It’s Time For A Healthy Debate On Superclinics And Buy-Ins

IT’S TIME FOR A HEALTHY DEBATE ON SUPERCLINICS AND BUY-INS
[email protected]

Hampstead and Highgate Express
mhigh/postbag/story.aspx?brand=NorthLondon24&c ategory=Postbaghamhigh&tBrand=northlondon24&am p;tCategory=postbaghamhigh&itemid=WeED03%20Apr %202008%2010%3A39%3A27%3A897
April 3 2008
UK

Campaigner for elderly people in Westminster & Camden

Controversy reigns supreme over the introduction of the superclinic
and the buy out by multinationals of our health centres.

Camden is a hot bed of discontent after an American company, United
Health, bought into the management of two health centres in the
borough. It appears that there was no consultation at any level,
just a fait accompli – take it or leave it.

Leaving it is not really an option unless one is wealthy enough to
afford private medicine. Taking it on has yet to be assessed. So what
is the agenda? Will it be detrimental to health care? NHS Plc?

It all started with a certain Baron, Professor Ari Darzi of Denham
KBE, one of the world’s leading surgeons. Specialising in the field
of minimally invasive and robot-assisted surgery and a pioneer of
many such techniques and technologies, he is the master of innovation.

He is also Parliamentary Under-Secretary at the Department of Health
and appointed to the PM Gordon Brown’s "Government of all Talents"
initiative, known by the unfortunate name GOATs. Here he has forged
ahead to bring about change and progress for medicine in the 21st
century.

The Goats separated from the sheep in one fell swoop. Under this
initiative, Baron Darzi was briefed to review the plans for the
future of the NHS, relating mostly to community and primary care,
including GPs, working hours. He came up with the superclinic as the
way for the future.

Who is this man to wield so much influence in the corridors of power?

He was born in Iraq to Armenian parents who had survived the 1915
genocide of their race. They emigrated to Ireland where Ari Dharzi
grew up in idyllic surroundings as a very happy and contented child.

He studied medicine in Ireland, obtained his Fellowship in surgery from
the College of Sur-geons Ireland and an MD from Trinity College Dublin.

Subsequently he was granted fellowships of the Royal College of
Surgeons of England, The American College of Surgeons and Physicians
of Glasgow and of the Royal College of Surgeons Edinburgh.

A Fellowship of the Academy of Medical Sciences and The City and
Guilds of London Institute and honourary fellowship of The Royal
College of Engineering soon followed.

He is Chair of Surgery at Imperial College London where he is head
of the Division of Surgery, Oncology, Reproductive Biology and
Anaesthetics. The awards keep coming in.

Professor Darzi’s main clinical and academic interests are in minimal
invasive therapy, including imaging and biological research, together
with investigating methods to measure core competencies of surgery.

He is world famous for the advancement of non invasive surgery and
in the use of allied technologies including surgical robots and image
guided surgery.

Small wonder then that Professor Darzi made rapid progress in his
profession. Not just in medicine but also in his political career.

Left of centre, he has had a long established relationship with Labour.

The Secretary of State for Health elected him to the London
Modernisation Board, now the National Leadership Network, becoming
advisor to the government on modernisation of the NHS and advisor in
surgery to the Department of Health.

His strategy Healthcare for London – A Framework For Action is the
foundation for the future controversial super clinics for primary
care and health promotion.

So there you have it. The day of the GP is gone, just as the day of
the Nightingale ward is gone. Hospitals as we know them are obsolete,
not fit for purpose.

A whole sea change is about to sweep away the mindset of the
established purveyors of health care. Their cages are being rattled
and they don’t like it.

The general public should examine what is on offer before they are
swayed by the prophets of doom. The patient has everything to gain
and nothing to lose when one considers the parlous state of the NHS .

The title Health Service is a misnomer anyway. It is in fact a service
for the sick. The healthy are able to take care of themselves.

The new super clinic with modern diagnostic equipment and on the spot
treatments for minor afflictions will ease the burden on casualty
departments and outpatient clinics.

Advances in minimal invasive surgery will be the norm. Infection will
be easier to control.

Recovery time will be shortened. Nurse practitioners will come into
their own at last and remain professional hands-on nurses and not
have to take a managerial job as upgrading. Accountants and clerks
will do what they are trained for, to manage the paperwork.

Medics will be freed to really see and know the human being they
are treating.

The 15 minute audience with a monitor and mouse during office hours
only must end with walk-in superclinics to replace them.

An annual MOT for all to detect disease before it spreads is a
reality. And much much more. Everything that adds to the quality and
quantity of life is possible under Baron Professor Darzi’s proposals.

We should welcome it. And not before time.

http://www.hamhigh.co.uk/content/camden/ha

EuroVision Song Contest: Bilan, Alehno And Lorak Join Sirusho At The

BILAN, ALEHNO AND LORAK JOIN SIRUSHO AT THE AMA’S

esctoday.com
ead/11006
April 3 2008
Netherlands

Dima Bilan, Ruslan Alehno and Ani Lorak will be joining Sirusho at
the Tashir Awards, aka the Armenian Music Awards, on 6th April. The
show will be broadcasted by ARMTV in more than 80 countries worldwide.

As reported earlier this week, Sirusho, the Armenian representative in
the 2008 Eurovision Song Contest will be attending the Armenian Music
Awards in Moscow, where she is nominated for Best Artist together
with Hayko and Andre who also represented their country in the two
previous contests. More Eurostars will be joining Sirusho in this high
profile event. Dima Bilan, the Russian hope in Belgrade, Ani Lorak,
the Ukrainian Shady lady and Belorussian Ruslan Alehno have also been
confirmed to be present and perform their Eurovision entries.

The Qele, qele promo CD single is about to be released and it will be
distributed to members of the media during Sirusho’s promo tour and
during press conferences in Belgrade. It will contain two original
remixes of the song, as well as the karaoke version and the official
video clip as well. The remix tracks will be available to download on
the official Armenian Eurovision website starting tomorrow, 4th April.

When in Moscow, Sirusho met with Dima Bilan and together they had a
photoshoot session for a well- known Yerevan journal. Footage from
the shoot can be watched below.

http://www.esctoday.com/news/r

Ex-Adviser Of NKR President: Talks About ‘Delivery Of Territories’ A

EX-ADVISER OF NKR PRESIDENT: TALKS ABOUT ‘DELIVERY OF TERRITORIES’ ARE DESTRUCTIVE

arminfo
2008-04-02 14:46:00

ArmInfo. The talks about ‘delivery of territories’ of the security
belt around Nagorno Karabakh are destructive, ex-adviser of
the NKR president, ex-Foreign Minister of the NKR, as well as
RA ex-presidential contender Arman Melikyan said at today’s
press-conference in "Hayatsk" club.

Having emphasized the necessity of documentary preservation of these
territories’ status, A. Melikyan also spoke for the beginning of
the process of recognition of Nagorno Karabakh by Armenia. "Not to
recognize Nagorno Karabakh immediately but to start the process,
that is, start negotiations on the issues of borders and security",
A. Melikyan said. Commenting on the recent statement of RA incumbent
President Robert Kocharyan about possibility of the NKR recognition
by Armenia, Melikyan said that such statements were heard from the
new elected RA President Serzh Sargsyan. If R. Kocharyan thinks that
this issue is in the country’s agenda, he could deal with it the
past 10 years and not 10 days before completion of his authorities,
A. Melikyan said. He also recalled that on the contrary, S. Sargsyan
said that Armenia is not going to recognize the NKR in the near future.

"I Don’t Want To Be Engaged In Politics"

"I DON’T WANT TO BE ENGAGED IN POLITICS"

A1+
[07:03 pm] 01 April, 2008

IBF World Champion Vakhtang Darchinyan is in Armenia preparing for
the fight with Russian boxer Dmitri Kirilov due on June 7.

"I have more than two months to prepare, so I decided to spend the
first month practicing in Armenia. Here I will try to improve only my
physical state. The sparring competitions will be held in Australia",
said Vakhtang Darchinyan at today’s press conference.

Coach Vazgen Badalyan who trained Darchinyan when the latter was
still an amateur boxer, has been operated on and cannot train the
boxer. "I feel I have been losing my technique, so I decided to turn
to my former coach."

Taking into considersation Badalyan’s poor health, Vic is presently
trained by Karen Aghamalyan. "His style is like that of Badalyan’s. In
case I get displeased, I’ll go back to Australia", says Vic.

Before the February 19 presidential election in Armenia, there had been
rumours that Vakhtang Darchinyan seconded Serzh Sarkissian. During
today’s press conference Vic declined to answer if the announcement
had been authored by him. "My announcement was a different one. When
I last came to Armenia Serzh Sarkissian invited me to Dilijan where I
was hospitably met. But I don’t want to be engaged in politics. I’ll
always support the one my country votes for."

Darchinyan’s aim is to become a champion under all 4 versions. "I’d
also like to change my weight to a rank higher and become a champion
in that category. In that case I’ll be able to become a champion
of Australia."

At the end Darchinyan told an April 1 anecdote: "Why does a boxer
drive so fast? -In order to forget where he is going."

Russia, Armenia To Sign Agreement On Space Cooperation In May

RUSSIA, ARMENIA TO SIGN AGREEMENT ON SPACE COOPERATION IN MAY

RIA Novosti
March 31 2008
Russia

MOSCOW, March 31 (RIA Novosti) – Russia and Armenia will sign in May
an agreement on cooperation in peaceful space, the Russian Space Agency
(Roscosmos) said on Monday.

The decision was made following a meeting between Anatoly Perminov,
the head of the Russian Space Agency, and Armenia’s Manuk Vardanyan,
the chairman of the government’s real estate committee.

Armenia is interested in the use of space systems for use in geodesy
and in space navigation systems for monitoring.

Grand Master Lilit Mkrtchian From Yerevan To Compete With U.S Champi

GRAND MASTER LILIT MKRTCHIAN FROM YEREVAN TO COMPETE WITH U.S CHAMPION IRINA KRUSH IN CHICAGO

Noyan Tapan
March 31, 2008

CHICAGO, MARCH 31, NOYAN TAPAN. Four times Armenian champion and
multiple prize-winner of Europe Lilit Mkrtchian will compete with
U.S. champion Irina Krush from March 31 to April 3 in the city of
Chicago, U.S. The competition was organized by the North American
Chess Association headed by Sevan Muradian. The competitors will
play four games of classical chess. Krush’s index is higher, 2473,
on the world classification list and Mkrtchian’s index is 2405.

An Interview With Prosecutor General Of Armenia Aghvan Hovsepyan

AN INTERVIEW WITH PROSECUTOR GENERAL OF ARMENIA AGHVAN HOVSEPYAN
By Mariam Levina

arminfo
2008-03-31 13:00:00

No matter how many people were detained and arrested after mass
disorders, it is much more important how grounded are the accusations
against them

An interview with Prosecutor General of Armenia Aghvan Hovsepyan

A number of international organizations levered criticism at the
actions by the authorities on the day of mass unrest in Yerevan and
on the following days. Do you think the criticism is grounded?

Criticism based on facts must be welcomed. Moreover, such criticism is
necessary and vital, in particular, for raising the efficiency of the
law-enforcement, liquidating omissions and fighting negative phenomena.

However, I’d like to stress that the criticism based on objective
facts and on voluntary opinions and some political interests is in
question. The country’s law-enforcement displayed legal response to
the events in the capital city that were organized with violation of
relevant order and resulted in mass unrest. Some politicization of the
issue may be admissible to political figures, but it is very dangerous
in the law-enforcement sphere to conceal crimes under political
veil. Eight were killed, 265 were injured, 68 cars were burnt, about
10 private facilities were damaged and robbed during March 1-2 unrest
in Yerevan. Not only shops, but also a pharmacy was robbed. Not only
police cars but also an Ambulance was burnt. Policemen keeping public
order faced armed resistance. Not only colds but also weapons and
explosives were applied against the police. The investigation exposed
facts that allow stating that everything was organized. Part of the
active protesters were supplied with everything necessary to disturb
public order and conflict with police. What happened those days was
a crime, and I am more than convinced that law-enforcement agencies
in Europe would not bear such unrest and would resort to tougher and
stricter measures to maintain the constitutional order and security
of the people and the country.

PACE Monitoring Committee met in Paris on 18 March. It is deeply
concerned about the arrest of more than 100 people in Armenia and about
the circumstances of those arrests. Would you, please, comment on this?

As of 27 March 102 people were arrested within the frames of the
criminal case being investigated by special investigation service. They
were accused of specific actions. All arrested, accused and suspected
people were explained their rights, foreseen by Armenian Criminal
Code and they were given an opportunity to fulfill their rights. The
great majority of the accused people have lawyers, some of them
– several. All the accused people were charged for the following
committed crimes: organization and holding of mass measures breaking
of the order set by the law; challenges not to comply with the legal
demands of the power representatives; violation regarding the power
representatives; the actions directed to forceful capture of power;
breaking of the Constitutional order; illegal weapon possession;
firing and robbery of state and private property. According to the
acting Legislation of Armenia, participation in the mass measures
that were organized with breaking of the order set by the law is not
considered to be a crime and no participant is detained or arrested
if there is no sign of a crime in his actions. Of course there are
politicians among the arrested people, but they did actions which
should be legally punished. For this reason they as well as people
having other professions were accused. Among the participants in
mass disorders there are people with higher as well as elementary
education, former policemen, recidivists. Their actions were legally
assessed. As Prosecutor General I am concerned about not groundlessly
accusing any person, and about all the accusations to have a specific
evidence base, as all the criminal cases will be directed to the court,
and open court processes will take place, and the community will have
an opportunity to learn all the evidences. In such conditions not the
number of the detained and arrested people is important but relevancy
of accusations. Legislation of no country foresees limitation of
the number of the people which should be criminally answerable, or
for instance, that not more than 100 people maybe accused within the
frames of one criminal case, especially that we mean mass disorders,
during which more than 200 people were wounded. The prior task of
the law-enforcement agencies is to disclose not only participants in
mass disorders but also their organizers; to clarify legality of the
actions of the law-enforcement agencies. And we shall be consistent
in making all the people that committed crime answerable. Another
point is the problem of individualization of punishment. Certainly,
not all the accused people will be sentenced to imprisonment. Anyway,
the accusing party is not going to demand from the court to punish
all the accused people with imprisonment. At the investigation stage
other punishment measures were chosen regarding many accused people. On
the basis of written order of the controlling prosecutors only seven
accused people were given the measure of restrained which is not
connected with imprisonment. Everything mentioned by international
structures, i.e. about inadmissibility of political persecution and
making people answerable for their views, are not relevant in Armenia
today, since we are guided just with such an approach in our work,
especially in the context of the last court reforms in the country,
over which strict legal mechanisms to rule out any voluntarism and
groundless persecution were formed. Sometimes representatives of
international structures that visit Armenia make conclusions about our
reality having no imagination where Armenia is located on the world
map. I have got an impression that these people are more concerned
about the destiny of our country than we are. I love my native land,
my people, our statehood. And within the frames the authorities of
the prosecutor’s office I will do everything not to put a little
shadow at the democratic principles formed in our country.

How much substantiated is the opinion of PACE Committee, saying
that the arrest of numerous opposition representatives and three
parliamentarians is inevitably perceived as a strike to the opposition
by the authorities and does not relieve the tension in Armenia? How
do you treat the Committee’s demand to set free all the arrested
activists, having committed no grave crimes?

I think that it would be also unacceptable for this respectful
international structure if RA law enforcement agencies were not guided
by the law requirements, but brought charges against the persons,
having committed criminal crimes, or set free them on demand of local
or international organizations. I am sure that they are also concerned
about all the citizens be equal to the law and all our actions be
performed in a legal field, yielding to no political affect by any
instances, including the international ones. Of course, the remarks
and proposals of the international structures are rather useful from
the viewpoint of increasing our work efficiency, as well as reveling
and eliminating omissions. However, when its becomes clear that there
are neither women nor minors among the arrested persons within the
frames of this criminal case, and it is immediately followed by a
demand to set free all the minors, this is obscure enough and it is
just impossible to fulfill this demand.

What do you think about the statement by US Assistant Secretary General
for Europe and Eurasia, OSCE MG American Cochairman Matthew Bryza,
who expressed disagreement with the opinion of RA authorities saying
that the people at the Liberty Square were in a state of psychosis?

Yes, I repeatedly stated and now insist that the people were subjected
to psychological diversion by a specially developed method. Moreover,
psychotropic substances, drugs and alcohol were also used. The
prosecutor general has enough data for such statements. The political
statements and assessments based on the analysis of evidences received
during investigation are in the different legal fields.

Earlier you charged paying special attention to the actions taken by
law-enforcement agencies during the unrest. Are there any preliminary
data?

Does it satisfy the demand of the Committee to conduct independent
inquiry of the circumstances that led to 1 March incidents?

It is known that the Special Investigation Service investigates
the criminal case on the fact of organization and provocation of
unrest in Yerevan to seize state power and violate the constitutional
order. The Special Investigation Service is an independent agency. To
control over the legality of the investigation and the following
presiding over the case, Prosecutor General instructed forming a
Prosecutor’s Group. We attach a great importance to versatile and
objective study of all the circumstances of the criminal case. I
gave a written instruction to the head of the Group to fully and
objectively reveal all the circumstances when police officers applied
force, special methods and weapons, including the grounds for every
case of their application and non-application. A list of questions
has been given to the Investigation Group. The investigation of the
question will give full explanations. In this context, witnesses
and convicts are interrogated as well. It is of extreme importance
for us to reveal the objective reality. That is why every episode is
investigated. If the investigation shows that a policeman or an officer
of internal troops acted voluntarily, it will get an adequate legal
treatment. Forensic-medical examinations are made to reveal the reasons
and circumstances of the bodily harms of all the killed and injured. We
also proposed OSCE Yerevan Office, UN Resident Representative in
Armenia to send for forensic-medical examination the video records
by the specialists of other states. However, no official response
has been received so far. Creation of a parliamentary commission
for complex study of the cases and the incidents preceding them is
currently studied. Prosecutor’s Office attaches a great importance to
providing public with verified information. For this purpose, a Public
Awareness Group has been formed, which gives comprehensive answers
to all the questions of public interest. As soon as the results of
the expertise are known they will be made public.

Do you think that Thomas Hammarberg’s statement on violations and
unworthy behavior towards the detainees was grounded?

All the detained and arrested persons underwent medical examination
at both the places of detention and penitentiaries. All the bodily
injuries were recorded. Not a single statement remains without
response and each complaint is studied thoroughly. 12 offenders have
bodily injuries, and an expert examination is to find out the reasons
of the injuries. Among the detainees there are people who took an
active part in the mass disorders. They say themselves that they
got the bodily injuries during the disorders. There are people who
offered resistance to the police while being detained. In any case,
all statements and complaints are checked, expert examinations will
be carried out and if any cases of violence are revealed, I assure
you that the culprits will be brought to responsibility. However, I
have to state with bitter that sometimes international structures come
out with conclusions based exclusively on some offenders’ statements.

One can observe a strange phenomenon: everybody speaks only of the
bodily injuries of civilians and violence against the detainees. First
and foremost, it makes no difference for the investigation whether
the killed or injured were civilians or policemen, they are all
equal and the investigation should impartially find out the cause
and effect relationship.

To find out the real number of people who received bodily injuries,
the investigative body directed inquiries to all the medical
establishments of the country and as of March 27, according to
the data received by the investigation, 55 citizens out of several
thousands of demonstrators got bodily injures, and the number of
injured policemen exceeds 200. They are said to be peaceful unarmed
demonstrators, however, it is obvious that a squadron commander died
of a grenade explosion, covering the grenade with his body and saving
other people. Who and why armed the demonstrators with fire weapons,
explosives, grenades, things specially meant for inflicting bodily
injuries? Where were those things and metal rods made? Who and why
encouraged the demonstrators to disobey the legal demands of the police
and to resort to armed resistance? Under what circumstances did the
police start the specific actions? Was a demonstrator sleeping and the
policeman struck him/her with a baton? Or were the relevant measures
stipulated by the Armenian law "On the police" applied to temperate
the resistance of the demonstrators armed with explosives and cold
steel arms and to restore the public order and protection of the
constitutional system? We have heard not a single word of public
condemnation of the shots vividly showing that the demonstrators
were throwing grenades at the police and were excited at the fact
that the demonstrators beat the police and took away their batons.

So did the police have to remain silent observers and display criminal
inactivity? The armed demonstrators proved that the organizers of the
mass activities violated the order established by the law and held
mass disorders. The investigation should give exhaustive answers
to these questions. This is a large and difficult criminal case,
and the investigation has no right to make a mistake.

How will you comment on the statements about the necessity of starting
a dialogue?

Dialogue is a political process and I would like to touch on the
conditions of the dialogue, which I think are only of a legal nature. I
regret that the first Armenian president Levon Ter-Petrosyan has not
understood that our country passed a significant way towards the legal
state and that only the Central Electoral Commission or Constitutional
Court may cast doubt on the results of the election. As for the
decision about setting free of the detained and arrested persons,
only the crime investigator, prosecutor and court can make such a
decision. I assess such demands as a pressure upon the law-enforcement
system. And I would like to recall that no political force or top
official or politician have a right to make decisions instead of the
above mentioned law-enforcement agencies and court and to interfere
into their activity.

Such statements are evidence of the fact that Levon Ter-Petrosyan’s
imaginations about ruling the state have not changed since his the
period of his presidency. For this reason I would like to recall
about the lawlessness over those years when the ministers did not
submit to Levon Ter-Petrosyan as a president, and every minister
was the owner of his sphere. Moreover, the prosecutor already had
the signed permissions for arrest and only a name had to be written
in. Even the Extraordinary Commission of the Stalin time did not do
that! Thank God, we got rid of that. I regret that masses are inclined
to believe lie. But one should remember that the lie has a short life.

Armenian Side Should Stop Considering Return Of Territories

ARMENIAN SIDE SHOULD STOP CONSIDERING RETURN OF TERRITORIES

KarabakhOpen
31-03-2008 13:14:16

The authoritative conference devoted to the development of the region
ended in Kashatagh, in which the representatives of the Armenian
governments, organizations and individuals participated. The message
of the conference is that the Armenian side should stop considering
return of the territories and should settle those areas.

It is necessary to put an end to the issue of return of territories
once and for all. This stance leaves a negative trace on the moral and
spiritual state of the Armenian people, announced the representatives
of the U.K.-based Ararat Heritage organization, who read the letter
of their organization during the conference in Kashatagh. It was also
noted that such considerations should address the issue of return of
North Artsakh, Nakhidjevan and the other Armenian territories.

Member of Parliament Vahan Hovanisyan, member of the ARF Dashnaktsutyun
Bureau, said: "Some careless pronouncements by some of our officials
regarding the concession of territories have had a negative impact on
the solution of our problem. Yes, it made people hopeless, did not
inspire confidence in people who live there, and I think that this
mistake should be corrected," the ARF Dashnaktsutyun representative
added.

Member of Parliament Larissa Alaverdyan, Heritage Party, thinks we
must show how after unification this territory becomes the habitat
of the new country which we have. She also underlined that we must
be aware that these territories united with us forever. "No more
incomplete, scary resolutions on the issue of Artsakh. The people of
Armenia and Artsakh and the Armenians worldwide should realize that
there has already been a compromise, and a major part of our land is
now controlled by Azerbaijan. We did the least thing we could do at
the expense of so many victims," Larissa Alaverdyan said.

Member of Parliament Vardan Bostanjyan, Bargavach Hayastan Party,
believes that the settlement of Kashatagh is very important for
Armenia and Artsakh.

According to him, the settlement of the region will bring about
a favorable resolution of the Karabakh issue. In answer to the
settlement of the other regions, he said: "The other regions also
presuppose and require such an objective. However, considering our
limited possibilities, we cannot undertake the solution of all the
problems at once. In this sense, at least the region of Kashatagh is
primary among all problems."

US supports OSCE Minsk Group activity in Nagorno-Karabakh settlement

Interfax News Agency, Russia
March 28 2008

U.S. supports OSCE Minsk Group activity in Nagorno-Karabakh
settlement

YEREVAN March 28

The Nagorno-Karabakh conflict should be resolved peacefully and the
activity of the OSCE Minsk Group will contribute to it, temporary
U.S. Charge d’Affaires in Armenia Joseph Pennington said.

"The U.S. has remained a supporter of a peaceful solution to the
Nagorno-Karabakh conflict, and I am sure that the activity of the
OSCE Minsk Group will lead to this solution," Pennington told a press
conference in Yerevan.

He also said that the U.S. co-chairman of the Minsk Group and Deputy
Assistant Secretary of State for European and Eurasian Affairs
Matthew J. Bryza will soon arrive in the region.