Memories on the 25th Anniversary of BBC Breakfast Time – February 2007. The BBC had pinched me from HTV where I was doing a programme called Here Today. They saw me wearing my green leotard and tights and doing a piece on exercise, which was the first time it had been done on TV.
Osteoporosis, a debilitating condition caused by the loss of bone mineral, makes the bone susceptible to fracture, especially at the hip, wrist and spine. It is most common in menopausal women as the decline in oestrogen levels leads to an increase in the normal rat of mineral loss from bone.
I’m often asked when is the most beneficial time to exercise? Well personally I enjoy working out first thing in the morning. But according to leading physiologist Mike Doherty who conducted research on a group of elite swimmers, the immune system can be compromised at different times of the day – and often in the morning. However, whilst it is true to say that the immune system is often compromised in elite athletes due to their intense levels of training, it is most unlikely to occur as a result of ordinary levels of activity such as we perform in the gym or the swimming pool before work in the morning.
How To Talk About Books You Have Not Read is a wonderful book by Pierre Bayard. The book can be read at two different levels as many books can. On one level it is a humorous book, a little like the book by Stephen Potter called One-Up-Manship, which has advice on how to impress people with one’s literary credentials even though one has never read the classics. Pierre Bayard, however, makes a very serious point – that no one will ever read all the books that they need to read or could read in their particular topic. It is far more important to know about a book and its core message, preferably in the author’s own words, and to understand how that book fits into the culture and relates to other books and concepts then not to know that a book existed.
Language creates reality, it does not describe it. That is one of the principles that has emerged from anthropology, linguistics and philosophy from authors as diverse as Ludwig Wittgenstein, John Searle and Benjamin Lee Whorf. Confusion about language and the meaning of the terms being used is one of the main causes of arguments, fruitless arguments, which disappear if everyone shares the same understanding of the terms being used.
What is Population-based Healthcare?
Population healthcare focuses primarily on populations defined by a common need which may be a symptom such as breathlessness, a condition such as arthritis or a common characteristic such as frailty in old age, not on institutions, or specialties or technologies. Its aim is to maximise value and equity for those populations and the individuals within them.
This Glossary is about Population and Personalised Care the latter being a style of clinical and general management which always considers the patients’ perspective as the most important and is committed to increasing patient Engagement, Empowerment or Involvement, which may be regarded as synonyms. Personalised care is an element of patient centred care and is the other side of the coin from population care. This is a diffuse and fast moving field with language evolving at a rapid rate. Here are the key terms and concepts.
Technical Value in Healthcare: determined by how well resources are used within services for each individual and the whole population .
Allocative Value in Healthcare: determined by how assets are allocated to services for different purposes.
For decades to come need and demand will increase faster than the resources available. Society will need to maximise value from the resources it allocates for public services including healthcare and to do this ten questions need to be addressed