Summary of the Need for Change Sample Clauses

Summary of the Need for Change. In Caithness the combined impacts of an ageing population, demographic changes, and clear implications for the workforce with increasing costs and demands mean that the current model of health and social care delivery is not sustainable. The model of five sites providing 24/7 care is continually under pressure and leads to unplanned closure of services and disjointed multi-contact service delivery. While such pressures are being experienced across the country and beyond, they are more severe for NHS Highland in general, particularly in the more remote and rural areas like Caithness. These pressures have been evident and growing for several years, yet the pace of change has been slow. This is in part due to resistance to change, including a belief by some that the solution is to have more money or to be more innovative around recruitment. Arguably while more money and innovation will certainly assist, it will not address the fundamental challenge of addressing issues of sustainability (workforce) and the associated need to transform some services and rationalise the current estate. Health and social care needs to adapt and extend beyond the classical settings of hospitals, care homes, GP practices, and hospices. Improved multi-disciplinary and multi-agency working would help to reach more people, with communities becoming more resilient, gearing up for better use of technology. This has in part been facilitated through integration of health and social care which has been ongoing in Highland since 2012. The lead agency model has created several opportunities to develop more flexible care models that had previously not been thought of or implemented. These challenges are not unique to Caithness, Highland, Scotland, or the United Kingdom. In fact, it is an international challenge and is faced across the public sector where many professions, such as education, are also facing significant recruitment and financial pressures. However, although not unique to Caithness, the challenges here are greater than in most other areas largely due to the rural and remote nature of the area. Rural depopulation plays a significant role in these challenges. A summary of the need for change and the resulting impact on the organisation is provided in More people living longer with complex needs, less people of working age to provide care Existing capacity will be unable to cope with future projections of demand. Insufficient workforce to care for older population Service sustaina...
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Summary of the Need for Change. The need for change is influenced by many factors:  Demographic change – the growth in population and more importantly the significant increase in the proportion of people aged over 65  People are working longer – with a rising retirement age, to 67 and beyond, which means that there are increasing numbers of people aged over 70 who continue to remain in employment. Application of the current growth rate for elective procedures to these population and age profile projections indicates that further activity increases should be anticipated  Increased demand – the demand for surgical procedures has been steadily increasing in recent years due to demographics, epidemiology and advancing technology which enable more conditions to be surgically treated. National, regional and local trends reflect an increasing demand over the previous 10 years for common elective procedures, including in Orthopaedics, General Surgery and Urology. These changes have resulted in significant and growing service pressures for elective surgery, particularly for primary hip and knee arthroplasty; foot and ankle surgery; hernia repairs and laparoscopic cholecystectomies. As a result waiting times in Orthopaedics, General Surgery and Urology have risen in NHS Tayside during the last year, making it difficult to deliver NHS Scotland waiting time targets.
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Summary of the Need for Change. The need for change is influenced by many factors:  The rising retirement age, to 67 and beyond and the increased number of people aged over 70 living more active lives, resulting in rising rates of intervention  Demographic change – the growth in population and more importantly the significant increase in the proportion of people aged over 60 These changes have resulted in significant and growing service pressures in orthopaedics and other surgical specialties. As a result waiting lists in orthopaedics have risen significantly in the West of Scotland during the last year, making it difficult for many NHS Boards to deliver NHS Scotland waiting time targets. Between 2005 and 2015, the WoS Population increased by 2.8% from 2,553,860 to 2,627,290, the number of people aged over 60 increased by 24% - (from 551,195 to 684,601). The ageing population within the WOS has significantly increased the demand for orthopaedic and other surgical specialities over the last 10 years. Between 2015 and 2035 the WoS population is forecast to grow by 1.6%, a population increase of 42,011. However more significantly:  The number of people aged 60 plus is predicted to increase by 34.8%, an increase of 218,670 people aged over 60 by 2035  The number of people aged 70 plus is predicted to increase by 56%, an increase of 183,959 people aged over 70 by 2035 It is important to note that that age at time of intervention will be a key factor in forecasting the potential additional demand for surgical procedures, for example:  84% of patients undergoing primary knee replacement are aged over 60 years old at the time of intervention  80% of patients undergoing primary hip replacement are aged over 60 at the time of intervention  approx 40-50% of urology patients are aged over 60 years old at the time of intervention  approx 30-40% of general surgery patients are aged over 60 at the time of intervention. To ensure the demand modelling is accurate age at time of intervention has been factored into the demand modelling methodology. See section 4.2 for further explanation. There are significant waiting times pressures within Orthopaedics across the West of Scotland, improvements in productivity cannot possibly meet all of the predicted additional demand (see section
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Related to Summary of the Need for Change

  • Payment for Change of Scope Payment for Change of Scope shall be made in accordance with the payment schedule specified in the Change of Scope Order.

  • Plan Changes In the event the Employer modifies its current benefit plans, or provides an alternative plan(s), the Employer will review the plan changes with the Union prior to implementation. The Employer shall notify the Union at least ninety (90) days prior to the intended implementation date. The implementation date is the effective date of the new plan.

  • Effect of Recapitalizations, Reclassifications and Changes of the Common Stock (a) In the case of: (i) any recapitalization, reclassification or change of the Common Stock (other than changes resulting from a subdivision or combination), (ii) any consolidation, merger, combination or similar transaction involving the Company, (iii) any sale, lease or other transfer to a third party of the consolidated assets of the Company and the Company’s Subsidiaries substantially as an entirety or (iv) any statutory share exchange, in each case, as a result of which the Common Stock would be converted into, or exchanged for, stock, other securities, other property or assets (including cash or any combination thereof) (any such event, a “Share Exchange Event”), then, at and after the effective time of such Share Exchange Event, the right to convert each $1,000 principal amount of Notes shall be changed into a right to convert such principal amount of Notes into the kind and amount of shares of stock, other securities or other property or assets (including cash or any combination thereof) that a holder of a number of shares of Common Stock equal to the Conversion Rate immediately prior to such Share Exchange Event would have owned or been entitled to receive (the “Reference Property,” with each “unit of Reference Property” meaning the kind and amount of Reference Property that a holder of one share of Common Stock is entitled to receive) upon such Share Exchange Event and, prior to or at the effective time of such Share Exchange Event, the Company or the successor or purchasing Person, as the case may be, shall execute with the Trustee a supplemental indenture permitted under Section 10.01(g) providing for such change in the right to convert each $1,000 principal amount of Notes; provided, however, that at and after the effective time of the Share Exchange Event (A) the Company shall continue to have the right to determine the form of consideration to be paid or delivered, as the case may be, upon conversion of Notes in accordance with Section 14.02 and (B) (I) any amount payable in cash upon conversion of the Notes in accordance with Section 14.02 shall continue to be payable in cash, (II) any shares of Common Stock that the Company would have been required to deliver upon conversion of the Notes in accordance with Section 14.02 shall instead be deliverable in the amount and type of Reference Property that a holder of that number of shares of Common Stock would have been entitled to receive in such Share Exchange Event and (III) the Daily VWAP shall be calculated based on the value of a unit of Reference Property. If the Share Exchange Event causes the Common Stock to be converted into, or exchanged for, the right to receive more than a single type of consideration (determined based in part upon any form of stockholder election), then (i) the Reference Property into which the Notes will be convertible shall be deemed to be the weighted average of the types and amounts of consideration actually received by the holders of Common Stock, and (ii) the unit of Reference Property for purposes of the immediately preceding paragraph shall refer to the consideration referred to in clause (i) attributable to one share of Common Stock. If the holders of the Common Stock receive only cash in such Share Exchange Event, then for all conversions for which the relevant Conversion Date occurs after the effective date of such Share Exchange Event (A) the consideration due upon conversion of each $1,000 principal amount of Notes shall be solely cash in an amount equal to the Conversion Rate in effect on the Conversion Date (as may be increased by any Additional Shares pursuant to Section 14.03), multiplied by the price paid per share of Common Stock in such Share Exchange Event and (B) the Company shall satisfy the Conversion Obligation by paying cash to converting Holders on the second Business Day immediately following the relevant Conversion Date. The Company shall notify in writing Holders, the Trustee and the Conversion Agent (if other than the Trustee) of such weighted average as soon as practicable after such determination is made. Such supplemental indenture described in the second immediately preceding paragraph shall provide for anti-dilution and other adjustments that shall be as nearly equivalent as is possible to the adjustments provided for in this Article 14. If, in the case of any Share Exchange Event, the Reference Property includes shares of stock, securities or other property or assets (including cash or any combination thereof) of a Person other than the successor or purchasing corporation, as the case may be, in such Share Exchange Event, then such supplemental indenture shall also be executed by such other Person and shall contain such additional provisions to protect the interests of the Holders of the Notes as the Board of Directors shall reasonably consider necessary by reason of the foregoing, including the provisions providing for the purchase rights set forth in Article 15. (b) When the Company executes a supplemental indenture pursuant to subsection (a) of this Section 14.07, the Company shall promptly file with the Trustee an Officer’s Certificate briefly stating the reasons therefor, the kind or amount of cash, securities or property or asset that will comprise a unit of Reference Property after any such Share Exchange Event, any adjustment to be made with respect thereto and that all conditions precedent have been complied with, and shall promptly deliver notice thereof to all Holders. The Company shall cause notice of the execution of such supplemental indenture to be delivered to each Holder within 20 days after execution thereof. Failure to deliver such notice shall not affect the legality or validity of such supplemental indenture. (c) The Company shall not become a party to any Share Exchange Event unless its terms are consistent with this Section 14.07. None of the foregoing provisions shall affect the right of a holder of Notes to convert its Notes into cash, shares of Common Stock or a combination of cash and shares of Common Stock, as applicable, as set forth in Section 14.01 and Section 14.02 prior to the effective date of such Share Exchange Event. (d) The above provisions of this Section shall similarly apply to successive Share Exchange Events.

  • CREDIT FOR PREVIOUS EXPERIENCE All employees shall be classified according to previous comparable supermarket experience. Previous comparable experience shall be granted on the following basis: A. Out of the industry for less than one (1) year will receive credit for fifty percent (50%) of their previous experience to a maximum credit of twelve (12) months' credit for previous experience. B. Out of the industry for more than one (1) year, will receive credit for fifty percent (50%) of their previous experience up to a maximum of six (6) months' credit for previous experience. No previous experience will be considered unless it has been stated by the employee on his or her Application for Employment form. (This provision shall not apply where employees fail to indicate their previous comparable experience by agreement with Management.) New employees having previous comparable experience may be paid at a lower scale of wage than their claimed experience calls for but not less than the minimum rate established by this Agreement for an evaluation period not to exceed forty-five (45) days from the date of employment, providing that if the employee's services are retained, then after the forty-five (45) day period they shall receive any difference between the evaluation rate paid and the rate for which their experience qualifies them retroactive to the date their employment started, and shall receive written notification showing the credit granted for previous experience. In the event of any disagreement as to the credit granted for previous experience, such disagreement shall be considered a Grievance and the Grievance Procedure provided in this Agreement shall apply. Providing that the Employer has: i) Provided the employee with the "New Employee" letter provided for in Section 3.02 of this Agreement not later than two (2) weeks from the date of employment, and ii) Provided the employee with the written notification showing credit granted for previous experience within the forty-five (45) day period required by this Section, and iii) Provided the Union with a copy of the letter showing credit granted for previous experience within the same period then no consideration will be given to any disagreement pertaining to credit for previous experience if presented later than sixty (60) days from the date of employment.

  • Changes in Corporate Structure The Company shall not have changed its jurisdiction of incorporation or organization, as applicable, or been a party to any merger or consolidation or succeeded to all or any substantial part of the liabilities of any other entity, at any time following the date of the most recent financial statements referred to in Schedule 5.5.

  • Change of Address, Etc Any party hereto may change its address or facsimile number for notices and other communications hereunder by notice to the other parties hereto.

  • Corporate Changes Neither Borrower nor any Subsidiary shall change its corporate name, legal form or jurisdiction of formation without twenty (20) days’ prior written notice to Agent. Neither Borrower nor any Subsidiary shall suffer a Change in Control. Neither Borrower nor any Subsidiary shall relocate its chief executive office or its principal place of business unless: (i) it has provided prior written notice to Agent; and (ii) such relocation shall be within the continental United States. Neither Borrower nor any Subsidiary shall relocate any item of Collateral (other than (x) sales of Inventory in the ordinary course of business, (y) relocations of Equipment having an aggregate value of up to $150,000 in any fiscal year, and (z) relocations of Collateral from a location described on Exhibit C to another location described on Exhibit C) unless (i) it has provided prompt written notice to Agent, (ii) such relocation is within the continental United States and, (iii) if such relocation is to a third party bailee, it has delivered a bailee agreement in form and substance reasonably acceptable to Agent.

  • Change of Corporate Name Any and all references in the Indenture and the Securities to OCEAN ENERGY, INC., a Delaware corporation, or the "Company," shall be deemed henceforth to refer to OCEAN ENERGY, INC., a Texas corporation.

  • ADJUSTMENTS FOR CHANGES IN CAPITAL STRUCTURE Subject to any required action by the stockholders of the Company, in the event of any change in the Stock effected without receipt of consideration by the Company, whether through merger, consolidation, reorganization, reincorporation, recapitalization, reclassification, stock dividend, stock split, reverse stock split, split-up, split-off, spin-off, combination of shares, exchange of shares, or similar change in the capital structure of the Company, or in the event of payment of a dividend or distribution to the stockholders of the Company in a form other than Stock (other than regular, periodic cash dividends paid on Stock pursuant to the Company’s dividend policy) that has a material effect on the Fair Market Value of shares of Stock, appropriate and proportionate adjustments shall be made in the number and kind of shares of stock or other property subject to the Award, in order to prevent dilution or enlargement of the Participant’s rights under the Award. For purposes of the foregoing, conversion of any convertible securities of the Company shall not be treated as “effected without receipt of consideration by the Company.” Any and all new, substituted or additional securities or other property (other than regular, periodic cash dividends paid on Stock pursuant to the Company’s dividend policy, subject to Section 5.3) to which Participant is entitled by reason of ownership of shares acquired pursuant to this Award will be immediately subject to the provisions of this Award on the same basis as all shares originally acquired hereunder. Any fractional share resulting from an adjustment pursuant to this Section shall be rounded down to the nearest whole number. Such adjustments shall be determined by the Committee, and its determination shall be final, binding and conclusive.

  • Service Changes PBI may modify its Service by giving written notice to you (a “Service Change Notice”), which will state whether the change is material. After receiving a Service Change Notice, if the change is material, you may terminate Service by giving us a termination notice at the address indicated in Section 21 or you may create a case at xxxxxxxxxxx.xxx/xx/xxxxxxx-xx.xxxx (follow the instructions under “how to create a case”).

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