#Psychosocial Care

[ivygorgon]

AN OPEN LETTER to THE PRESIDENT & U.S. CONGRESS; STATE GOVERNORS & LEGISLATURES

Say NO to Loony-Bins: Immediate Action Required for Inpatient Psychiatric Care

2 so far! Help us get to 5 signers!

The current model of inpatient psychiatric care, which primarily focuses on safety and crisis stabilization, falls short in promoting sustained recovery. The prevalent emphasis on ultrashort lengths of stay often overlooks the need for comprehensive treatment plans.

A proposed model of care advocates for rapid diagnosis, goal-setting, and treatment modalities before initiating treatment, organized into three distinct phases: assessment, implementation, and resolution. This approach emphasizes individualized treatment and active patient involvement in treatment planning, addressing critical psychosocial aspects that are frequently neglected.

As we strive to reform the mental health care system, it's imperative to prioritize effective, recovery-oriented treatment strategies. This includes ensuring patient comfort and preferences are accommodated within reason. Considering patient preferences, like comfort items (such as safe stuffed animals; Share-Bears, if you will) and rescue medications (like melatonin,) is essential to upholding rigorous standards of care and safety.

Let's advocate for reforms that enhance patient-centered practices while adhering to established treatment guidelines and advancing recovery-oriented care.

Say no to “loony-bins;” those archaic relics that should be relegated to the distant past.

📱 Text SIGN PWORPV to 50409

🤯 Liked it? Text FOLLOW IVYPETITIONS to 50409

💘 Q'u lach' shughu deshni da. 🏹 "What I say is true" in Dena'ina Qenaga

[vanweezer]

why would he say this

[bellshazes]

ventposting but it's entirely in the format of Z codes (how your doctor can bill insurance companies for your social problems.) for example today my z-codes are:

Z56.5 Uncongenial work, Difficult conditions at work Z60.2 Living alone Z65.9 Problem related to unspecified psychosocial circumstances

[artisticdivasworld]

Compassionate Care for Chronic Kidney Disease: A Nursing Perspective

Chronic Kidney Disease (CKD) is a progressive loss of kidney function over time. Managing CKD is not just about slowing the progression of the disease but also about enhancing the quality of life for those affected. Nurses play a crucial role in this process, providing care that is as compassionate as it is competent. This blog post will explore the nursing interventions and desired outcomes that…

[giftedheartshospice]

Difference Between Hospice and Palliative Care

By standard definition, terminal is a life expectancy of no more than six months. When cure is no longer an option, hospice provides the comfort, support, and care needed during the terminal process and the bereavement period.

Hospice is a philosophy of care that promotes quality of life by enhancing comfort for such individuals with dignity as a fundamental goal of care. When time is of the essence, we at Gifted Hearts Hospice and Palliative Care are dedicated to ensuring that patients and their loved ones are able to focus on cherishing their final moments together.

[mxactivist]

[URGENT] UK NHS consultation on puberty blockers

VERY SHORT DEADLINE! (Wednesday 1st November 2023)

The UK's National Health Service (NHS) are about to ban puberty blockers for all trans adolescents, except for a small group who are eligible and willing to be research subjects.

"As part of this NHS England-led process, the National Institute for Health and Care Excellence (NICE) was commissioned to review the published evidence. Overall, there was no statistically significant difference in gender incongruence, mental health, body image and psychosocial functioning in children and adolescents treated with PSH." -- 6-page introductory PDF to consultation

That's because puberty blockers don't change gender characteristics by definition, you absolute donuts.

They're carrying out a consultation on this because they have to, and there's only two days left. If you are in the UK and you are a young trans person or know any young trans people, please check out this consultation.

Need help answering the questions? Here's a couple of handy links:

Here's a really helpful article about the consultation and some persuasive arguments you could include in your answers, from What The Trans!

Abigail Thorn outlines some excellent points on Trans Writes.

Mermaids, a UK charity supporting trans kids and their families, has a guide for responding to the consultation, too.

Here's the first question, to help you work out if you're in the target group:

In "other", you could put anything like "friend of a trans adolescent", "family member of a trans child", etc. If you're a trans adult who was on blockers or who would have been on blockers if waiting lists had been shorter or family/doctors had been more supportive etc, choose "patient".

Click here to participate.

Deadline: Wednesday 1st November 2023.

[batboyblog]

Things Biden and the Democrats did, this week #22

June 7-14 2024

Vice-President Harris announced that the Consumer Financial Protection Bureau is moving to remove medical debt for people's credit score. This move will improve the credit rating of 15 million Americans. Millions of Americans struggling with debt from medical expenses can't get approved for a loan for a car, to start a small business or buy a home. The new rule will improve credit scores by an average of 20 points and lead to 22,000 additional mortgages being approved every year. This comes on top of efforts by the Biden Administration to buy up and forgive medical debt. Through money in the American Rescue Plan $7 billion dollars of medical debt will be forgiven by the end of 2026. To date state and local governments have used ARP funds to buy up and forgive the debt of 3 million Americans and counting.

The EPA, Department of Agriculture, and FDA announced a joint "National Strategy for Reducing Food Loss and Waste and Recycling Organics". The Strategy aimed to cut food waste by 50% by 2030. Currently 24% of municipal solid waste in landfills is food waste, and food waste accounts for 58% of methane emissions from landfills roughly the green house gas emissions of 60 coal-fired power plants every year. This connects to $200 million the EPA already has invested in recycling, the largest investment in recycling by the federal government in 30 years. The average American family loses $1,500 ever year in spoiled food, and the strategy through better labeling, packaging, and education hopes to save people money and reduce hunger as well as the environmental impact.

President Biden signed with Ukrainian President Zelenskyy a ten-year US-Ukraine Security Agreement. The Agreement is aimed at helping Ukraine win the war against Russia, as well as help Ukraine meet the standards it will have to be ready for EU and NATO memberships. President Biden also spearheaded efforts at the G7 meeting to secure $50 billion for Ukraine from the 7 top economic nations.

HHS announced $500 million for the development of new non-injection vaccines against Covid. The money is part of Project NextGen a $5 billion program to accelerate and streamline new Covid vaccines and treatments. The investment announced this week will support a clinical trial of 10,000 people testing a vaccine in pill form. It's also supporting two vaccines administered as nasal sprays that are in earlier stages of development. The government hopes that break throughs in non-needle based vaccines for Covid might be applied to other vaccinations thus making vaccines more widely available and more easily administered.

Secretary of State Antony Blinken announced $404 million in additional humanitarian assistance for Palestinians in Gaza, the West Bank and the region. This brings the total invested by the Biden administration in the Palestinians to $1.8 billion since taking office, over $600 million since the war started in October 2023. The money will focus on safe drinking water, health care, protection, education, shelter, and psychosocial support.

The Department of the Interior announced $142 million for drought resilience and boosting water supplies. The funding will provide about 40,000 acre-feet of annual recycled water, enough to support more than 160,000 people a year. It's funding water recycling programs in California, Hawaii, Kansas, Nevada and Texas. It's also supporting 4 water desalination projects in Southern California. Desalination is proving to be an important tool used by countries with limited freshwater.

President Biden took the lead at the G7 on the Partnership for Global Infrastructure and Investment. The PGI is a global program to connect the developing world to investment in its infrastructure from the G7 nations. So far the US has invested $40 billion into the program with a goal of $200 billion by 2027. The G7 overall plans on $600 billion by 2027. There has been heavy investment in the Lobito Corridor, an economic zone that runs from Angola, through the Democratic Republic of Congo, to Zambia, the PGI has helped connect the 3 nations by rail allowing land locked Zambia and largely landlocked DRC access Angolan ports. The PGI also is investing in a $900 million solar farm in Angola. The PGI got a $5 billion dollar investment from Microsoft aimed at expanding digital access in Kenya, Indonesia, and Malaysia. The PGI's bold vision is to connect Africa and the Indian Ocean region economically through rail and transportation link as well as boost greener economic growth in the developing world and bring developing nations on-line.

[the-s1lly-corner]

Singing songs w/ them in the car (various crps)

I tried cajun shrimp yesterday and omfg it's so good I need to make it again soon but ik itll be a while since my dad isnt a fan of the seasonings

Characters: laughing jack, nina, jeff, ticci toby

Notes: reader is GN, you're both just going on a ride around town, songs are grabbed from my playlist at random so! yeah!

CWs: none

LAUGHING JACK

the randomized playlist has chosen hot to go .... this one is going to be... fun...

doesnt know the lyrics, but hes following along with you trying to guess the words as you sing along with him- he definitely gets the spelling parts right on the mark as soon as hes familiar with it

very loud and very into it, and not at all embarrassed about messing up the words or stumbling over them

he likes the energy the song has- very fast and high energy... he loves music like that

bouncing in his seat, the car kind of shifts and rocks a bit because of it, very large and hes not very.. calm about it... hopefully you guys dont get pulled over..!

NINA

The randomized playlist has chosen psycho teddy, which is so... fitting for her...

it should come as a shock to no one that she knows this song by heart, regardless of what version you have playing- the original, a remix, or an edit... she enjoys any rendition of the song

puts all over her energy into getting the words out and can keep up with the song- including the various other sound effects/noises in the sound

would sing with the window rolled down and tries to encourage you to sing alongside her, thankfully there arent many people out and about tonight- otherwise you might get a few odd looks

and if you do, nina doesnt seem to care at all- youre both having a good time so why should either of you care what others think?

JEFF

The randomized playlist has chosen psychosocial !

you cannot look me in the eye and tell me jeff wouldnt be a slipknot fan- he knows most of their songs, and at least a handful like the back of his hand

that being said... hes not the type to sing out loud to songs... but given the delivery and lyrics of the song, hes definitely getting into it! is it a distraction to your driving? it might be at least a little, to be honest

if youre listening on your own playlist hes going to be very pleased in your taste in music, he generally doesnt make fun of you for your interest save for some teasing but he does have some genuine appreciation of your taste here

leaves him feeling a little more hyped than he was when he got into the car, grinning as the song comes to the close and you just know hes going to try to string you into some shenanigans- the question is what nature of antics will it be... knowing jeff, its not going to be something chill

TICCI TOBY

The randomized playlist has chosen mr blue sky !

honestly hes just happy to sit in the car with you while listening to music, and yes, hes going to belt out the lyrics- will loudly swear if he messes up the lyrics... its been a while..!

he uh... doesnt get to listen to that much music nowadays- you make a mental note to give him a player to keep on him so he has something to fill the silence when hes wandering the woods

definitely tries to pitch up his voice during the "so loong" at 1:50 in the song, his voice cracks but he just leans into it

overall hes having a good time and hes playing himself up simply because you seem to be happy that hes enjoying himself

[literaryvein-reblogs]

Writing Notes: Life Cycle

Erik Erikson’s 8 stages of the life cycle

Normative Crisis — Age — Major Characteristics

Trust vs. Mistrust — 0 to 1 — Primary social interaction with mothering caretaker; oral concerns; trust or mistrust in life-sustaining care, including feeding.

Autonomy vs. Shame and Doubt — 1 to 2 — Primary social interaction with parents; toilet training; beginnings of autonomous will.

Initiative vs. Guilt — 3 to 5 — Primary social interaction with nuclear family; beginnings of oedipal feelings; development of conscience to govern initiative.

Industry vs. Inferiority — 6 to puberty — Primary social interaction outside home among peers and teachers; school-age assessment of task ability.

Identity vs. Role Confusion — Adolescence — Primary social interaction with peers, culminating in heterosexual friendship; psychological moratorium from adult commitments; identity crisis; consolidation of resolutions of previous 4 stages into coherent sense of self.

Intimacy vs. Isolation — Early adulthood — Primary social interaction in intimate relationship (usually opposite sex); adult role commitments accepted, including commitment to another person.

Generativity vs. Stagnation — Middle adulthood — Primary social concern in establishing and guiding succeeding generation; productivity and creativity.

Ego Integrity vs. Despair — Late adulthood — Primary social concern is reflective: coming to terms with one’s place in the nearly complete life cycle, and with one’s relationships with others.

Erikson’s theory is called a psycho-self-reflexive, contextual process of finding and making meaning in the world.

It is not in conflict with scientific knowledge because, on the hermeneutic account, all psychological knowledge is concerned with this sort of understanding of our world (Verstehen), and not about explaining the universal laws of nature.

His theory charted changes in personality over the entire life cycle, rather than focusing on the early childhood years as critical to all later personality functioning.

Erikson proposed 8 stages of human development, each with its own normative crisis, by which he meant not a debilitating conflict, but rather a period of heightened vulnerability and potential.

He viewed human development as occurring in orderly stages, each with its own special characteristics and its own particular age relationship.

The stages always occur in a particular order and cannot be skipped.

His stages illustrate what Erikson termed the epigenetic principle.

Briefly stated, this principle proposes that critical elements of human personality have a ground plan from which they grow, similar to the physical growth principle by which the undifferentiated cells of embryos develop in orderly ways into organ systems. Thus, all human beings will face the normative crisis of trust versus mistrust in the period of infancy.

The resolution of this crisis leaves the infant with an abiding sense of either trust or mistrust that will become part of later personality functioning.

Each stage builds upon what has gone before and carries elements of itself into future stages.

Erikson’s contributions to psychology, particularly to the study of personality, can be divided into 4 major areas:

His emphasis on the importance of the entire life cycle in personality change

The psychosocial origins of personality

The centrality of self-identity in personality development

The importance of life histories for personality study

Source: Hopkins (1983, p. 74), adapted from Erikson (1968) ⚜ Psychology

[appalachiananarchist]

As a physician, I will preach to any who will listen about the harms of punitive action for drug charges. It is in opposition to modern understandings of addiction. I work in an area where both extreme poverty and substance addiction affect far, far more than they spare. On a given day, I'd estimate that 80% of my patients struggle with a substance addiction (if I include nicotine) but about 50% struggle with an addiction to hard drugs. The harm that is done to my patients when they go to prison for it is immeasurable.

Imprisonment does nothing to curb addiction because you cannot punish psychosocial problems away. Prison places the addicted person, most of whom got to this point due to a history of mental illness or trauma, into a violent and dehumanizing environment that will exacerbate underlying stressors and mental health problems. Not to mention that medical care is rarely very good in prisons, so people who have other health issues (related to or unrelated to drug use) experience gaps in care, compounding that stress. Prison separates people from any positive support that they do have. It harms their employment prospects and places financial strain on the families, who are generally already struggling financially. It does every single thing we should not be aiming for, and to what end? How can anyone see punishment as a logical solution to a problem as complex as addiction?

Of the many things that should be done to address addiction, not a damn one involves locking addicts up. We need significant improvements in social programs, safety nets, community resources, quality medical access to general healthcare as well as addiction-specific healthcare, and other interventions that target underlying causes and facilitate immediate harm reduction.

We know more now than ever in history about addiction and how to help those struggling with it. It is a hard and oftentimes ugly problem to deal with, but locking that ugly problem behind prison bars doesn’t make it go away. Proponents of war-on-drug style approaches to addiction may consider the problem “ought of sight and out of mind,” but those of us unafraid to look at the issue head on must work twice as hard to pick up the pieces left in the wake of damaging policy. I am sick of it.

[arrenlebanen777]

ASTRO OBSERVATIONS 444

☾People who have the same Sun sign of your Sun degree, inflate your ego/or destroy it, they help you a lot in your path, they help you to be more confident and self-assured, you may even fall in love with them due to this. ☾People who have the Sun sign/Personal Planets sign of your Lilith Degree, could help you heal your inner child wounds, or make you really uncomfortable because they trigger the Raw/Violent/Suppressed/vulnerable energy in you. ☾You could idealize the sign of your Neptune degree. ☾People who have the Sun sign or Personal Planets in the sign of Your Saturn degree could teach you valuable/harsh lessons. ☾You have Love/hate relationship with people who has personal planets of the same sign of your Pluto degree, since they trigger your shadow. ☾Moon in 4th house: Have to find balance between comfort zone and Doing things, i know your house/home could be the best place in the world when life gets hard, but you could get stuck here. They have very good intuition to see/decipher the energy of the psychosocial environment, they never forget due to their good memory, the best practice here is to let go and remember that life is sustaining you all the time and realize that your home is in you and is all existence/universe/infinite, that way you become like a spring of life that nourishes everything & everyone that is around you. ☾Vertex in 8th house: Has intense karmic s*xual partners. ☾I have Sun in Scorpio in 5th house conjunct Sappho(80), Casanova(7328), and asteroids Shiva(1170), Bacchus(2063), Cupido(763) & Vesta(4) all in Scorpio 5th house too... And i’m going to tell you how it is: I love the energy of women(i really love it), i do a lot of yoga, Tantra for me is the best way to manage all this s*xual energy, casual s*x is not for me(because I want to merge completely and become one with the person), but is hard for me to stay long periods of time without s*x, i love flirting because I feel it's necessary/fundamental and fun (sometimes I don't realize when I'm doing it, and sometimes i flirt with everyone?), My libido is high and is not so easily transmutable, intense parties with s*xual and chaotic themes are places where I have a lot of fun and they relax me a lot, when i'm simple being people think that I give off the vibes of a fuckboy(I am not lol), intense music gives me chi(lol), When I fall in love I become quite possessive because I want that person just for me, and I can have s*x with that person every damn day of my life(With my first ex-girlfriend we had s*x every day for four months, several times a day), I am super passionate about art/music/spirituality and games in general, in the past I had a terrible jealousy problem (until I became more spiritual/conscious/therapy), my s*xual partners usually have very Plutonian or Scorpian vibes, If I spend a lot of time with a partner it drains me a lot and I have to disappear for a while, otherwise i become crazy, i love gloomy art, when i develop a crush on someone it feels like this: https://tenor.com/es-419/view/sukuna-smile-grin-jjk-yuji-itadori-gif-18924114

☾To all plutonian people: Pluto doesn’t care about you, It doesn’t care if you suffer or you are happy. The only thing that Pluto wants is that you transcends the extremes of what you call good and bad, because that way you can transform(nothing of the old remains)yourself, in other words Pluto wants you to become awakened/enlightened(reach your full potential) but it doesn’t care if you destroy yourself along the way. So watch out that this raw energy(power) of Pluto goes to your ego, because it could make you really egocentric(like sukuna, madara uchiha, toji fushiguro, villain archetype). ☾Libra IC: Daydreamers(they daydream like f*ck), harmonious home, beautiful family that is surrounded by arts or beauty in general, Diplomatics fathers, could have problems to express their anger, super charming, they decorate their rooms a lot, And a lot of people finds their room like a precious and dreamy place. ☾Sun opposite Saturn: Very serious person, disciplined, could suffer from depression because Saturn limits his expression, Saturn here asks you to focus on what is really important, in the house where the sun is, is where the burden of Saturn is lightened, and in the house where Saturn is, is where the most important lessons are, Saturn here practically asks you to become a master of your ego / of yourself / how you use your energies,  asks you to really observe what your needs/deep soul desires are, thats why it limits your expression because it actually wants you to express in a most authentic, mature and honest way, may have problems with the inner child, and they can punish themselves a lot, but once they discipline themselves in something, believe me that nobody and nothing is going to stop them (hard working af).

🌿i am going to do bookings for natal chart readings, very soon! Stay tuned!🌿

[ana-bananya]

Support survivors of El Gezira massacres

From project.taghyir on ig

In response to the RSF's massacres in Gezria, RUSUL, a U.S.-registered nonprofit, is raising $150,000 to provide essential aid to 300,000 people in Gezira State. Your donation will help fund:

Emergency Evacuation and Shelter: Assistance for displaced families to move to safe areas, temporary housing, cash aid, and logistical support.

Healthcare: Essential emergency health services.

Protection & Psychosocial Support: Child protection, GBV prevention, and psychosocial care for traumatized families.

This campaign has been highlighted by Sara (@/bsonblast). In the same video, she also shared other organizations working to help Sudanese refugees. Additional resources can be found in her linktree, including funds for individual families.

[arataki-neato]

Honkai Star Rail was like “This is Dan Heng! Watch out for him >:/ he’s a stoic badass who doesn’t care much for idle chitchat” then five minutes later was like “SIKE! He’s actually an incredibly kind and sensitive person at heart but he was severely physically and emotionally isolated for much of his early life and it fucked up his psychosocial development so badly that it’s difficult for him to communicate and connect with people no matter how much he may want to”

[artisticdivasworld]

Comprehensive Nursing Care for Patients with Tuberculosis

Introduction Tuberculosis (TB) is a contagious bacterial infection primarily affecting the lungs. Caused by the bacterium Mycobacterium tuberculosis, it can also impact other organs like the kidneys, spine, and brain. As a nurse or nursing student, it’s crucial to understand the disease and the specific nursing care required to manage patients effectively. Understanding…

[northern-passage]

GENEVA (17 October 2023) – Continuing violent displacement and threats of further attacks on the besieged Gaza Strip pose a major public health risk and emergency, a UN expert said today after at least 12 health workers were killed and 24 Gazan health facilities were affected since the escalation of violence in the region.

“All parties to the conflict and their international partners must ensure swift and unimpeded access to essential humanitarian supplies, including food, water and medicine, fuel, and electricity,” said Tlaleng Mofokeng, the UN Special Rapporteur on the right to health. “Gaza’s medical infrastructure has been irreparably damaged and healthcare providers are working in a dire situation with limited access to medical supplies and conditions that do not allow them to provide timely and quality healthcare,” Mofokeng said.

“Humanitarian workers, physicians, civil society, human rights organisations and journalists continue to work in the region while under bombardment themselves,” the expert said.

The World Health Organization has documented more than 111 attacks on health care services in the occupied Palestinian territory, including 48 attacks on the Gaza Strip which resulted in the death of at least 12 health workers.

Mofokeng said that Israel was preventing the entry of essential supplies into Gaza, including food, water, fuel, medicines, medical disposables and equipment. “The Gaza Strip is experiencing continuous bombardment and massive devastation,” she said. “The health sector in the enclave is at a breaking point.”

Mofokeng called on the international community to intervene immediately to prevent the escalation of conflict and protect and respect the right to health of all, by demanding access through humanitarian corridors, protection of the healthcare infrastructure and health workers. Palestinian families require urgent supplies of food, water, shelter, fuel, emergency health care, psychosocial support and psychological first aid, the expert said.

The latest escalation and display of aggression in Israel and the occupied Palestinian territory must not be de-contextualized, the expert urged. It represents a crushing moment of ongoing gross structural, systemic and sustained violence experienced by Palestinians every day since the occupation, she said. “I call for an immediate ceasefire and for Member States to stop beating the drums of war,” Mofokeng said.

“The Palestinian people have been displaced for more than 75 years. The occupied Palestinian territory has been under military occupation for more than 56 years – an occupation entailing a lack of accountability, ongoing displacement and demolition, movement restrictions, and systematic racial discrimination,” she said.

The Special Rapporteur recalled that UN Member States had reaffirmed their commitment to upholding the sovereign equality of all States and respect for their territorial integrity and political independence, recognising 2019 to 2028 as the “Nelson Mandela Decade of Peace.” The declaration supports a comprehensive approach to sustaining peace by preventing conflict and addressing its root causes, she said.

“Steps to realising the right to self-determination of Palestinians is linked to their dignity and sovereignty,” Mofokeng said. “You cannot extinguish the human desire for freedom.”

[grits-galraisedinthesouth]

Dear British Royal Family-

Meghan Markle rejected your offer to physically & emotionally equip her with professional medical support & guidance during pregnancy and after childbirth.

You graciously offered Meghan Markle the best geriatric pregnancy and pediatric health care in the world. Health Care that is NOT afforded to employees, but was offered to her as a member of the family.

Meghan Markle rejected your generous offer in favor of GENDER & PRIVACY preferences which she publicly confirmed to Oprah Winfrey.

During weekly medical appointments with her PRIVATE geriatric obstetrics and gynecological team(s), Meghan Markle was asked to provide updates on her mood and psychosocial wellbeing.

EVERY week for five (5)+ months leading up to birth, Meghan Markle told her PRIVATE medical team(s) that she was emotionally and mentally fit and well.

Meghan Markle told her PRIVATE care team(s) that her moods were normal and she was not experiencing thoughts of harming herself or unborn child.

Meghan Markle told her PRIVATE care team(s) that her moods were stable/good and she was NOT experiencing suicidal ideation or thoughts of harming baby (Archie).

File a lawsuit against the daughter-in-law from hell and sue her arse for defamation of character.

The royal household's gynaecologists Alan Farthing and Guy Thorpe-Beeston, who specialises in high-risk childbirth, were present at the births of all three of William and Kate's children.

A royal source told the Mail on Sunday: "Meghan said she doesn’t want the men in suits. She was adamant that she wanted her own people. It did leave a few of us a little baffled."

But, despite being two of the best in the business, the pair have been denied a leading role in the delivery of Prince Harry's baby.

According to royal protocol, the doctors cannot be excluded from the process entirely, and should anything go wrong in the birth they will be present to step in.

Another said: "It is slightly surprising. These people [the Queen’s doctors] are the best of the best and when it comes down to it, their role would actually be very limited in the birth itself, assuming all goes to plan."

The move to shun the royal gynaecologists could be seen by some as unnecessary extravagance, as the Queen's physicians do not charge a fee and taking on a new team of specialists will cost tens of thousands.

A source explained: "Working for the Royal Household is seen as an honour and attracts other high-profile fee-paying patients."

In another break from royal tradition,is not planning to pose with her newborn baby on the hospital steps like Kate Middleton and Diana, it is understood.