Problems with the Current Arrangements Sample Clauses

Problems with the Current Arrangements. Section 2.1 illustrates that services are delivered from multiple sites across the Caithness district. Teams that work together to deliver health and care services are not strategically co- located and this can be a barrier to effective multi-disciplinary working. There are currently five sites in Caithness (in Wick and Thurso) that provide 24/7 care: three hospitals and two care homes; and staffing pressures are making it increasingly difficult to sustain these separate rotas. Care at home, care home and hospital services are all competing for the same limited workforce resource. The Out of Hours service at Xxxxxx Hospital, Thurso has experienced significant disruption in recent years due to staff pressures and is currently operating daytime hours only, with patients having to travel to Wick to access out of hours emergency care out with these times. There are gaps in some community service provision, particularly out of hours, which results in increased pressure on hospital services and inappropriate admissions as the community services are not available at the right time and in the right place. Mental Health and Social Work services are particularly stretched. The Emergency Department at Caithness General Hospital is under increasing pressure with a steep rise in attendances during 2021.Covid-19 has exacerbated this (section 2.1.2.3), putting teams under extreme pressure. Once admitted, patients are taking longer than they should to be discharged due to limited resource in the integrated community teams, compounded by issues such as a lack of power of attorney or anticipatory care plan. While in hospital patients become more dependent and less able to look after themselves, increasing the level of support they require to facilitate a successful return home. This in turn increases pressure on community hospital and care home beds. The closure of Achvarasdal residential care home in 2018 resulted in a loss of 28 registered places, and this has placed additional strain and demand for the remaining care homes places in the District, evidenced by the waiting list information Caithness patients must sometimes travel significant distances to access services that could be provided locally. Changes in use of technology have led to improvements (section 2.1.2.3), and we need to build on this through a review of how we provide outpatient and GP services to fully realise the benefits. Difficulties in recruitment of doctors and nurses has resulted in a heavy relianc...
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Related to Problems with the Current Arrangements

  • Relationships with the Company Except as set forth below, neither the undersigned nor any of its affiliates, officers, directors or principal equity holders (owners of 5% of more of the equity securities of the undersigned) has held any position or office or has had any other material relationship with the Company (or its predecessors or affiliates) during the past three years.

  • Reporting Arrangements The States will report against the agreed milestones during the operation of this Agreement, as set out in Part 4 – Project Milestones, Reporting and Payments.

  • Business Arrangements Except as disclosed in the Registration Statement, the Time of Sale Disclosure Package and the Prospectus, neither the Company nor any of its subsidiaries has granted rights to develop, manufacture, produce, assemble, distribute, license, market or sell its products to any other person and is not bound by any agreement that affects the exclusive right of the Company or such subsidiary to develop, manufacture, produce, assemble, distribute, license, market or sell its products.

  • Service with the Company During the Term of this Agreement, Executive agrees to perform such executive employment duties as the Board or the President shall reasonably assign to him from time to time.

  • Monitoring Arrangements 8.1 We will formally monitor the progress of the access agreement at least once a year and report annually to the SCITT Management Group. Initial monitoring will be concerned with participation rates and the development of data on lower income and other under-represented groups. When specific data is accrued, we will look to monitor against this. 8.2 Our annual report to the SCITT Management Group will form the basis of our monitoring report to OFFA.

  • Filings with the Commission The Company will: (i) prepare and file the Final Prospectus (in a form approved by the Underwriter and containing the Rule 430A Information) with the Commission in accordance with and within the time periods specified by Rules 424(b) and 430A under the Securities Act; (ii) file any Issuer Free Writing Prospectus with the Commission to the extent required by Rule 433 under the Securities Act; and (iii) file with the Commission such reports as may be required by Rule 463 under the Securities Act.

  • Management Arrangements 9.1. The Management Arrangements set out the arrangements for the strategic management of the relationship between the Authority and the Contractor, including arrangements for monitoring of the Contractor’s compliance with the Statement of Requirements, the Service Levels, the Award Procedures and the terms of this Framework Agreement. 9.2. The Authority may by notice to the Contractor suspend the Contractor’s appointment to provide Services to Framework Public Bodies for a notified period of time: 9.2.1. if the Authority becomes entitled to terminate this Framework Agreement under clause 42 (Termination Rights) or 43 (Termination on Insolvency or Change of Control); or 9.2.2. in any other circumstance provided for in the Management Arrangements. 9.3. Suspension under clause 9.2 shall terminate upon cessation of all of any circumstances referred to in subclauses 9.2.1 and 9.2.2. 9.4. The Contractor must continue to perform existing Call-off Contracts during any period of suspension under clause 9.2.

  • Agency Cross Transactions From time to time, the Advisor or brokers or dealers affiliated with it may find themselves in a position to buy for certain of their brokerage clients (each an "Account") securities which the Advisor's investment advisory clients wish to sell, and to sell for certain of their brokerage clients securities which advisory clients wish to buy. Where one of the parties is an advisory client, the Advisor or the affiliated broker or dealer cannot participate in this type of transaction (known as a cross transaction) on behalf of an advisory client and retain commissions from one or both parties to the transaction without the advisory client's consent. This is because in a situation where the Advisor is making the investment decision (as opposed to a brokerage client who makes his own investment decisions), and the Advisor or an affiliate is receiving commissions from both sides of the transaction, there is a potential conflicting division of loyalties and responsibilities on the Advisor's part regarding the advisory client. The Securities and Exchange Commission has adopted a rule under the Investment Advisers Act of 1940, as amended, which permits the Advisor or its affiliates to participate on behalf of an Account in agency cross transactions if the advisory client has given written consent in advance. By execution of this Agreement, the Trust authorizes the Advisor or its affiliates to participate in agency cross transactions involving an Account. The Trust may revoke its consent at any time by written notice to the Advisor.

  • Relationship with the Lenders (a) The Agent may treat each Lender as a Lender, entitled to payments under this Agreement and acting through its Facility Office unless it has received not less than five Business Days prior notice from that Lender to the contrary in accordance with the terms of this Agreement. (b) Each Lender shall supply the Agent with any information required by the Agent in order to calculate the Mandatory Cost in accordance with Schedule 4 (Mandatory Cost formulae).

  • Brokerage Arrangements Neither of the Sellers has entered (directly or indirectly) into any Contract with any Person that would require the payment of a commission, brokerage or “finder’s fee” or other fee in connection with this Agreement, the Transaction Documents or the transactions contemplated hereby or thereby for which Buyer would be responsible.

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