Tag Archives: Institute for Public Policy Research (ippr)

Chief Medical Officer’s Report: Health 2040 – Better Health Within Reach (DHSC / BBC News)

Posted on December 29, 2018 by Dementia and Elderly Care News

Summary The latest annual report from Professor Dame Sally Davies, the Chief Medical Officer (CMO) for England expects a health revolution (sic), with a more prominent re-positioning of healthier lifestyles in society, by 2040: “The environment we live in must … Continue reading →

Posted in Assistive Technology, BBC News, Commissioning, Community Care, Department of Health, Department of Health and Social Care (DHSC), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, Mental Health, National, NHS, Non-Pharmacological Treatments, Person-Centred Care, Personalisation, Public Health England, Quick Insights, Standards, Statistics, Systematic Reviews, UK, Universal Interest | Tagged Annual Report of Chief Medical Officer 2018: Better Health Within Reach (Health 2040), Barriers and Facilitators in Lifestyle Change, BBC Health News, Burden of Multimorbidity, Change4Life, Change4Life National Consumer Campaign on Sugar Reduction, Chief Medical Officer, Chief Medical Officer (CMO) Annual Report: Health 2040, Chief Medical Officer: Professor Dame Sally Davies, Childhood Obesity, Demographic Changes, Demographics, Demography, Department of Health and Social Care (Formerly the Department of Health), Emerging Technology, Encouraging Healthy Behaviour, Environmental and Lifestyle Factors, European Comparisons, Fiscal Levers: Sugar Tax, GBD Forecasting Framework, Global Burden of Disease (GBD), Health 2040 - Better Health Within Reach: Annual Report of Chief Medical Officer (2018), Health Inequalities, Health Inequalities in England, Healthy Ageing, Healthy Behaviours, Healthy Lifestyles, Institute for Public Policy Research (ippr), International Comparisons, Leading Causes of Years of Life Lost in 2016 and 2040, Leading Causes of YLLs in 2016 and 2040: United Kingdom, Leeds, Life Expectancy, Life Expectancy 1990 to 2040 in UK and 8 Comparison Countries, Lifestyle Advice, Lifestyle Change Interventions, Lifestyle Change Programmes, Lifestyle Factors, Lifestyle Intervention Programmes, Lifestyle Risk Factors, Local Health Environments, Machine Learning for Individualised Medicine, Making Sense of Uncertainty, Mental Disorder and Inequalities, Mental Health Inequalities, Multimorbidities, Multimorbidities and Long-Term Conditions, Neuroprotective Lifestyles, Normalisation, Normalisation Process Theory, Personalised Medicine, Personalised Medicine: Improving Outcomes, Prevention, Prevention Agenda, Professor Dame Sally Davies: the Chief Medical Officer (CMO) for England, Public Health, Public Health England (PHE), Public Mental Health Priorities, Public Understanding of Health Inequalities, Reducing Health Inequalities, Risk Attributable YLLs, Social Determinants of Health Inequalities, Social Health, Social Health and Communities, Social Isolation and Loneliness, Structural View of Health Inequalities, Sugar Consumption, Sugar Tax, Uncertainty, Unhealthy Behaviours, Unhealthy Lifestyles, Vascular and Lifestyle Factors, Years of Life Lost (YLLs), YLLs Attributed to Risk Factors in 2016 and 2040 | Leave a comment

Ongoing Reflections on the State of the NHS – and Social Care (BBC News / Health Foundation / Institute for Fiscal Studies / King’s Fund / Nuffield Trust / ippr / Incisive Health)

Posted on June 27, 2018 by Dementia and Elderly Care News

Summary In preparation for the NHS’s 70th Birthday on July 5th 2018, numerous think-tanks and individuals have been authoring timely reports on the current state of the NHS and social care, complete with no shortage of recommendations for change / improvement. … Continue reading →

Posted in Acute Hospitals, BBC News, Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Foundation, In the News, Integrated Care, King's Fund, Mental Health, Models of Dementia Care, National, NHS, Nuffield Trust, Person-Centred Care, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Ageing Population, Alzheimer’s Evaluation Units (Italy), BBC Health News, Better Health and Care For All: 10-Point Plan for the 2020s, Cancer Survival, Cancer Survival Rates in England, Cancer Survival Trends, Closing the Cancer Survival Gap, Doctors Feeling Undervalued and Overworked, France, Germany, GP Morale, Health and Social Care Committee, Health and Social Care Committee Inquiry into Long-Term Funding of Adult Social Care, Health Service Journal (HSJ), History of NHS: Statistics and Charts, Housing Communities and Local Government Committee, How good is the NHS: Health Foundation (2018), HSJ, Incisive Health, Innovative Technology, Insights for the Social Care Green Paper (Incisive Health), Institute for Public Policy Research (ippr), Integration, Integration of Health and Social Care, International Comparisons, International Comparisons of Healthcare Quality, International Comparisons of Long-Term Social Care Funding and Outcomes, International Variations in Cancer Survival, Investing for Transformation, ippr: Institute for Public Policy Research, Italy, Japan, Jeremy Hunt: Former Secretary of State for Health and Social Care, Joined-Up Care, Junior Doctors’ Morale Wellbeing and Quality of Life, LGA Green Paper for Adult Social Care and Wellbeing (July 2018), LGA: Local Government Association, Local Government Association: LGA, Long-Term Care Funding and Outcomes, Lord Darzi Review of Health and Care: Final Report, Low Morale, Matt Hancock: Secretary of State for Health and Social Care, NHS 70 (NHS 70th Birthday), NHS 70th Birthday, NHS’s 70th Birthday, Overprescription, Productivity Improvements, Productivity in the NHS, Proportion of Public Spending on Health, Quality and Sustainability, Rt Hon Matt Hancock MP, Social Care Green Paper, Spain, Sustainability, Technology and Innovation, The Lives We Want to Lead: LGA Green Paper for Adult Social Care and Wellbeing (July 2018), The Lord Darzi Review of Health and Care: Final Report, Transformational Technologies, UK Cancer Survival Rates, West Suffolk Hospital (Matt Hancock's First NHS Speech), Workforce Issues, Workforce Issues (Feeling Undervalued) | Leave a comment

Brexit Dividend to Cover NHS Funding Settlement: Assisted by Undisclosed Tax Increases? (BBC News)

Posted on June 17, 2018 by Dementia and Elderly Care News

Summary The announcement of a 3.4% annual funding increase, over the next five years, represents a significant and politically astute compromise development, in advance of the NHS’s 70th birthday. Wise heads in the Treasury wanted to limit annual NHS budget … Continue reading →

Posted in BBC News, Charitable Bodies, Commissioning, Department of Health, Department of Health and Social Care (DHSC), Health Foundation, In the News, Integrated Care, King's Fund, National, NHS, NHS England, Northern Ireland, Nuffield Trust, Quick Insights, Scotland, Standards, Statistics, UK, Universal Interest, Wales | Tagged Ageing in the UK, Ageing Population, Barnett Consequentials, Barnett Formula, BBC Business News, BBC Health News, BBC Politics News, Better Access to Mental Health Services, Brexit, Brexit Dividend of £350 Million a Week Extra for NHS (Democratic Deficit Allegation), Capacity Pressures in the Health and Social Care System, Caroline Dinenage MP: Minister of State for Care, Caroline Dinenage: Care Minister, Councillor Izzi Seccombe: Local Government Association (LGA), Economic Sustainability, Fair and Balanced Taxation Increase, Five Financial Tests for Sustainable NHS Funding and Appropriate Spending, Her Majesty’s Treasury, Improving Cancer Care, Institute for Public Policy Research (ippr), Integration of Health and Social Care, Integration of Health and Social Care for Older People, ippr: Institute for Public Policy Research, Jeremy Hunt: Former Secretary of State for Health and Social Care, Joined-Up Care, Long-Term Funding Settlement for NHS: Letter to Theresa May (June 2018), Lord Darzi Review of Health and Care: Interim Report, Lord David Prior (Deputy Chair of the Lord Darzi Review), New Settlement for Health and Social Care, NHS 70 (NHS 70th Birthday), NHS 70: Objectives and Narrative, NHS 70th Birthday, NHS Budget Growth: 1956/7 to 2016/7 (IFS Data), NHS Expenditure, NHS Finances, NHS Financial Leadership, NHS Five Financial Tests for Sustainable Funding and Appropriate Spending, NHS Five Financial Tests for Sustainable Funding and Appropriate Spending: Better Use of Capital Investment, NHS Five Financial Tests for Sustainable Funding and Appropriate Spending: Effective Demand Management, NHS Five Financial Tests for Sustainable Funding and Appropriate Spending: Eliminating Provider Deficits, NHS Five Financial Tests for Sustainable Funding and Appropriate Spending: Improving Productivity and Efficiency, NHS Five Financial Tests for Sustainable Funding and Appropriate Spending: Reducing Unwarranted Variations, NHS Five Year Forward View (5YFV), NHS Funding, NHS Funding Announcement (June 2018): 10-Year Plan to Follow, NHS Funding Gap, NHS Funding Projections Versus Historic 4% Growth, NHS Sustainability, NHS Trust Financial Deficits, NHS Trusts Debt Burden, Office for Budget Responsibility (OBR), Performance Standards, Prevention, Prevention Approaches, Quality and Sustainability, Rt Hon Jeremy Hunt MP: Former Secretary of State for Health and Social Care, Rt Hon. Professor the Lord Darzi, Securing the Future: Funding Health and Social Care Into the 2030s Report (2018), Sustainability, Sustainable Funding, Thinking Like a Patient and Acting Like a Taxpayer, Those Who Cannot Remember the Past Are Condemned to Repeat It (George Santayana), Tipping Point in Sustainability of Adult Social Care (Alleged), Transformation Funding, Turning the Ship Around (Avoidance of NHS Unsustainability), Upward Spending Pressures | Leave a comment

Growing Consensus on NHS and Social Care Sustainability; and the Need for Tax Increases? (BBC News / Health Foundation / IFS / IPPR / King’s Fund)

Posted on May 25, 2018 by Dementia and Elderly Care News

Summary The Institute for Fiscal Studies and the Health Foundation estimate that the NHS needs an additional 4% funding, per year, over the next 15 years (as opposed to the currently projected 2%). These estimates are timed in anticipation of … Continue reading →

Posted in BBC News, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Foundation, In the News, Integrated Care, King's Fund, National, NHS, NHS Confederation, Nuffield Trust, Quick Insights, Standards, Statistics, UK, Universal Interest | Tagged Accelerated Access Review, Ageing Population, Alliance Healthcare, BBC Politics News, Biological Medicines and Biosimilars, Cancer Drugs Fund (CDF), Capacity Pressures in the Health and Social Care System, Collusion Between Pharmacies and Suppliers, Councillor Izzi Seccombe: Local Government Association (LGA), Cross-Party and Public Consensus On Sustainable Funding, Delisting or Reclassifying Products, Dr Geraldine Strathdee, Dr Geraldine Strathdee: NHS England’s National Clinical Director for Mental Health, Drivers of Spending on Medicines, Economic Sustainability, Former Minister of Care Services Norman Lamb, Future Financial Sustainability, Generic Prescribing, High Quality Care for All, IFS: Institute for Fiscal Studies, Institute for Fiscal Studies, Institute for Public Policy Research (ippr), Integration of Health and Social Care, ippr: Institute for Public Policy Research, Izzi Seccombe: Warwickshire County Council Leader, Jeremy Hunt: Former Secretary of State for Health and Social Care, Joined-Up Care, Long-Term Funding Settlement for NHS: Letter to Theresa May (June 2018), Lord Darzi Review of Health and Care: Interim Report, Lord David Prior (Deputy Chair of the Lord Darzi Review), Low-Value Medicines, Mark Lloyd: Chief Executive of Local Government Association, Medication Waste, Mental Health Counselling in Primary Schools (Pro Bono Economics Report), New Settlement for Health and Social Care, NHS 70 (NHS 70th Birthday), NHS 70: Objectives and Narrative, NHS 70th Birthday, NHS Efficiency Savings, NHS Expenditure on Medicines, NHS Finances, NHS Sustainability, NHS Trusts Debt Burden, Norman Lamb MP (Former Minister of State for Care and Support), Orphan Medicines, Pharmaceutical Price Regulation Scheme (PPRS), Quality and Sustainability, Rising Costs of Medicines, Rt Hon. Professor the Lord Darzi, Securing the Future: Funding Health and Social Care Into the 2030s Report (2018), Specials (Special Pricing Arrangements on Unlicensed Medicines for Non-Standard Treatments), Specials (Special Pricing Arrangements Potentially Open to Misue By Unscrupulous Suppliers), Steve Brine: Health Minister, Sustainability, The Times (Newspaper), Thinking Like a Patient and Acting Like a Taxpayer, Trastuzumab Emtansine (Price Negotiations), Ultra-Orphan Drugs, Walgreens Boots Alliance | Leave a comment

A Growing Awareness of Lifestyle Risk Factors and Preventative Healthcare (BBC News / NHS Digital / Health Foundation)

Posted on April 7, 2018 by Dementia and Elderly Care News

Summary Awareness of lifestyle risk factors and evidence-based preventative lifestyle interventions may soon have a greater influence in medical education. “The health landscape of the UK has dramatically changed over the last 30 or 40 years and I think the … Continue reading →

Posted in Acute Hospitals, BBC News, Commissioning, Community Care, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), Health Foundation, In the News, Integrated Care, National, NHS, Non-Pharmacological Treatments, Nutrition, Person-Centred Care, Quick Insights, Statistics, UK, Universal Interest | Tagged Adult Diet, Adult Obesity: Prevalence, Airedale, Alcohol-Style Guidelines for Sleep and Rest, Anti-Obesogenic Environments, Basic Cookery Skills (Healthy Eating), BBC Health News, BBC One: The Truth About Obesity, BBC Radio 4, BBC Radio 4’s Food Programme, BBC’s BMI Calculator, Behavioural Insights Team, Behavioural Risk Factors, Betting Shops, Body Clock, Bookmakers, Brighton and Sussex Medical School, Britain's Fat Fight (BBC One), British Journal of Cancer, Cancer Attributable to Modifiable Risk Factors, Cancer Research UK, Cancer Risk Factors, Cancer Risk From Red and Processed Meats, Castleford Tigers, Centre for Cancer Prevention: Queen Mary University of London, Centre for Public Health: Queen's University Belfast, Childhood Diet, Childhood Obesity, Childhood Obesity Strategy, Childhood Obesity: Prevalence by Level of Deprivation, Councillor Jacquie Speight: Wakefield Council, Department of Primary Care and Public Health: Brighton and Sussex Medical School, Deprivation, Determinants of Health, Diabetes Epidemic, Diabetes Prevention, Diabetes Prevention Services, Diet, Diet and Exercise, Diet-Related Ill Health, Diet: Free Sugars and Saturated Fats Consumption, Diet: Oily Fish and Red / Processed Meat Consumption, Dietary Behaviour, Dietary Factors, Dietary Interventions, Dietary Risk Factors, Dieticians, Eastmoor, Eastmoor Community Garden (Wakefield), Epidemiology, Epidemiology and Statistics, Fast Food Outlets, Financial Sustainability in the NHS, Fitzwilliam, Food Programme (BBC Radio 4), Fruit and Vegetable Consumption, Greenhill Primary School (Wakefield), Healthy Ageing, Healthy Behaviours, Healthy Communities, Healthy Eating, Healthy Lifestyles, Healthy Lives Strategy (Health Foundation), Healthy Sleeping, Improving Local Public Health, Institute for Public Policy Research (ippr), Integrated Prevention Approaches, Journal of Public Health, Kent County Council, Kinsley, Kinsley and Fitzwilliam Community Centre, Local Authority Commissioned Public Health Preventative Interventions (UK), Medical Education and Training, Mood Disorders and Disruptions to Body Clock, National Cancer Registration and Analysis Service: Public Health England, National Childhood Obesity Strategy, National Guidance on Daily Recommended Hours of Sleep for Different Age Groups, NHS Diabetes Prevention Programme, NHS Digital, NHS Digital (Formerly the Health and Social Care Information Centre), NHS National Services Scotland: Information Services Division, Nordic Walking, Northern Ireland Cancer Registry: Queens University Belfast, NutriNet-Santé, Nutrition and Exercise, Nutritional and Metabolic Disorders, Obesity, Obesity - Burden of Ill-Health Links, Obesity and Diabetes, Obesity Epidemic, Obesity in the UK, Obesity is the New Smoking, Obesity Risk Factor, Obesity-Related Hospital Admissions, Payday Lenders, Physical Activity, Policy and Information Directorate: Cancer Research UK, Poor Diets, Prescription Items for Treatment of Obesity, Prevention, Prevention Agenda, Prevention Approaches, Problem Gambling, Processed Foods, Professor Jonathan Valabhji: National Clinical Director for Diabetes and Obesity at NHS England, Professor Louis Levy: Head of Nutrition Science at Public Health England, Professor Russell Viner: President of Royal College of Paediatrics and Child Health, Protected Sleep Time for NHS Hospital Patients, Public Health Department: Kent County Council, Public Health England, Public Health Preventative Interventions, Public Health Wales, Queen Mary University of London, Queen's University Belfast, Reducing Expenditure, Reducing Health Inequalities, Richter Scale of Health (RSPH), Risk Factors, Royal College of Paediatrics and Child Health (RCPCH), Sleep Hygiene, Social Determinants of Health, Social Determinants of Health Inequalities, Social Epidemiology, Soft Drinks Industry Levy, Soft Drinks Industry Levy (aka the Sugar Tax), Solariums, Statistics on Obesity Physical Activity and Diet (England), Subsidies Taxes and Prices, Sugar Tax, Tax on Unhealthy Food (Proposed), The Royal Society for Public Health (RSPH), Three Area Project (TAP), Type 2 Diabetes, Type 2 Diabetes in Children, UK's Unhealthiest High Streets, UK's Unhealthiest High Streets: Blackpool, UK's Unhealthiest High Streets: Grimsby, UK's Unhealthiest High Streets: Walsall, Ultra-Processed Foods, Ultra-Processed Foods and Premature Mortality: SUN Study, Ultra-Processed Foods: Potential Cancer Risk, Under-Reporting and Apparent Fall in Calorie Intake, Unhealthy High Streets, Wakefield, Wakefield Council, Wakefield TAP (Three Area) Project, Welsh Cancer Intelligence and Surveillance Unit, Wolfson Institute of Preventive Medicine: Queen Mary University of London | Leave a comment

Defeat Dementia Report (Alzheimer’s Research UK / OHE / BBC News)

Posted on June 23, 2014 by Dementia and Elderly Care News

Summary Alzheimer’s Research UK (ARUK) released their “Defeat Dementia: the evidence and a vision for action” last week to coincide with the Global Dementia Legacy Event and the launch of their “Defeat Dementia” campaign. This report draws on analyses from … Continue reading →

Posted in Alzheimer’s Research UK, BBC News, Charitable Bodies, For Carers (mostly), For Doctors (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), In the News, Management of Condition, Models of Dementia Care, National, Non-Pharmacological Treatments, Patient Care Pathway, Pharmacological Treatments, Quick Insights, Statistics, UK, Universal Interest | Tagged Age of Dementia Onset, Alzheimer’s Disease: Prevalence, ARUK: Alzheimer’s Research UK, BBC Health News, Burden of Alzheimer’s Disease, Burden of Dementia, Burden on Caregivers, Carer Burden in Dementia, Defeat Dementia Campaign, Defeat Dementia Campaign (Alzheimer’s Research UK), Delaying Onset: Cost Impact, Delaying Onset: Human Impact, Disease Modifying Treatment by 2025 (Aim), Disease Progression, Disease-Modifying Therapies for Dementia, Economic Analyses, Economic Case for Prevention, Economic Modelling, Epidemiology, Epidemiology and Statistics, Family Carers, Global Dementia Legacy Event, Informal Carers, Institute for Public Policy Research (ippr), ippr: Institute for Public Policy Research, Office of Health Economics (OHE), Progression of Mild Cognitive Impairment to Dementia, Progression to Alzheimer's Disease, Slowing Progression: Cost Impact, Slowing Progression: Human Impact, Social Epidemiology, University College London, Unpaid Caregivers (Carers), Unpaid Carers, Wider Societal Burden | Leave a comment

Demographic Crisis in Care Provision: Community Responses (BBC News / IPPR)

Posted on April 24, 2014 by Dementia and Elderly Care News

Summary The Institute for Public Policy Research (IPPR) has estimated that the number of older people in England needing care will outstrip the supply of family members able to provide unpaid care by 2017. The IPPR further estimates that by … Continue reading →

Posted in Age UK, BBC News, Charitable Bodies, Commissioning, Community Care, For Carers (mostly), For Nurses and Therapists (mostly), For Researchers (mostly), For Social Workers (mostly), In the News, Integrated Care, Management of Condition, National, Patient Care Pathway, Person-Centred Care, Personalisation, Practical Advice, Quick Insights, Standards, UK, Universal Interest | Tagged Adult Social Care Services, Age and Ageing, Ageing and Society, Ageing Population, Asset-Based Community Development Approach, Association of Directors of Adult Social Services (ADASS), Australia, Avoidable Admissions, Avoidable Rehospitalisations, BBC Health News, Benefits of Integrated Care, Better Care Fund (BCF), Building Community Assets, Building Community Capacity, Buurtzorg (Neighbourhood Care), Buurtzorg Model, Buurtzorg: Netherlands, Calouste Gulbenkian Foundation, Campaign to Understand Dementia and Build Community Networks, Care Coordinators, Care for People with Dementia in the Community, Care in an Ageing Society, Care in the Community, Care Leave, Caregiving (Carers), Careland Versus Communityland, Carers, Co-Production, Co-Production Issues, Collective Solutions to Care, Combining Work and Care, Community and Voluntary Sector, Community Assets, Community Care, Community Care Services, Community Empowerment, Community Institutions, Community Networks, Costs of Social Care for Older People, Demographic Changes, Demographic Time-Bomb, Demographics, Demography, Direct Payments, Economics of Co-Production, Employment Rights, Empowerment, Familienpflegezeit (Family Caring Time), Families, Family Care Networks, Family Carers, Flexibility, Four Pillars of Caring Society: Family State Market and Community, Generation Strain, Generation Strain: the Care Gap, Germany, Grandparents Service (Grosselterndienst), Health and Social Care Integration, Health and Social Care Services, Housing and Care for Older People, Improving Flexibility of Care, Independence, Informal Networks, Institute for Public Policy Research (ippr), Integrated Care and Support, Integrated Care Coordinators, Integrated Care Services, Integrated Commissioning, Integrated Services, Integration of Health and Social Care for Older People, Intergenerational Cohesion, Inverse Satisfaction Law, ippr: Institute for Public Policy Research, Japan, Leeds, Leeds Neighbourhood Networks, Local Area Coordination, Local Area Coordinators (LACs), Local Authority Case Management, Local Care Coordinators Replacing Local Authority Case Management, Local Government Association: LGA, Local Links, Local Networks, Loneliness and Social Isolation, Maintaining Independence, Multi-Generational Houses (Mehrgenerationenhauser), Mutual Support, Nationwide Caravan to T rain One Million Dementia Supporters, Neighbourhood Networks, Neighbourhood Networks: Leeds, Netherlands, Networks and Alliances, Older Demographics, Participatory Society, Participle’s Circle Project, Peer Support Networks, Personal Budgets (PBs), Preventable Hospital Admissions, Public Agency and Community Empowerment Strategies (PACES), Redesigning Support for Care Leavers, Regaining Independence, Reshaping Care for Older People, Sandwich Generation Caregivers, Senior Network Support (SeNS) Project, Shared Budgets, Social Care for Older People, Social Demographics, Social Isolation, Stamford Forum, Staying Independent, Support for Carers, Support Networks, Time-Banking, TMOs, Unmet Needs, Unpaid Care and Employment, Unpaid Caregivers (Carers), Unpaid Carers, User Networks, Value of Volunteering, Voluntary Sector, Voluntary Sector and Ageing, Voluntary Sector Organisations, Voluntary Sector Provision, Volunteering, Volunteering and Civic Engagement, Volunteering in Health and Care, Walsall, Women’s Association of Berlin (Frauenbund), Working Carers | Leave a comment

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