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AN official report kept under wraps supports John Hunter Hospital surgeons' claims they were being pressured internally to re-categorise the urgency of surgeries to meet NSW Health targets. Login or signup to continue reading It says that "resourcing constraints" resulted in the downgrading of clinical urgency categories, and that there were "internal perceived pressures" to avoid "breaches". The report goes on to say clinical urgency reviews that resulted in longer waits were "influenced by non-patient factors such as resource constraints or to prevent breaching the maximum recommended wait time". A breach occurs when a surgery is postponed past the clinically recommended timeframe, which for category 1 (urgent) is 30 days, category 2 (semi-urgent) is 90 days, and category 3 (non-urgent) is 365 days. The Ernst & Young review , for which NSW Health was billed $275,000, also says that once a surgery's urgency was downgraded at the John, it was less likely to break set time-frames. That was more likely to occur in the days before the breach date and towards the end of a financial year. When the changes were taken into account, the hospital scored a recalculated breach rate of more than 10 per cent, compared with the previously officially reported breach rate of just 4.7 per cent. John Hunter Hospital's recalculated breach rate was double the NSW average. Chart reviews conducted as part of the review found that, in some cases, operating theatres were available to be booked, but high demand for ICU beds meant the planned surgery could not go ahead. That was attributed to 'cultural issues' such as difficulty retaining specialised staff, high demand for beds, and a preference for overnight stays, the report says. NSW Health has kept the report under wraps , agreeing to release only a heavily redacted version in response to numerous Newcastle Herald requests under the Government Information Public Access Act (GIPAA). In late 2022, senior clinicians publicly expressed frustration and desperation about the management of surgical waitlists. An external poll of 256 surgeons, anaesthetists, obstetricians and gynaecologists was conducted with the support of the doctors union, the Australian Medical Salaried Officers Federation (ASMOF). More than 80 per cent of the surgeons and proceduralists who responded said they had been asked by hospital staff to change the clinical urgency categories of patients on surgery waitlist to meet Key Performance Indicators (KPIs) set by the Ministry of Health. A summary of the poll said the routine re-categorisation of patients to avoid breaching waiting times hampered the timely delivery of surgical care to patients. One of the senior clinicians involved at that time, who has since retired, said surgical staff were routinely asked by staff to downgrade surgical urgency categories. If it was only a matter of a day or two he was happy to oblige, but not when it put patients at risk, he said. He said he was also aware of cases where urgency categories were changed with no consultation with the relevant clinician. NSW Health secretary Susan Pearce, the highest-level executive in the department with an annual salary in excess of $600,000, told Parliament when the issue was raised in late 2022 that her team would help with a "compliance check". The Ministry of Health would hire an independent team to do that so it could be "at arm's length", she said. Almost one-third of the document produced to the Herald and department heads at John Hunter Hospital is blacked out. The report does not focus solely on the John, or mention the doctor's claims. President of the Australian Salaried Medical Officers Federation (ASMOF) Nicholas Spooner said the system needed to be transparent and set realistic expectations for patients. "Business as usual shouldn't be to fudge the numbers to make things go away, it should be to resources things appropriately," Dr Spooner said. "Or, be clear about what you're doing, and the fact that the public's expectations should change. But you can't have both. "Instead of addressing the problem, or being open about the fact there is a problem, to fudge the numbers seems disingenuous." Amanda Cohn MLC, Greens NSW spokesperson for Health and Mental Health and a former GP, said decision-makers needed accurate data to inform decisions around policies and resourcing. "Wait lists for elective surgery should only be adjusted in the interest of patient health and safety, not to manipulate data so KPIs can appear to be met," Dr Cohn said. "This report confirms serious issues at HNELHD in particular that need to be addressed. "I've asked the Health Minister what's being done to make sure elective surgery waitlist data is accurate, and to ensure these unintended consequences of KPIs don't impact patient safety or resourcing." Hunter New England Health boss Tracey McCosker recently told staff that many of the issues identified in the report had since been addressed. Staff were also told that the allocated wait times should not be above people's expectations, but there was "a lot of pressure on our system" with competing factors. In a statement to the Herald, a Hunter New England Health spokesman referenced the challenges brought about by the COVID-19 pandemic, such as the disruption associated with the temporary suspension of non-urgent elective surgeries. "Along with increased demand from an ageing population, rising rates of chronic diseases, and workforce challenges, these factors have affected our surgical capacity," the statement said. Over the past two years, clinical operations had been streamlined under a single executive director to reduce complexity and maximise capacity, it said. A district-wide surgical governance committee, with a central medical lead, had also been established to "better optimise resources, improve patient access, and make the most of our extensive surgical network". "We are reinforcing education and accountability around the Elective Surgery Access Policy through regular clinician engagement, ensuring their involvement in decision-making at every stage," it said. "To reduce surgery wait times, we are reviewing theatre capacity, managing outpatient waitlists, and collaborating with private providers where possible. "Looking ahead, the rollout of the Single Digital Patient Record will enhance our ability to plan, coordinate, and deliver surgical services. "Further, the $835 million redevelopment of the John Hunter Health and Innovation Precinct will expand our intensive care and operating theatres to help meet growing demand." Community health & welfare, social justice, investigations, general news.Gabriel.Fowler@newcastleherald.com.au Community health & welfare, social justice, investigations, general news.Gabriel.Fowler@newcastleherald.com.au DAILY Today's top stories curated by our news team. Also includes evening update. WEEKDAYS Grab a quick bite of today's latest news from around the region and the nation. WEEKLY The latest news, results & expert analysis. WEEKDAYS Catch up on the news of the day and unwind with great reading for your evening. WEEKLY Get the editor's insights: what's happening & why it matters. WEEKLY Love footy? We've got all the action covered. WEEKLY Every Saturday and Tuesday, explore destinations deals, tips & travel writing to transport you around the globe. 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UK to increase funding for war crimes prosecution amid Russian invasion of UkraineCANTON, Mass., Dec. 23, 2024 (GLOBE NEWSWIRE) -- Destination XL Group, Inc, (NASDAQ: DXLG), the leading integrated - commerce specialty retailer of Big + Tall men’s clothing and shoes, today confirmed that it has received a non-binding proposal from Fund 1 Investments, LLC to acquire all of the outstanding shares of the Company. The Board of Directors regularly reviews opportunities to create and enhance shareholder value and will carefully review and evaluate this proposal and other strategic alternatives together with its financial and legal advisors. Guggenheim Securities, LLC is acting as financial advisor and Greenberg Traurig, LLP is acting as legal advisor to the Company. About Destination XL Group, Inc. Destination XL Group, Inc. is the leading retailer of Men’s Big + Tall apparel that provides the Big + Tall man the freedom to choose his own style. Subsidiaries of Destination XL Group, Inc. operate DXL Big + Tall retail and outlet stores and Casual Male XL retail and outlet stores throughout the United States, and an e-commerce website, DXL.COM, and mobile app, which offer a multi-channel solution similar to the DXL store experience with the most extensive selection of online products available anywhere for Big + Tall men. The Company is headquartered in Canton, Massachusetts, and its common stock is listed on the Nasdaq Global Market under the symbol "DXLG." For more information, please visit the Company's investor relations website: https://investor.dxl.com Forward-Looking Statements This press release contains forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are often accompanied by words that convey projected future events or outcomes such as “expect,” “believe,” “estimate,” “plan,” “project,” “anticipate,” “intend,” “will,” “may,” “view,” “opportunity,” “potential,” or words of similar meaning or other statements concerning opinions or judgment of the Company or its management about future events, and include statements regarding the Company’s evaluation of the non-binding proposal. Such forward-looking statements are based on various assumptions as of the time they are made, and are inherently subject to known and unknown risks, uncertainties and other factors that may cause actual results, performance or achievements to be materially different from any future results, performance or achievements expressed or implied by such forward-looking statements. Although the Company believes that its expectations with respect to forward-looking statements are based upon reasonable assumptions within the bounds of its existing knowledge of its business and operations, there can be no assurance that actual results, performance, or achievements of the Company will not differ materially from any projected future results, performance or achievements expressed or implied by such forward-looking statements. Actual future results, performance or achievements may differ materially from historical results or those anticipated depending on a variety of factors, many of which are beyond the control of the Company. The Company encourages readers of forward-looking information concerning the Company to refer to its filings with the Securities and Exchange Commission, including without limitation, its Annual Report on Form 10-K filed on March 21, 2024, its Quarterly Reports on Form 10-Q and other filings with the Securities and Exchange Commission that set forth certain risks and uncertainties that may have an impact on future results and the direction of the Company Investor Relations Contact: investor.relations@dxlg.com (603) 933-0541 Public Relations Contact: Mike Reilly / Matt Sherman Joele Frank, Wilkinson Brimmer Katcher DXLGmedia-jf@joelefrank.com (212) 355-4449
Four years pass since liberation of Azerbaijan’s Lachin from Armenian occupationTV hosts Emma and Matt Willis have been left "worried and scared" and want to see more safeguards in place for children around smartphones - after taking part in a pioneering social experiment. In their new Channel 4 documentary Swiped they tackle the timely issue of the impact of smartphones on children’s behaviour. Matt and Emma join forces with The Stanway School in Colchester and challenge a group of Year 8 pupils – and themselves – to give up their smartphones completely for 21 days. The children, some of whom spent five hours a day on their mobiles, initially struggle without their devices that they are addicted to. But they sleep better and are seen on screen more alert in class with some also having less anxiety. Emma and Matt also investigate just what young children have access to on their phones including scenes of violence and hardcore pornography which shocks them. They speak to Peter Kyle, Secretary of State for Science, Innovation and Technology , about trying to bring about change, including a possible ban on smart phones for under 14s and now want the series to spark a nationwide conversation. Emma told the Mirror : "You only go into something like this if it speaks to you and you want to help shift the needle. All you ever really want is to keep kids safe and I hope this can make a little change in some way, a small part in a bigger thing that keeps them safe online." Posing as 13 year olds on TikTok with new phones they got sent suicide content and violence against women within 4 hours of starting scrolling on a new account. Shocked Emma says: "It’s just not what I thought it would was. I know you hear stories about what can be found on there but finding and searching for something is very different from it being served to you the first time you go on there as a 13 year old." Matt later says some of the things kids have access to on their phones is "terrifying". Matt added ahead of the experiment: "it’s how much time our kids spend on their smart phones that got us worried. I think we’ve signed up to this experiment because we’re living it. We’re going through it with our kids and we have no idea how to navigate this. We’re worried, we’re scared, everything we’re seeing is negative, but we don’t know how to stop it. "Our daughter was 11 when she got a smart phone, it’s been the biggest disruptor between us and her, I feel like I lose her to it quite a bit. I miss her. I remember sitting on the couch once, the TV was playing and we were all on our phone. I was like, ‘This is not good’." The experiment has now brought about change in their own home where they are parents to three children; Isabelle, 15, Ace , 13, and Trixie, 8. Now, mobiles are charged downstairs, not in bedrooms, and their children hand them over so they spend some family time together from 8pm. The Voice host Emma, 48, has deleted instagram from her phone and only looks at it on an iPad. Their youngest child does not yet have a phone and is now unlikely to get a smart phone for a number of years. Emma said: "Our kids first had a phone when they were at secondary school, it feels like everyone has one and they want one. There are times when I definitely feel like I’ve lost them. Personally for me, I wished I’d never given them a smart phone. Our eldest, even now, and we’re a bit scared of her on this subject, which is terrible really because she’s a lovely kid. We never allow them to have social media. Then when she was 14 she had been begging for a long time and we were like, you can have Snapchat. And she’s literally on it all the time. "The one thing that we really want to get out of this experiment is that we really hope that it will get the ball rolling and change will begin. Because I think what we all want is that for our kids to be able to be in the tech world from the right age, but be absolutely safe within it. If we can all kind of put that pressure on, hopefully we can make positive change." Musician Matt, 41, is a recovering drug addict and so has fought addiction before. He said: "I used to belittle it in my head. But when I think about it, I am addicted to my phone. When I'm without it I crave it. I act the same way about this device as I have about substances in the past." He added: "When I think about the idea of a smartphone ban to the age of 14, I think that's a very wise decision. We are exposing them to so much stuff that they can't process or they shouldn't be seeing, and we are allowing that to happen. The Government can't turn a blind eye to this anymore. You've got to look at this and go, this is a massive problem." Further results from the landmark tests, conducted in conjunction with The University of York, will be released later this week. MP Kyle said changes were coming in regarding online safety next Summer but tells the programme a ban on smart phones for under 14s was not the "right way forward" at the moment. However, several doctors speaking on the programme say from what they have witnesses in clinics, giving young children phones has been a disaster in recent years. * Swiped: The School That Banned Smartphones starts on Channel 4 on Wednesday at 8pm and will be available to stream from Wednesday. Follow Mirror Celebs on TikTok , Snapchat , Instagram , Twitter , Facebook , YouTube and Threads .
PITTSBURGH (AP) — Pittsburgh Steelers wide receiver George Pickens was a full participant in practice on Monday, opening the door for him to return from a three-game absence on Wednesday when Pittsburgh hosts the Kansas City Chiefs. Pickens hasn't played since tweaking his hamstring earlier this month. The Steelers (10-5) have struggled to generate much in their passing game with their leading receiver watching from the sideline in sweatpants. Though Monday's practice was a walkthrough, Pickens said he felt good and hopes he'll be able to face the two-time defending Super Bowl champions. The 23-year-old was going through post-practice drills on Dec. 6 when he felt his hamstring tighten up, forcing him to miss the first games of his three-year career. Pittsburgh has gone 1-2 in his absence, including back-to-back losses to Philadelphia and Baltimore in which Russell Wilson passed for just 345 yards while missing one of the NFL's top downfield threats. Wilson is encouraged by the way the sometimes mercurial Pickens — who has been flagged and fined multiple times this season for infractions ranging from facemasks to unsportsmanlike conduct — has remained engaged. “He’s been great in the midst of his little trial here over the past few weeks,” Wilson said. “And so we’re excited to have him back if that’s the case fully and let him do his thing.” Safety DeShon Elliott (hamstring) and defensive tackle Larry Ogunjobi (groin) were also listed as full participants on Tuesday. Neither veteran has played since getting hurt against Cleveland on Dec. 8. While Pickens, Elliott and Ogunjobi could be available as Pittsburgh tries to hold off Baltimore for the AFC North lead, cornerback Joey Porter (knee) and WR Ben Skowronek (hip) are likely out after missing practice for a second straight day. AP NFL: https://apnews.com/hub/nfl
(The Center Square) - Entrepreneur Elon Musk filed for an injunction against OpenAI CEO Sam Altman to keep the AI industry leader a non-profit. Musk’s motion alleges Microsoft and OpenAI are both blocking investments into xAI, his competing artificial intelligence company, and profiting from his early substantial funding and public support of OpenAI as a nonprofit. OpenAI maintains Musk sought to transform OpenAI into a for-profit company headed by Musk himself. Musk has long shared his fears about the possible danger artificial intelligence could pose to humanity, and supported OpenAI on the basis of his belief that the world’s leading AI firm should be dedicated to safety, transparency, and the public good. He has since launched xAI with the goal of surpassing OpenAI. Musk’s motion alleges OpenAI and Microsoft have violated antitrust laws, especially by allowing investment only by firms that vow to not invest in other AI companies, while profiting from technology developed when OpenAI was a Musk-bankrolled nonprofit. “Musk made absolutely clear that his donations—which established and sustained OpenAI, Inc. for years—were conditioned on Altman and [OpenAI President George] Brockman’s firm commitment to operate as a non-profit, devoted to the public good,” said the motion. The motion, filed in California, alleges Altman “approached Musk with a detailed plan to form an AI charity” and promised OpenAI would “remain a non-profit dedicated to the development and broad distribution of open and safe AI for the public benefit, not concentrated for shareholder profit.” The motion says Musk donated over $10 million to OpenAI based on Altman and Brockman’s promises. OpenAI then partnered with Microsoft to access the tech giant’s computing power, which led to large Microsoft ownership stakes in Altman’s for-profit enterprises, to which the motion says “he and Microsoft siphoned the non-profit’s staff and intellectual property,” which ultimately “transformed OpenAI into everything Altman promised Musk it would never be—a closed-source, for-profit monopoly, that rushes unsafe AI products to market, for private commercial gain.” Earlier this year, Microsoft acquired a 49% stake in the profits of OpenAI’s for-profit subsidiary for $13 billion. Musk’s motion says Microsoft and OpenAI now control 70% of the generative-AI market. OpenAI responded to the motion by referring to an earlier statement detailing its relationship with Musk, and said, “Elon’s fourth attempt, which again recycles the same baseless complaints, continues to be utterly without merit.” “In late 2017, we and Elon decided the next step for the mission was to create a for-profit entity,” wrote OpenAI. “Elon wanted majority equity, initial board control, and to be CEO. In the middle of these discussions, he withheld funding.” “We couldn’t agree to terms on a for-profit with Elon because we felt it was against the mission for any individual to have absolute control over OpenAI,” continued OpenAI. In November 2023, OpenAI’s board of directors fired Altman, citing his conflicts of interest, leading hundreds of employees to say they would leave for Microsoft unless Altman were reinstated. The board members who ousted Altman then reinstated him and resigned, allowing Altman to install new board members.Darrell Kelley Named Artist of the Month by MTVrock
Attorneys want the US Supreme Court to say Mississippi’s felony voting ban is cruel and unusual
Jimmy Carter, the 39th US president, has died at 100
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