needs and supporting them through the process of health care delivery. Patients should not become identikit sausages in a production line. The nurses body, the Nursing and Midwifery Council has responded to this challenge with a revised code of practice reflection get changes in health and social care since the previous code was published in 2008. The Code describes the professional standards of practice and behaviour for nurses and midwives. Four themes describe what nurses and midwives are expected to do: prioritise people practise effectively preserve safety, and promote professionalism and trust. The
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