Health and Social Care Integration : Managing the Change

April 2016, arguably the biggest structural change the public sector in Scotland has seen in recent years will come fully into effect. From that date, in most parts of the country, new Integrated Joint Boards will become responsible for a wide range of health and social care services presently provided by Councils and Health Boards. These Integrated Joint Boards will be independent legal entities with full autonomy and capacity to act on their own behalf. The Public Bodies (Joint Working) (Scotland) Act 2014 sets out the legislative framework for integrating health and social care. It sets down the functions which must be delegated by Councils and Health Boards to Integrated Joint Boards, primarily services related to adults and older people. However, Councils and Health Boards may also choose to include other services, for example services covering the health and social care of children, where there is local agreement to do so. As a result, the public sector landscape of the future is likely to be less uniform than it is at present. Although other structural reforms such as the merger of Colleges, or the creation of a single police service and single fire and rescue service, have already taken place, these changes were very much sector specific. The integration of health and social care services stretches across both the local government and health sectors but only covers some of their functions. As a result, the change is much bigger in both scale and complexity. The purpose of this paper is not to examine the operational challenges associated with all structural reforms, such as making appointments, arranging accommodation, organising support services and planning for the integration of ICT systems, albeit they themselves represent a considerable challenge. Instead, this paper seeks to identify the key challenges associated with the integration of health and social care which, to a large extent, will determine the success or otherwise of the reforms

Alien Registration- Black, George W. (Milo, Piscataquis County)

https://digitalmaine.com/alien_docs/8412/thumbnail.jp

Some aspects of the petrology of the Isle of Rhum

The acid rocks of the west of Rhum, previously considered to be one petrological unit designated 'granophyre', have been divided into two petrographically and geographically distinct units; a core of microgranite is surrounded by an outer zone of graphophyre. Along rost of its northern boundary the graphophyre has been thrust over Torridonian Sandstone. Along a short length of the contact, however, no faulting has occurred and the graphophyre grades into the Torridonian Sandstone through a belt of transitional rocks. These transitional rocks are divisible into five zones which are interpreted as marking successive stages in the conversion of the Torridonian into graphophyre. The graphophyre grades inwards into the microgranite which is believed to represent a still more advanced stage of metasomatism. The production of the microgranite from the Torridonian has been achieved by the enrichment of the latter In Al, Na, Fe, Ca, K, Ti, 1 and P, at the expense of Si. The excess Si has been driven outwards and fixed as an acid front in the bleached and indurated Torridonian Sandstone to the north. Seven small dolerite sills and several basalt dykes had been intruded into this part of the Torridonian before Its conversion to microgranite and graphophyre. These basic intrusions have suffered considerable metamorphism involving the addition of various constituents, principally Na. The petrography and internal structures of the basic plutonic rocks of the west of Rhum are described; the harrisite mass is divided into six zones and the gabbro into two. The lower zone of the gabbro conistc of an earlier coarse gabbro and a later fine gabbro. The fine gabbro was injected from below into almost horizontal parting planes in the coarse gabbro and forms a series of sheets the members of which are a few inches thick and a few inches apart. This alteration of fine and coarse layers gives the lower zone of the gabbro a highly banded appearance. The contact between the grahophrre and the basic plutonic rocks to the east is everywhere marked by a narrow zone of hybrid rocks against which both the basic lutonic rocks and the graphophyre have been metamorphosed. These hybrids are interpreted as highly metamorphosed fragmental rocks occurring along a faulted juntion up which streams of hot gases were passing. The hybrid rocks are believed to have been of both cataclastic and pyroclastic derivation; although many fragments were derived prom the wall rocks locally, some were transported for considerable distances. The southern and central parts of the narrow zone of hybrid rocks are believed to mark the continuation of the ring fault which is well known in eastern Rhum. The northern hybrid rocks were probably developed along a fault which intersected the western continuation of the ring-fault tangentially. A small Tertiary vent, which cuts the ring-fault in the east of Rhurm, is described. The hyrbrid rocks which occupy this vent are very similar to those found between the graphothyre and the basic plutonic rocks in the west of the island but they are somewhat finer in grain. The hybrids in the vent are fragmental rocks highly metamorphosed by rising gases at temperatures in excess of 1,0000C. These gases have enriched the vent rocks in K, Na, C, Al, Si, and P. and the contiguous Torridonian Sandstone in the same elements togeher with Fe, Mg and water. The rocks of the four Tertiary volcanic outliers in the west of Rhum have been correlated and a succession, nearly 1,700 feet in thickness, has been synthesised from the combined data. The volcanic rocks have been shown to lie unconformably upon the grathophyre. The post-granitic minor intrusions of the west of Rhum have been divided into Six distinct rock types. Two of these, viz. mugearite-tachylyte and augite-andesite, have not previously been recognised in this part of the island

Centerscope

Centerscope, formerly Scope, was published by the Boston University Medical Center "to communicate the concern of the Medical Center for the development and maintenance of improved health care in contemporary society.

Matthaeus Pipelare\u27s Fors seulement chanson (II) and its related motet and mass performance editions and commentary

Matthaeus Pipelare was a composer from the southern Netherlands who flourished in the late fifteenth and early sixteenth centuries. Except for the little more than two years he spent as choirmaster for the Confraternity associated with the Cathedral of St. John in \u27s Hertogenbosch, located in Northern Brabant, almost nothing is known of his professional or personal life. Yet writers of the period hailed his skill and placed him in the same company as such well-known composers as Josquin, la Rue, Brumel, and Isaac. A small but excellent body of the composer\u27s works survive in manuscripts and early prints housed in libraries and archives of eleven countries throughout Europe, stretching from Russia to Spain, with 26 sources found in Italy. The surviving corpus consists of eight secular works (four Flemish songs and four French chansons, one doubtful), nine motets, nine Masses, and a Credo. From the large scale Masses to the exquisite gem of the Fors seulement (II) chanson, Pipelare\u27s music exhibits masterful design and an engaging quality for both performer and listener. He and his compositions deserve to be more widely known and performed. Unfortunately, the only current editions of his works are available in scholarly editions, the main goal of which is study rather than performance, and which are usually larger and heavier than most performance editions. The primary purpose of this project is to produce modern-day performance editions of three related works by Pipelare: Fors seulement (II), Exortum est in tenebris, and Missa Fors seulement. Each of the editions is based on one of the surviving manuscripts. Copies of these manuscripts were obtained from libraries and archives in Florence, Segovia, and Jena. The editions are intended to be accurate transmissions of the source documents while presenting the music in a form which modern-day singers and conductors will find easy to use. A secondary purpose of the study is to provide adequate background on Pipelare and his works, particularly those included in the editions, which will both create interest in this unfortunately obscure composer and provide the conductor with pertinent information for successful performance

Case study 6.1: Participatory design: describing an undergraduate interactive inclusive design project

This case study describes an interaction between Ashfield School, a school for students with special educational needs in Leicester, and undergraduate students of industrial design and technology from Loughborough University