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Agenda for Change (AfC) is the current National Health Service (NHS) grading and pay system for NHS staff, with the exception of doctors, dentists, apprentices and some senior managers. It covers more than 1 million people and harmonises their pay scales and career progression arrangements across traditionally separate pay groups, in the most ...
This system puts registered staff on bands 5–8, unregistered staff such as Healthcare Assistants take up bands 2–4. Band 9 posts are for the most senior members of NHS management. Each band contains a number of pay points. The idea of this system is "equal pay for work of equal value".
Rubber band ligation is typically recommended as the first-line treatment in those with grade I to III disease. [6] It is a procedure in which elastic bands are applied onto internal hemorrhoid at least 1 cm above the pectinate line to cut off its blood supply. Within 5–7 days, the withered hemorrhoid falls off.
Hemorrhoids are fed by arteries and drained by veins. The arterial blood supply is based on the superior rectal (hemorrhoidal) artery. Just as veins in the leg weaken and become prominent, hemorrhoidal veins also may become varicose, resulting in internal hemorrhoids or “piles”. Internal hemorrhoids are divided into four grades.
NHS Employers is an organisation which acts on behalf of NHS trusts in the National Health Service in England and Wales. It was formed in 2004, is part of the NHS Confederation , and negotiates contracts with healthcare staff on behalf of the government.
The hemorrhoid will shrink and fibrose within a few days with shriveled hemorrhoidal tissue and band falling off during normal bowel movements - likely without the patient noticing. [ 3 ] Rubber band ligation is a popular procedure for the treatment of hemorrhoids, as it involves a much lower risk of pain than surgical treatments of hemorrhoids ...
The Department of Health claims stated that by concentrating on a set type of procedures they are able to streamline the patient care pathway, [5] resulting in an improved patient experience [6] and help the NHS to quickly meet waiting time targets; [7] however, the majority of independent research conducted to date has contradicted these claims.
Greater East Midlands Commissioning Support Unit was criticised by Liz Kendall MP who said it should no longer run NHS continuing healthcare services for patients with complex needs and that it only had one part-time person monitoring the quality of all its home care providers. [4] It announced plans for a merger with NHS Arden CSU in November ...
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