Joined: Sept 2006 Gender: Female Posts: 35 Location: North Wales Karma: 0
The Boards May Have To Close! « Result #1 on Jan 5, 2009, 6:01pm »
I started these boards with the hope of bringing people together to help fight the HCW and share information etc, but, after excessive promotion and trying to get them to work, no one seems to be interested.
So I may close these boards, please let me know you views
Re: Transpeople in the workplace « Result #2 on Aug 6, 2008, 2:27pm »
Hello, I'd like to comment on this topic. I've been made redundant four times for eing Trans. The last company I worked for was OK about it, but still had to retire to Transition. Now I'm just ecstatic to be Myself all the time. Best Wishes Jenny-Anne Rhyl
Joined: Sept 2006 Gender: Female Posts: 35 Location: North Wales Karma: 0
Should the HCW be scrapped! « Result #3 on Jun 10, 2008, 5:26pm »
Health Commission Wales (HCW), the controversial body which controls specialist NHS treatment, should be scrapped, an official report says.
The report, ordered by Health Minister Edwina Hart, found fundamental flaws in HCW’s establishment and said it should be replaced by an independent body.
HCW was inadequately planned and not allocated enough money, it said.
Ms Hart said the new panel would increase patient and public engagement in a difficult decision-making process.
She said: “I am not one of those people who believes that lay people cannot be trusted to be involved in these sorts of decisions.
“I am convinced that substantially-increased engagement by members of the lay public in these profoundly difficult decisions will lead to improved transparency and public confidence in both the processes and its outcomes.”
Ms Hart said she had asked report author Prof Mansel Aylward to provide further advice and, after consultation, to deliver a set of detailed working proposals.
The review came after several patients campaigned against decisions to deny them costly medical procedures.
HCW, which was set up in 2003, has a budget of almost £550m which pays for treatments normally unavailable on the NHS in Wales.
It looks after many forms of specialised care - from brain surgery to transplants, eating disorders to cancer care.
The new system should ensure that patients can expect timely, high quality and transparent decision-making and management of complaints Prof Mansel Aylward
But the report found fundamental flaws in the way HCW was established, poor governance arrangements and an unsound budget allocation.
This has led to confusion over commissioning responsibilities and has left some patients paying the price, according to the report.
Prof Aylward said, in some cases the best interests of the patient were compromised.
The review also found that HCW does not have a management board with an independent chair to provide support and challenge to the organisation.
Rushed and fragmented
Due to the lack of these supporting arrangements the review concluded that senior managers were unable to operate effectively and flexibly.
An investigation into the way the assembly government determined HCW’s budget was carried out but the review found this process was rushed and fragmented.
Prof Aylward cited problems arising with patients trying to move from medium secure forensic mental health facilities to low secure facilities.
HCW is legally required to commission services for patients with these needs but when patients have improved and are ready to “step down” to low secure care, which is the responsibility of LHBs, there are often insufficient places available to accommodate them.
As a result, the review found that a patient may have been inappropriately held in medium secure mental health facilities for more than three years, costing millions of pounds.
A hospital matron washing her hands It has been recommended that HCW be replaced by an independent body
“The cost is currently incurred by HWC which has confirmed that this is a major cause of its overspend,” said Prof Aylward.
“These delays… raise questions about whether there has been appropriate recognition of the rights of the patient, including possible breaches of the Human Rights Act.
“This situation is unacceptable and is in need of urgent resolution by the Welsh Assembly Government.”
In the review, Prof Aylward recommends that HCW is replaced with an organisation independent from the assembly government.
He also said a budget should be allocated based on a regularly updated definition of specialised services.
An appeals board independent of the new organisation should also be set up to revise and amend the original commissioning decision on a patient, he said.
“The new system should ensure that patients can expect timely, high quality and transparent decision-making and management of complaints,” said Prof Aylward.
Joined: Sept 2006 Gender: Female Posts: 35 Location: North Wales Karma: 0
Help Support GRS Wales « Result #5 on Apr 13, 2008, 9:32pm »
It costs money to host the GRSWales website and we are thankful to those who are promoting the site and this forum on their website, but, to help with promoting the cause that little bit further please help by either donating what you can to GRSWales or help by purchasing one of our many items of clothing etc from CafePress or Zazzle (you can customize items with your own text etc at Zazzle)
Re: nose plastic surgery « Result #6 on Feb 4, 2008, 4:44am »
Speaking from experience, If you made your expectations clear to your surgeon prior to surgery and the result is significantly short of what was agreed upon, I would suggest seeking out a more qualified and experienced surgeon. Your result is HIGHLY dependent on the skill of your surgeon. I paid well over 10k for my revision procedure and I'm only in my twenties. The results have made my search and expenses to enlist the services of a highly capable surgeon well worth it. If it has only been 3 weeks since your rhinoplasty and you are this distressed about the results I would strongly suggest seeking out an abundantly qualified surgeon for what will hopefully be your second and last procedure. With that said there will be minor swelling that persists for many months after the procedure. However, if there is an obvious feature that still persists a month after surgery, no amount of time is going to significantly change it. The only way to remedy it is in the hands of a capable surgeon. Finally, you will know an abundantly skilled surgeon when you come across one. You will be impressed by the large number of positive and aesthetically pleasing photographs detailed on their website or in their office. You will also be impressed by the depth and breadth of their knowledge regarding revision and primary rhinoplasty. There are a few surgeons out their on the net that have extensive websites devoted to sharing their knowledge of the art of science of nose job surgery. There are a few surgeons like Dr.Rivkin that intimately detail the steps to achieve various goals in rhinoplasty, both by showing examples of how it was done wrong and how it was done right. If you come across a surgeon with this level of skill the chances for a good result, as long as you express your expectations clearly to them, are really quite high.
nose plastic surgery « Result #7 on Feb 4, 2008, 4:40am »
Can anyone in Orlando Florida suggest a good plastic surgeon...preferably someone who's gotten a nose job? Are there any doctors who particularly have a good reputation? Any to avoid?
Joined: Sept 2006 Gender: Female Posts: 35 Location: North Wales Karma: 0
Merry Christmas and Happy New Year « Result #9 on Dec 26, 2007, 12:00pm »
Hi everyone, just a quick post to wish you all a Merry Christmas and a Happy New Year.
Let's hope that 2008 brings a better luck with the gender issues that the HCW have thrown up to stop people living their lives the way they should have been from birth...
Joined: Sept 2006 Gender: Female Posts: 35 Location: North Wales Karma: 0
Re: Try our new Gender Toolbar « Result #10 on Dec 6, 2007, 2:44pm »
The toolbar has now had a slight update and now includes more links and extra information for any wanting information on GRS or the latest news from the GRS Wales blog.