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Category: Health

  • MIL-OSI China: Shanghai’s first wholly foreign-owned hospital granted license

    Source: China State Council Information Office 2

    DeltaHealth Hospital·Shanghai has been granted an operating license in Shanghai, making it the city’s first wholly foreign-owned hospital and China’s first foreign-owned cardiovascular specialty hospital.
    The license for wholly foreign-owned medical institutions was issued by the Shanghai Municipal Health Commission on Friday, as the latest development following China’s expanded opening-up policy in the healthcare sector.
    The hospital, established as a joint venture in 2016, specializes in cardiovascular care and was included in Shanghai’s medical insurance system in 2018.
    In May 2024, Swire Pacific Limited completed a transaction to become the largest shareholder of DeltaHealth.
    In September 2024, China issued notice of the pilot program for expanding opening up in the healthcare sector, with Beijing, Shanghai and Tianjin designated among the nine provinces and municipalities to launch wholly foreign-funded hospital trials.
    Experts believe this will help bring advanced medical technologies and services from overseas, meeting the growing demand for high-quality healthcare in China.

    MIL OSI China News –

    March 15, 2025
  • MIL-OSI New Zealand: Homicide investigation underway in Hamilton

    Source: New Zealand Police (National News)

    Please attribute to Detective Senior Sergeant Scott Neilson:

    Waikato Police have commenced a homicide investigation following an incident in Hamilton overnight.

    Emergency services were called to Beatty Street, Melville at around 4:30am.

    A 26-year-old man was located deceased at the scene. A second man was taken to Waikato Hospital where he remains in a critical condition.

    Police are currently making enquiries to establish what has occurred and the events leading up to this incident.

    We are also working to identify and locate a third man who was at the scene.

    Police would like to hear from anyone who may have seen or heard anything in the area or may have any footage or CCTV of the incident.

    Anyone with information is asked to contact Police via 105 quoting file number 250315/0371

    ENDS

    Issued by the Police Media Centre

    MIL OSI New Zealand News –

    March 15, 2025
  • MIL-OSI New Zealand: Release: National botches health funding numbers

    Source: New Zealand Labour Party

    Health Minister Simeon Brown’s claim that the Government has put $16.68 billion into the health system over three years is wrong.

    Simeon Brown has repeatedly claimed the Government is putting “$16.68 billion more put into our health system over three years” when the actual amount is half that at $8.4 billion.

    “The Health Minister should learn how to read government accounts. He should be referring to spending over three government budgets – some of that money will not be spent until 2030 – not three years,” Labour health spokesperson Ayesha Verrall said.

    He made the $16.68 billion claim in a speech to the BusinessNZ Health Forum, in the media, and in Parliament.

    “This is rich coming from a government that delights in calling others in the health sector financially illiterate but can’t read their own budget,” Ayesha Verrall said.

    “The Government has not funded the health system enough to keep up with costs, and services are being cut as a result.

    “We know that front line staff are bearing the brunt of the chaotic cuts at Health New Zealand and patient care is suffering because of it.

    “New Zealanders are feeling it in their back pocket too. The cost of going to your GP has gone up, costs for prescriptions have gone up and it’s harder to get an appointment.

    “This is what happens with a minister doesn’t understand what life is like for patients, carers and healthcare workers,” Ayesha Verrall said.


    Stay in the loop by signing up to our mailing list and following us on Facebook, Instagram, and X.

    MIL OSI New Zealand News –

    March 15, 2025
  • MIL-OSI Asia-Pac: India Participates in 353rd Governing Body Meeting of International Labour Organisation in Geneva

    Source: Government of India (2)

    India Participates in 353rd Governing Body Meeting of International Labour Organisation in Geneva

    Ms. Sumita Dawra, Secretary, Labour & Employment Leads Delegation and Makes Interventions on Key Global Labour and Employment Issues

    Secretary, L&E Holds Bilateral Discussions with Director-General and Senior Experts of ILO and Representatives of Other Countries

    India Reaffirms its commitment to Continue to Act as a Leading Voice on Advancing Labour Welfare, Quality Employment and Social Justice at Global Forum

    Social Protection, Responsible Business Conduct, Living Wages, AI and Future of Work, and Fair Global Migration Emerge as Key Areas of India-ILO Collaboration

    Posted On: 15 MAR 2025 12:34PM by PIB Delhi

    The 353rd Governing Body meeting of the International Labour Organisation (ILO) is being held in Geneva, Switzerland, from March 10 to March 20, 2025. The meeting brings together the tripartite constituents of ILO i.e. representatives from governments, workers, and employers, to discuss crucial matters relating to the world of work and the governance of ILO.

    The Indian delegation, led by Ms. Sumita Dawra, Secretary, Ministry of Labour and Employment, Government of India, made several interventions on key issues, showcasing India’s achievements, learnings and perspectives to advance the shared agenda of promoting labour welfare, social justice and quality employment generation globally.

    Second World Summit for Social Development

    India extended its support to ILO on the organization of the UN led Second World Summit for Social Development in Doha, Qatar later this year, as it aims at reinforcing the social dimension of the 2030 Agenda for Social Development. India’s inspiring progress in promoting social justice and development was highlighted, as India has doubled its social protection coverage to 48.8 percent, increasing the average global social protection coverage by over 5 percent.

    In this context, contribution of India’s flagship institutions and schemes such as EPFO (7.37 crore contributing members), ESIC (14.4 crore beneficiaries), e-Shram Portal (30.6 crore registered unorganized members), PM Jan Arogya Yojana (60 crore beneficiaries) and Targeted PDS (food security to 81.35 crore beneficiaries) was acknowledged.

    ILO Fair Migration Agenda and Action

    India, as one of the largest countries of origin of migrant workers and recipient of highest remittances, reiterated its support for greater global cooperation in promoting well-managed, skills-based migration pathways. ILO was urged to enhance efforts towards generating global momentum for securing social protection and rights for migrant workers through bilateral labour migration and social security agreements. Support was extended for ILO’s proposal to convene the first Tripartite Global Forum on Migration under the ILO based Global Coalition for Social Justice, by India as a leading partner of the Global Coalition.

    Global Framework on Chemicals

    India reaffirmed its commitment towards playing a leading role towards ensuring a planet free of harm from chemicals and waste, safeguarding workers, communities and the environment. The actions being undertaken by ILO in follow up to the Bonn Declaration were acknowledged.

    Key initiatives taken by India towards safeguarding the health and safety of workers and communities including Factories Act, 1948 and Occupational Safety, Health and Working Conditions Code, 2020, were underscored. Capacity-building measures under the Viksit Bharat 2047 Action Plan towards ensuring workplace safety in Major Accident Hazardous (MAH) units were highlighted.

    The Indian delegation also held several bilateral discussions with the Director General and senior experts of ILO, and representatives of other countries on labour and employment matters of keen interest to India.

    Bilateral Discussion with Director General-ILO

    Ms. Dawra met Mr. Gilbert F. Houngbo, the DG-ILO and congratulated him for his flagship initiative the Global Coalition for Social Justice, which has emerged as a robust platform for global collaboration to promote social justice. She also reiterated the need for ILO to consider in-kind benefits while assessing social protection coverage.

    This is crucial as India has commenced a State Specific Data Pooling exercise in collaboration with ILO to get a more accurate assessment of India’s social protection coverage.

    DG-ILO appreciated India for playing a leading role in the Global Coalition by championing the key Coalition intervention “Responsible business for sustainable and inclusive societies,” and successfully organizing the first ever “Regional Dialogue on Social Justice” at New Delhi last month. He added, “This has inspired other Coalition countries (partners) to enhance their contribution to the Coalition’s agenda”.

    Mr. Houngbo invited India to participate pro-actively in the upcoming Annual Forum on Social Justice, and showcase best practices of Indian industry in terms of Responsible Business Conduct, payment of Living Wages, and harnessing AI for a socially just Future of Work.

    The DG also expressed his appreciation for India’s first ever voluntary financial support to ILO towards conduct of a feasibility study on development of international reference classification of occupations by ILO and OECD. This India led initiative will facilitate in galvanizing global employment opportunities for Indian youth through benchmarking, and mutual recognition of skills and qualifications. Development of the international classification is a historic commitment made by the G20 leaders under India’s G20 presidency of 2023.

    India discussed future collaborations in pipeline with ILO on shared priorities including determination and operationalization of living wages, gig and platform workers’ welfare and decent work in value chains. The Indian delegation included Shri Rakesh Gaur, Deputy Director, Ministry of Labour & Employment.

    *****

    Himanshu Pathak

    (Release ID: 2111473) Visitor Counter : 155

    MIL OSI Asia Pacific News –

    March 15, 2025
  • MIL-OSI USA: FDA Roundup: March 14, 2025

    Source: US Department of Health and Human Services – 3

    For Immediate Release:
    March 14, 2025

    Today, the U.S. Food and Drug Administration is providing an at-a-glance summary of news from around the agency:

    On Thursday, the FDA posted information on the flu vaccine composition for the 2025-2026 U.S. flu season. The agency, in consultation with our federal partners, reviewed the available data and made its recommendations to manufacturers of the U.S.-licensed influenza vaccines for the production of updated vaccines for the 2025-2026 flu season. Based on this timing, the agency does not anticipate any impact on vaccine supply or timing of availability.
    On Thursday, the FDA’s Center for Drug Evaluation and Research (CDER) published two case studies and a case study user guide, developed as part of the Accelerating Rare disease Cures (ARC) Program’s Learning and Education to Advance and Empower Rare Disease Drug Developers (LEADER 3D) initiative. These case studies provide examples of approaches successfully used by sponsors when designing and conducting rare disease drug development programs. The ARC Program launched LEADER 3D to better understand and address the unique challenges in bringing rare disease products to market. As part of the initiative, CDER’s Rare Diseases Team worked with an independent contractor to conduct interviews with the rare disease drug development community and performed a review of public docket comments to identify educational opportunities across regulatory topics of interest in rare disease drug development. These case studies and the other materials on the LEADER 3D website are reflective of the needs and priorities heard from our valuable partners in the rare disease drug development community. Read the case studies at the LEADER 3D website.
    On Wednesday, the FDA announced that the American Society of Addiction Medicine (ASAM) has issued the final guideline, “The Joint Clinical Practice Guideline on Benzodiazepine Tapering: Considerations When Benzodiazepine Risks Outweigh Benefits”. This guideline focuses on evidence-informed and consensus-based strategies to help clinicians determine whether tapering benzodiazepine medications may be appropriate for a given patient, and if so, how to taper them. The FDA awarded a grant to ASAM in 2022 to develop this guideline, which will serve as a standard of care for safe tapering of benzodiazepines. The draft guideline issued in June 2024.
    On Tuesday, the FDA issued a Safety Alert advising restaurants and retailers not to serve or sell and consumers not to eat certain frozen half-shell oysters from Republic of Korea designated area II, potentially contaminated with norovirus.

    Related Information

    Related Information

    ###

    Boilerplate

    The FDA, an agency within the U.S. Department of Health and Human Services, protects the public health by assuring the safety, effectiveness, and security of human and veterinary drugs, vaccines and other biological products for human use, and medical devices. The agency also is responsible for the safety and security of our nation’s food supply, cosmetics, dietary supplements, radiation-emitting electronic products, and for regulating tobacco products.

    Inquiries

    Consumer:
    888-INFO-FDA

    Content current as of:
    03/14/2025

    Regulated Product(s)

    Follow FDA

    MIL OSI USA News –

    March 15, 2025
  • MIL-OSI USA: Har Maspeth Corp Issues Allergy Alert on Undeclared Eggs in “Jinga Glass Noodles w/ Vegetables (Japche)”

    Source: US Department of Health and Human Services – 3

    Summary

    Company Announcement Date:
    March 14, 2025
    FDA Publish Date:
    March 14, 2025
    Product Type:
    Food & Beverages
    Reason for Announcement:

    Recall Reason Description
    Undeclared eggs

    Company Name:
    HAR Maspeth Corp
    Brand Name:

    Brand Name(s)
    Jinga

    Product Description:

    Product Description
    Glass noodles with vegetables

    Company Announcement
    HAR Maspeth Corp, Maspeth NY, is recalling its 8 ounce and 12 ounce packages of “JINGA GLASS NOODLES W/ VEGETABLES (Japche)” because they contain undeclared eggs. Consumers who are allergic to eggs may run the risk of serious or life-threatening allergic reactions if they consume this product.
    The recalled “JINGA GLASS NOODLE W VEGETABLES (Japche)” were distributed to H Mart stores in multiple states. The product comes in 8-ounce and 12-ounce clear plastic packaging with Best By dates of March 13, 2025, through March 18, 2025, stamped on top. The product UPC codes are:

    265405006495
    267405004495
    266405008496
    268405005499

    No illnesses or allergic reactions involving this product have been reported to date.
    The recall was initiated after being notified by New York State Department of Agriculture and Markets Food Inspectors during a retail inspection and the presence of eggs in the 8 and 12 ounce packages of “JINGA GLASS NOODLES W/ VEGETABLES (Japche)” which did not declare an egg ingredient on the label.
    Consumers who have purchased 8 and 12 ounce packages of “JINGA GLASS NODDLES W/ VEGETABLES (Japche)” are urged to return them to the place of purchase for a full refund. Consumers with questions may contact the company at 718-706-9300, Monday through Friday, 9:00 AM – 6:00 PM (Eastern Time).

    Company Contact Information

    Consumers:
    HAR Maspeth Corp
    718-706-9300

    Product Photos

    Content current as of:
    03/14/2025

    Regulated Product(s)

    Follow FDA

    MIL OSI USA News –

    March 15, 2025
  • MIL-OSI USA: C.H. Guenther & Son LLC Issues Allergy Alert on Undeclared Egg in “365 Whole Foods Market Small Bites Macaroni & Cheese”

    Source: US Department of Health and Human Services – 3

    Summary

    Company Announcement Date:
    March 14, 2025
    FDA Publish Date:
    March 14, 2025
    Product Type:
    Food & Beverages
    Reason for Announcement:

    Recall Reason Description
    Undeclared eggs

    Company Name:
    C.H. Guenther & Son LLC
    Brand Name:

    Brand Name(s)
    365 Whole Foods Market

    Product Description:

    Product Description
    Small Bites Macaroni & Cheese

    Company Announcement
    C.H. Guenther & Son LLC of San Antonio, TX, is recalling its 365 Whole Foods Market Small Bites Macaroni & Cheese because it may contain undeclared eggs and meat ingredients. People who have allergies to eggs run the risk of serious or life-threatening allergic reaction if they consume this product. The recalled Small Bites were sold at Whole Foods Market Stores in the frozen food aisle nationwide (8.5 oz cartons). 
    The impacted Product UPC Code and Lot Code are as follows:
    365 Whole Foods Market Small Bites Macaroni & Cheese
    UPC Code: 99482499709
    Best-By Date (BB): 11/29/25
    Purchase Dates: 2/6/2025 – 3/11/2025
    No illnesses have been reported to date.
    The recall was initiated after receiving a consumer complaint that the product contained meat and was not a macaroni and cheese bite. This issue has been corrected and no other manufacturing dates or lots are impacted.
    Customers who have purchased “365 Whole Foods Market Small Bites Macaroni & Cheese” with the Lot information listed above are urged to destroy any remaining product and can bring a valid receipt into the store for a full refund. Consumers with additional questions regarding this recall may contact CH Guenther & Son LLC at 1-210-227-1401.
    CH Guenther & Son LLC takes allergies and food safety seriously and has implemented preventative measures to prevent any future occurrences.

    Company Contact Information

    Consumers:
    CH Guenther & Son LLC
    210-227-1401

    Product Photos

    Content current as of:
    03/14/2025

    Regulated Product(s)

    Follow FDA

    MIL OSI USA News –

    March 15, 2025
  • MIL-OSI USA: Disruptions in Availability of Hemodialysis Bloodlines – Letter to Health Care Providers

    Source: US Department of Health and Human Services – 3

    March 14, 2025
    The U.S. Food and Drug Administration (FDA) is aware that the U.S. is experiencing interruptions in the supply of hemodialysis bloodlines because of recent supplier issues. The disruption in supply of this device is expected to impact patient care and as such may require adjustments to the clinical management of patients receiving acute or chronic hemodialysis. The FDA expects the duration of this shortage to extend through early fall of 2025. The FDA recommends health care providers consider strategies to conserve the use of hemodialysis bloodlines when possible.
    On January 8, 2025, B. Braun issued a customer letter detailing an interruption in the production and supply of certain hemodialysis bloodlines as well as available market alternatives for these products. 
    Recommendations
    The FDA recommends health care providers experiencing interruptions or shortages in supply of hemodialysis bloodlines develop strategies to conserve their use. Providers should use their clinical judgment when developing and implementing conservation strategies.  
    In developing strategies to preserve the supply for patients at highest risk, please consider the following: 

    Continue to provide dialysis treatments to your patients.
    Monitor current and future supplies of bloodlines.
    Develop plans and implement strategies to conserve the supply of bloodlines and reduce the impact on patient care. 
    Be aware the FDA is working with manufacturers to understand the availability of devices and develop mitigation strategies, if needed. 
    Remain alert for further updates and recommendations from the FDA and applicable manufacturers. 
    Refer to the following guidelines for best practices for the care of patients receiving hemodialysis: 

    Voluntarily report any concerns with supply chain and/or shortages of hemodialysis bloodlines to the FDA at deviceshortages@fda.hhs.gov.
    The FDA will keep health care providers and the public informed as new or additional information becomes available.
    Background
    The FDA is updating the Medical Device Shortages List to include hemodialysis bloodlines (product code FJK). Section 506J of the Federal Food, Drug, and Cosmetic Act (FD&C Act) requires the FDA to maintain a publicly available, up-to-date list of the devices the FDA has determined to be in shortage.
    FDA Actions
    The FDA is:

    Working with manufacturers and dialysis providers to monitor the current situation in order to help ensure hemodialysis bloodlines remain available for patients when medically necessary.
    Evaluating potential solutions for mitigating patient impact.
    Informing the public as new information becomes available.

    The FDA reviews each notification received under section 506J of the FD&C Act and uses this information, along with any additional details about the supply of and demand for a device, to determine whether the device is in shortage.
    Reporting Problems to the FDA
    The FDA encourages health care providers to report any supply chain challenges or suspected adverse events experienced with hemodialysis bloodlines.

    By promptly reporting device availability issues and potential shortages, you can help the FDA understand the scope of the problem and when possible, mitigate the issue.
    Contact Information
    If you have questions about this letter, contact the Division of Industry and Consumer Education (DICE). 

    Content current as of:
    03/14/2025

    MIL OSI USA News –

    March 15, 2025
  • MIL-OSI USA: Additional Recissions of Harmful Executive Orders and Actions

    US Senate News:

    Source: The White House
    class=”has-text-align-left”>By the authority vested in me as President by the Constitution and the laws of the United States of America, it is hereby ordered:
    Section 1.  Purpose.  In Executive Order 14148 of January 20, 2025 (Initial Rescissions of Harmful Executive Orders and Actions), I rescinded 78 Presidential orders and memoranda issued by then-President Biden.  I also directed the Assistant to the President for Domestic Policy, the Assistant to the President for Economic Policy, and the Assistant to the President for National Security Affairs to compile lists of additional orders, memoranda, and proclamations issued by the prior administration that should be rescinded.  I have determined that the following additional rescissions are necessary to advance the policy of the United States to restore common sense to the Federal Government and unleash the potential of American citizens. 
    Sec. 2.  Revocation of Orders and Actions.  The following executive actions are hereby revoked:(a)  Executive Order 13994 of January 21, 2021 (Ensuring a Data-Driven Response to COVID-19 and Future High-Consequence Public Health Threats).(b)  National Security Memorandum 3 of February 4, 2021 (Revitalizing America’s Foreign Policy and National Security Workforce, Institutions, and Partnerships).(c)  Presidential Memorandum of February 4, 2021 (Advancing the Human Rights of Lesbian, Gay, Bisexual, Transgender, Queer, and Intersex Persons Around the World).(d)  Executive Order 14026 of April 27, 2021 (Increasing the Minimum Wage for Federal Contractors).(e)  Presidential Memorandum of March 31, 2022 (Finding of a Severe Energy Supply Interruption).(f)  Presidential Determination 2022-13 of May 18, 2022 (Delegating Authority Under the Defense Production Act to Ensure an Adequate Supply of Infant Formula).(g)  Presidential Determination 2022-15 of June 6, 2022 (Presidential Determination Pursuant to Section 303 of the Defense Production Act of 1950, as amended, on Solar Photovoltaic Modules and Module Components).(h)  Presidential Determination 2022-16 of June 6, 2022 (Presidential Determination Pursuant to Section 303 of the Defense Production Act of 1950, as amended, on Insulation).(i)  Presidential Determination 2022-17 of June 6, 2022 (Presidential Determination Pursuant to Section 303 of the Defense Production Act of 1950, as amended, on Electrolyzers, Fuel Cells, and Platinum Group Metals).(j)  Presidential Determination 2022-18 of June 6, 2022 (Presidential Determination Pursuant to Section 303 of the Defense Production Act of 1950, as amended, on Electric Heat Pumps).(k)  Executive Order 14081 of September 12, 2022 (Advancing Biotechnology and Biomanufacturing Innovation for a Sustainable, Safe, and Secure American Bioeconomy).(l)  Presidential Memorandum of January 17, 2023 (Delegation of Authority Under Section 6501(b)(2) of the National Defense Authorization Act for Fiscal Year 2022).(m)  National Security Memorandum 18 of February 23, 2023 (United States Conventional Arms Transfer Policy).(n)  Presidential Memorandum of February 27, 2023 (Presidential Waiver of Statutory Requirements Pursuant to Section 303 of the Defense Production Act of 1950, as amended, on Department of Defense Supply Chains Resilience).(o)  Presidential Memorandum of November 16, 2023 (Advancing Worker Empowerment, Rights, and High Labor Standards Globally).(p)  Executive Order 14112 of December 6, 2023 (Reforming Federal Funding and Support for Tribal Nations to Better Embrace Our Trust Responsibilities and Promote the Next Era of Tribal Self-Determination).(q)  Executive Order 14119 of March 6, 2024 (Scaling and Expanding the Use of Registered Apprenticeships in Industries and the Federal Government and Promoting Labor-Management Forums).(r)  Executive Order 14126 of September 6, 2024 (Investing in America and Investing in American Workers).
    Sec. 3.  General Provisions.  (a)  Nothing in this order shall be construed to impair or otherwise affect:(i)   the authority granted by law to an executive department or agency, or the head thereof; or(ii)  the functions of the Director of the Office of Management and Budget relating to budgetary, administrative, or legislative proposals.(b)  This order shall be implemented consistent with applicable law and subject to the availability of appropriations.(c)  This order is not intended to, and does not, create any right or benefit, substantive or procedural, enforceable at law or in equity by any party against the United States, its departments, agencies, or entities, its officers, employees, or agents, or any other person.
                                   DONALD J. TRUMP
    THE WHITE HOUSE,    March 14, 2025.

    MIL OSI USA News –

    March 15, 2025
  • MIL-OSI USA News: WEEK EIGHT WINS: A Testament to American Greatness Under President Trump

    Source: The White House

    The past week was marked by another series of triumphs that underscore the commitment of President Donald J. Trump and his administration to making America stronger, safer, and more prosperous than ever before.

    Here is a non-comprehensive list of wins in week eight:

    • President Trump’s economic agenda came into focus as Americans saw needed economic relief following years of Bidenflation.
      • Consumer inflation “eased more than expected” in February, with core inflation at its lowest level in nearly four years — driven by a decline in airfare prices as Americans prepare for Spring Break.
      • Wholesale inflation came in much lower than expected in February.
      • Mortgage rates dropped to their lowest levels since December, while home purchase applications are at their highest level since January.
      • The price of a dozen eggs is down 36.6% since President Trump’s inauguration.
      • The average price for regular gas has fallen below $3/gallon in 31 states — the third straight week of decline — with the price of oil down nearly 15% since President Trump took office.
    • President Trump and his administration continued their remarkable progress in securing the border following the news that illegal crossings have plummeted to the lowest levels ever recorded.
      • In President Trump’s first 50 days, ICE arrested 32,809 illegal immigrants — nearly 75% of whom were accused or convicted criminals — virtually the same number of arrests over the entirety of Biden’s final year in office.
      • Just 77 “gotaways” were recorded in the past three weeks — a 95% decrease from the average daily number of “gotaways” under Biden in 2023.
      • Migration to the U.S. through Panama’s Darien Gap has dropped by 99% as would-be illegal border crossers turn around.
    • President Trump’s Section 232 tariffs on imported steel and aluminum took effect as the Trump Administration levels the playing field for American workers.
      • Steel Manufacturers Association: “As the revised steel tariff goes into effect today, President Trump is boldly declaring that America will no longer be a dumping ground for cheap, subsidized foreign steel … By closing loopholes in the tariff that have been exploited for years, President Trump will again supercharge a steel industry that stands ready to rebuild America.”
      • Five major organizations representing the steel industry issued a statement lauding the tariffs.
    • President Trump’s tariffs continued driving manufacturing back to the U.S.
      • Cra-Z-Art — the biggest toymaker in the country — is expanding its domestic manufacturing by 50%.
        • “We are moving a large percentage of what we have in China to here, duplicating some machinery and investing in high speed automation equipment,” said Chairman Lawrence Rosen. “When Trump announced the higher tariffs on China, it’s been full steam ahead.”
      • GE Aerospace announced a $1 billion investment in its U.S.-based manufacturing operation, which will create 5,000 new jobs.
      • Asahi Group Holdings, one of the largest Japanese beverage makers, announced a $35 million investment to boost production at its Wisconsin plant.
      • Angel Aligner, a global orthodontic manufacturer, announced it will build its first U.S.-based production facility in Wisconsin.
      • Pegatron Corp., a Taiwan-based artificial intelligence server maker, announced it will build its first U.S.-based facility and increase its U.S. investment.
      • Merck opened its $1 billion North Carolina manufacturing facility as it plans to invest $8 billion in the U.S. over the next several years.
      • Saica Group, a Spain-based corrugated packaging maker, announced plans to build a $110 million new manufacturing facility in Anderson, Indiana.
      • Saint Gobain Ceramics announced a new $40 million NorPro manufacturing facility in Wheatfield, New York.
      • LGM Pharma announced a $6 million investment to expand its manufacturing facility in Rosenberg, Texas.
    • President Trump forced Ontario, Canada, Premier Doug Ford to back down from his threat to implement 25% electricity tariffs on American consumers.
    • The Department of Homeland Security unveiled the CBP Home App, which repurposes the Biden-era CBP One App to give illegal immigrants the option of self-deporting.
    • The Trump Administration stripped the first visa of a foreign student linked to Hamas-supporting “disruptions” on a college campus.
    • The Environmental Protection Agency launched the “biggest day of deregulation in American history,” which included ending the Biden-Harris electric vehicle mandate, stopping the Biden Administration’s assault on power plants, and eliminating costly emissions standards.
    • The EPA canceled more than 400 “diversity, equity, and inclusion” and “environmental justice” grants, totaling $1.7 billion.
    • The Department of Education opened investigations into 45 universities under Title VI for alleged impermissible use of race-exclusionary preferences, race-based scholarships, and/or race-based segregation.
    • The Trump Administration announced Ukraine accepted an offer to enter into immediate negotiations for a ceasefire and ultimate end to the brutal war.
    • The Trump Administration secured an agreement by Israel and Lebanon to engage in land border negotiations.
    • Secretary of the Interior Doug Burgum officially fulfilled President Trump’s promise to rename the Anahuac National Wildlife Refuge in Texas as the Jocelyn Nungaray National Wildlife Refuge — honoring the memory of Jocelyn Nungaray, a young woman whose life was tragically cut short by an illegal immigrant.
    • The Department of the Interior announced the approval of a federal mining plan modification to extend the operational life of Montana’s Spring Creek Mine by 16 years — enabling the production of nearly 40 million tons of coal and supporting hundreds of full-time jobs.
    • The Department of Energy signed the third major liquefied natural gas export permit approval since President Trump reversed the Biden-era ban, allowing the Delfin LNG project — which was delayed by the Biden Administration — to move forward.
    • The Department of Justice’s new interagency task force arrested 214 criminals in its first two weeks, including violent MS-13 and Tren de Aragua gang members.
    • The Department of Veterans Affairs opened another new clinic — in addition to the three new clinics opened over the past several weeks — to serve thousands of additional veterans.
    • Secretary of Defense Pete Hegseth ordered a department-wide review of the U.S. military’s physical and grooming guidelines to ensure the force is meeting the highest possible standard.
    • The Department of Defense terminated woke climate change programs and initiatives that were not in line with the department’s core warfighting mission.
    • Army Chief of Staff General George ordered a review of all general officer memorandums of reprimand that were issued to soldiers who refused to comply with the Biden Administration’s COVID vaccine mandate.
    • The Department of Transportation rescinded memos issued by the Biden administration that injected social justice, radical environmental agendas into infrastructure funding decisions.
    • The Department of the Treasury sanctioned Iran’s oil minister and shadow fleet operators and targeted Houthi terrorists involved in smuggling and procuring weapons.
    • The Department of Agriculture continued its push to root out fraud, waste, and abuse — including terminating a grant that supports “queer and trans farmers and urban consumers.”
    • The Department of Health and Human Services ended a loophole that allowed ingredient manufacturers to utilize chemicals with unknown safety data in food.
    • The Federal Communications Commission launched its sweeping “In Re: Delete, Delete, Delete” deregulation initiative to alleviate the unnecessary, burdensome regulatory assault on Americans.

    MIL OSI USA News –

    March 15, 2025
  • MIL-OSI Europe: Text adopted – European Semester for economic policy coordination: employment and social priorities for 2025 – P10_TA(2025)0032 – Wednesday, 12 March 2025 – Strasbourg

    Source: European Parliament

    The European Parliament,

    –  having regard to Article 3 of the Treaty on European Union (TEU),

    –  having regard to Articles 9, 121, 148 and 149 of the Treaty on the Functioning of the European Union (TFEU),

    –  having regard to the European Pillar of Social Rights (EPSR) proclaimed and signed by the Council, Parliament and the Commission on 17 November 2017,

    –  having regard to the Commission communication of 4 March 2021 entitled ‘The European Pillar of Social Rights Action Plan’ (COM(2021)0102) and its proposed 2030 headline targets on employment, skills and poverty reduction,

    –  having regard to the Commission communication of 17 December 2024 entitled ‘2025 European Semester – Autumn package’ (COM(2024)0700),

    –  having regard to the Commission communication of 26 November 2024 entitled ‘2025 European Semester: bringing the new economic governance framework to life’ (COM(2024)0705),

    –  having regard to the Commission proposal of 17 December 2024 for a joint employment report from the Commission and the Council (COM(2024)0701),

    –  having regard to the Commission recommendation of 17 December 2024 for a Council recommendation on the economic policy of the euro area (COM(2024)0704),

    –  having regard to the Commission report of 17 December 2024 entitled ‘Alert Mechanism Report 2025’ (COM(2024)0702),

    –  having regard to the Commission staff working document of 26 November 2024 entitled ‘Fiscal statistical tables providing relevant background data for the assessment of the 2025 draft budgetary plans’ (SWD(2024)0950),

    –  having regard to the Commission staff working document of 17 December 2024 on the changes in the scoreboard the Macroeconomic Imbalance Procedure Scoreboard in the context of the regular review process (SWD(2024)0702),

    –  having regard to its resolution of 22 October 2024 on the Council position on Draft amending budget No 4/2024 of the European Union for the financial year 2024 – update of revenue (own resources) and adjustments to some decentralised agencies(1),

    –  having regard to Mario Draghi’s report of 9 September 2024 entitled ‘The future of European competitiveness’,

    –  having regard to Enrico Letta’s report of April 2024 on the future of the single market(2),

    –  having regard to the La Hulpe Declaration on the Future of the European Pillar of Social Rights signed by Parliament, the Commission, the European Economic and Social Committee and the Council on 16 April 2024,

    –  having regard to the Regulation (EU) 2023/955 of the European Parliament and of the Council of 10 May 2023 establishing a Social Climate Fund and amending Regulation (EU) 2021/1060(3),

    –  having regard to the Regulation (EU) 2024/1263 of the European Parliament and of the Council of 29 April 2024 on the effective coordination of economic policies and on multilateral budgetary surveillance and repealing Council Regulation (EC) No 1466/97(4), and in particular to Articles 3, 4, 13 and 27 thereof,

    –  having regard to the Commission communication of 17 January 2023 entitled ‘Harnessing talent in Europe’s regions’ (COM(2023)0032),

    –  having regard to the Commission communication of 20 March 2023 entitled ‘Labour and skills shortages in the EU: an action plan’ (COM(2024)0131),

    –  having regard to the 2020 European Skills Agenda,

    –  having regard to the Commission communication of 7 September 2022 on the European care strategy (COM(2022)0440),

    –  having regard to the Council Recommendation on access to affordable, high-quality long-term care(5),

    –  having regard to the EU Social Scoreboard and its headline and secondary indicators,

    –  having regard to the Commission communication of 3 March 2021 entitled ‘Union of Equality: Strategy for the Rights of Persons with Disabilities 2021-2030’ (COM(2021)0101),

    –  having regard to the Commission report of 19 September 2024 entitled ‘Employment and Social Developments in Europe (ESDE): upward social convergence in the EU and the role of social investment’,

    –  having regard to the Council Decision on Employment Guidelines, adopted by the Employment, Social Policy, Health and Consumer Affairs Council on 2 December 2024, which establishes employment and social priorities aligned with the principles of the EPSR,

    –  having regard to the Tripartite Declaration for a thriving European Social Dialogue and to the forthcoming pact on social dialogue,

    –  having regard to Directive (EU) 2022/2041 of the European Parliament and of the Council of 19 October 2022 on adequate minimum wages in the European Union(6) (Minimum Wage Directive),

    –  having regard to the European Social Charter, referred to in the preamble of the EPSR,

    –  having regard to the EU Roma strategic framework for equality, inclusion and participation for 2020-2030,

    –  having regard to the United Nations Sustainable Development Goals (SDGs),

    –  having regard to the Gender Equality Strategy 2020-2025,

    –  having regard to the EU Anti-Racism Action Plan 2020-2025,

    –  having regard to the LGBTIQ Equality Strategy 2020-2025,

    –  having regard to Rule 55 of its Rules of Procedure,

    –  having regard to the report of the Committee on Employment and Social Affairs (A10-0023/2025),

    A.  whereas progress has been made towards achieving the EU’s employment targets, namely that at least 78 % of people aged 20 to 64 should be in employment by 2030, despite the uncertainty created by Russia’s war of aggression against Ukraine and the impact of high inflation; whereas, according to the Commission’s 2025 autumn economic forecast, EU employment has reached a rate of 75,3 %; whereas growth in employment in the EU remained robust in 2023; whereas in two thirds of the Member States, employment growth in 2023 was on track to reach the national 2030 target; whereas significant challenges nevertheless persist, such as high unemployment rates in some Member States, particularly among young people and persons with disabilities, as do significant inequalities between sectors and regions, which can negatively affect social cohesion and the well-being of European citizens in the long term;

    B.  whereas the European Semester combines various different instruments in an integrated framework for multilateral coordination and surveillance of economic, employment and social policies within the EU and it must become a key tool for fostering upward social convergence; whereas the Social Convergence Framework is a key tool for assessing social challenges and upward convergence within the European Semester and for monitoring social disparities across Member States, while addressing the challenges identified in the Joint Employment Report (JER);

    C.  whereas the Union has adopted the 2030 target of reducing the number of people at risk of poverty and social exclusion by at least 15 million compared to 2019, including at least 5 million children; whereas in nearly half of the Member States the trend is heading in the opposite direction; whereas one child in four in the European Union is still at risk of poverty and social exclusion; and whereas the current trend will not make it possible to meet the 2030 target; whereas public spending on children and youth should not be seen only as social expenditure but as an investment in the future; whereas the promotion of strong, sustainable and inclusive economic growth can succeed only if the next generation can develop their full educational potential in order to be prepared for the changing labour market, whereas to meet the 2030 Barcelona targets for early childhood education and care, the EU should invest an additional EUR 11 billion per year(7);

    D.  whereas despite a minimal reduction in the number of people at risk of poverty or social exclusion in the EU in 2023, approximately one in five still faces this challenge, with notable disparities for children, young and older people, persons with disabilities, LGTBI, non-EU born individuals, and Roma communities;

    E.  whereas significant disparities are observed among children from ethnic or migrant backgrounds and children with disabilities; whereas 83 % of Roma children live in households at risk of poverty; whereas the EU and national resources currently deployed are in no way sufficient for addressing the challenge of child poverty in the EU and, therefore, a dedicated funding instrument for the European Child Guarantee as well as synergies with other European and national funds are of the utmost importance;

    F.  whereas the EPSR must be the compass guiding EU social and economic policies, whereas the Commission should monitor progress on the implementation of the EPSR using the Social Scoreboard and the Social Convergence Framework;

    G.  whereas poor quality jobs among the self-employed are disproportionately widespread while the rate of self-employment is declining, including among young people;

    H.  whereas there are still 1,4 million people residing in institutions in the EU; whereas residents of institutions are isolated from the broader community and do not have sufficient control over their lives and the decisions that affect them; whereas despite the fact that the European Union has long been committed to the process of deinstitutionalisation, efforts are still needed at both European and national level to enable vulnerable groups to live independently in a community environment;

    I.  whereas demographic challenges, including an ageing population, low birth rates and rural depopulation, with young people in particular moving to urban areas, profoundly affect the economic vitality and attractiveness of EU regions, the labour markets, and consequently, the sustainability of welfare systems, and further aggravate the regional disparities in the EU, and hence represent a structural challenge for the EU economy; and whereas, as underlined in the Draghi report, sustainable growth and competitiveness in Europe depend to a large extent on adapting education and training systems to evolving skills needs, prioritising adult learning and vocational education and training, and the inclusion of the active population in the labour market and on a robust welfare system;

    J.  whereas 70 % of workers in Europe are in good-quality jobs, 30 % are in high-strain jobs where demands are more numerous than resources available to balance them leading to overall poor job quality; whereas in many occupations suffering from persistent labour shortages the share of low-quality jobs is higher than 30 %;

    K.  whereas the Letta report states that there is a decline in the birth rate, noting the importance of creating a framework to support all families as part of a strategy of inclusive growth in line with the EPSR; whereas the report notes that the free movement of people remains the least developed of the four freedoms and argues for reducing barriers to intra-EU occupational mobility while addressing the social, economic and political challenges facing the sending Member States and their most disadvantaged regions, as well as safeguarding the right to stay; whereas there is a need to promote family-friendly and work-life balance policies, ensuring accessible and professional care systems as well as public quality education, family-related leave and flexible working arrangements in line with the European Care Strategy;

    L.  whereas inflation has increased the economic burden on households, having a particularly negative impact on groups in vulnerable situations, such as single parents, large families, older people or persons with disabilities, whereas housing costs and energy poverty remain major problems; whereas housing is becoming unaffordable for those who live in households where housing costs account for 40 % of total disposable income; whereas investment in social services, housing supply – including social housing – and policies that facilitate the accessibility and affordability of housing play a key role in reducing poverty among vulnerable households;

    M.  whereas the EU’s micro, small and medium-sized enterprises face particular challenges such as staying competitive against third-country players, maintaining production levels despite rising energy costs and finding the necessary skills for the green and digital transitions; whereas they need financial and technical support to comply with regulatory requirements and take advantage of the opportunities offered by the twin transitions;

    N.  whereas labour and skills shortages remain a problem at all levels, and are reported by companies of all sizes and sectors; whereas these shortages are exacerbated by a lack of candidates to fill critical positions in key sectors such as education, healthcare, transport, science, technology, engineering and construction, especially in areas affected by depopulation; whereas these shortages can result from a number of factors, such as difficult working conditions, unattractive salaries, demand for new skill sets and a shortage of relevant training, the lack of public services, barriers of access to medium and higher education and lack of recognition of skills and education;

    O.  whereas the Union has adopted the target that at least 60 % of adults should participate in training every year by 2030; whereas the Member States have committed themselves to national targets in order to achieve this headline goal and whereas the majority of Member States lost ground in the pursuit of these national targets; whereas further efforts are needed to ensure the provision of, and access to, quality training policies that promote lifelong learning; whereas upskilling, reskilling and training programmes must be available for all workers, including those with disabilities, and should also be adapted to workers’ needs and capabilities;

    P.  whereas in 2022, the average Programme for International Student Assessment (PISA) score across the OECD on the measures of basic skills (reading, mathematics and science) of 15-year-olds dropped by 10 points compared to the last wave in 2018; whereas underachievement is prevalent among disadvantaged learners, demonstrating a widening of educational inequalities; whereas this worrying deterioration calls for reforms and investments in education and training;

    Q.  whereas the EU’s capacity to deal with future shocks, crises and ‘polycrises’ while navigating the demographic, digital and green transitions, will depend greatly on the conditions under which critical workers will be able to perform their work; whereas addressing the shortages and retaining all types of talent requires decent working conditions, access to social protection systems, and opportunities for skills development tailored to the needs; and whereas addressing skills shortages is crucial to achieving the digital and green transitions, ensuring inclusive and sustainable growth and boosting the EU’s competitiveness;

    R.  whereas it is essential to promote mobility within the EU and consider attracting skilled workers from third countries, while ensuring respect for and enforcement of labour and social rights and channelling third-country nationals entering the EU through legal migration pathways towards occupations experiencing shortages, supported by an effective integration policy, in full complementarity with harnessing talents from within the Union;

    S.  whereas gender pay gaps remain considerable in most EU Member States and whereas care responsibilities are an important factor that continue to constrain women into part-time employment or lead to their exclusion from the labour market, resulting in a wider gender employment gap;

    T.  whereas the JER highlights the right to disconnect, in particular in the context of telework, acknowledging the critical role of this right in ensuring a work-life balance in a context of increasing digitalisation and remote working;

    U.  whereas challenges to several sectors, such as automotive manufacturing and energy intensive industries, became evident in 2024 and a number of companies announced large-scale restructuring;

    V.  whereas there are disparities in the coverage of social services, including long-term care, child protection, domestic violence support, and homelessness aid, that need to be addressed through the European Semester;

    W.  whereas there is currently no regular EU-wide collection of data on social services investment and coverage; whereas collecting such data is key for an evidence-based analysis of national social policies in the European Semester analysis; whereas this should be addressed through jointly agreed criteria and data collection standards for social services investment and coverage in the Member States; whereas the European Social Network’s Social Services Index is an example of how such data collection can contribute to the European Semester analysis;

    X.  whereas the crisis in generational renewal, demographic changes, and lack of sufficient investment in public services have led to an increased risk of poverty and social exclusion, particularly affecting children and older people, single-parent households and large families, the working poor, persons with disabilities, and people from marginalised backgrounds; whereas an ambitious EU anti-poverty strategy will be essential to reverse this trend and provide responses to the multidimensional phenomenon of poverty;

    Y.  whereas Eurofound research shows that suicide rates have been creeping up since 2021, after decreasing for decades; whereas more needs to be done to address causes of mental health problems in working and living conditions (importantly social inclusion), and access to support for people with poor mental health remains a problem;

    Z.  whereas there were still over 3 300 fatal accidents and almost 3 million nonfatal accidents in the EU-27 in 2021; whereas over 200 000 workers die each year from work-related illnesses; whereas these data do not include all accidents caused by undeclared work, making it plausible to assume that the true numbers greatly exceed the official statistics; whereas in 2017, according to Eurofound, 20 % of jobs in Europe were of ‘poor quality’ and put workers at increased risk regarding their physical or mental health; whereas 14 % of workers have been exposed to a high level of psychosocial risks; whereas 23 % of European workers believe that their safety or their health is at risk because of their work;

    AA.  whereas the results of the April 2024 Eurobarometer survey on social Europe highlight that 88 % of European citizens consider social Europe to be important to them personally; whereas this was confirmed by the EU Post-Electoral Survey 2024, where European citizens cited rising prices and the cost of living (42 %) and the economic situation (41 %) as the main topics that motivated them to vote in the 2024 European elections;

    AB.  whereas according to Article 3 TEU, social progress in the EU is one of the aims of a highly competitive social market economy, together with full employment, a high level of protection and improvement of the quality of the environment; whereas Article 3 TEU also states that the EU ‘shall combat social exclusion and discrimination, and shall promote social justice and protection, equality between women and men, solidarity between generations and protection of the rights of the child’;

    AC.  whereas the new EU economic governance framework entered into force in April 2024 and aims to promote sustainable and inclusive growth and to give more space for social investment and achievement of the objectives of the EPSR; whereas, for the first time, the revision includes a social convergence framework as an integrated part of the European Semester;

    AD.  whereas under the new EU economic governance framework, all Member States have to include reforms and investments in their medium-term plans addressing common EU priorities and challenges identified in country-specific recommendations in the context of the European Semester; whereas the common EU priorities include social and economic resilience, including the EPSR;

    AE.  whereas public investment is expected to increase in 2025 in almost all Member States, with a significant contribution from NextGenerationEU’s Recovery and Resilience Facility (RRF) and EU funds and will contribute to social spending, amounting to around 25 % of the total estimated expenditure under the RRF, securing growth and economic resilience(8); whereas social investments and reforms in key areas can boost employment, social inclusion, competitiveness and economic growth(9); whereas social partners are essential for designing and implementing policies that promote sustainable and inclusive growth, decent and quality work, and fair transitions and must be involved at all levels of governance in accordance with the TFEU;

    AF.  whereas according to the Organization for Economic Co-operation and Development (OECD), on average across OECD countries, occupations at highest risk of automation account for about 28 % of employment(10); whereas social dialogue and collective bargaining are crucial in this context to ensure a participatory approach to managing change driven by technological developments, addressing potential concerns, while fostering workers’ adaptation (including via skills provision); whereas digitalisation, robotisation, automation and artificial intelligence (AI) must benefit workers and society by improving working conditions and quality of life, ensuring a good work-life balance, creating better employment opportunities, and contributing to socio-economic convergence; whereas workers and their trade unions will play a critical role in anticipating and tackling risks emerging from those challenges;

    AG.  whereas social dialogue and collective bargaining are essential for the EU’s competitiveness, labour productivity and social cohesion;

    1.  Considers that the Commission and the Council should strengthen their efforts to implement the EPSR, in line with the action plan of March 2021 and the La Hulpe Declaration, to achieve the 2030 headline targets; calls on the Commission to ensure that the JER 2026 analyses the implementation of all the principles of the EPSR in line with Regulation (EU) 2024/1263 and includes an analysis of the social dimension of the national medium-term fiscal structural plans related to social resilience, including the EPSR; welcomes, in this regard, the announcement of a new Action Plan on the implementation of the EPSR(11) for 2025 to give a new impetus to social progress; welcomes the fact that almost all Member States are expected to increase public investment in 2025, which is necessary to ensure access to quality public services and achieve the aims of the EPSR; recalls that the Member States can mobilise the RRF within the scope defined by the Regulation (EU) 2021/241(12) until 31 December 2026 on policies for sustainable and inclusive growth and the next generation;

    2.  Stresses the importance of using the Social Scoreboard and the Social Convergence Framework to identify risks to, and to track progress in, reducing inequalities, strengthening social protection systems and promoting decent working conditions and supportive measures for workers to manage the transitions; stresses that in this regard, it is necessary to ensure a sustainable, fair and inclusive Europe where social rights are fully protected and safeguarded at the same level as economic freedoms; recalls that EU citizens identify social Europe as one of their priorities;

    3.  Regrets the lack of data on and analysis of wealth inequality and wealth concentration in the EU as this is one of the main determinants of poverty; points out that according to Distributional Wealth Accounts, a dataset developed by the European System of Central Banks, the share of wealth held by the top 10 % stood at 56 % in the fourth quarter of 2023, while the bottom half held just 5 %;

    4.  Welcomes the inclusion of analysis on the positive contribution of the SDGs and the European equality strategies in the JER 2025 and calls on the Commission to ensure that the JER 2026 includes both a section analysing the progress towards the SDGs related to employment and social policy, and another on progress towards eliminating social and labour discrimination in line with the Gender Equality Strategy 2020-2025, the EU Anti-Racism Action Plan 2020-2025, the EU Roma strategic framework for equality, inclusion and participation 2020-2030, the LGBTIQ Equality Strategy 2020-2025, and the Strategy for the rights of persons with disabilities 2021-2030;

    5.  Calls on the Member States to implement the updated employment guidelines, with an emphasis on education and training for all, new technologies such as AI, and recent policy initiatives on platform work, affordable and decent housing and tackling labour and skills shortages, with a view to strengthening democratic decision-making;

    6.  Reiterates the importance of investing in workforce skills development and occupational training and of ensuring quality employment, with an emphasis on the individual right to training and lifelong learning; urges the Member States to develop upskilling and reskilling measures in collaboration with local stakeholders, including educational and training bodies and the social partners, in order to reinforce the link between the education and training systems and the labour market and to anticipate labour market needs; welcomes the fact that employment outcomes for recent graduates from vocational education and training (VET) continue to improve across the EU; is concerned about young people’s declining educational performance, particularly in basic skills; welcomes, in this regard, the announcement of an Action Plan on Basic Skills and a STEM Education Strategic Plan; calls on the Member States to invest in programmes to equip learners with the basic, digital and transversal skills needed for the world of work and its digitisation as well as to help them to contribute meaningfully to society; recalls the important role that the European Globalisation Adjustment Fund for displaced workers can play in supporting and reskilling workers who were made redundant as a result of major restructuring events;

    7.  Welcomes the announcement of a quality jobs roadmap to ensure a just transition for all; calls on the Commission to include in this roadmap considerations for measures linked to the use of AI and algorithmic management in the world of work so that new technologies are harnessed to improve working conditions and productivity while respecting workers’ rights and work-life balance as recognised in the JER(13);

    8.  Stresses that the response to labour shortages in the European Union also involves improving and facilitating labour mobility within the Union; calls on the Member States to strengthen and facilitate the recognition of skills and qualifications in the Union, including those of third-country nationals; calls on the Commission to analyse the effectiveness of the European Employment Services (EURES) platform with a view to a potential revision of its operation;

    9.  Notes that the number of early leavers from education and training, people with lower levels of education, young people not in education, employment or training (NEETs) and among them vulnerable groups, including Roma, women, older people, low- and medium-qualified people, persons with disabilities and people with a migrant or minority background, depending on the country-specific context, remains high in several Member States, despite a downward trend in the European Union; calls on the Member States to reinforce the Youth Guarantee as stated in Principle 4 of the EPSR; in order to support young people in need throughout their personal and professional development; reiterates the pivotal role that VET plays in providing the knowledge, skills and competencies necessary for young people entering the labour market; emphasises the need to invest in the quality and attractiveness of VET through the European Social Fund Plus (ESF+); recalls, therefore, the need to address this situation and develop solutions to keep young people in education, training or employment and the importance of ensuring their access to traineeships and apprenticeships, enabling them to gain their first work experience and facilitating their transition from education to employment as well as to create working conditions that enable an ageing workforce to remain in the labour market;

    10.  Considers that, although there has been an improvement, persons with disabilities, especially women with disabilities, still face significant obstacles in the labour market, and that there is therefore a need for vocational and digital training, while promoting the inclusion of persons with disabilities, targeting the inactive labour force and groups with low participation in the labour market, including women, young people, older workers and persons with chronic diseases; calls on the Commission to update the EU Disability Strategy with new flagship initiatives and actions from 2025 onwards, such as a European Disability Employment and Skills Guarantee and the sharing of best practices such as the disability card, in particular to address social inclusion and independent living for people with disabilities, also ensuring their access to quality education, training and employment through guidance on retaining disability allowances;

    11.  Expresses concern that Roma continue to face significant barriers to employment, with persistent biases limiting their prospects; notes that the EU Roma strategic framework for equality, inclusion, and participation highlights a lack of progress in employment access and a growing share of Roma youth not in employment, education, or training; emphasises the framework’s goal of halving the employment gap between Roma and the general population and ensuring that at least 60 % of Roma are in paid work by 2030; urges the Member States to adopt an integrated, equality-focused approach and to ensure that public policies and services effectively reach all Roma, including those in remote rural areas;

    12.  Stresses the need to pay attention to the social and environmental aspects of competitiveness, emphasising the need for investments in education and training for all to ensure universal access to high-quality public education and professional training programmes, as well as sustainable practices to foster inclusive growth; underlines that social partners should play a key role in identifying and addressing skills needs across the EU;

    13.  Calls on the Commission and the Member States to include specific recommendations on housing affordability in the European Semester and to promote housing investment; urges the Member States to ensure that housing investments support long-term quality housing solutions that are actually affordable for low-income and middle-income households, highlighting that investments in social and affordable housing are crucial in order to ensure and improve the quality of life for all; stresses the need for a better use of EU funding, such as through European Investment Bank financial instruments, in particular to support investments to increase the energy efficiency of buildings; calls on the Commission and the Member States to take decisive action to provide an assessment of Union policies, funds and bottlenecks that should facilitate the construction, conversion and renovation of accessible, affordable and energy-efficient housing, including social housing, that meets the needs of young people, people with reduced mobility, low- and middle-income groups, families at risk and people in more vulnerable situations, while protecting homeowners and those seeking access to home ownership from a further reduction in supply;

    14.  Welcomes the announced European Affordable Housing Plan to support Member States in addressing the housing crisis and soaring rents; calls on the Commission to assess and publish which potential barriers on State aid rules affect housing accessibility; recalls that the Social Climate Fund aims to provide financial aid to Member States from 2026 to support vulnerable households, in particular with measures and investments intended to increase the energy efficiency of buildings, decarbonisation of heating and cooling of buildings and the integration in buildings of renewable energy generation and storage;

    15.  Considers that homelessness is a dramatic social problem in the EU; calls for a single definition of homelessness in the EU, which would enable the systematic comparison and assessment of the extent of homelessness across different EU Member States; calls on the Commission to develop a strategy and work towards ending homelessness in the EU by 2030 by promoting access to affordable and decent housing as well as access to quality social services; urges the Member States to better use the available EU instruments, including the ESF+, in this matter(14);

    16.  Calls on the Member States to design national homelessness strategies; welcomes the intention to deliver a Council recommendation on homelessness(15); urges the Commission to further increase the ambition of the European Platform on Combating Homelessness;

    17.  Considers that EU action is urgently needed to address the persistently high levels of poverty and social exclusion in the EU, particularly among children, young and older people, persons with disabilities, non-EU born individuals, LGTBI and Roma communities; highlights that access to quality social services should be prioritised and should ensure energy security for vulnerable households; calls on the Commission to adopt the first-ever EU Anti-Poverty Strategy;

    18.  Recalls the Union objective of transitioning from institutional to community or family-based care; calls on the Commission to put forward an action plan on deinstitutionalisation; stresses that this action plan should cover all groups still living in institutions, including children, persons with disabilities, people with mental health issues, people affected by homelessness and older people; calls on the Member States to make full use of the ESF+ funds as well as other relevant European and national funds in order to finalise the deinstitutionalisation process so as to ensure that every EU citizen can live in a family or community environment;

    19.  Calls on the Commission to deliver a European action plan for mental health, in line with its recent recommendations(16); calls on the Member States to strengthen access to mental health services and emotional support programmes for all, particularly children, young people and older people; requests a better use of the Social Scoreboard indicators to address the impact of precarious living conditions and uncertainty on mental health;

    20.  Calls on the Commission to address loneliness by promoting a holistic EU strategy on loneliness and access to professional care; calls also for this EU strategy to address the socio-economic impact of loneliness on productivity and well-being by tackling issues such as rural isolation; urges the Member States to continue implementing the Council recommendation on access to affordable, quality long-term care with a view to ensuring access to quality care while ensuring decent working conditions for workers in the care sector, as well as for informal carers;

    21.  Recognises that 44 million Europeans are frequent informal long-term caregivers, the majority of whom are women(17);

    22.  Recognises the unique role of carers in society, and while the definition of care workers is not harmonised across the EU, the long-term care sector employs 6.4 million people across the EU;

    23.  Is concerned that, in 2023, 94,6 million people in the EU were still at risk of poverty or social exclusion; stresses that without a paradigm shift in the approach to combating poverty, the European Union and its Member States will not achieve their poverty reduction objectives; believes that the announcement of the first-ever EU Anti-Poverty Strategy is a step in the right direction towards reversing the trend, but must provide a comprehensive approach to tackling the multidimensional aspects of poverty and social exclusion with concrete actions, strong implementation and monitoring; calls for this Strategy to encompass everybody experiencing poverty and social exclusion, first and foremost the most disadvantaged, but also specific measures for different groups such as persons experiencing in-work poverty, homeless people, people with disabilities, single-parent families and, above all, children in order to sustainably break the cycle of poverty; stresses that the transposition of the Minimum Wage Directive will be key to preventing and fighting poverty risks among workers, while reinforcing incentives to work, and welcomes the fact that several Member States have amended or plan to amend their minimum wage frameworks; is concerned about the rise of non-standard forms of employment where workers are more likely to face in-work poverty and find themselves without adequate legal protections;

    24.  Reiterates its call on the Commission to carefully monitor implementation of the Child Guarantee in all Member States as part of the European Semester and country-specific recommendations; reiterates its call for an increase in the funding of the European Child Guarantee with a dedicated budget of at least EUR 20 billion and for all Member States to allocate at least 5 % of their allocated ESF+ funds to fighting child poverty and promoting children’s well-being; considers that the country-specific recommendations should reflect Member States’ budgetary compliance with the minimum required allocation for tackling child poverty set out in the ESF+ Regulation(18); calls on the Commission to provide an ambitious budget for the Child Guarantee in the next MFF in order to respond to the growing challenge of child poverty and social exclusion;

    25.  Is concerned about national policies that create gaps in health coverage, increasing inequalities both within and between Member States; warns that this also undermines the implementation of principle 16 of the EPSR and of SDG 3.8 on universal health coverage, as well as the EPSR’s overall objective of promoting upward social convergence in the EU, leaving no one behind; believes that the indicators used in the Social Scoreboard do not provide a comprehensive understanding of healthcare affordability;

    26.  Underlines that employers need to foster intergenerational links within companies and intergenerational learning between younger and older workers, and vice versa; underlines that an ageing workforce can help a business develop new products and services to adapt to the needs of an ageing society in a more creative and productive way; calls, furthermore, for the creation of incentives to encourage volunteering and mentoring to induce the transfer of knowledge between generations;

    27.  Warns that, according to European Central Bank reports, real wages are still below their pre-pandemic level, while productivity was roughly the same; agrees that this creates some room for a non-inflationary recovery in real wages and warns that if real wages do not recover, this would increase the risk of protracted economic weakness, which could cause scarring effects and would further dent productivity in the euro area relative to other parts of the world; believes that better enforcement of minimum wages and strengthening collective bargaining coverage can have a beneficial effect on levels of wage inequality, especially by helping more vulnerable workers at the bottom of the wage distribution who are increasingly left out;

    28.  Calls for the Member States to ensure decent working conditions, comprising among other things decent wages, access to social protection, lifelong learning opportunities, occupational health and safety, a good work-life balance and the right to disconnect, reasonable working time, workers’ representation, democracy at work and collective agreements; urges the Member States to foster democracy at work, social dialogue and collective bargaining and to protect workers’ rights, particularly in the context of the green and digital transitions, and to ensure equal pay for equal work by men and women, enhance pay transparency and address gender-based inequality to close the gender pay gap in the EU;

    29.  Recalls the importance of improving access to social protection for the self-employed and calls on the Commission to monitor the Member States’ national plans for the implementation of the Council Recommendation of 8 November 2019 on access to social protection for workers and the self-employed(19) as part of the country-specific recommendations; recalls, in this regard, as the rate of self-employed professionals in the cultural and creative sectors is more than double that in the general population, the 13 initiatives laid down in the Commission’s 21 February 2024 response to the European Parliament resolution of 21 November 2023 on an EU framework for the social and professional situation of artists and workers in the cultural and creative sectors(20) and calls on the Commission to start implementing them in cooperation with the Member States;

    30.  Calls for the implementation of policies that promote work-life balance and the right to disconnect, with the aim of improving the quality of life for all families and workers, for ensuring the implementation of the Work-Life Balance Directive(21) and of the European Care Strategy; calls on the Commission to put forward a proposal to address teleworking and the right to disconnect; as well as a proposal for the creation of a European card for all types of large families and a European action plan for single parents, offering educational and social advantages; calls, ultimately, for initiatives to combat workforce exclusion as a consequence of longer periods of sick leave, to adapt the workplace and to promote flexible working conditions and to develop strategies to support workers’ return after longer periods of absence;

    31.  Calls for demographic challenges to be prioritised in the EU’s cohesion policy and for concrete action at EU and national levels; calls on the Commission to declare a ‘European Year of Demography’ and to prioritise the development of the Commission communication on harnessing talent in Europe’s regions and the ‘Talent Booster Mechanism’ in order to promote social cohesion and to step up funding for rural and outermost areas and regions with a high rate of depopulation, supporting quality job creation, public services, local development projects and basic infrastructure that favour the population’s ‘right to stay’, especially in the case of young people; highlights the importance of introducing specific measures to address regional inequalities in education and training, ensuring equal access to high-quality and affordable education for all;

    32.  Is concerned that, despite improvements, several population groups are still significantly under-represented in the EU labour market, including women, older people, low- and medium-qualified people, persons with disabilities and people with a migrant or minority background; warns that  educational inequalities have deepened, further exacerbating the vulnerabilities of students from disadvantaged and migrant backgrounds; points out that, according to the JER, people with migrant or minority backgrounds can significantly benefit from targeted measures in order to address skills mismatches, improve language proficiency and combat discrimination; stresses the importance of strengthening efforts in the implementation of the 2021-27 Action Plan on Integration and Inclusion, which provides a common policy framework to support the Member States in developing national migrant integration policies;

    33.  Calls on the Commission and the Council to prioritise reducing administrative burdens with the aim of simplification while respecting labour and social standards; believes that better support for SMEs and actual and potential entrepreneurs will improve the EU’s competitiveness and long-term sustainability, boost innovation and create quality jobs; notes that SMEs and self-employed professionals in all sectors are essential for the EU’s economic growth and thus the financing of social policies; urges the implementation of specific recommendations to improve the single market; takes note of the Commission’s publication of the ‘Competitiveness Compass’ on 29 January 2025(22);

    34.  Calls on the Commission to conduct competitiveness checks on every new legislative proposal, taking into account the overall impact of EU legislation on companies, as well as on other EU policies and programmes;

    35.  Considers that the social economy is an essential component of the EU’s social market economy and a driver for the implementation of the EPSR and its targets, often providing employment to vulnerable and excluded groups; calls on the Commission and the Member States to strengthen their support for all social economy enterprises but especially non-profit ones, as highlighted in the Social Economy Action Plan 2021 and the Liège Roadmap for the Social Economy, in order to promote quality, decent, inclusive work and the circular economy, to encourage the Member States to facilitate access to funding and to enhance the visibility of social economy actors; calls for the Commission to explore innovative funding mechanisms to support the development of the social economy in Europe(23) and to foster a dynamic and inclusive business environment;

    36.  Believes that, in this year of transition, with the implementation of the revised economic governance rules, the Member States should align fiscal responsibility with sustainable and inclusive growth and employment, notes that the involvement of social partners, including in the development of medium-term fiscal structural plans, should be enhanced to contribute to the goals of the new economic governance framework;

    37.  Welcomes the fact that the national medium-term fiscal structural plans, under the new economic governance framework, have to include the reforms and investments responding to the main challenges identified in the context of the European Semester and also to ensure debt sustainability while investing strategically in the principles of the EPSR with the aim of fostering upward social convergence;

    38.  Is concerned that compliance with the country-specific recommendations (CSRs) remains low; reiterates its call, therefore, for an effective implementation of CSRs by the Member States so as to promote healthcare and sustainable pension systems, in line with principles 15 and 16 of the EPSR, and long-term prosperity for all citizens, taking into account the vulnerability of those workers whose careers are segmented, intermittent and subject to labour transitions; insists that the Commission should reinforce its dialogues with the Member States on the implementation of existing recommendations and of the Employment Guidelines as well as on current or future policy action to address identified challenges;

    39.  Welcomes the establishment of a framework to identify risks to social convergence within the European Semester, for which Parliament called strongly; recalls that under this framework, the Commission assesses risks to upward social convergence in Member States and monitors progress on the implementation of the EPSR on the basis of the Social Scoreboard and of the principles of the Social Convergence Framework; welcomes the fact that the 2025 JER delivers country-specific analysis based on the principles of the Social Convergence Framework; calls on the Commission to further develop innovative quantitative and qualitative analysis tools under this new Framework in order to make optimal use of it in the future cycles of the European Semester;

    40.  Welcomes the fact that the first analysis based on the principles of the Social Convergence Framework points to upward convergence in the labour market in 2023(24); notes with concern that employment outcomes of under-represented groups still need to improve and that risks to upward convergence persist at European level in relation to skills development, ranging from early education to lifelong learning, and the social outcomes of at-risk-of-poverty and social exclusion rates; calls on the Commission to further analyse these risks to upward social convergence in the second stage of the analysis and to discuss with the Member States concerned the measures undertaken or envisaged to address these risks;

    41.  Recognises the cost of living crisis, which has increased the burden on households, and the rising cost of housing, which, in conjunction with high energy costs, is contributing to high levels of energy poverty across the EU; calls, therefore, on the Commission and Member States to comprehensively address the root causes of this crisis by prioritising policies that promote economic resilience, social cohesion, and sustainable development;

    42.  Warns of the social risks stemming from the crisis in the automotive sector, which is facing unprecedented pressure from both external and internal factors; calls on the Commission to pay attention to this sector and enhance social dialogue and the participation of workers in transition processes; stresses the urgent need for a coordinated EU response via an emergency task force of trade unions and employers to respond to the current crisis;

    43.  Calls on the Commission to monitor data on restructuring and its impact on employment, such as by using the European Restructuring Monitor, to facilitate measures in support of restructuring and labour market transitions, and to consider highlighting national measures supporting a socially responsible way of restructuring in the European Semester;

    44.  Is concerned about the Commission’s revision of the Macroeconomic Imbalance Procedure (MIP) Scoreboard, particularly the reduction in employment and social indicators, which are crucial for assessing the social and labour market situation in the Member States; regrets the fact that youth unemployment is no longer considered as a headline indicator, despite its relevance in identifying and addressing specific labour market challenges and in adopting adequate public policies; stresses that social standards indicators should be given greater consideration in the decision-making process; regrets the fact that the Commission did not duly consult Parliament and reminds the Commission of its obligation to closely cooperate with Parliament, the Council and social partners before drawing up the MIP scoreboard and the set of macroeconomic and macro-financial indicators for Member States; stresses that the implementation of the principles of the EPSR must be part of the MIP scoreboard;

    45.  Considers that territorial and social cohesion are essential components of the competitiveness agenda, and legislation such as the European Instrument for Temporary Support to Mitigate Unemployment Risks in an Emergency (SURE) remain a positive example to inspire future EU initiatives;

    46.  Considers that the Commission and the Member States should ensure that fiscal policies under the European Semester support investments aligned with the EPSR, particularly in areas such as decent and affordable housing, quality healthcare, education, and social protection systems, as these are critical for social cohesion and long-term economic sustainability and to address the challenges identified through social indicators;

    47.  Stresses the need to address key challenges identified in the Social Scoreboard as ‘critical’ and ‘to watch’, including children at risk of poverty or social exclusion, the gender employment gap, housing cost overburden, childcare, and long-term care the disability employment gap, the impact of social transfers on reducing poverty, and basic digital skills(25);

    48.  Stresses the negative impacts that the cost of living crisis has had on persons with disabilities;

    49.  Urges the Member States to consider robust policies that ensure fair wages and improve working conditions, particularly for low-income and precarious workers;

    50.  Stresses the need for timely and harmonised data on social policies to improve evidence-based policymaking and targeted social investments; calls for improvements to be made to the Social Scoreboard in order to cover the 20 EPSR principles with the introduction of relevant indicators reflecting trends and causes of inequality, such as quality employment, wealth distribution, access to public services, adequate pensions, the homelessness rate, mental health and unemployment; recalls that the at-risk-of-poverty-or-social-exclusion (AROPE) indicator fails to reveal the causes of complex inequality; calls on the Commission and the Member States to develop a European data collection framework on social services to monitor the investment in and coverage of social services;

    51.  Instructs its President to forward this resolution to the Council and the Commission.

    (1) OJ C, C/2025/491, 29.1.2025, ELI: http://data.europa.eu/eli/C/2025/491/oj.
    (2) Letta, E., Much more than a market – Speed, security, solidarity – Empowering the Single Market to deliver a sustainable future and prosperity for all EU Citizens, April 2024.
    (3) OJ L 130, 16.5.2023, p. 1, ELI: http://data.europa.eu/eli/reg/2023/955/oj.
    (4) OJ L, 2024/1263, 30.4.2024, ELI: http://data.europa.eu/eli/reg/2024/1263/oj.
    (5) OJ C 476, 15.12.2022, p. 1.
    (6) OJ L 275, 25.10.2022, p. 33, ELI: http://data.europa.eu/eli/dir/2022/2041/oj.
    (7) European Commission, ‘Employment and Social Developments in Europe (ESDE) 2024’, September 2024.
    (8) 2025 European Semester: Commission proposal of 17 December 2024 for a joint employment report from the Commission and the Council (COM(2024)0701).
    (9) European Commission, ‘Employment and Social Developments in Europe (ESDE) 2024’, September 2024.
    (10) OECD Social, Employment and Migration Working Papers No. 282.
    (11) von der Leyen, U., ‘Europe’s Choice, Political Guidelines for the Next European Commission 2024-2029’, 18 July 2024.
    (12) Regulation (EU) 2021/241 of the European Parliament and of the Council of 12 February 2021 establishing the Recovery and Resilience Facility (OJ L 57, 18.2.2021, p. 17, ELI: http://data.europa.eu/eli/reg/2021/241/oj).
    (13) Commission proposal of 17 December 2024 for a joint employment report from the Commission and the Council (COM(2024)0701).
    (14) Opinion of the European Economic and Social Committee of 13 December 2023 on For an EU framework for national homeless strategies based on the principle of ‘Housing First’ (OJ C, C/2024/1567, 5.3.2024, ELI: http://data.europa.eu/eli/C/2024/1567/oj).
    (15) Opinion of the European Economic and Social Committee of 13 December 2023 on For an EU framework for national homeless strategies based on the principle of ‘Housing First’.
    (16) Commission communication of 7 June 2023 on a comprehensive approach to mental health (COM(2023)0298).
    (17) European Commission: Directorate-General for Employment, Social Affairs and Inclusion, Long-term care report – Trends, challenges and opportunities in an ageing society. Volume I, Publications Office, 2021, https://data.europa.eu/doi/10.2767/677726.
    (18) Article 7(3) of Regulation (EU) 2021/1057 of the European Parliament and of the Council of 24 June 2021 establishing the European Social Fund Plus (ESF+) (OJ L 231, 30.6.2021, p. 21, ELI: http://data.europa.eu/eli/reg/2021/1057/oj).
    (19) OJ C 387, 15.11.2019, p. 1.
    (20) European Parliament resolution of 21 November 2023 with recommendations to the Commission on an EU framework for the social and professional situation of artists and workers in the cultural and creative sectors (OJ C, C/2024/4208, 24.7.2024, ELI: http://data.europa.eu/eli/C/2024/4208/oj).
    (21) Directive (EU) 2019/1158 of the European Parliament and of the Council of 20 June 2019 on work-life balance for parents and carers and repealing Council Directive 2010/18/EU (OJ L 188, 12.7.2019, p. 79, ELI: http://data.europa.eu/eli/dir/2019/1158/oj).
    (22) Commission communication of 29 January 2025 entitled ‘A Competitiveness Compass for the EU’ (COM(2025)0030).
    (23) Resolution of 6 July 2022 on the EU action plan for the social economy (OJ C 47, 7.2.2023, p. 171).
    (24) Commission proposal of 17 December 2024 for a joint employment report from the Commission and the Council (COM(2024)0701).
    (25) Commission proposal of 17 December 2024 for a joint employment report from the Commission and the Council (COM(2024)0701).

    MIL OSI Europe News –

    March 15, 2025
  • MIL-OSI Global: Keir Starmer to abolish NHS England – the pros and cons

    Source: The Conversation – UK – By Peter Sivey, Reader in Health Economics, Centre for Health Economics, University of York

    The UK government has announced the abolition of NHS England, phased over two years. In practice, this will involve merging some functions and staff from NHS England into the Department for Health and Social Care (DHSC). As part of the change, the government has stated that it expects to reduce duplication and save hundreds of millions of pounds.

    NHS England was established under the Health and Social Care Act of 2012 (the Lansley reforms) and is responsible for commissioning care and overseeing the day-to-day running of the NHS. This involves negotiating budgets for local care provision with bodies like integrated care boards and hospitals; performance management such as monitoring waiting times and quality measures; and implementing national initiatives across NHS organisations.

    NHS England was established to provide operational autonomy, shielding the health service from daily political interference. It is an “arm’s-length body”, meaning it operates independently from the government but remains accountable to it. The DHSC sets strategic goals and oversees NHS England activities.

    In practice, NHS England and DHSC have distinct roles, although they overlap in some areas. DHSC staff typically have broader policy expertise – for example, many have worked in other areas of the civil service, whereas NHS England staff often have more detailed knowledge of how the NHS works on the ground.

    Risks

    The loss of expertise within NHS England is probably the largest risk of the abolition. Alongside very experienced NHS managers and analysts, NHS England employs senior doctors and other health care workers who contribute valuable practical knowledge from the NHS frontline into policy roles.

    A major risk of this move is the potential loss of this clinical expertise and operational insight into policymaking. Lord Darzi’s report on the NHS specifically cited the loss in management talent that occurred as a result of the 2012 reforms, and cautioned against further reorganisation that might repeat that disruption.

    Another risk is that bringing NHS England functions directly under ministerial control risks increased politicisation of day-to-day NHS management.

    The government will argue that other policy areas like defence, education and policing do not have such a large arm’s-length body between the department and the frontline. However, health and social care is a uniquely large (11% of GDP) and highly political organisation, with a fast-growing budget and faster-growing challenges.

    NHS policy is already highly politicised, but abolishing NHS England risks the DHSC and the ministers being on the hook for every operational decision. This could lead to operational decisions being made to appease public opinion rather than promoting public health.

    The government faces significant practical challenges in merging two organisations with different cultures, working practices and pay structures. Currently, NHS England (about 16,000 staff) is much larger than DHSC (about 3,000 staff). Many NHS England roles will have to move into the much smaller DHSC.

    The transition itself will require investment, so the promised savings are unlikely to be achieved in the short term.

    Opportunities

    The main opportunity of the abolition is the removal of duplication between DHSC and NHS England.

    Currently, both organisations maintain separate policy teams covering similar areas – for example, elective surgery waiting times or cancer care. And sometimes, it is unclear how well they work together or why both are necessary.

    By consolidating within the DHSC, there is an opportunity to strengthen policy analysis. With one strong policy team in the DHSC, policy advice to ministers (DHSC) and policy implementation on the ground (previously NHS England) could be better coordinated and aligned with the government’s objectives.

    Lord Darzi’s report on the NHS highlighted the growth of regulatory roles within NHS England, questioning whether too much accountability could be counterproductive.

    The abolition of NHS England is also an opportunity to streamline regulation while strengthening local management roles and valuable policy analysis.

    Another opportunity from the abolition of the organisation would be the strengthening of local NHS bodies like integrated care boards. These local bodies, designed to tailor healthcare to local area needs, may sometimes have been stymied by excessive central control.

    The health secretary, Wes Streeting, has already expressed his desire to see more devolution of power and responsibility within the NHS. This process provides the opportunity to enact that promise.

    What will happen next?

    The abolition of NHS England and the transfer of some responsibilities back to the DHSC will take time and incur significant costs and disruption. Any benefits are likely to emerge only in the long term.

    Before the introduction of NHS England, there were larger regional organisations (strategic health authorities) that were responsible for implementing policy at a regional level. Perhaps the re-emergence of similar regional bodies could smooth the transition from a central NHS England to a more decentralised health service.

    Peter Sivey receives funding from the National Institute for Health and Care Research.

    – ref. Keir Starmer to abolish NHS England – the pros and cons – https://theconversation.com/keir-starmer-to-abolish-nhs-england-the-pros-and-cons-252237

    MIL OSI – Global Reports –

    March 15, 2025
  • MIL-OSI Video: Meeting with Consumer Brands CEOs

    Source: United States of America – Federal Government Departments (video statements)

    Secretary Kennedy met with Consumer Brands CEOs this week on advancing food safety and radical transparency to protect the health of all Americans, especially our children.
    —

    U.S. Department of Health and Human Services (HHS) | http://www.hhs.gov

    http://www.Twitter.com/HHSGov | http://www.Facebook.com/HHS http://www.Instagram.com/HHSGov
    http://www.LinkedIn.com/company/us-department-of-health-and-human-services

    HHS Privacy Policy: http://www.hhs.gov/Privacy.html

    https://www.youtube.com/watch?v=eYXlDUrApUc

    MIL OSI Video –

    March 15, 2025
  • MIL-OSI United Kingdom: Improving communities’ mental wellbeing

    Source: Scottish Government

    £30 million for grassroots projects for adults

    Community-led mental health and wellbeing projects are to benefit from £30 million Scottish Government funding over the next two years.

    The Communities Mental Health and Wellbeing Fund for Adults – first launched in 2021 – supports local groups to deliver programmes for adults which build resilience and tackle social isolation, loneliness and mental health inequalities. It is expected the Fund will open to applications this Autumn.

    In the first three years around 4,800 grants were made to a wide range of grassroots community projects focused on connecting people and providing peer support through activities such as sport, outdoor activities, and the arts.

    The charity, Empower Women for Change, has secured grant awards in all rounds of the Fund to date. This year, the group is using its grant to support lone parents, families with a disabled family member, Minority Ethnic families, and young mothers. Visiting their office in Glasgow Mental Wellbeing Minister Maree Todd said:  

    “I am pleased to meet staff and service users at Empower Women for Change and hear more about the valuable work they do in the community they support. It is inspiring to see first-hand the impact that this funding can have.

    “Since the fund was established, we have invested £66 million, reaching a variety of groups supporting those at increased risk of poor mental health and wellbeing – including people facing socio-economic disadvantage, older people and ethnic minority communities. I look forward to seeing the positive impact that this further £30 million investment will make to the wellbeing of people and communities across Scotland.”

    Empower Women for Change CEO and Founder Asma Abdalla said:

    “We are delighted and honoured to welcome the Minister Maree Todd to our organisation. The Wellbeing Fund has played a transformative role in improving the lives of our service users of ethnic minority women and girls and our volunteers, members, and staff.

    “Through our Inspired Women projects, we have provided vital mental health support, resilience, and community connection, changing lives and strengthening communities. We are looking forward to continuing this work, with support from the Wellbeing Fund.

    “We welcome this unique opportunity to share Inspired Women participants’ testimonies, their voices highlight the urgent need for sustained investment in grassroots wellbeing services. Please join us in amplifying their stories and celebrating the power of community-led change.”

    Partnership Manager at Glasgow Council for the Voluntary Sector Sheena Arthur said:

    “We are delighted that the Scottish Government’s Communities Mental Health and Wellbeing Fund is continuing. This fund delivers small grants which make a positive difference and so far, has supported over 900 Third Sector organisations and community groups across Glasgow.

    “In increasingly challenging times, the Third Sector plays a crucial role. This fund enables the development of existing projects as well as emerging ideas from the community. It helps to bring people together- contributing to better health and wellbeing of people and families, strengthening social connections and tackling inequality and poverty.”

    Background

    Within the first three years, the Communities Mental Health and Wellbeing Fund for Adults has provided around 4,800 grants to community organisations delivering mental health and wellbeing support.

    Wellbeing and prevention – Mental health – gov.scot

    Empower Women for Change

    MIL OSI United Kingdom –

    March 15, 2025
  • MIL-OSI United Kingdom: Minister visits MHRA to see cutting-edge science protecting patients and supporting the NHS

    Source: United Kingdom – Government Statements

    Press release

    Minister visits MHRA to see cutting-edge science protecting patients and supporting the NHS

    The MHRA welcomed Health Minister Smyth to its science campus as part of British Science Week to demonstrate how innovations become safe, effective treatments for NHS patients.

    Health Minister Karin Smyth MP using microscope. Credit: MHRA

    Health Minister Karin Smyth MP this week visited the Medicines and Healthcare products Regulatory Agency (MHRA) to see first-hand how its scientists ensure NHS patients receive the latest medical innovations safely and in the shortest time possible.

    As part of British Science Week and NHS Healthcare Science Week, the visit highlighted the MHRA’s role in driving life sciences innovation – helping UK patients benefit from cutting-edge technologies, from mRNA vaccines to advanced cancer diagnostics.

    During the visit, Minister Smyth met with MHRA scientists and regulatory experts to hear how their work is helping the NHS move towards earlier diagnosis and prevention. This includes making sure the annual flu vaccine is as effective as possible, setting safety standards for genomic cancer testing, and enabling rapid access to new treatments.

    The Minister toured MHRA biologics laboratories, where scientists rigorously test biological medicines, including vaccines, to ensure they are effective and acceptably safe for patients. She also heard how the MHRA works with industry and healthcare partners to keep vital medicines available, so patients can access the treatments they need without delay.

    The MHRA’s expertise has global impact, with its scientific and regulatory leadership helping to shape international standards and ensure that innovations benefit patients worldwide.

    Health Minister Karin Smyth MP said:

    “The MHRA’s scientists are making a real difference by ensuring NHS patients can benefit from the latest medical advances safely and quickly. From speeding up access to life-saving vaccines to setting high safety standards for new cancer tests, their work is helping the NHS focus on earlier diagnosis and prevention. It was fantastic to see first-hand how their expertise is driving innovation, protecting patients, and strengthening our healthcare system.

    “British Science Week is a great time to celebrate their achievements and the UK’s world-leading expertise in medical innovation.”

    June Raine, MHRA Chief Executive, said:

    “The MHRA plays a vital role in making the UK a science superpower, working closely with the NHS and life sciences sector to bring innovations to patients faster while maintaining public trust in their safety.

    “We were delighted to welcome Minister Smyth and showcase how our expertise makes sure that scientific breakthroughs translate into real benefits for patients. Our work ensures the NHS can access cutting-edge medicines while upholding the highest safety standards.”

    Professor Anthony Harnden, MHRA Chair, said:

    “Science and regulation go hand in hand in improving patient care and patient safety. Today’s visit was a great opportunity to highlight how the MHRA’s work supports the NHS and the people it serves.

    “It’s important to recognise the scientists working behind the scenes to protect patients and support NHS staff. Their expertise gives healthcare professionals confidence that the treatments they use work and are acceptably safe.”

    Notes to editors 

    1. British Science Week and NHS Healthcare Science Week celebrate the role of science in protecting health. For more information, visit British Science Week and NHS Healthcare Science Week.
    2. The Medicines and Healthcare products Regulatory Agency (MHRA) is responsible for regulating all medicines and medical devices in the UK by ensuring they work and are acceptably safe. All our work is underpinned by robust and fact-based judgements to ensure that the benefits justify any risks. 
    3. The MHRA is an executive agency of the Department of Health and Social Care. 
    4. For media enquiries, please contact the newscentre@mhra.gov.uk, or call on 020 3080 7651.

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    Updates to this page

    Published 14 March 2025

    MIL OSI United Kingdom –

    March 15, 2025
  • MIL-OSI United Kingdom: Council leaders unite to raise awareness of social care careers

    Source: City of Portsmouth

    Council leaders from children and adult social care have joined forces during Social Work Week to highlight the rewarding careers in the sector.

    This initiative is part of a national campaign led by Social Work England, taking place from 17 – 21 March, aimed at raising awareness of the wide-ranging opportunities within the social care sector.

    Councillor Nick Dorrington, Cabinet Member for Children, Families and Education at Portsmouth City Council, said:

    “Social care practitioners support families across the city on a daily basis in a range of different roles. This makes for a dynamic and interesting career that will see you work with some of the more vulnerable people in society to enable change and improve outcomes.

    “We need more professionals who can step up and make a difference in Portsmouth. Social Work Week provides an opportunity to showcase the full range of jobs and the significant impact made by those who work within them.”

    Portsmouth City Council provides a range of opportunities for those wishing to take a step into the profession with extensive training and development pathways.

    This includes apprenticeships to upskill existing staff members as well as employment programmes such as the Assessed and Supported Year in Employment (ASYE) programme and the Step Up to Social Work scheme.

    Councillor Matthew Winnington, Cabinet Member for Community Wellbeing, Health and Care at Portsmouth City Council, added:

    “Through this national awareness campaign, we want to showcase the rewards and challenges of working in this sector.

    “Our hopes for the future in Portsmouth are centred on building a robust and resilient social care workforce. By attracting passionate and dedicated individuals to the profession, we can ensure that our community continues to flourish.”

    As part of the week, Foster Portsmouth, a council service that supports foster families in the city, will be celebrating their community and foster carers.

    The service will be encouraging people to start their fostering journey, providing information on the extensive local support networks provided by social workers and the other professionals who make up their ‘team around the child’, the application process and the financial assistance that is available.

    Careers in adult social care

    Adult social care is about supporting people to live their best lives possible, whether it’s providing a bit of help to get back on their feet after a fall or supporting them to keep their independence and stay in their home.

    Debbie Lucas, a social work apprentice at Portsmouth City Council said: “I feel lucky to be working in adult social care as a social work apprentice. It’s a brilliant job, working with people in a wide range of situations and settings within the community. Learning the skills to make a difference to people’s lives, there’s no better feeling.”

    If you want to make a difference, you can find out more about careers in social care on the Portsmouth City Council website at portsmouth.gov.uk/workincare.

    Careers in children’s social care 

    Social workers who support children, young people and their families provide a restorative approach using Portsmouth’s unique model of family practice.

    Liam Mills, an advanced social worker at Portsmouth City Council said: “We pride ourselves on being creative and relationship focused. I am enjoying my new role as an advanced social worker. It’s incredibly rewarding to be part of the conversation on improving our practice and fostering a culture of learning.”

    If you are an experienced social worker looking at your next steps, you can search for children social care jobs on the Stronger Futures website.

    Learn more about Foster Portsmouth

    Discover the team who support foster carers and the extensive range of services available.

    Claire Young, an experienced social worker in children’s social care at Portsmouth City Council said:

    “It is really rewarding to help people prepare to offer safe, happy, loving homes for the children we care for.”

    If you are interested in becoming a foster carer, visit the Foster Portsmouth website today.

    MIL OSI United Kingdom –

    March 15, 2025
  • MIL-OSI United Kingdom: ‘Get Moving Business Games’ put workplace wellbeing into action!

    Source: Northern Ireland City of Armagh

    The winning team from the Get Moving ABC Business Games, Tarasis Enterprises, pictured with Deputy Lord Mayor Councillor Kyle Savage.

    Our Get Moving ABC business partners swapped their desks, screens and to-do-lists for a morning of fun, games and a helping of healthy competition at our first ever Business Games at South Lake Leisure Centre.

    The event was hosted by Armagh City, Banbridge and Craigavon Borough Council’s Sports Development Team who deliver the council’s Get Moving ABC framework.

    Get Moving ABC is a borough-wide targeted initiative, with a collective effort by a range of local organisations and groups to motivate and support as many people as possible, to work towards and achieve the recommended physical activity levels.

    Speaking at the business games, Deputy Lord Mayor Councillor Kyle Savage said:

    “Get Moving ABC is about working together to make life better for people. It’s about creating the conditions for people to make well informed choices about their lifestyle and health. It’s about organisations across all sectors making the best use of resources to achieve this.

    “As a Get Moving ABC partner, these companies are committed to creating the conditions to support the health and wellbeing of their employees, with an emphasis on being physically active, which will undoubtedly benefit both employees and employers.”

    Six businesses participated in the business games – Ripple Creative, Tarasis Enterprises, Interface, Turkington Construction, Southern GP Referral Support Unit and IncredABLE.

    As a Get Moving ABC business partner, companies experience the benefits of joining a corporate indoor leisure membership scheme, receive support and guidance on the council’s Couch to 5K/10K programmes, receive guidance on signing up to an active travel scheme, collaborate with the NI Chest, Heart and Stroke ‘Live Well Work Well’ programme and much more!

    The Get Moving ABC Workplace Scheme is supported by the Southern Health and Social Care Trust, Sport NI, The Community and Voluntary Sector Panel, Public Health Agency, Education Authority, NI Chest Heart and Stroke, Ulster GAA and ABC Council.

    For more information on becoming a Get Moving ABC business, please contact Edel Ferson

    *protected email*

    MIL OSI United Kingdom –

    March 15, 2025
  • MIL-OSI United Kingdom: Social Work Forum 2025

    Source: Scotland – Highland Council

    Social Workers in The Highland Council in partnership with NHS Highland are hosting a Joint Social Workers’ Forum to celebrate World Social Worker’s Day 2025 on 18 March 2025 at The Barn Church, Inverness.

    This year’s event theme: “Strengthening Intergenerational Solidarity for Enduring Wellbeing” – will see a celebration of the profession. Workers from Justice, Child Health, Adult Services, Children’s Services, and Emergency Social Work Service will come together for a day of inputs and workshops.

    In attendance will be, Iain Ramsay, Professional Social Work Adviser Scottish Government and Karin Herber, Professional Officer SASW (Scottish Association of Social Workers) to Highland.

    Iain Ramsay will deliver a presentation on the role of Social Workers and their value and positive influence in today’s society. Followed by workshops on the Social Work Education and Learning and how to sustain our love for Social Work and keeping ourselves well.

    Also in attendance is Dr Vik Kelly-Teare, Associate Dean of Health Social Care and Life Sciences at UHI who will present her research on Domestic Abuse in Same Sex relationships.

    The Forum will be opened by Fiona Duncan, Chief Social Work Officer (Highland Council), alongside Simon Steer, Director of Adult Social Care (NHS Highland).

    Fiona Duncan commented “As Social Workers, we are looking forward to this annual conference to share practice both locally and nationally, network within Highland and reflect on the positive and invaluable contributions Social Workers make across the Highlands”. 

    14 Mar 2025

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    MIL OSI United Kingdom –

    March 15, 2025
  • MIL-OSI Russia: Polytechnic University held the first conference on systems engineering

    Translartion. Region: Russians Fedetion –

    Source: Peter the Great St Petersburg Polytechnic University – Peter the Great St Petersburg Polytechnic University –

    The 1st All-Russian scientific and practical conference “Modern approaches in system engineering and digital modeling of complex production systems” (SEDM-2025) was held in the Research Building of the Polytechnic University. The event was organized by the laboratories “Industrial systems of streaming data processing” and “Digital modeling of industrial systems” of the Advanced Engineering School of SPbPU “Digital Engineering” together with the industrial partner of the SPbPU PISh, the company “Tetracube”.

    The conference was dedicated to systems engineering as a methodological approach to the implementation of complex projects in various industries.

    Systems engineering is a highly relevant methodological direction in the technological landscape of Russia and the world. It allows implementing complex multi-component projects both for solving frontier engineering problems in the high-tech industry and in other industries – economics, medicine or education. The methodology of systems engineering is universal: it is based on the assessment of all factors, requirements and restrictions that affect the development of the project, and is also a field for the application and development of advanced digital technologies, such as artificial intelligence or mathematical modeling, – noted the chairperson of the conference program committee, head of the Laboratory of PSPOD PISh SPbPU Marina Bolsunovskaya.

    The scientific partners of the conference were the Joint Institute for Nuclear Research, Lomonosov Moscow State University, Kazan Federal University, Ivanovo State Polytechnic University and others. The event was supported as industrial partners by the Engineering Center for Textile and Light Industry, the North-West Scientific Center for Hygiene and Public Health of Rospotrebnadzor, Kola MMC, Viziumtex, Olvia and Amdor companies.

    SEDM-2025 participants presented scientific research and practical solutions in the field of design, analysis, forecasting and optimization of complex systems in the economy, industry, transport, medicine, social sphere and education. The event attracted more than 200 speakers and listeners – research scientists and representatives of commercial companies and government organizations.

    The conference consisted of scientific and practical parts. It was addressed both to “theorists” – specialists who study and develop the methodology of systems engineering, and to practitioners – project managers who use the method of systems engineering to solve specific applied problems at their enterprises.

    The presentations were made by recognized experts in the field of studying and implementing approaches to system engineering and digital modeling, theorists and practitioners, as well as students and postgraduates who have chosen system engineering as the direction of their scientific and professional development. For young researchers, the conference became an excellent opportunity to present their research projects to experts, learn their opinions and discuss the practical application of the results.

    The plenary session reports presented the main areas of research and development, which were then discussed in more detail in separate sections.

    The plenary session was opened by Marina Bolsunovskaya. After welcoming remarks, she spoke about the development of the system engineering methodology using practical examples of the PSPOD Laboratory projects. The speaker noted possible directions for the development of the method and the specifics of its use in implementing complex projects at the enterprises of the laboratory’s industrial partners.

    Marina Vladimirovna noted that the requests of enterprises now concern the development of optimization models to identify hidden patterns and develop specific methods for eliminating anomalies. For many customer enterprises, there are no ready-made solutions, so the development of libraries of standard solutions that will allow companies to immediately offer possible solutions for data analysis seems promising.

    Elena Tishchenko, Advisor on Digital Economy to the Dean of the Faculty of Economics at Lomonosov Moscow State University, presented a theoretical report on the method of model-based system engineering (Model Based System Engineering) for synthesizing multi-level economic models. The method involves the widespread use of engineering descriptions of objects in the form of models and their platforms in the economy for analyzing complex economic systems.

    Alexey Gintsyak, Head of the Laboratory of Digital Modeling of Industrial Systems at the St. Petersburg Polytechnic University, spoke about the development of a set of tools for generating schedules in production systems using a multi-agent approach. The work is being carried out with the support of the Russian Science Foundation in 2025-2026. The speaker defined multi-agent systems, highlighted the capabilities and features of the multi-agent approach to the applied task of generating production schedules, and revealed the complexity of generating schedules in a multi-agent environment. In conclusion, Alexey Gintsyak noted that taking multi-agency into account allows for obtaining modeling results that are much more adequate to reality.

    The report by the head of the laboratory “System Dynamics” Angi Skhvediani was devoted to the application of methods of systems engineering in agriculture. He spoke about the current work on the platform for automatic prediction of the sorption properties of biochar obtained as a result of processing plant waste of the agro-industrial complex. The project includes the development of a database and a program for the analysis and prediction of the sorption properties of waste using machine learning methods, the development of a recommendation system for enterprises and scientists in terms of selecting optimal technological modes of waste processing to obtain functional materials with the best properties.

    Associate Professor of the Higher School of Transport of the Institute of Metallurgical Engineering and Technology Dmitry Plotnikov touched upon the topic of digital modeling in the transport industry. The speaker listed interdisciplinary tasks in the development of unmanned ground transport and noted that digital models in the creation of transport systems and processes can be used as a means of supporting decision-making in the design of the life cycle of a vehicle and transport systems in general, as well as an element of the finished product that determines its operational properties. The speaker shared the experience of creating an unmanned car at the Polytechnic University and the complex tasks that the development team faces.

    The conference became a platform for exchanging experience in the field of systems engineering in the transport industry, where there was a place for both experienced professionals and young scientists. Interesting works on the use of simulation modeling for effective traffic management were presented. The reports on the creation of intelligent transport systems deserved special attention, – the speaker noted.

    The head of the control and audit department of the enterprise “Gorelektrotrans” Elena Ezhelina made a report on the development of a new model for managing the enterprise of ground urban electric transport for the automation and optimization of its work. One of the first steps in this direction, Elena Aleksandrovna believes, could be the automation of the management of the daily cycle of the enterprise’s work, which will require the creation of a single dispatch service.

    Deputy Head of the Traffic Safety Service of Gorelektrotrans Alexey Vishensky spoke about his model for distributing tram and trolleybus drivers on city passenger transportation routes. The model is aimed at ensuring the required volume of transport services while complying with legal requirements. The number of drivers is calculated taking into account the design capacity of the fleet, working time fund, work schedules, vacations, knowledge of routes and other factors.

    Anastasia Gorbach, an engineer at Radioavionika JSC, presented an analysis of technologies for implementing artificial intelligence in the process of spelling and punctuation checking using a systems approach. Traditional verification methods based on dictionaries and grammar rules are not effective enough for complex language structures. Using AI to check spelling and punctuation is part of a wider range of technologies that can be applied in the development and optimization of complex technical systems to automate and optimize documentation and communication within the system.

    The most popular sections among the participants were on systems engineering in the field of economics and on digital modeling in industry and related industries. More than 40 reports were submitted for some sessions.

    Teachers and students from various departments of Peter the Great St. Petersburg Polytechnic Institute, such as the Higher School of Computer Technologies and Information Systems of the IKNK, the Higher School of Project Activity and Innovations in Industry and the Higher School of Transport of the IMMIT SPbPU, the Higher School of Engineering and Economics, the Higher School of Business Engineering and the Laboratory of System Dynamics of the IPMET SPbPU, took an active part in organizing and holding the conference.

    Students of the master’s program of the St. Petersburg Polytechnical University “Systems Engineering and Digital Modeling in High-Tech Industries” presented their developments in the field of systems engineering at the conference.

    The conference was organized for the first time and, it must be said, exceeded our expectations. We saw great interest in the methodology of systems engineering from industrial partners and university researchers – teachers, researchers, students and postgraduates. Next year, we plan to expand the conference topics. In particular, there will be a hybrid modeling section, entirely dedicated to this promising approach within the framework of systems engineering, which allows combining classical analytics and artificial intelligence technologies, – noted Marina Bolsunovskaya.

    Based on the results of the conference, a collection of papers will be published with a DOI and ISBN assigned, and full-text article-by-article placement in the Russian Science Citation Index.

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    Please note: This information is raw content directly from the source of the information. It is exactly what the source states and does not reflect the position of MIL-OSI or its clients.

    MIL OSI Russia News –

    March 15, 2025
  • MIL-OSI Global: Why are suicide rates so high in bipolar disorder, and what can we do about it?

    Source: The Conversation – UK – By Marcos del Pozo Banos, Senior Research Data Analyst, Swansea University

    Heston Blumenthal, the celebrity chef known for his experimental cuisine, recently shared his experience of being sectioned under the UK’s Mental Health Act, saying it was “the best thing” that could have happened to him. His openness about living with bipolar disorder highlights the little-discussed fact that people with this condition face one of the highest suicide risks of any mental illness.

    Bipolar disorder is a severe mental illness characterised by episodes of mania (high energy, impulsivity) and depression (hopelessness, fatigue). Suicidal thoughts and behaviour are a core feature of the disorder, with fluctuating risk that can persist over long periods.

    Although bipolar disorder affects around 2% of the population, studies suggest that up to 50% of people with the condition attempt suicide at least once, and 15-20% die by suicide – a rate much higher than in the general population. Unlike global suicide rates, suicide deaths in bipolar disorder have not declined.

    Understanding why suicide is so common in people with this disorder is difficult. But one major factor is mood instability. Rapid shifts between emotional highs and lows, as well as mixed states where symptoms of mania (impulsivity) and depression (despair) occur together, can be particularly dangerous.

    Social and economic factors also play a role. Research we conducted at Swansea University shows that the population suffering from bipolar disorder has become poorer over the last two decades. Financial strain, social isolation and poorer access to healthcare all lead to worse outcomes. Beyond suicide, people with the condition die up to 20 years earlier than the general population, often from preventable health problems such as heart disease.

    While bipolar disorder cannot be cured, it can be managed. The most commonly used drug, lithium, has been found to reduce suicide risk significantly in some patients. However, people with the condition struggle to take it regularly.

    The drug’s side-effects can affect the kidneys, thyroid, metabolism, cognition and cardiovascular health. Managing these side-effects requires regular blood tests and continuous monitoring, making long-term treatment difficult.

    Many people stop taking their medication during manic phases, believing they are cured.

    Other treatments, such as antipsychotics, mood stabilisers and electroconvulsive therapy (where electric currents are passed through the brain while the patient is under anaesthesia), can also be effective in some types and phases of bipolar – for example, in states of mixed mania and depression where there is a high risk of suicide – but they come with their own harms and limitations.

    Some psychiatrists now question whether continuous lifelong treatment is necessary for all patients.

    Even when people seek help, healthcare systems often fail to intervene effectively. Suicide risk is highest in the days following discharge from a psychiatric hospital. Many people who later die by suicide have recently visited emergency rooms after hurting themselves, but the help they received was either delayed or not enough to prevent further harm.

    Existing tools to identify and measure suicide risk, such as checklists, questionnaires and structured interviews, are ineffective. Many people with bipolar disorder who die by suicide are assessed as “low risk” shortly beforehand, exposing a crucial gap between doctor and patient perceptions. This is in great part because these tools rely too heavily on past factors such as suicide attempts (which may not be disclosed), rather than dynamic, real-time distress or mood instability.

    Despite the significant effect that bipolar disorder has on individuals, families and society, the development of new drugs has been frustratingly slow. Lithium, first used in the 1940s, remains the go-to treatment, while most other drugs were originally designed to treat schizophrenia. No truly new treatments have emerged in decades.

    Not a single disorder

    One difficulty is that bipolar is not a single disorder but a spectrum of conditions, rendering the one-size-fits-all approach inadequate — lithium is effective in only about one in three patients.

    Drug development for bipolar disorder is particularly challenging. The complexity of bipolar disorder calls for equally complex trials that need to consider patient variability, ethical concerns and strict safety requirements. New treatments also face strict approval hurdles because lithium – despite its limitations – is highly effective for some patients. This results in slow treatment development, leaving patients with limited options.

    Research is also slowed by concerns about whether it’s ethical to involve patients in trials. But it’s important to include people with the disorder who have experienced suicidal thoughts and behaviour, to better understand their mindset and decision-making.

    However, new approaches offer hope. Several research projects, such as Datamind, are developing artificial intelligence platforms to help find new drugs quicker and to personalise treatments based on patients’ genetic and clinical profiles. AI could lead to faster, more effective therapies tailored to individual needs.

    Blumenthal’s story highlights that being sectioned, while traumatic, can save lives and keep people safe. Yet the stigma around psychiatric hospitalisation prevents many from seeking care. There is a widespread belief that hospitalisation should be avoided at all costs – but for some, it can be the difference between life and death.

    However, hospitalisation alone is not enough. The mental health system must do better to ensure that people with bipolar disorder receive long-term care, particularly during high-risk periods like hospital discharge. To prevent suicide, we need to rethink how risk is assessed, improve follow-up care, and reduce barriers to treatment.

    While the statistics on bipolar are alarming, the message should be one of hope. The condition is treatable and suicide is preventable, but only if we commit to improving access to care, reducing stigma and advancing research.

    Marcos del Pozo Banos research is funded by UKRI – Medical Research Council through the DATAMIND Hub (MRC reference: MR/W014386/1), and the Wolfson Centre for Young People’s Mental Health (established with support from the Wolfson Foundation).

    Ann John receives funding from Health and Care Research Wales, NIHR, Wolfson Foundation and MRC (DATAMIND).

    Tania Gergel works for Bipolar UK as the Director of Research. She receives research funding from National Institute of Health Research, the Medical Research Council and King’s College London. She is also on the Board of the National Centre for Mental Health in Wales, and is an Honorary Visiting Professor at Cardiff University and Honorary Senior Research Fellow in the Division of Psychiatry at University College London.

    – ref. Why are suicide rates so high in bipolar disorder, and what can we do about it? – https://theconversation.com/why-are-suicide-rates-so-high-in-bipolar-disorder-and-what-can-we-do-about-it-251376

    MIL OSI – Global Reports –

    March 15, 2025
  • MIL-OSI Global: Treatment for Parkinson’s disease and restless leg syndrome is linked with risky behaviour – here’s what you need to know

    Source: The Conversation – UK – By Dipa Kamdar, Senior Lecturer in Pharmacy Practice, Kingston University

    Orawan Pattarawimonchai/Shutterstock

    Getting a headache and feeling sick are common side-effects for many medicines. Indulging in risky sexual behaviour or pathological gambling – not so common.

    But a BBC investigation has highlighted that some drug treatments for restless leg syndrome and Parkinson’s disease can lead to such risky behaviour.

    Over 150,000 people in the UK live with Parkinson’s – a degenerative condition that affects the brain. The main part of their brain that is damaged is the area that produces dopamine, a chemical messenger that regulates movement. Less dopamine in the brain can lead to symptoms such as tremors, muscle stiffness, slow movements and problems with balance.

    Another movement disorder is restless legs syndrome (RLS), which affects between 5% and 10% of people in the UK, US and Europe. Twice as many women as men have RLS among those aged over 35.




    Read more:
    Restless legs syndrome is incurable – here’s how to manage the symptoms


    People with RLS feel they need to uncontrollably move their legs, and may experience a crawling, creeping or tingling sensation in them. Usually, the symptoms are worse at night when dopamine levels tend to be lower. Although the exact cause of RLS is unknown, it has been linked to genes, underlying health conditions, and an imbalance of dopamine.

    One of the main treatments for movement disorders is a group of drugs called dopamine-receptor agonists, which include cabergoline, ropinirole, bromocriptine and pramipexole. Dopamine-receptor agonists increase the levels of dopamine in the brain and help regulate movement.

    Dopamine is known as the “happy” hormone because it is part of the brain’s reward system. When people do something fun or pleasurable, dopamine is released in their brain. But using dopamine-receptor agonist drugs can elevate these feelings, leading to impulsive behaviour.

    While common side-effects include headaches, feeling sick and sleepiness, these drugs are also linked with the more unusual side-effect of impulse-control disorders. These include risky sexual behaviour (hypersexuality), pathological gambling, compulsive shopping, and binge eating. Hypersexuality encompasses behaviour such as a stronger-than-usual urge to have sexual activity, or being unable to resist performing a sexual act that may be harmful.

    Previous reported cases include a 53-year-old woman taking ropinirole and exhibiting impulsive behaviour such as accessing internet pornography, using sex chat rooms, meeting strangers for sexual intercourse, and compulsive shopping. Another case highlighted a 32-year-old man who, after taking ropinirole, started binge eating and gambling compulsively, such that he lost his life savings.

    When the drug was first being prescribed in the early 2000s, it was thought that impulse-control disorders were a rare side-effect associated with these drugs. But in 2007, a UK Medicines and Healthcare Products Regulatory Agency (MHRA) public assessment report advised that “healthcare professionals should warn patients that compulsive behaviour with dopamine agonists may be dose-related”.

    Between 6% and 17% of people with RLS who take dopamine agonists develop some form of impulse-control disorder, while up to 20% of people living with Parkinson’s may experience impulse control disorders.

    But the true figures may be even higher, as many some patients may not associate changes in behaviour with their medication, or may be too embarrassed to report it. Case reports show that in most instances, impulsive behaviour stops when the drug is stopped.

    Lawsuits

    There have been several individual and class-action lawsuits against pharmaceutical companies including GlaxoSmithKline, which produces ReQuip® (ropinirole), and Pfizer, which makes Cabaser® (cabergoline). Patients taking action against these companies claimed they were unaware of these impulsive behaviour side-effects.

    For example, in 2012, a French court ordered GlaxoSmithKline to pay £160,000 in damages to Didier Jambart, after he experienced “devastating-side effects” when taking the firm’s Parkinson’s drug Requip. And in 2014, an Australian federal court approved a settlement against Pfizer for a class-action lawsuit regarding its Parkinson’s drug, Cabaser. 150 patients claimed they did not have warning of potential side-effects – including increased gambling, sex addiction and other high-risk activities – of taking Cabaser.

    It is now clearer in the patient information leaflets given with all prescribed medication for movement disorders that impulsive behaviour can occur in some patients.

    In 2023, the MHRA advised there had been increased reports of pathological gambling with a drug called aripiprazole. This antipsychotic drug, used in the treatment of schizophrenia and mania, partly acts as a dopamine-receptor agonist.

    Any drug that increases dopamine levels could theoretically be linked to impulse control disorders, and it is important to keep monitoring patients and their behaviour in such cases.

    Not everyone will experience side-effects. Before you begin any course of treatment, your doctor or pharmacist should explain the potential side-effects – but it is also important to read the information leaflet with any medicine. And if you experience any impulsive behaviours with these medicines, speak to your doctor or pharmacist immediately.

    Dipa Kamdar does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

    – ref. Treatment for Parkinson’s disease and restless leg syndrome is linked with risky behaviour – here’s what you need to know – https://theconversation.com/treatment-for-parkinsons-disease-and-restless-leg-syndrome-is-linked-with-risky-behaviour-heres-what-you-need-to-know-252079

    MIL OSI – Global Reports –

    March 15, 2025
  • MIL-OSI Global: Big cuts at the Education Department’s civil rights office will affect vulnerable students for years to come

    Source: The Conversation – USA – By Erica Frankenberg, Professor of Education and Demography, Penn State

    Senate Minority Leader Chuck Schumer and fellow Democrats criticize President Donald Trump’s plan to shutter the Education Department on March 6, 2025. AP Photo/J. Scott Applewhite

    The U.S. Department of Education cut its workforce by nearly 50% on March 11, 2025, when it laid off about 1,315 employees. The move follows several recent directives targeting the Cabinet-level agency.

    Within the department, the Office for Civil Rights – which already experienced layoffs in February – was especially hard hit by cuts.

    The details remain unclear, but reports suggest that staffs at six of the 12 regional OCR offices were laid off. Because of the office’s role in enforcing civil rights laws in schools and universities, the cuts will affect students across the country.

    As education policy scholars who study how laws and policies shape educational inequities, we believe the Office for Civil Rights has played an important role in facilitating equitable education for all students.

    The latest cuts further compound funding and staffing shortages that have plagued the office. The full effects of these changes on the most vulnerable public school students will likely be felt for many years.

    Few staff members

    The Education Department, already the smallest Cabinet-level agency before the recent layoffs, distributed roughly US$242 billion to students, K-12 schools and universities in the 2024 fiscal year.

    About $160 billion of that money went to student aid for higher education. The department’s discretionary budget was just under $80 billion, a sliver compared with other agencies.

    By comparison, the Department of Health and Human Services received nearly $2.9 trillion in fiscal year 2024.

    Within the Education Department, the Office for Civil Rights had a $140 million budget for fiscal year 2024, less than 0.2% of discretionary funding, which requires annual congressional approval.

    It has lacked financial support to effectively carry out its duties. For example, amid complaints filed by students and their families, the OCR has not had an increase in staff. That leaves thousands of complaints unresolved.

    The office’s appropriated budget in fiscal year 2017 was one-third of the budget of the Equal Employment Opportunity Commission – a federal agency responsible for civil rights protection in the workplace – despite the high number of discrimination complaints that OCR handles.

    Support for OCR

    Despite this underfunding, the office has traditionally received bipartisan support.

    Former Secretary of Education Betsy DeVos, for example, requested a funding decrease for the office during the first Trump administration. Congress, however, overrode her budget request and increased appropriations.

    Likewise, regardless of changing administrations, the office’s budget has remained fairly unchanged since 2001.

    It garners attention for investigating and resolving discrimination-related complaints in K-12 and higher education. And while administrations have different priorities in how to investigate these complaints, they have remained an important resource for students for decades.

    But a key function that often goes unnoticed is its collection and release of data through the Civil Rights Data Collection.

    The CRDC is a national database that collects information on various indicators of student access and barriers to educational opportunity. Historically, only 5% of the OCR’s budget appropriations has been allocated for the CRDC.

    Yet, there are concerns among academic scholars that the continued collection and dissemination of the CRDC might be affected by staff cuts and contract cancellations worth $900 million at the Department of Education’s research arm, the Institute of Education Science.

    That’s because the CRDC often relies on data infrastructure that is shared with the institute.

    The history of the CRDC

    The CRDC originated in the late 1960s as required by the Civil Rights Act of 1964. The data questionnaire, which poses questions about civil rights concerns, is usually administered to U.S. public school districts every two years.

    It provides indicators on student experiences in public preschools and K-12 schools. That includes participation rates in curricular opportunities like Advanced Placement courses and extracurricular activities. It also provides data on 504 plans for students with disabilities and English-learner instruction.

    Although there have been some changes to questions over the years, others have been consistent for 50 years to allow for examining changes over time. Some examples are counts of students disciplined by schools’ use of corporal punishment or out-of-school suspension.

    The U.S. Department of Education building is seen in Washington on Dec. 3, 2024.
    AP Photo/Jose Luis Magana

    During the Obama administration, the Office for Civil Rights prioritized making the CRDC more accessible to the public. The administration created a website that allows the public to view information for particular schools or districts, or to download data to analyze.

    Why the CRDC matters

    Our research focuses on how the CRDC has been used and how it could be improved. In an ongoing research project, we identified 221 peer-reviewed publications that have analyzed the CRDC.

    Articles focusing on school discipline – out-of-school suspensions, for example – are the most common. But there are many other topics that would be difficult to study without the CRDC.

    That’s especially true when making comparisons between districts and states, such as whether students have access to advanced coursework or participation in gifted and talented programs.

    The data has also inspired policy changes.

    The Obama administration, informed by the data on the use of seclusion and restraint to discipline students, issued a policy guidance document in 2016 regarding its overuse for students with disabilities.

    Additionally, the data helps examine the effects of judicial decisions and laws – desegregation laws in the South, for example – that have improved educational opportunities for many vulnerable students.

    Amid the Education Department’s continued cancellation of contracts of federally funded equity assistance centers, we believe research partnerships with policymakers and practitioners drawing on CRDC data will be more important than ever.

    Erica Frankenberg and Maithreyi Gopalan received funding from the Student Experience Research Network.

    Maithreyi Gopalan has received research grants and fellowships from various foundations such as the Student Experience Research Network (New Venture Fund), Federation of American Scientists, and others.

    – ref. Big cuts at the Education Department’s civil rights office will affect vulnerable students for years to come – https://theconversation.com/big-cuts-at-the-education-departments-civil-rights-office-will-affect-vulnerable-students-for-years-to-come-249716

    MIL OSI – Global Reports –

    March 15, 2025
  • MIL-OSI Global: Simple strategies can boost vaccination rates for adults over 65 − new study

    Source: The Conversation – USA – By Laurie Archbald-Pannone, Associate Professor of Medicine and Geriatrics, University of Virginia

    Many older adults are not up to date on their vaccines. Morsa Images via Getty Images

    Knowing which vaccines older adults should get and hearing a clear recommendation from their health care provider about why a particular vaccine is important strongly motivated them to get vaccinated. That’s a key finding in a recent study I co-authored in the journal Open Forum Infectious Diseases.

    Adults over 65 have a higher risk of severe infections, but they receive routine vaccinations at lower rates than do other groups. My colleagues and I collaborated with six primary care clinics across the U.S. to test two approaches for increasing vaccination rates for older adults.

    In all, 249 patients who were visiting their primary care providers participated in the study. Of these, 116 patients received a two-page vaccine discussion guide to read in the waiting room before their visit. Another 133 patients received invitations to attend a one-hour education session after their visit.

    The guide, which we created for the study, was designed to help people start a conversation about vaccines with their providers. It included checkboxes for marking what made it hard for them to get vaccinated and which vaccines they want to know more about, as well as space to write down any questions they have. The guide also featured a chart listing recommended vaccines for older adults, with boxes where people could check off ones they had already received.

    In the sessions, providers shared in-depth information about vaccines and vaccine-preventable diseases and facilitated a discussion to address vaccine hesitancy.

    In a follow-up survey two months later, patients reported that the most significant barriers they faced were knowing when they should receive a particular vaccine, having concerns about side effects and securing transportation to a vaccination appointment.

    The percentage of patients who said they wanted to get a vaccine increased from 68% to 79% after using the vaccine guide. Following each intervention, 80% of patients reported they discussed vaccines more in that visit than they had in prior visits.

    Of the 14 health care providers who completed the follow-up survey, 57% reported increased vaccination rates following each approach. Half of the providers felt that the use of the vaccine guide was an effective strategy in guiding conversations with their patients.

    A pamphlet at the doctor’s office can empower older patients to ask about vaccines.

    Why it matters

    Only about 15% of adults ages 60-64 and 26% of adults 65 and older are up to date on all the vaccines recommended for their age, according to CDC data from 2022. These include vaccines for COVID 19, influenza, tetanus, pneumococcal disease and shingles.

    Yet studies consistently show that getting vaccinated reduces the risk of complications from these conditions in this age group.

    My research shows that strategies that equip older adults with personalized information about vaccines empower them to start the conversation about vaccines with their clinicians and enable them to be active participants in their health care.

    What’s next

    In the future, we will explore whether engaging patients on this topic earlier is even more helpful than doing so in the waiting room before their visit.

    This might involve having clinical team members or care coordinators connect with patients ahead of their visit, either by phone or through telemedicine that is designed specifically for older adults.

    My research team plans to conduct a pilot study that tests this approach. We hope to learn whether reaching out to these patients before their clinic visits and helping them think through their vaccination status, which vaccines their provider recommends and what barriers they face in getting vaccinated will improve vaccination rates for this population.

    The Research Brief is a short take on interesting academic work.

    Laurie Archbald-Pannone has received funding from Virginia Department of Health and PRIME education. This activity is supported by an independent educational grant from GSK.

    – ref. Simple strategies can boost vaccination rates for adults over 65 − new study – https://theconversation.com/simple-strategies-can-boost-vaccination-rates-for-adults-over-65-new-study-250246

    MIL OSI – Global Reports –

    March 15, 2025
  • MIL-OSI Global: Keir Starmer promises more ‘democratic control’ of the NHS – how do other European countries do it?

    Source: The Conversation – UK – By Nick Fahy, Director of the Health and Care Research Group, RAND Europe

    Sir Keir Starmer, the UK prime minister, announced on March 13 that the government will move to abolish NHS England in the next two years. During this period, the government plans to bring its functions under the UK’s health ministry, with the aim of bringing the health service “into democratic control”. What does this mean, and what difference will it make?

    When the NHS was established in 1948, part of the aim was to make the local health problems of patients across the country the concern of the national government. The plan succeeded. Today, the NHS is politically highly important – it matters enormously to patients and the public, and has one of the largest spending budgets in the UK.

    At the same time, it is technically difficult to manage, with local needs and opportunities and complex organisation that are hard and sometimes inefficient to manage centrally.

    Striking the balance between delivering high-quality patient care and addressing the technical complexity of doing so is a continual challenge for governments. The solution chosen as part of the 2012 health and welfare reforms was to establish NHS England as an organisationally independent government body to provide technical and operational leadership for the NHS – leaving ministers insulated from those day-to-day issues and free to set an overall strategy.

    The government’s decision to abolish NHS England marks a change back to direct ministerial grip on the system. This may reflect high public concern about the NHS and pressure on its services, as well as a desire by the recently elected government to exercise more direct control over the health service.

    How does this compare to other health systems?

    The NHS has long been an unusually centralised system. Although the English NHS covers more than 55 million people, it has historically been run by central government, which this change reinforces.

    In contrast, although Spain has a similar NHS-style system, the Spanish health system is run by the 17 regional governments through their departments of health, with the largest covering 8.6 million people.

    Europe’s other large national health system, in Italy, now also has a decentralised system. The national government sets the overall principles and benefits, but the actual services are under the control of regional governments.

    Italy also has a decentralised health system.
    Massimo Todaro/Shutterstock

    These decentralised systems strike a different balance between political control and operational management, by bringing them together at a more local level.

    If the UK government was to extend its aim of bringing the NHS into democratic control by taking a similar decentralisation approach to other NHS-style systems in Europe, what would this look like?

    The NHS already has 42 integrated care systems at the local level. These already work with upper-tier local authorities, such as county councils, and are mostly aligned with their boundaries, but are under the control of central government.

    Other countries already decentralise their health systems to similar levels. In Sweden, for example, the 21 counties are responsible for financing, purchasing and providing their health services, under the democratic control of the county councillors. While there might be questions about the capacity of local government in England to take on such a role, experience from elsewhere shows that it should be possible.

    Compared with those decentralised systems, the abolition of NHS England is a relatively minor change. It puts ministers more directly in charge of the English NHS, but does not change the basic structure of the service nor its control by central government.

    Examples from other countries suggest that if the ambition is to bring the health service more into democratic control, there are options for much more profound change. This would strike a whole new balance between political control and local management.

    Tom Ling is a member of the Labour party.

    Hampton Toole and Nick Fahy do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

    – ref. Keir Starmer promises more ‘democratic control’ of the NHS – how do other European countries do it? – https://theconversation.com/keir-starmer-promises-more-democratic-control-of-the-nhs-how-do-other-european-countries-do-it-252313

    MIL OSI – Global Reports –

    March 15, 2025
  • MIL-OSI Global: Abolishing NHS England could shift power from the centre – but health service overhauls rarely go well

    Source: The Conversation – UK – By Judith Smith, Professor of Health Policy and Management, University of Birmingham

    The UK prime minister, Keir Starmer, has announced plans to abolish NHS England, the organisation that oversees and manages the NHS in England, employing 19,000 people.

    He declared he was bringing the NHS back under “democratic control” and cutting unnecessary bureaucracy by moving oversight of the NHS back into the Department of Health and Social Care (DHSC). This will reverse plans put in place by the Conservative-led coalition government in 2013 when it tried to “take the politics out of the NHS” by having NHS England as an independent body.

    The NHS is the largest public sector organisation in England, seeing 1.7 million people each day including in patients’ own homes, local GP surgeries, pharmacies and hospitals. It employs 1.7 million people, is funded largely out of general taxation, and has an annual budget of about £190 billion.

    The NHS is, however, one of the most centrally organised health systems in the world. This contrasts with many European and other countries where there is typically a national ministry of health to set strategy, with the detail of how this is implemented being left to regional and local councils, health authorities and hospitals.

    Some analysts have suggested that the NHS has become even more centrally managed in recent years, but the truth is it has always been held very close by its political masters.

    On the face of it, there are advantages to abolishing NHS England, allowing DHSC to focus on clarifying politicians’ priorities for how and on what NHS funding will be spent. These will include reducing waiting lists for operations, making it easier to get an appointment with a GP, and ensuring that emergency departments can deal quickly with patients without resorting to “corridor care”.

    In turn, local NHS organisations such as integrated care boards (who among other things organise GP, dental, pharmacy and optometry services) and NHS trusts (who run hospitals, community, mental health and ambulance services) can concentrate on making sure these policy priorities are put into practice in ways that work best for local communities.

    NHS England has a range of other important roles that will need to be reallocated, whether to an expanded DHSC or elsewhere. These include planning the training of healthcare staff, organising vaccination and screening programmes, purchasing medicines, and collating huge amounts of data about NHS activity and performance.

    The government has also announced plans to halve staffing in the 42 local integrated care boards, so any move of former NHS England roles to this level will probably only happen if these local boards merge, which now seems likely.

    The government appears therefore to have signalled another NHS management “redisorganisation” – something the NHS has suffered on a periodic basis, a consequence of its highly centralised and political nature. Research evidence is clear that management reorganisations struggle to achieve their objectives, causing instead significant distraction away from work to improve services for patients.

    In his major review of the NHS for the new Labour government in September 2024, Lord Ara Darzi – a former Labour health minister – highlighted the urgent need for more skilled and effective managers to support NHS staff in restoring and improving the service after years of economic austerity and the challenges of the pandemic. This seems to run counter to recent announcements about “cutting bureaucracy”.

    With careful planning, there is, however, potential for the abolition of NHS England to lead to a slimmer DHSC (more akin to some of its European counterparts) with a smaller number of well-resourced and managed integrated care boards who could effectively steer, support and monitor local NHS trusts and primary care services.

    In 2002, Alan Milburn, then secretary of state for health in Tony Blair’s government, issued a white paper called Shifting the Balance of Power Within the NHS. Milburn is now a leading figure in the Starmer government’s health team, so it is perhaps not surprising that we have these new plans to slim the policy centre, shift power and decision-making more locally, and enable stronger accountability to politicians and the public.

    What is likely to happen?

    What will matter as much as what is done is how these changes are made. The government has Lord Darzi’s clear and comprehensive diagnosis of the NHS’s problems. It now needs to prioritise what should be done first and what can wait, and has made a good start on this with its recent planning guidance to the NHS.

    What will be much more difficult will be to decide exactly how to reduce and then abolish NHS England – doing this in a way that ensures important roles are moved smoothly to DHSC, integrated care boards and NHS trusts.

    History is not encouraging. There is a big risk that NHS managers will find themselves focusing too much attention on handling a major reorganisation when they (and patients) would rather they concentrate on improving services.

    The government clearly wants to hold on to setting policy direction for the NHS while letting go of the detail of implementation to local level. But ultimately, it will be held to account by a population impatient for improvements to NHS services.

    Judith Smith receives funding from the National Institute for Health and Care Research for research and evaluation of health services. She has been funded by the Health Foundation to provide expert primary care policy advice. Judith is Trustee and Chair of Health Services Research UK and Director of Health Services Research with Birmingham Health Partners. She is a Senior Associate of the Nuffield Trust.

    – ref. Abolishing NHS England could shift power from the centre – but health service overhauls rarely go well – https://theconversation.com/abolishing-nhs-england-could-shift-power-from-the-centre-but-health-service-overhauls-rarely-go-well-252240

    MIL OSI – Global Reports –

    March 15, 2025
  • MIL-OSI Global: Waiting lists, crumbling buildings, staff burnout: five years on, COVID is still hurting the financial health of the NHS

    Source: The Conversation – UK – By Catia Nicodemo, Professor of Health Economics, Brunel University of London

    The NHS was hit hard by COVID. And no amount of appreciative clapping or painted rainbows could distract from the vulnerabilities which were exposed by the pandemic – or the challenges it created.

    Some of those challenges – like the staggering backlog in patient care, or the huge mental and physical toll experienced by staff – will take years to overcome.

    And anyone compelled to attend a hospital in the UK at the moment can see the evidence at first hand. Wards are very busy and staff are overstretched.

    This is part of the legacy of a fast-spreading virus which killed 232,112 people in the UK and left an estimated 2 million suffering from the effects of long-COVID. It demanded urgent action from hospitals and health workers and brought immediate and widespread disruption to routine care, with appointments for elective surgery, cancer screenings and chronic disease management all delayed.

    One 2024 study I worked on analysed appointment cancellations for cancer patients during the pandemic, and found that they waited an average of 19 days longer than before for rescheduled appointments. (Mortality rates remained stable though, indicating that the NHS effectively prioritised the most urgent cases.)

    This kind of disruption has left the healthcare system facing a monumental backlog, with treatment waiting lists soaring to record levels. According to the British Medical Association, there are over 7.5 million people now on waiting lists (compared to 4.5 million before the pandemic) – and those waiting times are longer.

    Cutting this waiting list is apparently one of the prime ministers’s priorities. But there is no easy fix.

    The basic infrastructure of the NHS – the buildings, IT equipment, offices – is creaking, with outdated facilities, insufficient beds and a lack of specialised equipment. And one study suggests that capital funding – investment in assets that will be used for more than a year – for NHS trusts in England is down by 21% over the past five years.

    This is primarily because the Department of Health and Social Care has been diverting long-term investment funds to cover day-to-day operational costs such as staff salaries and medicines.

    Since 2019, £500 million of capital investment has been cancelled or postponed. And while overall NHS budgets have been growing, the increased spending has often been absorbed by inflation, rising demand and the need to address immediate pressures. This leaves little for infrastructure upgrades, new equipment or technological advancements.

    The Health Foundation has warned that the lack of a long-term capital funding strategy could further jeopardise patient care in the future. Many NHS facilities no longer meet the needs of a modern health service, with some hospitals requiring complete refurbishment or replacement rather than just repairs.

    And of course, treating patients is not just about equipment and buildings. Nurses and doctors are under extreme pressure, facing unprecedented levels of stress, burnout and trauma. A recent survey revealed that one in three NHS doctors are experiencing extreme tiredness, impairing their ability to treat patients effectively.

    NHS key workers wave from inside Chelsea and Westminster Hospital, May 2020.
    Guy William/Shutterstock

    A similar number said their ability to practice medicine may have been negatively affected by fatigue, with some even reporting cases of patient harm or a near-miss incident.

    Stressed NHS

    And although the NHS workforce has actually grown over the past five years, it has not been sufficient to reduce waiting lists, deal with growing demand, or improve staff morale. Anxiety, stress and depression accounted for for over 624,300 working days lost in one month last year.

    Without a healthy and motivated workforce, the NHS’s recovery efforts will remain severely hampered. Other contributing factors include increased demand for healthcare services, partly due to an ageing population and the growing prevalence of chronic conditions.

    To address these challenges, the NHS needs a modernised approach to patient care. Research suggests that technology including telemedicine (online consultations) and AI-driven diagnostics, could streamline services and reduce waiting times.

    Other possible steps include the expansion of community diagnostic centres, to ease access to tests, and screenings, to improve efficiency.

    Overall, the pandemic has underscored the critical importance of a robust and resilient healthcare system. As the NHS navigates its own path to recovery, it must prioritise both immediate solutions to the backlog crisis and long-term strategies. This will require significant investment, but also a commitment to innovation and the wellbeing of healthcare workers.

    The road ahead for the NHS will be tricky, but with the right measures in place, it could emerge stronger and more resilient than ever. The lessons learned from COVID should serve as a catalyst for transformative change, ensuring that the UK’s healthcare system is better prepared to face whatever the future may hold.

    Catia Nicodemo does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

    – ref. Waiting lists, crumbling buildings, staff burnout: five years on, COVID is still hurting the financial health of the NHS – https://theconversation.com/waiting-lists-crumbling-buildings-staff-burnout-five-years-on-covid-is-still-hurting-the-financial-health-of-the-nhs-251637

    MIL OSI – Global Reports –

    March 15, 2025
  • MIL-OSI Video: War in Sudan – Security Council Media Stakeout | United Nations

    Source: United Nations (Video News)

    Comments to the media by Christopher Lockyear, secretary general of Doctors Without Borders/Médecins Sans Frontières (MSF) on the situation in Sudan and South Sudan.

    https://www.youtube.com/watch?v=zpFRqkTQZNw

    MIL OSI Video –

    March 15, 2025
  • MIL-OSI USA: Attorney General Bonta Announces $1.3 Million Settlement Against Companies Over Sham Health Insurance Plans

    Source: US State of California

    Friday, March 14, 2025

    Contact: (916) 210-6000, agpressoffice@doj.ca.gov

    Settlement also prohibits companies from selling or operating any health plans in California

    OAKLAND — California Attorney General Rob Bonta today announced a $1.3 million settlement with Sedera, Inc. (Sedera) and Sedera Medical Cost Sharing Community, LLC (SMC) to resolve allegations that they violated California law by advertising and selling sham health insurance plans to over two thousand Californians. In addition, the settlement resolves allegations that Sedera and SMC falsely advertised their sham plans as both novel “non-insurance” medical cost sharing products and as health care sharing ministry (HCSM) plans. An investigation by the California Department of Justice found that because, among other things, Sedera and SMC collected mandatory monthly payments in exchange for the payment of medical services, Sedera and SMC operated health plans. Health plans are required to comply with a myriad of important state consumer protection laws and regulations. Those laws and regulations require that, among other things, health plans provide coverage for all essential health benefits, including preventative care. The products offered by Sedera and SMC did not.  

    “Sedera and SMC were able to sell their sham health insurance plans at lower costs precisely because those plans were a sham and failed to comply with state law. For example, they did not offer Californians the essential health benefits they were entitled to,” said Attorney General Bonta. “Today’s settlement includes not only strong injunctive terms that prohibit Sedera and SMC from marketing, selling, or operating any plans in California, but also consumer restitution and payment for civil penalties. We welcome businesses in our state, but we will not allow them to prey on our people. Lastly, to my fellow Californians: please do your research and first consider applying for affordable, reliable coverage through Covered California.”

    SMC, a corporation that falsely purported to be a non-profit, created, operated, and sold unauthorized health plans through its for-profit administrative vendor, Sedera. As part of today’s settlement, Sedera and SMC: 

    • Will be prohibited from selling, marketing, and operating any health plans in California.
    • Will be prohibited from moving its California members to another plan or directing them to any other cost sharing entities. 
    • Must delete their California customer lists and provide members with notice of their plan termination. 
    • Must pay $1.3 million. Of that total, $800,000 will be for consumer restitution (two payments over six months) and $560,000 will be for civil penalties.

    In April 2021, after receiving multiple complaints from consumers alleging that their HCSM plans refused to cover treatments and pay their medical bills, Attorney General Bonta issued a consumer alert, warning Californians about illegitimate HCSMs. In January 2022, he filed a lawsuit against The Aliera Companies for purporting to be a HCSM. Further, in March 2023, Attorney General Bonta announced a $2.1 million settlement against Alliance for Shared Health to resolve allegations that they offered and deceptively advertised sham health insurance.

    A copy of the complaint can be found here. A copy of the stipulated judgment, which is subject to court approval, can be found here.

    # # #

    MIL OSI USA News –

    March 15, 2025
  • MIL-OSI USA: Cantwell to Dr. Oz: “Are You Going to Cut Medicaid?”

    US Senate News:

    Source: United States Senator for Washington Maria Cantwell
    03.14.25
    Cantwell to Dr. Oz: “Are You Going to Cut Medicaid?”
    Dr. Mehmet Oz nominated by Trump to serve in key post overseeing Medicare and Medicaid spending; GOP spending bill would necessitate slashing Medicaid; Cantwell snapshot report shows rural central and eastern WA health care would be devastated by Medicaid cuts
    WASHINGTON, D.C. – Today, U.S. Senator Maria Cantwell (D-WA), senior member of the Senate Finance Committee and ranking member of the Senate Committee on Commerce, Science, and Transportation, pressed Dr. Mehmet Oz – Trump’s nominee for Administrator of the Centers for Medicare and Medicaid Services – on how he plans to defend Medicaid as Republicans in Congress move to cut billions of dollars from the program.
    During Dr. Oz’s Finance Committee confirmation hearing, Sen. Cantwell asked him: “Do you believe in the Medicaid expansion that was done under the Affordable Care Act?”
    Dr. Oz: “For some states, it made sense. For some it didn’t. I think that’s a good example of how states should pick a path to take care of their most vulnerable. But they have to have a plan.”
    Sen. Cantwell: “Well, wait, but the states that didn’t don’t have a plan. What plan did they have?”
    Dr. Oz: “As we discussed in your office, with the Affordable Care Act, they have an opportunity to expand Medicaid, or they could use other tactics. As you know, 10 states haven’t expanded—”
    Sen. Cantwell: “I know, but you’re saying that’s okay?”
    Dr. Oz: “As long as they have a plan to address their challenges of dealing with the underserved populations.”
    Sen. Cantwell: “What plan?”
    Sen. Cantwell concluded her questioning by calling Dr. Oz out for not saying which elements of Medicaid and the Affordable Care Act he plans to defend from cuts under a Trump administration. She reminded him that in 2009, he told the Seattle Times: “It should be mandatory that everybody in America have health-care coverage. If you can’t afford it, we have to give it to you.”
    “Look — you’re coming with the ability to be an advocate here. So we want to know what you’re going to be an advocate for. And all my colleagues are going to want to know, are you going to cut Medicaid?” Sen. Cantwell asked. “We don’t believe in cutting Medicaid.”
    “The number of people in my state who are getting maternal care from this is exorbitant. The number of kids getting care from this is high — 47% of kids in my state receive insurance from Medicaid. And we have population centers of our entire state that are well above 50% Medicaid, Medicare populations,” she continued. “If you don’t like some aspects of the Affordable Care Act, you should say which ones you don’t like.”
    Last month, Sen. Cantwell released a snapshot report highlighting the impact that slashing Medicaid to fund tax cuts for corporations and the ultra-wealthy would have on Washington state’s health care system — especially in Central and Eastern Washington.
    READ MORE:
    The Spokesman Review: Medicaid could be on chopping block after Northwest Republicans help pass House budget measure
    The Tri-City Herald: Newhouse backs House GOP budget plan that could lead to cuts for Tri-Cities Medicaid users
    The Seattle Times: Cuts to Medicaid would hurt WA’s children, poor
    Medicaid is the federal program that insures many low-income adults and children, pregnant people, seniors, and people with disabilities. Washington state’s Medicaid program, Apple Health, ensures that eligible Washingtonians can afford to seek health care and see providers when they need to. The program also ensures that hospitals — which are required to treat everyone, regardless of their ability to pay — receive reimbursements for the significant number of low-income people they serve. Over 1.9 million Washingtonians are enrolled in Apple Health.
    Late last month, the House of Representatives passed a funding bill that would necessitate $880 billion in cuts from the House Energy and Commerce Committee, which has jurisdiction over Medicaid. Supporters of the bill claim that the text includes no mention of Medicaid — however, the extent of the cuts required by the legislation would mean that the committee has essentially no other options other than to hack away at Medicaid.
    Moreover, this week – after President Trump told Congress that Elon Musk is leading his efforts to cut the government – Musk said the vital Social Security, Medicare, and Medicaid programs are “the big one to eliminate.”
    Video of Sen. Cantwell’s exchange with Dr. Oz is available HERE, audio HERE, and a full transcript is HERE.

    MIL OSI USA News –

    March 15, 2025
  • MIL-OSI USA: Notes from the Field: What’s on a sparrow’s dinner menu?

    Source: US Geological Survey

    “Notes From the Field” news articles highlight the continued importance of bird banding. This article was contributed by Tabitha Olsen who is currently working on her PhD dissertation examining the diet of sparrows wintering in the post-oak ecoregion of Texas. 

    Today, banding allows scientists to investigate bird behavior, migration, lifespans, populations, diseases and levels of environmental contaminants. Information gathered through the North American Bird Banding Program helps inform management and conservation decisions for game and non-game species, such as protecting or restoring habitat, setting hunting regulations and determining plans for human-led development. The North American Bird Banding Program depends on a network of over 10,000 permitted bird banders working in the United States, Canada and Trust Territories. Each year these banders help us add up to 1.2 million new banding records to our century-long dataset.

    A bander gently scrapes a sparrow fecal sample into a microcentrifuge tube for storage. Photo courtesy of Gautam Apte.
    What is your bird banding/marking project? 

    As part of a larger PhD dissertation, we are examining the diet of sparrows wintering in the post-oak ecoregion of Texas. This study will take place during the winter season of November 2024-March 2025 and November 2025-March 2026. We use mist-nets to capture sparrows to collect morphometric data and a fecal sample to assess diet. To obtain the fecal sample, the birds are placed in paper bags, with a sterile platform for them to stand on. Once the birds are banded, measured, and a sample is collected, they are released. 

    How/why was this project started? What question(s) are you trying to answer through your research?  

    During the winter in Texas, the distribution of migratory sparrows such as White-throated Sparrows (Zonotichia albicollis), Field Sparrows (Spizella pusilla), and Melospiza sparrows (Lincoln’s Sparrow [M. lincolnii], Swamp Sparrow [M. georgiana], Song Sparrow [M. melodia]), overlap. These species often utilize many of the same habitats during the winter and inadvertently interact. Since these sparrows are similar in how they forage and what they consume, we wondered how they minimized competitive interactions. By examining diet, we aim to quantify the dietary breadth of each wintering sparrow species, as well as determine the level of dietary overlap or partitioning that occurs between interacting sparrows. We can extract DNA from fecal samples and obtain a detailed look of what individuals are consuming. We predict that sparrows will display high overlap at broad taxonomic levels (e.g., the consumption of seeds, plants, and invertebrates), but display some partitioning in the specific species of organisms being consumed or even in the proportions consumed. Additionally, we are using physical measurements of individuals (e.g., bill depth, tarsus, wing chord, etc.) to determine whether any divergence in diet is reflected in physical differences.

    White-throated Sparrow being held prior to morphometric data being collected. Photo courtesy of Pourya Sardari. 
    How does banding/marking help you answer your research questions and achieve objectives? 

    Each sparrow we capture and sample is banded with a metal USGS band, which allows us to make individual-level assessments of diet and morphology. Individual-level comprehensive diet analyses are traditionally difficult to conduct without lethally harvesting individuals. However, by banding and collecting fecal samples, we are able to non-invasively sample birds and still achieve fine taxonomic resolution of samples. Additionally, since each bird is individually marked, we are able to re-capture and re-sample individuals to obtain data at multiple time-points to monitor changes in diet. 

    What have you found so far? Any surprises? Major accomplishments?   

    While our first field season is still ongoing, we have banded and collected fecal samples from over 120 sparrows, including White-throated, White-crowned (Zonotrichia leucophrys), Lincoln’s, Song, Swamp, Vesper (Pooecetes gramineus), Chipping (Spizella passerina), and Savannah Sparrows (Passerculus sandwichensis). Additionally, we’ve collected fecal samples from an Eastern Towhee x Spotted Towhee hybrid (Pipilo erythrophthalmus x P. maculatus), a hybrid that is suspected to be common in our region of Texas but is generally under-recorded. This project is extremely early in its development and is currently in the sample collection phase. However, we are excited to begin the next phase of DNA extraction in the coming months.

    What are the next short- and long-term steps for your research project? What questions remain or what new questions have been raised by what you have found so far?  

    As we proceed through our field season, we are interested in examining specialization of individual birds as well as species. Our data are unique, as banding allows us to identify individuals, so we can quantify the variability of diet within each population as well as over time through recapture samples. We hope to further expand this idea in our examination of White-throated and White-crowned Sparrows, both of which are generally understood to be generalist foragers, how variation in diet measured among individuals influences the diversity in diet measured within populations or species.

    White-throated Sparrow being evaluated for molt limits. Bander is gently opening the wing to examine the wear on the primary coverts. Photo courtesy of Pourya Sardari. 
    Why is your study species particularly interesting?  

    Sparrows (or ‘little brown birds’ as some refer to them) are often overlooked by bird watchers and the public due to their tendency to be present everywhere, having song and call similarities, and their brown, drab appearance. However, sparrows are hidden gems that allow us to formulate seemingly simple questions such as “What do they eat?” into complex answers regarding competition, niche establishment, and community interactions. These migratory, ‘little brown birds’ are often the first faces of winter for our region of Texas. With a deeper understanding of winter diet dynamics, they may become faces of conservation for the post-oak savanna and its associated flora and fauna. 

    Who is involved in your project (individuals, university, partners, collaborators)? 

    This project is a chapter of a larger PhD dissertation and is affiliated with Texas A&M University. Specific individuals involved with the project include:

    • Tabitha Olsen (PhD student who designed the project for her dissertation)
    • Dr. Christopher Butler (Lab PI)
    • Inland Bird Banding Association (Funding)
    • Schubot Center for Avian Health (Funding)
    Opening mist-nets as dawn approaches. Early start to make sure the site is in working order before the birds wake up and begin to move. Photo courtesy of Pourya Sardari. 
    How long have you been working in biology? How long have you been banding or marking birds?  How has bird banding/marking changed over the course of your career or during this project? 

    I have been banding birds since 2018 when I was an undergraduate student in the Department of Forestry and Natural Resources at Purdue University. During that period, I co-led the University’s Northern Saw-whet Owl (Aegolius acadicus) Banding Station where we focused on undergraduate skill-building, community engagement, and individual project development. Since then, I have been working in the avian ecology field for my entire career, including my Master’s and now my PhD. Banding birds has been a consistent part of my career, whether it be owls, rails, or passerines. 

    Why do you think projects like yours are so important?  

    Everyone needs to eat something, but organisms cannot typically eat everything that is within their environment. Improving our understanding of how organisms utilize the world around them helps us to better connect habitat use to the species of interest. Diet is a fundamental part of an organism’s life and ecology and, until recently, a fine-scale assessment of how and what individuals consume has been difficult to obtain. Studies like this are an example of how new tools can be used to ask age-old questions: What’s for dinner?

    Where can I get more information about your project (project website, publications etc.)?  

    You can receive more information and updates regarding this project at Tabitha Olsen’s ResearchGate or her OrcID. Publications will be added to these sites as they are released.

    Is there anything else you think is important to mention about your project/research?  

    We are grateful for the support of the Inland Bird Banding Association and the Schubot Center for Avian Health for providing funding for this work.


    Any use of trade, firm, or product names is for descriptive purposes only and does not imply endorsement by the U.S. Government.  

    All banding, marking, and sampling is being conducted under a federally authorized Bird Banding Permit issued by the USGS BBL.  

    The “Notes From the Field” series highlights current banding projects and the continued importance of bird banding and the Bird Banding Lab. Want to see your project featured in a future “Notes From the Field” article? Email Kyra Harvey kharvey@usgs.gov for submission details.

    MIL OSI USA News –

    March 15, 2025
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