A fascinating survey of the police, ambulance, fire service and more in the Avon region of the west of England - including Bristol and the surrounding area.
This latest edition of a well-established and highly respected manual provides a comprehensive course of study for anyone taking the Oxford Cambridge and RSA (OCR) Certificate of Professional Competence (CPC) examination. With all the information presented in a highly accessible format, this book is effectively a complete study course, ideal for use as a self-teaching aid. Updated to account for EU and UK legislative changes, this revised 12th edition includes typical case study scenarios used in the examination, and sample questions and answers. It is also essential reading for anyone employed in, or wishing to enter, the road freight transport and distribution industries as well as transport supervisors and managers who want to brush up on their knowledge.
With expert commentary in an easy-to-read format this pocket guide gives you all the information you need about the NHS. Fully revised, the 2007/08 edition is an essential digest covering NHS organisations, financing and partnership work as well as updates on the latest developments within the NHS.
The £330 million New Dimension programme has enhanced the 46 English Fire and Rescue Services' capacity to respond to terrorist attacks and other catastrophic incidents such as major flooding. But better value for money could have been secured in the procurement of the specialist vehicles and equipment. The programme was introduced following the terrorist attacks of September 11 2001. It involved procuring specialist vehicles and equipment, training 10,000 fire fighters, and helping to prepare Fire and Rescue Services to tackle terrorist and other major incidents. The equipment has already been used successfully at three major incidents to date: the Buncefield fire, the 2007 summer floods, and at the Warwickshire warehouse collapse in November 2007. Funding uncertainty and poor programme, project and financial management in the early days of the project resulted in delays in introducing the equipment and significant cost overruns. A fraud of £867,200 within the programme remained undetected for 9 months and in procuring one vehicle type, for example, poor contracting and record keeping resulted in a delay of a year and unnecessary costs of between £3 and £8 million. Improvements in programme and financial management have since been made. But more still needs to be done to address weaknesses which might hamper future incident response. In particular the department need to address uncertainties over the respective roles of national co-ordinating bodies and develop a strategy for national and regional multi-agency practice exercises.
Environmental Medicine is an indispensable aid to the investigation, diagnosis and treatment of a wide variety of environmentally-acquired disorders. It brings into sharp focus the increasing importance of the practice of environmental medicine, drawing together the many different strands that make up this modern discipline, and putting topical and
The snowfall on 1 and 2 February 2009, the heaviest since 1991, had a drastic impact on transport in London, which had no bus service for most of the morning of 2 February. Overground trains and London Underground services were also affected by delays and cancellations. Disruption to services also affected other areas of the country and continued for several days. This report looks at why public transport had been disrupted and whether this disruption was handled better or worse by different authorities, whether planning and preparation by local authorities and the Highways Agency was sufficient, and whether co-ordination between the bodies involved in responding to the heavy snow was adequate. Local authorities and agencies need to examine any weaknesses or potential improvements to emergency plans that may have emerged from the events on 1-2 February. Responses to heavy snow and its impact on traffic can be improved, but these are to do with planning and co-ordination, not increased spending: extra money, increased salt stocks or more snow ploughs are not the solution. The report finds that three key elements are required for a successful response to severe weather: the relationship between all the bodies involved in ensuring that the road network and public transport systems can operate; emergency recovery plans and winter maintenance plans should give a clear indication of what the priorities for salting and gritting should be and that these priorities have been agreed with public transport operators and the emergency services; the presence of good leadership. Co-ordination, prioritisation and visible leadership are vital to the success and speed of recovery following severe weather.
In the newly revised second edition of ABC of Prehospital Emergency Medicine, a team of experienced prehospital practitioners deliver a comprehensive up-to-date guide to the rapidly evolving field of prehospital emergency medicine. The book includes evidence-based practice and expert opinion to meet the needs of the PHEM training curriculum covering operational, clinical and system considerations. An international team of expert editors and contributors have also provided readers with: A thorough introduction to prehospital emergency medicine, including activation and deployment, personal protective equipment, and scene safety and assessment Comprehensive exploration of the primary survey, airway, breathing, and circulation assessments Practical discussions of prehospital anesthesia, analgesia, sedation, monitoring and ultrasound The prehospital management of medical, trauma and psychiatric emergencies How to care for special groups, including the elderly, obstetric, pediatric, and bariatric patients Considerations in mass casualty and chemical, biological, radiation, and nuclear incidents. ABC of Prehospital Emergency Medicine is essential reading for paramedics, doctors, nurses and other prehospital practitioners. The text is ideal for those undertaking subspecialty PHEM training, those studying for postgraduate prehospital degree modules, or practitioners undertaking PHEM exams.