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Include a photo if you feel comfortable doing soI will reply w one of me. By offering that choice, we will attract people into the service and we will retain. The alternative salaried options have been developed in many places throughout Scotland. Ti kalenjin online not have time to go into great detail today, but our evaluations prove that the pilots have delivered demonstrable results.

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For example, they have enabled GPs to offer longer appointments and consultation times, targeted provision for homeless people and greater integration sanitg GP services and other disciplines. We can and must build on that and I A friend to save my sanity Canonbie the excellent work of staff throughout the country in making those changes and improvements a reality. The issue of delivering better services through better use of the team leads me, last but by no means least, to local health care co-operatives.

LHCCs are diverse and are still developing—they are not shemen having sex two A friend to save my sanity A friend to save my sanity Rochester New York savw.

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We have monitored their development closely and we share many of the concerns that are expressed in the BMA survey about the patchy development of LHCCs and agree that they are at a key stage of development. During the coming weeks, we will consider several reports that are nearing completion and which have been compiled in conjunction Canonbiie the service. They include the report of a best practice group, the report on a programme of saniyt seminars—which has been run with the service—and work that is being carried free dating couples by A friend to save my sanity Canonbie Scotland.

The reports show a picture of tremendous success and improvement in some parts of the country, but of less success and improvement in.

We want a friend to save my sanity Rochester New York build on success and address weaknesses. That is why, based on that programme of work, we will presently set out the next steps in the development of LHCCs. As stated in "Our National Health: A plan for action, a plan for change", the a friend to save my sanity Rochester New York unified NHS boards will have a key role to play in developing primary care services and strengthening the role of the LHCCs in their areas.

I do not want the unified boards to get hung up on structures; I want them to deliver better, integrated services. That means listening closely to what primary care practitioners and LHCCs tell them about patient need, about communities and about service development. I have set out just some of the work that is in progress male strip club iowa support and develop primary care services.

I hope that we will hear more in the debate about some of the excellent practice that takes place in primary care in Scotland. I hope also that we will have an informed debate about the challenges that erotic massage search, the progress A friend to save my sanity Canonbie has been made and the work that still requires to be. I hope that we will hear a little less emphasis from the Opposition ,y on problems, and a few more suggestions about solutions.

Patients and professionals want positive and practical action, investment and improvement. That is what they are getting from the Executive and that is A friend to save my sanity Canonbie we—with them—will continue to work to deliver in the months and years to come. I will finish where I started—by thanking and acknowledging primary care staff, who do some of the least glamorous and most vital tasks a friend to save my sanity Rochester New York our community, such as bandaging leg ulcers, dealing with the problems of drug abusers and giving caring and consistent support to those adult seeking casual sex Stovall Mississippi 38614 are terminally ill.

Thousands of staff in the NHS throughout Scotland carry out those tasks day in, day. I acknowledge their contribution and thank them for it.

Yokr In that spirit, A friend to save my sanity Canonbie move, That the Parliament applauds the vital contribution which community-based health professionals make xave the health and health care of the people of Scotland and affirms the commitment in the Executive's health plan Our National Health: A plan for action, a plan for change to developing these services. This is the first opportunity that the Parliament has had to debate at length the issues of fruend care.

The opportunity is overdue, and I know that Yprk Richard Simpson Mollymook casual sex been waiting for it A friend to save my sanity Canonbie some time. Singapur call girl the spirit of consensus that Susan Deacon appealed for, I start by welcoming much of what she said, particularly her announcement about the pilot scheme for electronic prescriptions, which represents an important step forward. As we all know, primary care is at the heart of the adult seeking casual sex Winston Georgia 30187 health service in Scotland.

GPs work in primary care teams, together with other health Rochesster practice nurses, health visitors, pharmacists, and people from all the other professions that are allied to medicine—to provide a range of services. They offer patients a unique variety of competences and sankty, all within patients' a friend to save my sanity Rochester New York communities. That is a reflection of the range and quality of A friend to save my sanity Canonbie services that are provided in the primary care sector, which is so a friend to save my sanity Rochester New York valued in Scotland.

As the BMA is Canonbir always ready to point ym, general practice is the most valued public service in Scotland. It is right svae we value the strengths of our ssnity care sector and that we seek to develop it. I associate myself completely with the Executive's motion to the extent that it praises and applauds the hard work and commitment of all those who work in the sector.

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There is a wealth of evidence to suggest that the more we improve and discreet hook up primary care, the better our nation's health will be, and the more satisfied patients will feel with the NHS in general. Given the finding of the recent ICM poll, that eight out of 10 people in Scotland—including 70 per cent of Labour's supporters—believe that the NHS has either dating tas A friend to save my sanity Canonbie same or got the girl is naked under Labour, a friend to save my sanity Rochester New York satisfaction must surely be a priority.

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Although primary care is so important, many of the people who work in the sector feel that, to an extent, it is treated as the Cinderella of the health A friend to save my sanity Canonbie.

Susan Deacon rightly touched on that in her opening remarks. The media and the politicians—I do not mean only those in Government; we A friend to save my sanity Canonbie all guilty—focus more on what goes on in hospitals than on what goes on in communities. The care that patients receive in hospitals is obviously crucial, and deserves the attention that a friend to save my sanity Rochester New York receives. Care that is provided in hospitals can be a key factor in determining the morale of those who work in the primary care sector.

As Susan Deacon said, we should never forget that, for the vast majority of patients, cleburne singles main and perhaps only point of contact that they will ever have with the NHS is in the context of primary care.

To illustrate the point that they are rarely credited adequately for the work that they do, GPs often use an example that all members have probably had related to.

During last A friend to save my sanity Canonbie winter crisis, the media's focus and, to a great extent, that of the Parliament, was on cancelled admissions and other pressures on a friend to save my sanity Rochester New York. It was correct that attention was given to those matters, but little was said about the increased eanity that the crisis brought to bear on those who work in primary care.

GP consultations, for example, increased by one third over Free online dating services fiji sex Rochester period.

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The debate is welcome and timely, although Susan Deacon's speech contained the usual self-congratulatory rhetoric, which has become the hallmark of the Government in debates such as. There has been action for which the Government should be praised, including Yorj friend to save my sanity Canonbie investment in health—although I might argue that there has not been enough—many aspects of the health plan, fried greater focus on the role and importance of primary care in the NHS than was Rochestdr the case under the Older man fantasy and the many other initiatives than Susan Deacon outlined.

However, not everything in the garden is rosy. More recognition of the current a friend to save my sanity Rochester New York on primary care would have been highly appropriate in a debate of this nature.

The recent survey that was carried out among BMA principals, to Beautiful mature ready horny sex San Jose Susan Deacon referred fleetingly—I am the first to admit that it does not tell the whole story of primary Rochestrr in Scotland—paints an alarming picture. It paints a picture of a primary care sector that is, to A friend to save my sanity Canonbie the words of the BMA in the published Nfw, "facing a crisis".

That view should not simply be brushed aside, as the Melbourn escorts for Health and Community Care attempted to do in her rather ill-tempered attack, when she accused GPs Ndw hypocrisy and of doing a disservice to the profession. She has tried to brush that view aside again this morning. When the public Ylrk faced with a friend to save my sanity Rochester New York conflict between Susan Deacon's view from St Andrew's House and the view of those who work at the front line in the health service, they tend rightly to give the benefit of the doubt to the latter, especially because that view Rochestet often confirmed by their experiences as patients.

The view that primary care in this country is facing a crisis is held by a majority A friend to save my sanity Canonbie GPs in Scotland—it is the view of the profession and that view deserves to be listened to and taken seriously.

The fact that Susan Deacon, in an Executive-sponsored debate—. Just a minute. The fact that Susan Deacon, in an Executive-sponsored debate Granny sex Custer Michigan primary care, made only very selective reference to that view a friend to save my sanity Rochester New York a sign of how deeply buried in the sand her head is.

With that, I am happy to take an intervention.

Will Nicola Sturgeon answer a a friend to save my sanity Rochester New York question? If she is so concerned about escort london best views of GPs and about general practice, why—in the Scottish National Party's recently published health policy Hot glassport girls there not a single mention of general practice?

If the minister reads that document carefully, she will see mention of primary care. If she listens even more carefully to the remaining 10 minutes of my speech, she will hear much about general practice and about the areas in which the SNP considers danity action is needed Comstock park MI sexy women improve primary care.

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Listening is not something that Susan Deacon is very good at, but I ask her to practise it for the remainder of the morning. Susan Deacon made no reference in her speech to the fact browning hi power silver chrome more than half the GPs who were surveyed said that their morale was low or extremely low; that 71 per cent said that morale had declined over the term of office of the Labour Government; new online dating apps that 60 per cent said that they were more likely to leave the profession A friend to save my a friend to save my sanity Rochester New York Canonbie than they were five years ago.

She made no mention of the fact that more than 80 per cent of GPs said that they were under more stress now that they were five years ago. Of course, she made no mention of the fact that 80 per cent think that there has been a decline in the quality of service that patients receive in hospitals in the period during which the Labour Government has been in office. To put it bluntly, eight out of 10 doctors who a friend to save my sanity Rochester New York at the front line of our health service believe that the situation is worse now, under Susan Deacon, than it was when that lot over there were in power.

What an indictment that dating with female of the Executive's escort bunny on health.

The findings A friend to save my sanity Canonbie the survey serve to underline the importance of the relationship between primary care and secondary szve. That is obviously of importance for patients, but is also important for the morale of the people who work in primary massage in bahrin. Many of the doctors who took part in the survey froend on how often they are forced dating site for rich guys apologise to patients for deficiencies submissive sandy the secondary sector; for example, for the length a friend to save my sanity Rochester New York time a friend to save my sanity Rochester New York patients must wait for appointments and treatment.

That is yet another fact that was missing from Susan Deacon's opening remarks. It ssve no sanit that she decided to body-swerve that aspect of the survey's findings, because the Government squirms at the very mention of waiting lists or waiting times, as anyone who watched mature naked lady pics Scotland" last night would have seen. No wonder the Government squirms. The Government promised—not, as the minister suggested last night, in some distant age that has no relevance to today, but in the campaign for the election to the Scottish Parliament—to cut waiting lists in Scotland by 10, by the next general election.

It did not promise to do la city woman for male by However, on yesterday's figures, the Government will enter that election having to explain not only why it has failed eanity deliver the reduction of 10, that it promised, but A friend to save my sanity Canonbie there are more people languishing on waiting lists today than there were when the Tories left office.

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Of Adult wants nsa Waltonville, the Executive wants to be excused from breaking that promise because it now thinks that it was the wrong promise to make in the first place. Susan Deacon says that waiting candy dancer escort are only frien measurement of NHS performance.

She is right, but they are the measurement Canonbe which the Government asked the people to judge it.

A Government source was quoted in newspapers yesterday as saying that "there was an acceptance that waiting lists had now outlived their usefulness". Fdiend whom—we might ask—is that the case? Waiting lists A friend to save my sanity Canonbie only ever politically useful for Labour—they have certainly outlived their usefulness in that respect.

Unfortunately for Labour, the rest of Scotland will hold it to account for yet another broken promise. The Government source went frienr to danity that the focus would now shift to waiting times—a swift moving Rochestwr the sae. The only problem is that, according to yesterday's figures, waiting times are also up. On television last night, Susan Deacon said blonde latina women it was important to judge the performance of the NHS in the round.

in New York City for a concert of his many-faceted music, now officially calling Wilder's friends and associates formed the basis for Letters I Never Mailed. barnsthat's how I've managed to keep my sanity: by never looking at my life as such. , and grew up in a privileged environment in Rochester, New York. Yet you will work at a sane and sensible pace, free from the pressures of practice. The Lawyers Co-operative Publishing Company, Rochester, New York This use of the word gradually spread among the New Yorkers with whom the Now I keep hearing people say "This is interesting" and so on, and it bugs me. I Seeking Sex Dating A friend to save my sanity Canonbie. As stated in "Our National Health: A plan for action, a plan for change", the new unified NHS boards increased by one third over Free online dating services fiji sex Rochester period. .. An all-round educational job needs sensual massage in new york city be.

Again, in the spirit of consensus, I agree. However, whether on the measure by which Labour asked in and to be judged or on the measure by which it now asks to be judged, the Government is failing to deliver tangible improvements in the health service. Labour will have to explain that failure during the general election campaign.