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All aspects of commercial painting are carried out, from airless paint spraying of large industrial units down to spraying external wall areas of commercial buildings, to painting internal offices and hanging wide vinyl wall coverings.
One of our latest successes was the very modern and high tech L’Oreal academy on Deansgate Manchester; see photos and testimonials. This was completed ahead of the new intake for Jan 2010.
Another of our recent commercial success stories was for Pickford Travel in Romiley, Stockport for their internal fit out and high tech fit out, completed in November 2009.
Click the links below to see photography of our commercial painting and decorating projects:
Carpet Cleaning in Essex, Fast & Effective Cleaning!
A fresh indoor environment looks and smells great, and it helps make you feel, well, better. Paying to have your carpets cleaned is well worth it; but only if top industry professionals complete the work.
Our carpet cleaners work hard to ensure minimal interruption to your day. We arrive on time and ready to start work immediately. Most carpets are dry within an hour; although this will depend on how dirty/thick the carpet is. We won’t bring heavy machinery into your home or office; what’s more, we use our own water.
We take great pride in our work, ensuring all our customers are completely satisfied. Having your carpets cleaned professionally is a no-brainer. Cleaning your carpets yourself could result in them being ruined, making expensive carpet replacement inevitable. Also, if you are a commercial operation, think of the potential loss of trade while your carpets are being replaced! Utilising the skills and services of London Carpet Cleaning means you can avoid all that.
Whether you’re in London or its surrounding counties, ours is an effective, fast and friendly carpet cleaning service that achieves sparkling results at low prices.
Will a climate of austerity kickstart innovation in how the NHS manages and treats long-term diseases such as asthma and diabetes? Debbie Andalo reports on a recent roundtable debate on how to tackle this ‘epidemic’
America’s healthcare system could help show the UK the way as it grapples to cope with the growing “epidemic” of chronic diseases, such as diabetes and obesity, at a time when NHS spending is being squeezed.
There is increasing evidence from the US that the model of group practice, where GPs and hospital consultants work under the same roof, can not only save money but also help extend the life expectancy of people with chronic conditions, in some cases by up to four years.
The suggestion was put forward at a recent roundtable discussion, featuring chief executives from medical associations, doctors and academics in the healthcare sector, which looked at what the UK and US could learn from each other in the management of chronic disease.
The debate, which was hosted by the Guardian and sponsored by Bupa, was held under the Chatham House rule, which allows comments to be reported without attribution to encourage frank discussion.
The roundtable heard that today there are about 15 million people in England alone who are living with a single, long-term medical condition such as asthma, coronary heart disease or diabetes, according to official figures from the Department of Health. The total is rising, as is the number of people who find themselves living with multiple chronic diseases.
There are three major risks for chronic disease that are “modifiable”: diet, exercise and smoking. But as lifestyle changes are not being made to the extent they should be, one speaker suggested the vocabulary needs to change: “It’s right to call it an epidemic because it looks like an infectious disease and it behaves like an infectious disease.
If we treated it as such we could stop it but we don’t because we think there is nothing we can do about it.” It was a similar attitude to that taken by people in the big epidemics of the 14th century, he said, when people threw rose petals on the dead bodies during the bubonic plague. “If you look at the analogies between the Black Death and type 2 diabetes they are quite close,” the speaker remarked.
‘Shared decision making’
But while the demands of chronic conditions on the health service in England is growing, the NHS is looking to save £20bn by 2014 and is facing major reform, following publication this summer of the government’s white paper, Equality and Excellence: Liberating the NHS.
The intention is that responsibility for commissioning NHS services will fall to consortia of GPs as primary care trusts and their strategic health authority bosses are abolished. At the same time, the government wants to embed in the NHS the principle of “shared decision making” between patients and their clinicians about their care: “No decision about me without me” states the white paper.
But the concern of those health economists and organisations, representing the interests of patients and service providers, who took part in the debate is whether this new-look NHS, with the power being shifted away from managers to family doctors, is going to be able to cope with the increased demands of chronic disease.
So, can the UK learn from other countries about the way they manage this group of patients?
In the US, group practice was successful in caring for people with long-term conditions because family doctors and hospitals “have a strong sense of mission and clinical leadership”, the roundtable, was told.
“Primary and secondary care doctors are in the same space, they are glued together by this mission,” one participant said. In addition, the pressure of peer review contributed to making this way of working a success.
A fruitful relationship between GPs, nurses and hospital doctors was also behind another US care pathway designed specifically for patients with diabetes, which has been adopted for the past 15 years by a group of hospitals in Utah. In the Utah model, the patient’s primary care doctor takes responsibility for continuity of care.
But the relationship between the family doctor, the consultant and the patient is totally different from that which exists in the UK, the roundtable was told. “The consultant is consultant to the physician – not necessarily the patient”, a contributor explained, and together the clinicians have developed protocols which “have worked a lot of costs out of the system”.
The coalition government, as the white paper illustrates, is determined to put patients at the heart of decisions about their care. Ministers hope that the more involved patients become in the decision-making process, outcomes will improve and NHS costs reduce.
This view was borne out by a recently published London School of Economics report (Bupa Health Pulse 2010), which quizzed more than 12,000 people from around the world about their attitude to chronic disease. It showed that evidence was starting to emerge that self-management can improve patient health and reduce costs.
In the UK, the roundtable was told, one national patient charity for people with a chronic condition, which accounts for 10% of NHS spending, was already taking steps to help patients take more control of their health. The charity is collecting information to create a national league table in order that patients can compare the quality of care.
It is intended that patients will be empowered to manage their own conditions and be in a stronger position to articulate their individual needs.
In the US though, a different approach is being taken to empower patients. The roundtable was told about an American project where nurses “coach” or “nudge” patients in the lifestyle changes they might adopt, which could improve the management of their long-term conditions, potentially reducing the need for hospital readmission. The results of the project revealed that it had reduced hospital stays and health costs.
A similar project is now running in the UK. A speaker said: “It is felt that in America the patients are more motivated because insurance costs are involved. There is this idea that in the UK, patients are not that motivated. But I am not so sure that’s right. I think British patients will respond to this [way of working] too.”
The UK government’s desire to promote shared decision making in chronic-disease management requires the co-operation of GPs, which has been slow to happen. A speaker told the roundtable: “This is about getting the patients to manage themselves but there is a bit of fear out there [among GPs] that we are trying to take patients away.” In the US, the roundtable heard, three states have decided to change the law to place a statutory obligation on family doctors to involve their patients in decisions about their care.
Back in the UK, the east of England region has been taking different steps to create a culture of shared decision making. Every patient with a chronic condition has their own personal health plan, which has “self-care” running through it. Their care is commissioned according to a pathway “hub” where services are based in the community.
Primary and secondary care specialists work together managing a patient population with a group of conditions according to integrated pathways with “intensive episodic highly specialised care” being managed outside of the hub, a speaker explained.
As the NHS faces £20bn of efficiency savings at the same time that there is an increase in cases of chronic disease, services will have to prove that they are providing value for money. To help address this, the Department of Health last month published its Atlas of Variation in Health Care.
The document includes 34 maps that look at how much money each primary care trust in England spent on specific clinical services in 2009 – including chronic conditions – and links that to patient health outcomes.
The report is significant because as one speaker said: “While we may know what we spend on asthma we don’t know what we are getting for it or what asthma care has bought in Liverpool or Manchester.” The speaker added that for the past 10 years the most common word in the NHS was “quality” but for the next 20 that will be replaced by “value” with a greater emphasis on outcomes and money spent.
Heath prevention, which stops people developing chronic conditions in the first place, is also crucial if the current epidemic is to be halted. There was some hope from the roundtable that the government’s public health white paper, Healthy Lives, Healthy People: Our Strategy for Public Health in England – which comes with a £4bn budget and gives local councils rather than the NHS responsibility for public health – might help.
But there was also concern that the document lacked a national strategy. “The big question is how much can we put things in place when there is no national overview,” said one speaker.
While there was no single solution to improving public health and reducing chronic disease it was felt that “society” as a whole, rather than health professions alone, had to take the lead because the public had the power to bring about significant change. One speaker remarked: “The success on banning cigarette smoking wasn’t because the [health] profession was leading on it. GPs aren’t going to have the strength to go out and shut down their local McDonald’s.”
Chronic disease is responsible for 60% of all deaths in the world, according to World Health Organisation figures. In the UK the cost of heart disease alone accounted for 12% of the NHS’s total expenditure in 2006. Chronic disease rates are expected to continue to rise as UK health spending is squeezed and the NHS is reformed. But this climate of change offers an opportunity for innovation in the management of chronic disease with new ideas coming from within the NHS as well as others from across the Atlantic, which are already being adopted.
At Roof Magazine, we are here to look at ways to improve home value. We’ve researched areas such as Brisbane, London and Paris. Here are the top 5 renovations to increase your property value, ensuring that your home sells for more and it possesses the individual touches that you desire.
It’s the end of the cramped kitchen at dinner rush hour because you are transforming your kitchen.
Kitchen renovations increase your property value by 10% and usually cost around £15000.
Whether it is open-plan or a general make-over this is a great way for you to increase the market value of your property whilst enjoying more space. More
Converting your loft is the most popular form of home renovation. It is best to keep costs down by pre-planning e.g. knowing what conversion you’re going for (dormer or roof light). Loft conversions on average increase property value by 20% which shows how much of a benefit they are when it comes to selling your home.
Creating a new garden is another beneficial way to increase the value of your property. It also enables you to add all kinds of different elements such as:
Home builders that are renovating your property usually charge upwards of £5,000 depending on what your goal is.
Designing and implementing a new bathroom, whether upstairs or downstairs, is another great way to increase property value. Prices start from £3,000+ but the cost largely comes down to the how grand you would like your new bathroom to look like.
Usually you don’t need planning permission but in some cases you may. Therefore, it is best to check with your local authority. This type of conversion can cost at least £5000 but doing any kind of home renovation is going to be costly.
Attracting new customers can be a challenging task. WeDoTrades is constantly examining and researching new ways that will help drive consumers into your shop. Renovation can be a costly expense to undertake, but if focused on properly, it can help change your fortunes around.
This is a brilliant way for rebranding your shop and capturing the attention of potential consumers on the high street. Erreka aluminium shop fronts can be a vital step for revitalising your own business.
“Over 83% of high-street shoppers are influenced by the shop front if they’ve never been a customer before.”
Tip the odds in your favour by revamping your shop front and mark a new start for the future of your business. Read more
Carpet cleaning is a huge task.
Cleaning your carpets may be also included in the weekly cleaning schedule or as a monthly duty.
There is no doubt that a professional cleaning service may offer you something more sophisticated, satisfying and cleaner! If you are interested in carpet cleaning services in Adelaide, click here.
Relying on the contemporary cleaning solutions and modern sanitising techniques is always the better option for you and for your carpets.
Contact We Do Trades to share your carpet cleaning tips.
Having an interior designer for your kitchen means you can transform your kitchen, without any of the stresses of having to choose as you will have a team who does it all for you! But, what is involved in the makeover of a kitchen? In our opinion, this includes the worktops, cupboards, windows, furniture and flooring. Read more
Craftsman Bathrooms are devoted to providing brilliant the best bathroom renovations in Brisbane, Australia. They are a friendly, local firm with a family feeling, and are registered, so you know you can trust them.
Their approachable team is driven by a hunger for what they do and Craftsman Bathrooms’ ongoing success is built on their good reputation for first-class service, keeping close and durable relationships with clients and having as much appreciation for your home as we do for their own. Click here to see recommended bathroom tiles. Read more