. Notts Health & Care Archives - Page 5 of 5 - Wilcop Media

Obstetricians, midwives and women who’ve had babies by Caesarean section are taking part in a new study to find out which technique is best used by the surgeon if the baby’s head is found to be stuck in the pelvis at the time of Caesarean delivery. Around 15% of babies are delivered by emergency C-section in the UK and the problem of ‘impacted fetal head’ occurs in about 1.5% of these operations – that’s around 1,500 babies who have to be manoeuvred very carefully to release their head from the pelvis.
Experts at the University of Nottingham’s School of Medicine and Nottingham University Hospitals NHS Trust want to assess the feasibility of a clinical trial to compare different techniques for managing an impacted fetal head during emergency C-section. Thanks to a £200,000 grant from the NIHR, the team will carry out the largest ever investigation into the problem with a view to a full-scale randomised trial to compare different techniques for managing it in theatre.

The study is being carried out in collaboration with the Nottingham Maternity Research Network – which connects medical researchers with local people who have used maternity services and are interested in participating in research. Leading the study, Clinical Assistant Professor of Obstetrics, Dr Kate Walker, said: “Impacted fetal head can cause serious problems for both mother and baby. There are a number of ways to make such births easier; an assistant can push the head up with their hand from the vagina, or a specially designed balloon in the vagina can achieve the same effect. Sometimes the surgeon delivers the baby’s feet or arms first. Doctors can also use medicines that cause the womb to relax to allow more room for manoeuvre.

We do not know which of these methods is best for the mother and the baby. The NHS would like to conduct research in this area. Before they do so they want to find out from doctors and midwives, how common the problem is, what techniques are currently in use and which ones should be tested in future research projects. We also need to determine how acceptable research in this area is to parents.”

Samantha Foulke from Nottingham Maternity Research Network said: “Our network is a service user group with an interest in maternity related research. We are delighted to be involved with this piece of research into surveying current practice for this complication during a caesarean birth. This problem can potentially be a highly distressing experience for mothers and their birth partners, and it is vital that we work together to identify good practice or highlight areas for further research in the future.”

The new study will consist of several different avenues of research:

• A national survey of obstetricians and trainee obstetricians to examine current practice, level of experience and training for an impacted fetal head scenario. Similar surveys of midwives and anaesthetists and a focus group of women who have had an emergency C-section as well as a national survey of parents to determine views on the idea of a clinical trial.

• A UK Obstetric Surveillance System study to determine the incidence and consequences of impacted fetal head in the UK.

• A Delphi survey to decide which techniques should be tested in a clinical trial.

The results of these studies will inform further work to design a large-scale randomised controlled clinical trial in the UK to build an accurate picture of the prevalence of impacted fetal head and the nature and frequency of complications for the mother and baby. The researchers say it will increase awareness of the problem among parents and health professionals and could redress possible training deficiencies in this area of obstetric care.

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A new exercise referral scheme will get residents with a long term health condition moving with specifically tailored gym classes, walking, cycling and swimming activities. The referral scheme has been launched at East Leake Leisure Centre by Rushcliffe Clinical Commissioning Group in partnership with Rushcliffe Borough Council, supporting residents to develop a regular exercise routine.

Deputy Leader of the Council and Cabinet Portfolio Holder for Communities and Leisure Cllr Debbie Mason attended the launch of the scheme with local GP Dr Neil Fraser. She said: “It is great to be working with East Leake Leisure Centre and Rushcliffe CCG to create this referral scheme which will make such a positive impact on resident’s lives.

“It is designed for those who may not consider partaking in regular exercise so residents who are referred will be given all the support and guidance they need.” There are a range of classes and activities available and a personalised exercise plan will be developed during a one-to-one initial assessment with a qualified exercise instructor.

Dr Fraser, lead for Long Term Conditions in Rushcliffe said: “We are proud to launch this scheme in East Leake, supporting residents in need by introducing exercise into their daily lives and helping them attain healthier lifestyles.

“Increasing physical levels of activity has lots of benefits including increasing bone density, lowering blood pressure, improving mobility, cholesterol, mood and lung function, as well as reducing stress and anxiety and increasing energy levels.”

To find out more about the scheme and to check the eligibility criteria please contact East Leake Leisure Centre on 01509 852956 or speak to your GP practitioner.

The moment you meet foster carer Lesley and her former foster child Polly you are struck by their closeness and the undeniable bond between them.
Lesley, 57, from Mansfield, has fostered with Nottinghamshire County Council for 24 years. Until eight years ago she was a single foster carer of mainly teenagers, but now fosters with her husband Keith.
Lesley and Keith currently have a staying put placement, a young person over the age of 18 who is remaining with the couple beyond his ‘foster placement’, and a 17 year old boy.

“I never had any children of my own and I must admit fostering at first seemed like an alien experience, but I quickly grew to love it,” says Lesley.
“I wanted to bring children into my home and make sure they felt like part of the family, not just visitors.”

Polly, now 33, remembers vividly her first visit to Lesley’s home. “She made me feel so at ease and welcome, and asked me very quickly how I’d like my bedroom doing up before my next visit,” said Polly, who now lives with her partner, her partner’s daughter and her own two daughters in Hucknall.
“Lesley and I went shopping for bedding and other bits for my room and we clicked straightaway. I felt comfortable and a sense of belonging from day one.”

Lesley openly admits that she sees Polly as the daughter she never had.
“We just slotted into each other lives and we have been there for each other at important times,” Lesley said. “Polly played a huge part in the preparations in the run-up to my wedding eight years ago and I have some lovely memories of us going to look at wedding dresses together.”
Polly also holds precious memories of Lesley helping her move into her first flat when she moved out aged 19. During the years she fostered Polly, Lesley maintained good relations with Polly’s birth mum and dad.
Lesley explained: “I was Polly’s foster carer and she lived with me but it was important in my eyes that she knew where she came from and had a sense of family and belonging. That sense of belonging is important for any child and we maintained that throughout Polly’s stay with us.”

Lesley has fostered more than 50 young people over the years and tries to keep in regular touch with all of them. “They need to know that the support is still available even though they have moved on with their lives. I want them to feel they can still come to me with their good news or a problem and I’ll be there for them.” Lesley is supporting the County Council’s New Year fostering campaign This year, be the difference in a child’s life and urges anyone who has been thinking about fostering to take a closer look.

“It really is a fantastically rewarding role, I feel I’ve made a difference to so many young people’s lives and that gives me a real sense of achievement.”

Cumbria County Council launches a new campaign today across Carlisle and Eden to try and find more foster carers who can offer homes to siblings groups and help brothers and sisters in care to stay together. There is a need for all types of carers in the region, but especially for foster cares who can offer a permanent, long-term home to sibling groups. At the moment there are 22 brothers and sisters across the county waiting for long term, permanent foster placements together. Without more foster carers coming forward during 2018 some children may find themselves living a long way from family, school and friends or being split up from brothers and sisters.

Kath and Graham Lamb, from Carlisle, have been fostering for six years and are currently long term carers for a sibling group of three children (aged 7, 8 and 10). Kath, who used to work with children in care, said: “While I was working with looked after children, a group of six siblings came into care and had to be split into three groups of two, with placements all over the county, which meant it was very difficult for them to see each other. “They felt as though they were being punished for things their parents were responsible for. That wasn’t the case but there just wasn’t the carers there to take siblings groups at that time.” She added that caring for siblings can be less challenging than caring for a single child: “We’ve done single placements, as well as sibling groups, and find siblings a lot easier as they are able to create their own little support network, while receiving the love and care that they need from us.

“Fostering siblings has been an amazing experience for us and I would recommend it to anybody considering the process. The local authority offer fantastic support and advice. It been great for us, the children and our family.”

Cllr Anne Burns, Cabinet Member for Children’s Services, said: “We believe that there are many people in our community who have the right skills and qualities to foster. We need you to come forward and help us change a child’s life for good. We particularly need more foster families for sibling groups. “Opening your home and your life to vulnerable children and helping brothers and sisters to stay together, is one of the most selfless and rewarding things you can do. “I’d urge anyone interested in finding out more to attend one of our information evenings. There’s no pressure or expectation; just the chance to find out about the support we can offer and to ask questions in a private and informal setting.” The council currently supports 35 fostering households in Carlisle but needs more to come forward this year, in order to offer a safe, secure and loving home to some of the county’s most vulnerable children.

If you think you have what it takes and would like to find out more come to one of our upcoming information events and speak to our team and foster carers: Saturday 9 February – Crown and Mitre Hotel, Carlisle – Tea and coffee from 2pm, presentation starts 2.30pm. Saturday 23 February – George Hotel, Penrith – Tea and coffee from 2pm, presentation starts 2.30pm. If you can’t make an event go to www.cumbria.gov.uk/fostering or call 0303 333 1216 to find out more.

Rushcliffe Borough Council and local homeless charity the Friary have praised the generosity of residents who collectively donated over 12 tonnes of food and clothing to those in need. Residents across the Borough donated items when they placed their bin out for collection on the weeks of (January 7-11) and the authority’s waste team have been busy collecting the charitable gifts.

It is estimated that the number of donations has increased by a massive two tonnes since a similar effort in January last year. Deputy Leader Cllr Debbie Mason said: “The staggering number of clothes and food items donated this year is a wonderful achievement for the Borough. “Last year the waste teams collected a phenomenal 10 tonnes of donated items, so to surpass that figure this year is a true testament to the generosity of residents.

“It is magnificent how people have entered the spirit of this effort and ensured items are recycled in a manner where they will be warmly received by those who need them most.” Rushcliffe Borough Council’s waste teams have been dedicating extra hours to the cause by spending longer on their collections this week to collect the many donations. Volunteers will soon begin sorting the items so they can be used at the charity’s centre in West Bridgford, which offers advice, health and practical support services to those who are homeless or at risk of homelessness.

Sam Crawford, Chief Executive of the Friary said: “A massive thank you once again to the amazingly generous people of Rushcliffe. “These donations will now go straight to those in crisis and provide further basic essentials they require. “This will really help the Friary to continue assisting local people in need on their journey to recovery and independence.”
Visit @theFriary88 on twitter, www.the-friary.org.uk or call 0115 982 5448 to find out more about their services, how to contact them and how you can become involved in supporting their work.

Rushcliffe Borough Council staff also contributed to the collection efforts with a reverse advent calendar at their sites at Rushcliffe Arena, Rushcliffe Community Contact Centre and Abbey Road depot offices, that amassed hundreds of items.

The number of people who don’t have a Will in the UK is now at its highest level, according to research by Unbiased.co.uk. They estimate that as many as 31m people, or more than half of the adults in the UK have yet to write a Will.

For Sarah Allen, a Wills, Trusts and Probate specialist at Tallents Solicitors, these figures are very worrying.

She says: “I genuinely do not understand why people seem to be so reluctant to make a Will. It’s a simple piece of paper that sets out your wishes regarding the distribution of your estate in the event of your death.

Over the 15 years that I’ve been helping people write their Wills, I’ve heard all the reasons people come up with why not to write a Will such as: I’ll do it when I’m older, I don’t have time to write a Will, it’s too expensive, I don’t have much to leave, I don’t have any dependents, I’m scared of making a Will.

But at Tallents, we are encouraging everyone to forget these excuses and make a Will with us.”

Sarah continues:

You can rely on our legal professionals to help you write a Will to give you and your family peace of mind.

Not only are we fully regulated by the Solicitors Regulation Authority, we also have solicitors who are members of the Society of Trust and Estate Practitioners, and Solicitors for the Elderly. Additionally, we are accredited by the Law Society with a Wills & Inheritance Quality mark.

Tallents Solicitors have been advising and supporting the people of Nottinghamshire for 245 years now, so you know you can rely on us to be there for you and your family. Just as your ancestors did.”

Tallents Solicitors have appointments to make wills available at their Newark, Southwell and Mansfield offices. Call today to make an appointment.

Nottingham City Council’s Environmental Health Officers have been working with local sunbed operators to ensure citizens are able to get the safest tan possible.

Officers have been checking the radiation levels of sunbed tubes to ensure they are not too powerful and comply with safety limits.  While exposure to Ultra Violet light always carries some risk, all sunbeds in Nottingham City have been checked that they comply with the EU ‘Safe level’ of 0.3W/m2.

Environmental Health Officers advice that people shouldn’t use a sunbed if they:

  • Are aged under 18 (illegal for tanning salon operators to allow under 18s to use sunbeds)
  • Always burn in natural sunlight
  • Have a medical condition that becomes worse in sunlight
  • Have an excessive amount of moles and/or freckles
  • Have a history of sunburn, particularly from childhood
  • Have skin cancer or does any member of your immediate family have/had skin cancer

Anyone using a sunbed should remember to:

  • Wear protective eyewear
  • Ask about 0.3 compliance
  • Always leave at least 48hrs between tanning sessions
  • Not exceed two sessions per week
  • Only use a maximum of 30 times per year

Cllr Toby Neal, Portfolio Holder for Community Protection, said: “A tan is your body’s attempt to protect itself from the damaging effect of UV rays. Using a sunbed to get a tan isn’t safer than tanning in the sun but officers have been checking that the tubes in local tanning salons me

et the correct standards and don’t overexpose users to higher levels than expected.

“If you decide to use a sunbed, the operator should advise you about your skin type and how long you should limit your session to.”