“Music is widely used to help people relax and divert attention from unpleasant things, so we set out to show that music chosen by a patient helps provide a familiar environment and will distract their attention.”In the research, reported in the current issue of the medical journal Anaesthesiology, patients were asked to bring with them a CD of their favourite music to enjoy. ANAESTHETISTS WHO play music to their patients during operations have discovered that the sound substantially reduces the amounts of sedatives and pain-killers needed. When patients listened to their own choice of music through headphones, the use of pain-killing analgesics was almost halved, and the level of sedative also dropped.
All the patients were operated on under local or regional anaesthetic and were therefore awake during the operation.The huge increase in hospital day surgery in Britain means that more such operations are being carried out. He remains confident that the aim of getting down waiting lists to the level inherited from the Tories over the next eight months will be met, barring accidents this winter.He is so confident that the figures will continue to go down that he is preparing to remove his collection of paintings from his office wall – including a portrait of Oliver Cromwell inherited from Stephen Dorrell, his Tory predecessor – and replace them with graphs of the waiting lists for NHS treatment.. Some Labour sources said it was the fault of the copywriters when they were producing the posters for the election: they did not think a commitment to “treat 100,000 more patients” was sharp enough.Mr Dobson knows he is saddled with it, and if he does not deliver on the first stage by next May, he will be out of a job.

But as it did with all public sector groups, the Cabinet reduced the increase to 2 per cent from 1 April with the rest being paid from 1 December.The Government is planning to deliver its submission to the pay review bodies later this month and the Prime Minister has already met them to reassure the review bodies they still have independence in spite of the change to their terms of reference to include “affordability” for the first time.The nurses pay review has been told to report to Mr Dobson and Downing Street, and the Treasury is hoping that its recommendations will be kept closer to the 2.5 per cent inflation target.The Health Secretary is also consulting the NHS groups on a long-term plan to introduce a single independent pay review body for the whole of the health service, to reduce disparities between the auxiliary nurses and porters not covered by pay review bodies and, for example, GPs, who this year were awarded 5.2 per cent more in two stages.But new Labour’s other key health pledge, to cut waiting lists by 100,000, seems like a mirage; the more people are treated, the more come on to the list. The nurses’ pay review body recommended an increase of 3.8 per cent this year costing pounds 351 million extra. In the past, it was all about gagging nurses from speaking out. We will be spelling out family-friendly policies and producing a joint document on reducing assaults and abuse of staff,” he said.The Health Secretary also gave a clear signal that he will avoid staging next year’s pay award to nurses.Pay is one of the key issues that is blamed for poor recruitment and retention in the NHS.

Lord Irvine, the Lord Chancellor, has written to magistrates, telling the courts to take violent offences against NHS staff more seriously.”We want to make working in the NHS more attractive. “It’s clear, on present levels of pay and terms and conditions, there is difficulty in recruiting and retaining nurses.”Mr Dobson also has drawn up, with the Royal College of Nursing, new guidelines for hospitals to enforce security in hospitals to stop nurses and doctors being assaulted by disturbed or drunken patients.Jack Straw, the Home Secretary, will back up the guidelines by ordering the police to crack down on assaults on hospital staff. At the Statue of Liberty flame, visitors left flowers and wrote messages and poems in many languages.But it was at Kensington Palace where, once again, most grief was displayed. About 100 people had maintained a candlelit vigil over night By dawn, their numbers began to swell considerably. The mood outside Diana’s old home was quiet, reflective, but, unlike last year, not so many people stood with tears running down their faces.Ian Jackman, 34, a hotel manager and a devoted fan who had spoken to Diana over 100 times, flew back to Britain yesterday morning from Paris where he and three friends had spent the anniversary of her last evening with Dodi at the scene of the crash.

“It was very emotional” he said.Diana Millinship, 55, and her friend Jacqueline Bell, 53, had travelled from Ilkeston, near Derby, as they had not come last year. First they took flowers to Harrods, then to Kensington together with a verse written by a colleague at the upholstery factory where they work.Unlike last year, the Royals were quick to show their appreciation. It suited the agency nurses but it struck me that if you can order your rosters for agency nurses, you can organise them for your NHS staff.”Offering nurses more flexible working hours could allow more to come back into the profession after having children. “I can remember some years ago that three quarters of the nurses at University College Hospital were agency nurses. When I inquired, the explanation was that the agency nurses can work what hours they like, but the ones on the NHS payroll had to work standard hours.

Stress levels are high throughout and there are staff shortages and recruitment difficulties in several areas.”Mr Dobson’s determination to help nurses work more flexible hours follows a personal experience. His letter follows a study of NHS emergency services, showing that pressure on emergency units last winter increased in spite of the mild weather, and a harsh winter this time could see waiting lists start rising again.Christopher Bunch, chairman of the emergency services action committee, which carried out the review, said: “Staff have coped magnificently under increasing pressure but at some cost. Why pay $9 for a 50mg tablet when it costs only half that amount. A third of a tablet works great for me.”Then of course, there is the odd failure: “Tried 50mg the first time and no luck Tried 100mg the second and again no luck. It’s been two weeks now …”Viagra Talk is at http:// www.bigv /.

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