As more and more people survive into old age, the burden of caring for them becomes greater and greater. Although it is now possible to alleviate many of the afflictions that beset mankind, no society can afford to pay for all the healthcare that is now available or technically possible. People working in healthcare increasingly have to do more with less. Rationing takes many forms, mostly covert, and the less privileged in most societies end up struggling to get their proper share of the available healthcare resources. All too often, those in the front-line have to deal with the consequences of this 'rationing by default': healthcare professionals find themselves rushed off their feet simply doing the basic tasks and completing all the paperwork; placing frail, sick people in ever lengthening queues, sometimes asking them to wait for hours in the middle of the night under uncomfortable and even unsafe conditions; and, worst of all, working under conditions they would rather avoid in which the safety margin for those they are caring for has been greatly diminished. We are all aware that under these conditions the chance of making a mistake which can seriously harm or even lead to the death of a patient is greatly increased. But what can be done about this? How can you be sure that you are doing the right thing when faced with having to practise an uncertain science on vulnerable patients in a complex system under ever-changing conditions? At what point could you cross the invisible line from reasonable to irresponsible or unethical behaviour by tolerating conditions or tacitly accepting practices which may be regarded as unacceptable, even though you may have little immediate control over them? This book is a guide to getting it right for healthcare professionals. It is about doing the right thing, in the right way, at the right time, for the right people. These are the dimensions of quality in healthcare, and although some are in conflict (equitable access and efficiency, for example), adherence to ethical practice and professional behaviour will help lead healthcare practitioners through the minefield of responsibilities and priorities. Real-life situations are integral to the book, with over 500 clinical examples referred to within the text.
As more and more people survive into old age, the burden of caring for them becomes greater and greater. Although it is now possible to alleviate many of the afflictions that beset mankind, no society can afford to pay for all the healthcare that is now available or technically possible. People working in healthcare increasingly have to do more with less. Rationing takes many forms, mostly covert, and the less privileged in most societies end up struggling to get their proper share of the available healthcare resources. All too often, those in the front-line have to deal with the consequences of this 'rationing by default': healthcare professionals find themselves rushed off their feet simply doing the basic tasks and completing all the paperwork; placing frail, sick people in ever lengthening queues, sometimes asking them to wait for hours in the middle of the night under uncomfortable and even unsafe conditions; and, worst of all, working under conditions they would rather avoid in which the safety margin for those they are caring for has been greatly diminished. We are all aware that under these conditions the chance of making a mistake which can seriously harm or even lead to the death of a patient is greatly increased. But what can be done about this? How can you be sure that you are doing the right thing when faced with having to practise an uncertain science on vulnerable patients in a complex system under ever-changing conditions? At what point could you cross the invisible line from reasonable to irresponsible or unethical behaviour by tolerating conditions or tacitly accepting practices which may be regarded as unacceptable, even though you may have little immediate control over them? This book is a guide to getting it right for healthcare professionals. It is about doing the right thing, in the right way, at the right time, for the right people. These are the dimensions of quality in healthcare, and although some are in conflict (equitable access and efficiency, for example), adherence to ethical practice and professional behaviour will help lead healthcare practitioners through the minefield of responsibilities and priorities. Real-life situations are integral to the book, with over 500 clinical examples referred to within the text.
Keynes was an elitist and pro-capitalist economist, whom the left should embrace with caution. But his analysis provides a concreteness missing from Marx and engages with critical issues of the modern world that Marx could not have foreseen. This book argues that a critical Marxist engagement can simultaneously increase the power of Keynes’s insight and enrich Marxism. To understand Keynes, whose work is liberally invoked but seldom read, Dunn explores him in the context of the extraordinary times in which he lived, his philosophy, and his politics. By offering a detailed overview of Keynes’s critique of mainstream economics and General Theory, Dunn argues that Keynes provides an enduringly valuable critique of orthodoxy. The book develops a Marxist appropriation of Keynes’s insights, arguing that a Marxist analysis of unemployment, capital and the role of the state can be enriched through such a critical engagement. The point is to change the world, not just to understand it. Thus the book considers the prospects of returning to Keynes, critically reviewing the practices that have come to be known as ‘Keynesianism’ and the limits of the theoretical traditions that have made claim to his legacy.
This fully revised and updated new edition, extended to cover the period up to 1914, provides the ultimate introduction to British history between the end of the Napoleonic Wars and the outbreak of the First World War.
Dynamic Chess Down Under! The Doeberl Cup has been Australia’s premier weekend chess tournament since its inception in 1963. It has attracted more international masters and grandmasters than any other Australian tournament. The Doeberl Cup – Fifty Years of Australian Chess History tells the stories behind the first 49 Doeberl Cups without neglecting the many tense and spectacular games which decided the top placings. In addition to over 200 annotated games and game fragments, the author presents player biographies of not only Australia’s best players and visiting stars, but also many wonderful – and weird – characters who helped create the character of the Doeberl Cup. Dozens of photographs nicely complement the showcasing of Australia’s best talent over more than a generation. The result is a splendid account of Australian chess history since the early 1960s. From the legendary Cecil Purdy through Australia’s brightest star Ian Rogers, join author Bill Egan as he takes you through the thrills and spills of dynamic chess down under. “Personally I had a great time reading this book (a true labor of love from author Bill Egan), and I’ll make sure it has an honorable home on my bookshelf, ready to be grabbed and enjoyed many more times in the future.” – Jeremy Silman, jeremysilman.com “The Doeberl Cup: Fifty Years of Australian Chess History is a first-rate account of this event which has come to mean so much for Australian chess.” – John Donaldson, Chess Today
The West seems to be in retreat -- even from itself -- and cracks have appeared in the structures of international collaboration built after 1945. We live in a time of disintegration and rekindling of old nationalisms. Yet the end of the West has been predicted by academics, philosophers and rival statesmen for more than a hundred years. The West has proved itself to be tough -- adaptable, flexible and able to evolve to meet the challenges of changing times. In this bold new book, Bill Emmott argues that in the face of new threats, we must resist attempts to close borders and minds, and work to remove obstacles that are blocking this evolutionary change. The fight is not lost. The Fate of the West reveals that our record of overcoming our doubters and demons should give the world confidence that the idea of the West will again prevail. But to do so, we will have to return to our lodestars of openness and equality, keeping firmly in mind that without openness, the West cannot thrive; but without equality, the West cannot last.
With enormous enthusiasm for the language of ordinary northerners, this scenic portrait of coastal peoples combines history, etymology, and recollections to record a folk culture that strives to survive against current worldwide trends of uniformity. The examination delves deep into the boat and fishing traditions that shape this small angler community, including smuggling, the scenery, and the surrounding wildlife. The increasing threat that globalization poses to these sea populations makes this an important preservation - as well as an excellent source of factual information and reference material about those who live on the North Sea.
When William 'Bill' Goodman died in 2002 little did his daughters know the extent of the memoirs he had been writing in the few years before his death. Bill's life, from joining the RAF in 1941 at the age of 18 to his demob in 1948, was fraught with adventure. He describes his service with 7 Squadron at Oakington; he then highlights the terrifying events of the night their Stirling was shot down over Holland, his subsequent incarceration at Stalag Luft 3, periods in other camps and, finally, the long debilitating march back home. All this with fascinating commentary, vivid description and the intimacy of his experience. The reader will meet his fellow airmen and POWs, the man who shot down their Stirling on that eventful night, the heroes of the Dutch resistance and, surprisingly, a kindly and caring guard in Stalag Luft 3! A fascinating first-hand account of a young man's wartime experience.
Fully updated and expanded, the second edition of this still compact text on British politics expertly analyses the major changes in British political life, placing them revealingly within the context of the evolution of British society from absolute monarchy to representative democracy. The author considers each of the major components of British politics in digestible chapters, such as the Monarchy and the House of Lords, the Commons, voting behaviour, parties and pressure groups, the prime minister and cabinet, devolution, local government, and foreign policy. The book includes two new chapters on the EU referendum and Brexit, and the extraordinary December 2019 election, as well as coverage of events such as the coronavirus pandemic, and the respective travails of the increasingly split two major political parties. This readable and comprehensive introduction will be of key interest to A-level students, undergraduates and those new to the study of British politics.
In comparison with many who write about contemporary art, Hare is never self indulgent or wilfully obscure – there is no bogus theorising to be found here. From the Foreword by ALEXANDER MOFFAT Alan Davie • Eduardo Paolozzi • William Turnbull • Janet Boulton • Ian Hamilton Finlay • Joan Eardley • Anthony Hatwell • Colquhoun and MacBryde • Boyle Family • Jack Knox • Barbara Rae • Lys Hansen • Joyce Cairns • Doug Cocker • John Kirkwood • Steven Campbell • Ken Currie • Peter Howson • Henry Kondracki • Paul Reid • Iain Robertson • Douglas Gordon This book is a wide-ranging exploration of Scottish art and artists by one of Scotland's leading art historians. Navigating the intricacies of aesthetic debate with attitude and aplomb, Bill Hare examines the historical forces that have shaped Scottish art. His elegant, approachable writings are a treasure-house of informed discourse. Illuminating and perennially relevant, these essays offer stimulating perspectives and nuanced insights into the confluence of passion, mystery and myth that lies at the heart of the best of Scottish art.
Should governments save people from themselves? Do governments have the right to influence citizens' behavior related to smoking tobacco, eating too much, not saving enough, drinking alcohol, or taking marijuana—or does this create a nanny state, leading to infantilization, demotivation, and breaches in individual autonomy? Looking at examples from both sides of the Atlantic and around the world, Government Paternalism examines the justifications for, and the prevalence of, government involvement and considers when intervention might or might not be acceptable. Building on developments in philosophy, behavioral economics, and psychology, Julian Le Grand and Bill New explore the roles, boundaries, and responsibilities of the government and its citizens. Le Grand and New investigate specific policy areas, including smoking, saving for pensions, and assisted suicide. They discuss legal restrictions on risky behavior, taxation of harmful activities, and subsidies for beneficial activities. And they pay particular attention to "nudge" or libertarian paternalist proposals that try to change the context in which individuals make decisions so that they make the right ones. Le Grand and New argue that individuals often display "reasoning failure": an inability to achieve the ends that they set themselves. Such instances are ideal for paternalistic interventions—for though such interventions might impinge on autonomy, the impact can be outweighed by an improvement in well-being. Government Paternalism rigorously considers whether the state should guide citizen decision making in positive ways and if so, how this should be achieved.
As entertaining as it is informative, this dictionary offers records and explanations of a northern English dialect. The research presents information about words that go back as far as the Anglo-Saxons and Vikings as well as those present in today's vernacular. Ideal for anyone interested in English etymology, this reference is thorough and essential.
Ever since the First World War, socialists have considered imperialism a calamity: responsible for militarism, economic stagnation, and assaults on democracy in the metropolitan countries, an impediment to economic and cultural development in the Third World. So widespread has this view become that it is shared, in its essentials, not only by Marxists but also by an entire school of liberal development economists. Bill Warren breaks with this traditional outlook, arguing that the theory of imperialism, one of Marxism's most influential concepts, is not only contradicted by the facts, but has diluted and distorted Marxism itself. In particular, Warren disputes the claim that "monopoly capitalism" represents the ultimate stage of senile capitalism and sets out to refute the notion that imperialism is a regressive force impeding or distorting economic development in the Third World. The book argues on the contrary that direct colonialism powerfully impelled social change in Asia and Africa, laying the foundation for a vibrant indigenous capitalism. Finally, it takes issue with the conventional view that postwar economic performance in the Third World has been disastrous, presenting a powerful empirical case that the gap between rich and poor countries is actually narrowing. Closely argued, clearly written, original and iconoclastic, Imperialism: Pioneer of Capitalism is a compelling challenge to one of the chief tenets of contemporary socialist politics.
Where de yea belang?brings together the distinctive vocabulary of the North East dialect. "Abackabeyont, bait-poke, cracket, drucken, etten, fettle, guissie pigs, lonnin, marra, nyen, plote, queen-cat, reckling, skinch, tew, upcast, vine, willok, yem, zookers!" If you enjoy finding out about dialect words – how and where and when they were used – and where they came from – this is the best guide to help you explore the world of North East dialect. Until the 20th century, dialect was a marker of economic, social and cultural change. We know that the North East maritime connections with the Dutch led to the introduction of many 'new' words. The Scottish influence of the keelmen (fisherman) on the Tyne and their effect on local language was much more radical. Although the Tyneside dialect and identity and this way of speaking is fast waning, the popularity of discovering this language and dialect shows there is still a great interest in the languages and dialect of the past. The late Bill Griffiths (1948–2007)was an extraordinary writer and poet: radical, experimental and scholarly, but also had a great sense of humour. He was a wonderful champion of the North East, its people and heritage. Born in Middlesex, he read history before graduating in 1969. Bill ran his own independent press and published political pamphlets and essays on the arts and poetry. After gaining a PhD in Old English he fled London and settled in Seaham where he embraced the northern way of life. 'He was also a scholar of Old English and dialect who know how to make his work accessible. Private and uncompetitive, he was at least these things: poet, archivist, scholar, translator, prison-rights campaigner, pianist, historian, curator, performer, editor, short-story writer, essayist, teacher, book-maker and lyricist. The Saturday before he died, Bill discharged himself from hospital to host the Dialect Day at the Morden Tower in Newcastle upon Tyne. He died as he lived: cataloguing, awarding Best Dialect prizes, opera on his radio, the poetry paramount.' Obituary, The Independent, 20 September 2007.
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