#Plastering Services In Liverpool

[sktplasteringpainting]

Plastering Services In Liverpool

For exceptional plastering services in Liverpool, SKT Plastering Pty. Ltd. is the premier choice. Renowned for their expertise, professionalism, and commitment to quality, SKT Plastering Pty. Ltd. specializes in delivering top-notch plastering solutions that enhance the beauty and functionality of both residential and commercial properties. Choosing SKT Plastering Pty. Ltd. for your plastering…

[mariacallous]

In December last year, the UK’s shadow health secretary, Wes Streeting, visited Singapore General Hospital, regarded as one of the best in the world. What he witnessed there surprised him: “Patients arrive having already registered their appointments via an app. They check in on touchscreen kiosks awaiting them at reception. Tablets at their bedside allow them to read about their treatment or call for assistance,” Streeting says. “This is Space Age stuff compared with where the NHS is today.” Streeting characterizes the National Health Service as an “analog system in a digital age.”

“When I visit a hospital, doctors often take out their pagers to show me what they are forced to work with,” Streeting says. According to estimates, 13.5 million hours of GPs’ time is wasted every year due to inadequate IT. Fixing that would be the equivalent of hiring 8,000 new NHS doctors. “For the past 14 years, modernization of the NHS has been put on the back burner by a Conservative government which opts for sticking plasters instead of the major surgery that’s required,” says Streeting, who added that he fears that five more years of Tory mismanagement could mean the NHS ends up like the failed British retailer Woolworths—“a much-loved national institution which failed to change with the times and was left behind.”

Central to Streeting’s plan to fix the NHS is the NHS app, which has been downloaded by 31 million people in England and Wales. “It has the potential to transform how the NHS interacts with patients and promote better public health,” he says. He points out that, for instance, only one in every 200 GP appointments are currently made via the app. “In too many cases, patients still wait on the phone at 8 am, or even queue up in person in the cold on a frosty morning just to see a doctor.”

The NHS app could not only allow appointments to be made, but also let patients receive notifications about vaccine campaigns, health tests, cancer screening, and even upcoming clinical trials. “Clinical trials can use genomics to identify patients who will benefit from the latest treatments, but they struggle to recruit—not for a lack of people willing to take part, but because they can’t access basic data,” he said. He promised that Labour would clamp down on bureaucracy and allow clinical trials to recruit volunteers via the app. “During the pandemic, half a million people signed up to the vaccine trials registry,” he says. “If we can do it to defeat Covid, we can do it to cure cancer.”

At the core of Labour’s plan is patient data. Recently, the NHS has announced the launch of a federated data platform that would centralize hospital data, but would not include general practice or social care data. “The NHS has struck gold here, yet it’s leaving it in the ground,” Streeting says. “General practice data is key to unlocking better population health outcomes.”

Streeting promises that a Labour government would ensure a transparent process about what aspects of patient data would be shared and with whom, as well as the necessary safeguards to ensure patient confidentiality. As for those who oppose it on the grounds of privacy concerns, he has a simple message: “It’s a fight that a Labour government is willing to have,” he says. “While the tinfoil hat brigade takes to TikTok to urge followers to opt out of sharing their data with the NHS—the irony isn’t lost on me—the government refuses to take on their fear mongering.”

He recalled when, last January, he met the parents of a 2-year-old boy at Alder Hey Children’s Hospital in Liverpool. “They have been through hell,” he says. “In his short life, he has already had five operations on his heart.” When he asked them what their main frustration had been, however, the answer surprised him: technology. “Their local GP couldn’t access the notes from Alder Hey and the hospital couldn’t read the records held by their GP. It meant that on every appointment they had to repeat themselves again and again. The health service should be lessening their worry, not adding to their stress.”

[waglifeornolife]

i don’t normally post political stuff on here because i don’t particularly keep up with it, but this up coming election is literally plastered everywhere.

why have a heard that the tories want to bring back national service? please get that moron out, not that i particularly like the views of any of the parties, the tories are just the worst of a bad bunch. like liverpools famous chant, “FUCK THE TORIES”

[contractorsplastering]

Expert Plastering Services In Liverpool

Transform your space with professional plastering services in Liverpool. skilled team specializes in plaster repairs, installations, and renovations for residential and commercial properties. With detailed attention and quality craftsmanship, Find a smooth finish and impeccable results. 

[rmthompson1]

The Importance of Professional Plastering Services in Liverpool

Professional plastering services play a crucial role in the construction and renovation industry. Plastering is a skilled trade that involves applying a smooth and even coat of plaster to walls and ceilings, creating a finished and polished look.

Here are several reasons why professional plastering services are important in Liverpool:

Quality Workmanship

Durability

Aesthetic Appeal

Structural Integrity

Energy Efficiency

Sound Insulation

Property Value

Compliance with Regulations

Time and Cost Savings

[newagephysioblog]

Same day physio

Sydney's First Emergency Physiotherapy Service in Austral - On Call 24/7

Are you tired of waiting for hours in hospital emergency rooms to get relief from your musculoskeletal pain? Well, worry no more because Sydney's first and only Emergency Physiotherapy Service located in Austral is now available on call 24/7 to provide you with same day physio treatments.

The clinic is located at 282 Edmondson Ave, Austral and is dedicated to providing you with the best possible care for your aches and pains. With qualified physiotherapists who are available at all hours of the day, the clinic is well-equipped with modern and state-of-the-art gadgets and exercise equipment to help you manage your pain effectively and efficiently.

Whether you are suffering from acute back/neck/shoulder or other joint pain, sharp stabbing pain, severe migraines or headaches, or even excruciating back pain, the clinic has got you covered. The emergency physio service also caters to fracture management, requiring plaster/splints or bracing.

The after-hours service was established to cater to patients who have difficulty accessing traditional physiotherapy services during regular hours. The dedicated staff at the clinic, including after-hours physiotherapists, are committed to providing you with the best possible care and to eliminate your pain and discomfort quickly.

The process is simple and stress-free. Once you call the clinic, the staff will attend to your problem immediately. Depending on how far you live and how fast you can make it to the clinic, you should be seen within the hour or two of your call.

During your appointment, you will be assessed by a qualified physiotherapist and provided with effective treatment to alleviate your pain. The clinic ensures that you are treated immediately, and your pain is settled during your appointment.

The best part of this emergency physiotherapy service is its affordability. The clinic offers affordable prices that are packaged in a way that ensures that everyone in need of an emergency physio can afford it.

In conclusion, if you are experiencing any musculoskeletal pain, whether acute or chronic, Sydney's first and only Emergency Physiotherapy Service located in Austral is the go-to clinic for you. The clinic offers same day physio treatments, and the qualified physiotherapists are available on call 24/7 to provide you with effective treatments to alleviate your pain and discomfort. Just call the clinic on 9606 8258 and get your aches and pains looked after straight away!

For More Info: -

Physiotherapy Clinic Near Me

Physiotherapy Liverpool

[amcpaintingsolutionsllc]

Contact

Address: 1327 teall ave, Syracuse, NY 13203

Phone Number: 315-403-3890

Website RUL

http://amcpaint.com/

 About Us

Painting in Syracuse can often be a question of two wrong answers - either you get sloppy craftsmanship with subpar paints or you overpay for decent work. At AMC Painting Solutions LLC, we're proud of our ability to blend top tier quality with prices our Syracuse neighbors can afford. Specializing in interior painting, exterior painting, commercial painting, plaster, drywall, pressure washing, and more, we're here to serve all your professional painting needs. AMC Painting Solutions LLC is based on a very simple premise – provide world class painting service with a hometown feel and prices that are reasonable for our local clients. One of the most noticeable features of every household or business establishment is its surfaces, such as walls, ceilings, and roofs. It should have a smooth finish and the ideal color. And that's where we, at AMC Painting Solutions LLC, come in.. For a free painting estimate, call AMC Painting Solutions LLC at 315-403-3890.

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 Additional Detail

Working Hours: Mon - Fri 8am - 5pm

[jeremystrele]

A Spectacular, Art-Filled Home In Melbourne’s Outer Suburbs

A Spectacular, Art-Filled Home In Melbourne’s Outer Suburbs

Interiors

Sasha Gattermayr

Photo – Rhiannon Taylor. Stylist – Beck Simon.

Tilting at Space by Alice Wormald
 from Daine Singer. Photo – Rhiannon Taylor. Stylist – Beck Simon.

Photo – Rhiannon Taylor. Stylist – Beck Simon.

Edra ‘On The Rocks’ sofa from Space. Propositions by Judith Wright from Sophie Gannon Gallery. Photo – Rhiannon Taylor. Stylist – Beck Simon.

Tilting at Space by Alice Wormald
 from Daine Singer. Photo – Rhiannon Taylor. Stylist – Beck Simon.

The Baxter Tactile Armchair from Criteria Collection. Photo – Rhiannon Taylor. Stylist – Beck Simon.

B&B Italia’s Tufty Time sofa from Space. Brunswick Heads Main Beach wall sculpture by Ryan Hoffman from Liverpool Street Gallery. Photo – Rhiannon Taylor. Stylist – Beck Simon.


Afternoon 7 by Mason Kimber from Sophie Gannon Gallery. Photo – Rhiannon Taylor. Stylist – Beck Simon.

Painting by Eunice Napanangka Jack Kuruyultu of Ikuntji Artists. Passage sculpture by Morgan Shimeld. Photo – Rhiannon Taylor. Stylist – Beck Simon.

Photo – Rhiannon Taylor. Stylist – Beck Simon.

B&B Italia’s Tufty Time bed from Space. Midnight Modern Series 11 by Tom Blachford hangs behind the bedhead. Photo – Rhiannon Taylor. Stylist – Beck Simon.

Prefab 5 by John Nicholson from Sophie Gannon Gallery. Sculpture by Pieces of Eight from Hub Furniture. Photo – Rhiannon Taylor. Stylist – Beck Simon.


Afternoon 9 by Mason Kimber from Sophie Gannon Gallery. Photo – Rhiannon Taylor. Stylist – Beck Simon.

Untitled by Caleb Shea from Lon Gallery. Photo – Rhiannon Taylor. Stylist – Beck Simon.

Photo – Rhiannon Taylor. Stylist – Beck Simon.

When the owners of this sprawling home in the Melbourne suburb of Park Orchards engaged Chelsea Hing to complete an interior scheme, she was pleasantly surprised to inherit a great architectural footprint to work within.

‘The layout and scale of the house was fantastic, but the interior was a little lacklustre – white plaster walls, white laminate kitchen,’ she describes. Despite its excellent bones, the building was in need of an injection of colour and personality to really feel like home.

Chelsea had worked with these clients before (remember this amazing house in the Yarra Valley?), so she drew on their good working relationship and previous projects when conceptualising the new design. This house was to be a continuation of the modern Australian aesthetic realised in the Yarra Valley House, but elevated in a contemporary way. In addition to this, there was a desire for the space to be the perfect environment in which to house the client’s growing collection of art. Specially commissioned pieces by local sculptors Caleb Shea and Morgan Shimeld needed a place, alongside new acquisitions from Australian painters Alice Wormald and Judith Wright.

In rooms where art and furniture are largely absent, materials and surfaces become the decorative centrepieces. For example, the emerald cabinetry and green marble island bench in the kitchen (which Chelsea describes as a ‘sucker punch’) give this room a rich, complex character and elevates it from the other communal spaces; while polished plaster ceilings throughout reject all prevailing decorating conventions. These textural partitions also service one of Chelsea’s key design principles: using interior innovations to highlight the architecture.

‘When we took on the project we were excited that the client was on board to introduce polished plaster to all the walls and ceilings, as this would give the house a sense of majesty and solidity it was lacking,’ explains Chelsea. The majority of these textured walls are tinted grey to enhance the contours of the original architecture, and lend some gravitas to the interior spaces.

Beyond these muted communal spaces lie a smattering of jewel-like rooms, completely overtaken by a devotion to a single colour. The kitchen is one, but the most striking of these is the main bedroom, in which all surfaces have been swept with a deep topaz blue. Velvet-like polished plaster again coats the walls and ceiling, this time matching lush carpet in the same sapphire shade, and introduces an unexpected textural and tonal sequence to the space.

‘Having done this a few times, I know I’m onto a good thing when the tradies scratch their heads and say, “Are you sure?”,’ Chelsea laughs. And she is right. This feast of contemporary textures, bold colour and lux details here definitely amounts to a whole lot more than a ‘good’ thing!

See more projects from Chelsea Hing here.

[thebigsell]

Guerrilla Advertising.

Guerrilla marketing is an advertisement strategy in which a company uses surprise and/or unconventional interactions in order to promote a product or service. It is a type of publicity.

These examples display how corporations use guerrilla tactics to promote their products, sneaking brand names and logos into the view of everyday civilians, some more extravagant than others; Telsa CEO Elon Musk launched one his electric cars into space for the whole world to see while Volkswagen subtly snuck a car door onto shopping bags showing off a smart concept.

Other corporations take to the streets; utilising street benches, Nestle print the iconic Kit Kat chocolate bar on a bench and Mr Clean show off the effects of their cleaning products on a zebra crossing. Both examples use smart tactics through the use of their interactivity with the public.

Finally, clothing brand Supreme is famously overt with their image, not only plastering their iconic logo on each item of clothing but plastering the streets of cities with posters of their famous celebrity campaigns.

The concept of guerrilla marketing is still one that is fresh in minds of marketers, so much so that the definition that I managed to locate was a bit grey around the edges but essentially it outlines that this practice is often unconventional and is designed to cause big impact by surprising and interacting with customers.

This method has been adopted by many big brands as part of a marketing campaign or as the campaign itself with smaller parts branching out to carry the initial impact. A successful example of this was the T-Mobile Liverpool Street Station dance which caught many of the public by surprise and very quickly made its way onto the web via youtube and many of the webs other video streaming sites.

This campaign immediately gained the public attention and has been very successful for T-Mobile who now have a dedicated section of their website supporting the viral success of the campaign.

Taken from https://www.theguardian.com/careers/careers-blog/marketing-yourself-ben-wardell

https://www.youtube.com/watch?v=VQ3d3KigPQM - Link to T Mobile advert.

[souslejaune]

When I was twelve I met my father’s father, FatherGrandpa...

ii

When I was twelve I met my father’s father, FatherGrandpa, for the third time. He was a man who laughed at his own jokes. After a stint as a bookkeeper with the Governor of the Gold Coast, he became a merchant. No one knows how he amassed the wealth he was famous for, but he claimed to have profited from the Second World War. As a direct result of his trading activities, the Ribeiro Trading Company had children in many major port cities in the world: Monrovia, Liverpool, Port of Spain… He kept a list. He came to visit GeeMaa who had just had a hip operation. It was the first time he had come to our house.

He sat. Raised his long, heavy legs onto a patterned sheepskin cushion on the floor. He reached for the water my mother brought him and drank. Sunlight from the living room window cast slatted streaks across his balding head. My father, mother, Naana and I stood in order of decreasing height in front of him. He repeated an old joke as if it was new.

“Ah, Kojo, I see you inherited my taste for fine women!”

He laughed and slapped his left shoulder with his right hand. The sound of his glee was reminiscent of the gurgle of an emptying bath. We barely smiled, but he carried on.

“Where is the beautiful cripple?”

Our parents sat down in the cane armchairs to FatherGrandpa’s left.

“Go and get GeeMaa,” my father instructed.

Naana and I went to GeeMaa’s room to call her. Because of the newness of the operation she walked with the slant and rhythm of a wink. We heard FatherGrandpa laughing as she approached the living room. We looked at each other, shook our heads, and went to sit under the neem tree in our front yard. The neem tree was familiar territory although I hadn’t been to it for a while. It was where I cut chewing sticks for GeeMaa and myself until I went to boarding school.

I didn’t want to be teased in school for chewing sticks while everyone else used fluoride and toothbrushes, so I stopped chewing the sticks. I had felt no ill effects, but I had been unhappy. GeeMaa’s health had been bad since I left for school and it worried me.

I looked across at Naana and smiled. We were still close even though, as my father put it, she was a woman with a vote now. She passed me a stick of green Wrigley’s chewing gum.

“Thank you.”

The tree filtered a net of sunlight that dappled our faces and we sat ensnared within it.

“I’m glad GeeMaa made our names Oppong-Ribeiro.”

I understood Naana. Plain Ribeiro would mean immediate association with our cavalier grandfather. Naana was studying at the University of Ghana, a place where reputations were made, and her image was important to her. I didn’t care much about image, but I understood.

FatherGrandpa summoned me as he was leaving. He opened his red address book (the one that held details of his children) and gave me an address in Trinidad. The book was indexed by name, age, profession and mother’s name. It was well worn but tidy inside.

“Ebo, I saw one of your photos on the wall. That address is for your uncle Sanjit in Trinidad. He is an artist. He will like it.”

“Thank you.”

His height made me feel humble. Though seventy-seven years old, he held himself like an eager cadet.

“Don't thank me,” he laughed. “You have thirty-three uncles and aunties. You have to start knowing them early!”

As he said that I imagined that Miss Havisham would definitely have had her own child if he had been engaged to her. Then she wouldn’t have had time to wallow in self-pity and become so mean. The thought made me smile.

He slapped my back and made me stumble. Then he laughed harder as he sauntered to his chauffeur-driven Lincoln.

I wrote to Uncle Sanjit the next day; a long letter, written on good blue writing paper from my father’s office. The office was simply a table fitted into one corner of the dining room. In the letter I explained to Uncle Sanjit how I got his address, then drew a family tree to show how we were related. For his mother’s name, I drew a dash. I asked for the meaning of his name and added a selection of the pictures I had taken in the five years since Auntie Dee Dee died.

His reply came in a large flat package that my father drove all the way to my boarding school to show me. My school was the Prince of Wales College in the days when Ghana was still called the Gold Coast, but by the time I got there it was called Achimota School. It was my father’s alma mater.

My father helped me open the package with a screwdriver from his glove compartment. It contained a painting and a short note. I painted the picture I liked. It was a pastel rendering of the hills of Aburi at sunset. I had taken that picture during a school trip to play football with the students of Akosombo Secondary School. P.S. My name means he who is always victorious. Keep in touch.

I stared at his interpretation of my picture. Surely he had smelled the evening mist with me, heard the firm crunch of gravel under the tyres of the school bus, seen the sky change from blue to orange to purple. Uncle Sanjit revealed in his next letter that he had studied Art in London and New York, and now ran a small gallery below his studio in Port of Spain. He thought that I had a very good eye and could become an artist if I chose to. For days, I reread his letter, trying to imagine myself as an artist. I loved reading, and taking photographs was something that had helped channel my confusion after Auntie Dee Dee's death – something I had come to love. In the light and shades of its practice, I had come to better appreciate the travel of thoughts across faces. The extra filter it gave to my visualisation enriched my reading and I had come to value storytelling even more. But I didn't think of photography as art, and I had never thought of myself as an artist. I was entranced. I wrote to Uncle Sanjit every two weeks. He wrote back –  about one letter for every four I wrote. They were long letters that described every corner of our separate worlds in delicate detail; the way lizards in Ghana dart around in daytime sun like couriers, how the green of the trees in Trinidad seemed to have blood pumping in them. He told me that his mother was of Indian origin with Hindu roots and ran a food hut by the port. He tried to convey in writing the enchanting singsong rhythm of Trinidadian speech, while I translated and wrote short volleys of Ghanaian proverbs, explaining their origins when I could eke the information out of my parents or Auntie Aba, the waache seller. He ended his letters with quotes from an endless list of luminaries. Benedict Spinoza, Patrice Lumumba, Indira Gandhi. I hadn’t heard of half of them so I found myself spending even more time in the library at school just to keep up. I told him that because he was only twenty-six, I thought of him as my bruncle. I sent Uncle Sanjit hundreds of pictures; insects splattered startled on the windscreen of a truck returned from the countryside, electric pylons straddling rubbish dumps, barefoot children playing with handmade footballs, the fragile-looking wooden shack that was our local corn mill, two-toned sunsets, reeds, flowers and trees caught from unusual angles. It must have taken a lot of his time, but he often replied with short notes and prints of paintings of his favourite shots. I sold some of the prints he sent to my father’s friends, but most of them ended up either on my bedroom wall or with Naana. When GeeMaa died two years after her hip operation, I sent him pictures of the funeral. GeeMaa’s coffin was designed in the traditional Ga manner. Carved and painted as an ambulance to honour her forty years of service as a nurse and midwife. Because she was over seventy years old her funeral was of a light mood. 

“She had all her time on earth.” 

“She has gone to a better place.” 

“God called her.” 

“She has gone to help HIM.” 

Condolences wore clichéd chrysalids. People came wearing white smiles on dark faces. Clothed in black and white; black to signify the death of a friend, white to celebrate her passing on to a better life. A few of the women had glittering white damask and chiffon with black lace scarves thrown artistically across their shoulders. I took a picture of one of them. Head-shaking guests of all ages came. They came bearing nothing but their empty bellies, which they proceeded to fill with food bought with my father’s hard-earned savings. Some claimed GeeMaa had delivered them as babies. Others claimed she had healed them. Every last person had a story to tell. Piecing these anecdotes together, I tried to construct the parts of GeeMaa's life that she had not told me about. Things she had perhaps considered too mundane to share. One of the second intake of British-trained nurses, she had been the only child – boy or girl – from her fishing community sent to the mission school. As she tuned her ears to the clipped tones of sunburnt priests, her playmates and their parents saved treats that the fishermen gave away from the canoes coming in – eels, didɛ bibii and tsile – and waited; first, to hear stories of peculiar behaviour by the missionaries, then, to listen to her reading and translating from her books. She repaid them, after she had qualified as a nurse-midwife, by treating their sick out of hours and teaching the young to read. By 1935, successful young men, social climbers, emerging business magnates and charlatans were camping outside her father's door, hoping to win the affections of the woman one of her friends called 'the best Charleston dancer in Accra'. As such, there was a collective sigh of dismay when FatherGrandpa went to Korle Bu with a broken finger and walked out with a plaster cast and GeeMaa's heart. These stories floated around on the suspension of grief and remembrance, maintaining a steady hubbub on our courtyard. In every corner, a story; not always believable, but a story nonetheless. 

“Oh, she was a great woman. Always smiling…” 

“Ei, she was good oh! Better than some of the doctors.” 

“I have a photo of her with my Kwame when he was born. Look at him now.” The black and white clad bundle of mothering flesh pulled her boy towards her by the sleeve. “Isn’t he handsome?” 

 Kwame smiled one of those smiles designed to support the social efforts of preening mothers. Lifting his cheeks slightly as though he were swallowing a bitter pill. 

By nine a.m. our courtyard was full of chattering mourners. Our square cream-painted house was like a piece of sponge cake besieged by flies. I took a picture from a distance. On the large veranda that led to our front door, GeeMaa’s body lay in state. As the visitors glided past the neat corpse, they stopped and shook hands with my father and his siblings. Auntie Patience, Auntie Ama and Uncle Tommy had all insisted on a big funeral, yet none of them offered to help with the cost of organising it. 

“But she died with you,” they said. As though my father had somehow killed GeeMaa. 

I overheard my father telling my mother that they were already arguing about who would inherit GeeMaa’s two houses in Adabraka. Yet they sat there, looking fashionably solemn in matching fabric permutated into different outfits. Matching envelopes of discontent – to be opened after the funeral.

continued >> here <<… | start from beginning? | current projects: The City Will Love You and a collection of poems, The Geez

[miketoprendering1-blog]

A Brief Guide on Rendering: What it is And How it Works?

Buildings too have a skin just like we humans. Cladding is that layer that works for properties as a skin. This skin of your house safeguards your home as it is applied on the exterior side of the walls and creates a protecting layer thereby acting as a defensive layer against various elements in the atmosphere and also acts as an insulator.

However, you must be wondering, but what is this “render” exactly? To define it in the simplest terms render is a form of plaster that is done on the exterior wall of a property on the brick layer to give the house a smooth and an even look. It also protects your house from harsh elements outdoors. The coating usually requires a minimum of two to three layers to give a pleasing look to the brick wall.

There are a number of rendering types available in the market however we will only mention the best ones for you. When it comes to rendering, cement is the most popular form of render. Acrylic, mac rendering and texture coating are other forms of render are highly in demand because of its innumerable benefits. These types of render benefit the most with their insulation methods and also due to their coverage aspects.

Nowadays, trends have changed where you are not just required to stick to one of the render that you choose. You can easily mix some of the materials to get advantages of more than one type of render and hence, double the protection of your house from cracks, leakages and elements in the air outside. That’s how your house gets shielded from the harsh weather conditions outside.

Mikes Top Rendering is a well known renderer in Liverpool. We also offer our services in Camden and Banks Town.

[kegasyo-blog]

GAA shirtThere is an irony here

Another major difference with PARCC is that it will be administered electronically. In order to prepare for PARCC, school districts across the state have been upgrading their technology infrastructure, training teachers to integrate the newest technologies into the curriculum, and providing computer based test taking opportunities to students as practice. That is good news.

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The making of a hangover: the true impact of one night out

Six reporters in city centres across the country report on one night of British drinking and its impact on the National Health Service

The calm before the storm

8.20pm, Cardiff

Police officers at Cardiff Central police station listen to the Cardiff After Dark briefing before heading out into the city. Photograph: Gareth Phillips for the Guardian

Were at the Cardiff ATC alcohol treatment centre; a collaboration between Cardiff and Vale University health board, local councils, South Wales police, the Welsh ambulance service and Cardiff Street Pastors. Right now, the police are preparing for the evening with a Cardiff After Dark meeting in the Welsh capitals main police station.

Sgt Gavin Howard briefs his team on what theyre doing tonight, with a slideshow with some interesting facts and figures. Last month, there were 145 people treated at the ATC, which is designed to ease pressure on hospital A&E staff by treating people with minor injuries and people suffering from too much drink.

Howard reminds officers to look out for revellers who pre-load drink heavily and cheaply at home before heading into the city centre. Pre-loading is seen as a particular problem for the emergency services the kids call it prinking pre-drinking. Steve Morris

9.09pm, Southampton

Consultant Dr Diana Hulbert, working in University hospital, Southampton, in the accident and emergency. Photograph: Antonio Olmos for the Guardian

Emergency consultant Diana Hulbert, who is in charge tonight, explains that not all alcohol-related attendances happen after a night on the town. A classic one is people waking up the next day and finding their wrist turned the wrong way, says Hulbert. So people are just as likely to present on the morning after.

She doesnt judge people who turn up in the department because of alcohol-related injuries or accidents, but says over the past 20 years she had noticed changes that are concerning.

People drink differently. Spirits is more a young persons drink and they can make people profoundly drunk very quickly. A beer is two units and you cant drink that many, maybe 10 pints. But if youre drinking shots, you can down five in five minutes. Thats what young people do. Lisa OCarroll

Keeping people out of A&E

Across the country, teams of people tour the streets treating relatively minor injuries suffered by people out on the town. In Manchester, they are called the Street Angels; Cardiff and other cities have their Street Pastors and, in Leicester, they are the Polamb.

Members of the Manchester Street Angels call a young womans father in order to help her get home. Photograph: Gary Calton for the Guardian

9.15pm, Leicester

On some nights the Polamb police-ambulance alcohol treatment vehicle in Leicester is a hub for treating people with alcohol-related injuries, attending up to 15 incidents in a night. It gets to the point that some of the local people recognise the Polamb and the paramedics who drive it. Jane Squire, East Midlands ambulance service paramedic, says one man she used to see regularly in the streets, a heavy drinker who would often call the ambulance for help, called her his green angel, for the dark green of the ambulance service uniform.

Sometimes theyll come up have a conversation with you and say: Ive cut my finger, can I have a plaster? says Squire. Other times theyll come up and say: Ive hurt my hand, can you take me to hospital? and Ill say: It says ambulance, not taxi.

Emergency services in Leicester city centre. Photograph: Kate Lyons for the Guardian

But the first call-out the Polamb has received now that the policeman for the evening, Const Joe Couchman, is on board is more serious treating a man in his 40s who suffered a cardiac arrest on the street. This isnt a typical call-out for the Polamb, not being alcohol-related, though it is believed the man was a heavy drinker, but they go where the need arises. Kate Lyons

11.13pm, Edinburgh

Tony Clapham (left) with his team of Edinburgh Street Pastors out on the streets. Photograph: Murdo Macleod for the Guardian

At Greenside parish church on Royal Terrace, in the centre of Edinburgh, the citys Street Pastors are preparing for the night with tea, home baking and a rousing hymn or two.

Street Pastors is an initiative of the Ascension Trust and was pioneered in London in 2013. It is now active in 270 towns and cities across the UK.

Street Pastors are volunteers from local churches who patrol in teams of men and women, usually from 10pm to 4am on a Friday and Saturday night, to care for, listen to and help people who out on the streets, whether celebrating on a hen night or homeless.

Two teams are going out tonight, one to the Grassmarket and another to George Street, with backpacks containing flasks of hot drinks and biscuits.

As team leader Tony Clapham explains, some of these volunteers have been working on the night time streets and have built up strong relationships with homeless people, as well as police and paramedics and other concerned with health and safety of the night time economy. Libby Brooks

Midnight, Stoke

Senior sister Nicola Beckett tries to wake a man who has come into A&E with suspected alcohol abuse issues at Royal Stoke University hospital in Stoke-on-Trent. Photograph: Alicia Canter for the Guardian

One man, a regular alcohol abuser, has run off from hospital, and senior sister Nicola Beckett has to send police to find him, because he is now deemed a vulnerable adult as he has not had full medical checkups.

The hospital now has so many regular attendees they have a special group for them all, which flags up if someone has been in more than three times a month. Sometimes Beckett sees someone twice a day.

Paramedic Tracy Proud (2nd left, purple hair) along with paramedic colleagues care for an unconscious man who is admitted to A&E with suspected alcohol abuse issues at Royal Stoke University hospital in Stoke-on-Trent. Photograph: Alicia Canter for the Guardian

You do get friendly with them, they are as nice to you as you are to them. You do see them decline, the physical decline. You admit them to rehab but you just know youll see them again. Its an addiction, an illness. So many, you are discharging them and they say: Ive got no home to go to. You sometimes do get a sense they are here for a hot meal and a bed and a kind face.

Beckett has seen some terrifying moments too. I dont want to make it too dramatic. But yes, I have feared for my life. You are trained in conflict management, self-defence. But if someone is drunk and aggressive, I cant handle that myself.

Elsewhere, she reported, patients were queuing on beds in the corridor at the ambulance triage. Paramedic Tracy Proud was liaising with A&E staff to speed up the transfer of people.

Paramedic Tracy Proud. Photograph: Alicia Canter for the Guardian

Its ridiculous, she said, looking over her shoulder at the queue of beds behind her. One patient has a can of Skol under the trolley.

I think if you went through most of the patients, 85% shouldnt be here. People have a different view about what an emergency is. If Im called to look after a teenager or young person who is drunk, I call their parents straight away. Parents dont realise it, but its not our job to just be watching a drunk person who has passed out.

Agitated patients have lashed out in the back of moving ambulance. I had one patient who I thought was asleep and he came to, and he turned on me. I had to jump out the side door of the van. Jessica Elgot

A nurse attends to a young female student from Keele University who has been taken to A&E with suspected alochol abuse issues and is treated in resus at Royal Stoke University hospital in Stoke-on-Trent Photograph: Alicia Canter for the Guardian

12.17am, Manchester

Josh Halliday speaks with chief Angel, Rachel Goddard.

12.58am, Southampton

Nurse Katherine Chipande working in A&E at University hospital, Southampton. Photograph: Antonio Olmos for the Guardian

A night out in Southampton has turned into a night in A&E for one young woman who has just been admitted with a head injury. She had been at a party and fell and hit her head. There was alcohol and drugs, said nurse Catherine Chipande.

There are about 20 other patients in the majors area with two sleeping off the alcohol and a third about to be assessed.

Trouble 1.17am, Liverpool

Two Mikes, 23 and 32, a Carl, 18 and a Tom, 23, are sitting in a pub in the small hours. None has ever ended up in A&E, though Toms ended up in the drunk and disorderly, you know, the police. He got tangled up in the theft of a plastic ornament and jostled a plain clothes police officer leaping from a Vauxhall Corsa, five years ago. This is my time, he says triumphantly, to get my story out. If Id known he were a copper, things would have gone very differently. I was at my aunties 40th.

Mike the younger said: Things happen when youre drunk. I hit my cousin in the face on my 20th birthday.

The bottom line, said Mike the older, is that if youre trouble, trouble will find you. Yes, said the younger Mike resoundingly. My cousin went to Krazy House … Is that with a C or a K? How can you ask that? (they all shake their heads). And the next thing you know, hes had his nose broken. Is this the same cousin you punched in the face? I gave him a black eye. Someone else broke his nose. Theres levels. I know this, I studied law at A level.

The older Mike takes control. This is a beautiful place. This isnt a degenerate place. Independent bars, independent clubs, independent eateries. The transformation of Liverpool, the systemic regeneration of every part of this city, is almost beyond compare. I love this city and the people of this city. Zoe Williams

The view from the professionals

1.26am, Southampton

All has been calm in the assessment area in Southampton until now when a very aggressive drunk man is admitted with a cut to his face, swearing at anyone in sight. He is being held down by two policemen. We are advised not to go near him. Fuck off, he shouts to a female ambulance crew member accompanying him.

The man is refusing to cooperate as he is placed in a bay next to an elderly lady, beaming with a grateful smile towards the two nurses attending to her.

It takes a while for experienced staff to calm down the 29-year-old. Then its all sweetness and light, with a friendly hello for staff as he is wheeled in to majors for further assessment.

Sometimes its like that but sometimes they dont calm down at all and they get carried out in handcuffs. If it gets too bad and they have been assessed and they are not too bad they are just taken away by police, said receptionist Sarah Jones. Lisa OCarroll

1.46am, Manchester

Outside Deansgate Locks, a popular party spot with several bars and clubs, its not quite kicking out time but were already seeing a couple of early casualties. A drunk girl has fallen and cut her knee badly. Shes crying on the phone to her parents while being treated by the Street Angels. Another job saved from paramedics. Josh Halliday

1.51am, Stoke

Dr Ben Arnold in A&E at Royal Stoke University hospital in Stoke-on-Trent. Photograph: Alicia Canter for the Guardian

Dr Ben Arnold, a senior house office in emergency medicine, loves a Friday night in the minor injuries section.

I like drunk people when they are not so unwell, you can joke with them. Their friends have brought them in because theyre worried about them, but from a medical point of view, theyre healthy, you can have a chat. Theres a common theme which colours the excuses made by revellers as they come round in A&E.

They say their drink has been spiked, their friends say: They always drink this much, it must be something in the drink. But it obviously is because they have had more than usual or havent eaten enough.

Its younger ones, 18-year-olds, who are more honest about it. They do get very embarrassed especially if they have had a loss of continence. And they have to go home in a hospital gown.

Sometimes, its not just the patients causing Arnold all the bother. Its friends and relatives who might be a bit drunk. They get bored, they dress up in the gloves and gowns, mucking about and you have to go and remind them that a hospital is a serious place. Jessica Elgot

1.55am, Cardiff

A nurse helps a very drunk teenager at the ATC in Bridge Street, Cardiff. Photograph: Gareth Phillips for the Guardian

An 18-year-old student is found lying alone, clearly drunk, on the pavement close to the university. There were a series of sexual assaults on women in this area last year so passersby are worried and dial 999.

She has not been assaulted but has simply drunk too much at a house party. An ambulance crew arrives and takes her to the alcohol treatment centre ATC. She is sick on the way and sick several times at the ATC.

At the ATC she is assessed and given water. Ceri Martin, a sister, and Charlotte Pritchard, a healthcare support worker tend to her. She is joined by a friend at the ATC and they sit together, slumped in a corner, waiting for her to recover.

Shell be here for two or three hours while she gets herself together, said Martin. Well get her to drink water, observe her and keep her warm. Then well make sure she gets home safely.

Im just glad that theres a place like this for young women like that. Shes in a safe place and were helping keep pressure off A&E.

A street pastor radios in to say she is bringing someone in to the ATC. So it begins, says Pritchard. It still could be a long night/morning here.

But its not always a thankless task, as this note at the ATC indicates:

steven morris (@stevenmorris20) January 23, 2016

A grateful patient cared for at the alcohol treatment centre in Cardiff. pic.twitter.com/CiLLATTFIV

2am, Manchester

Josh Halliday talks to Street Angel volunteer Paul Jones

2.01am, Southampton

Suspected drunk male brought into the assessment area of A&E in University hospital, Southampton. Photograph: Antonio Olmos for the Guardian

Two more alcohol admissions in Southampton in the space of 10 minutes, one so inebriated he is semi-conscious.

The worry here is that the alcohol might mask a head injury, says nurse Sam Carter. So we do a set of neuro obs [observations] and lactate assessment to see if he is dehydrated. We might also resort to pain stimuli, squeeze his trapezium really hard to check his responses, she adds. Ouch. Lisa OCarroll

2.10am, Stoke

Back in Stoke, there are 99 patients in A&E at 2am, which is an achievement for the staff, the first time numbers have dropped below 100 since 4.30pm yesterday. Patients are being discharged, or waiting to be admitted to other departments as beds there become available. Though some staff are beginning to end their shifts, many others are here until the morning. More than 100 people have come through the doors already since midnight; some who have overindulged tonight are on trollies in the corridor making emotional phone calls. There is more work to do before the night is over for A&E staff five more ambulances are on their way. Jessica Elgot

Source: http://allofbeer.com/the-making-of-a-hangover-the-true-impact-of-one-night-out/

from All of Beer https://allofbeer.wordpress.com/2018/01/02/the-making-of-a-hangover-the-true-impact-of-one-night-out/