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There appeared to be no continuity of care – “There was a different person sitting at the desk every single day” – and Kitty noticed that the patient notes were inadequate and almost illegible. Many of the nurses had poor English, and her mother found them difficult to understand. After a bit, Kitty concluded that the only way her increasingly depressed mother could be safe was if she spent five hours a day in the hospital with her. She fed her herself, and gave her water. In all her six weeks in Gloucester Royal, her mother was given no physiotherapy for her leg.
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According to the World Health Organisation (WHO), TBinfected 8.7 million people worldwide in 2011 and killed 1.4million. As many as 2 million people may have drug-resistantstrains by 2015, the Geneva-based health agency says.
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On Saturday, a spokesman for the Tehreek-e-Taliban criticized Sharif, saying his new government is not serious about holding peace talks. The spokesman, Shahidullah Shahid, did not explicitly reject the offer but his words gave little room for negotiations.
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What is in danger – and already absent in those parts of the NHS that are failing – is the ability of human agents within an organisation to see other human beings as they are, and not as troublesome inputs to algorithms. In that hospital, the procedure went “Discharge = patient prescription. If no prescription, then no discharge”, rather than “For goodness’ sake, you can’t sit here all day, we’ll just post the prescription to you, but here’s some co-codamol for now.” More chillingly: “If patient has been checked at preset times, then patient has been checked. End.” In Matron Algorithm’s ward, those soiled sheets aren’t really ignored: they’re almost unseeable. |
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