News story: Headley Court team leading ground breaking hip pain research

The Military Hip Rehabilitation Outcome (MILO) study is funded with a grant from Arthritis Research UK and brings together university academics, industry partners and MOD collaborators to investigate issues surrounding the risk factors and treatment of hip pain in the armed forces.

Little is currently known about the causes of hip pain in military personnel and the evidence supporting popular treatment options is inconclusive. The MILO research programme consists of 2 separate studies.

Study 1 will compare the effects of a residential rehabilitation programme with conventional out patient care and

Study 2 will examine the occupational risk-factors for hip pain in UK military personnel.

Commenting on the importance of this programme the Director of Defence Rehabilitation, Col John Etherington said:

Musculoskeletal injuries (MSKI) are a major problem affecting the health and operational readiness of our personnel. We know that approximately 19% of the trained UK armed forces on strength currently have a diagnosed MSKI with army personnel the most likely to be medically downgraded.

Along with several other programmes, this research is essential to ensure our people receive the right treatment for their hip pain at the right time. Crucially, the results will also allow us to exploit initiatives that could prevent the development of the condition in currently serving and future generations of military personnel.

Gp Capt Alex Bennett the Head of Research at Headley Court who leads the study group explained how determining the causes and optimal treatment for hip pain has important implications for young physically active military personnel:

The first step to delaying or preventing the development of hip pain is to determine the causes. The MILO study will look at the role of occupational physical activity as a potential cause of hip pain and may open the door to preventing hip damage.

We are also conducting the first study evaluating in-patient versus out-patient treatment options in young active adults with hip pain. The results will provide evidence to inform clinical practice and ensure military personnel receive the most effective available treatment. This vital research will greatly improve our understanding of hip pain in the UK military context

A dedicated MILO study clinic has been established at Defence Medical Rehabilitation Centre (DMRC) Headley Court. Anyone with questions about the research programme should email Mr Russ Coppack at dmrc-clinicalresearchmanager@mod.uk or phone 01372 947 103.




Grammar schools will do nothing to help the overwhelming majority of working families across the country – Angela Rayner

Angela
Rayner MP, Labour’s Shadow Education Secretary
, commenting on Justine Greening’s
plan for a ‘new generation’ of grammar schools, said:

“The
facts are clear, grammar schools will do nothing to help the overwhelming
majority of working families across the country. 

"The
Government’s attempt to fiddle the figures to support their discredited and
divisive policy does not change the basic reality that for the overwhelming
majority, academic selection is a barrier to social mobility, and the
Government’s plans to return to the days of secondary moderns will only make
this worse.

"While
the Government only look to improve the educations of a privileged few, Labour
will improve outcomes for all by delivering free school meals to every primary
school pupil in England." 




SNP response to EU 50 letter

Below is the letter sent on behalf of the SNP Group in the Scottish Parliament in response to 50 European politicians who expressed support for Scotland’s place in Europe. You can read the original letter here.




School defect revelations ‘deeply worrying’

13 Apr 2017

Liz Smith (2)

A BBC investigation that has found that at least 71 schools in Scotland were found to have defects similar to those found in Edinburgh has been descried as ‘deeply worrying’ by the Scottish Conservatives.

17 schools in Edinburgh were shut after a wall collapsed at Oxgangs Primary School last year, and since then 15 local authorities have carried out work to deal with similar defects.

However, eleven local authority areas admitted that they had not done intrusive surveys that the report into the Edinburgh schools said was necessary to uncover problems. Shadow education secretary Liz Smith described this as ‘totally unacceptable’ and called on the Scottish Government to do more to ensure that councils carry out their statutory obligations to check school buildings.

Scottish Conservative shadow education secretary Liz Smith MSP said:

“These revelations are deeply worrying for all parents who are about to send their children back to school after the Easter break and for all pupils and staff who work in our schools.

“The fact that 11 local authorities have not undertaken the detailed building surveys which were recommended in the Edinburgh schools report is totally unacceptable.

“It lays bare the fact that the Scottish Government has not done nearly enough to check that all local authorities are carrying out their statutory obligations to check school buildings.

“Nothing is more important than public safety so it is now imperative that all local authorities carry out these checks immediately.

“The Scottish Conservatives have long argued that there should be no scope to make short cuts on these statutory checks undertaken by local authorities and contractors, and that confirmation of the checks should be made available at the same time as a school is inspected by HMIe so that parents, staff and pupils can be confident that their school is wholly fit for purpose.”


For more information: http://www.bbc.co.uk/news/uk-scotland-scotland-politics-39580308




Labour will use £200 billion government purchasing power to upgrade our economy

Corbyn: We will use the £200bn government spends in
the private sector and powers taken back from Brussels to upgrade our economy
and create good jobs

Speaking at Wabtec train maintenance
company in Doncaster this afternoon, Jeremy Corbyn will pledge that the
next Labour government will use the enormous £200 billion national and local
government spends in the private sector to upgrade our economy, create good
local jobs and reduce inequality.

This will include requiring best practice from
firms government does business with on:

·                  
paying tax

·                  
workers’ rights

·                  
equal opportunities 

·                  
environmental protection

·                  
training and apprenticeships

·                  
paying suppliers on time, and

·                  
boardroom excess, by moving to a 20-1 limit on the
gap between the lowest and highest paid.

He will also announce how Labour would use powers
repatriated from Brussels after Brexit to create high quality local jobs,
develop new industries and support good domestic businesses – large and
small. This would mean allowing public bodies to support local jobs and
businesses with local employment and content requirements.

Jeremy Corbyn will also call on the government
to consider extending the rights of local authorities in left-behind areas to
require local suppliers and jobs in public contracts, in relation to World
Trade Organisation procurement rules, as has happened in the US.


Jeremy Corbyn, Leader of the Labour Party, speaking
at the event, will say:

“For years we’ve been told that there’s
nothing that can stop the race to the bottom in the jobs market that is making
people’s lives harder and holding back our economy. 

“Well, today I say, Britain doesn’t have to be so
meek, and settle for things getting worse and more insecure for so many. We can
make the change we need if we understand the power we already have – and
how we can better use it.

“National and local government spends £200 billion
per year in the private sector. That’s an incredible purchasing power, which we
can use to support the good companies and improve the behaviour of the bad ones
that undercut with unfair practices.

“Under the next Labour government, Britain will
subsidise bad corporate behaviour no longer. Our business partners should have
the same values we as a country hold: enterprise, fairness, high-quality
service and doing right by everyone.

“And while Brexit presents many challenges to
Britain, it can give us more powers to encourage best practices and support new
and existing businesses and industries in Britain. 

“While the Conservatives seem intent on using
Brexit to turn us into a low-wage tax haven, Labour will use every power
possible to upgrade our economy so we can all lead richer lives.”

Ends



Notes to editors:

1.  Require all companies bidding for a
government contract to meet the following:

a)      Give full trade union recognition
for their workforce and comply with collective bargaining agreements

b)      Move towards a ratio of 20-1
between the lowest and highest paid, matching the target in the public
sector, over a transitional period

c)      Pay their suppliers the full
amount owed within 30 days

d)      Maintain high environmental
standards in relation to energy use, emissions and waste disposal, while taking
appropriate measures to aid the transition to a low carbon economy

e)      Provide training and
apprenticeship opportunities proportionate to firm size

f)       Full tax compliance

g)      Adopt best practices in equal
opportunities

 

This is all
possible within existing EU rules, provided it’s done on a non-discriminatory
basis. In particular:

·        
The 2014 EU Directive expressly requires Member
States to take into account the widest possible range of social and
environmental considerations, as well as price, when buying goods and services
for the public sector.

·        
In UK law, the Public Services (Social Value) Act
2012 requires authorities that are engaging in certain procurement exercises
for services, to consider first how the proposed procurement might improve the
economic, social and environmental well-being of their area, and how these
improvements might be secured. The Act applies to England, and to Wales to a
limited extent.

2.       For government contracts that fall outside the WTO General Procurement Agreement
(GPA), we would introduce local jobs and content requirements to allow public
bodies to use local pounds on local jobs and businesses.

·        
Currently, both EU and the WTO General Procurement
Agreement (which the UK is a member of in virtue of being in the EU) require
that public procurement contracts above certain thresholds be opened up to
potential suppliers from other countries. These thresholds are £5,446,950
for construction contracts, £141,621 for central government contracts for goods
and services, and £217,878 for subcentral government contracts for goods and
services.

The thresholds for central government entities are
130,000 Special Drawing Rights (SDRs) for goods and services, and 5m SDR for
construction; UK central government bodies that are covered by the GPA are
listed here (at
the bottom of the document). The thresholds for sub-central government entities
are 200,000 SDR for goods and services, and 5m SDR for construction; these
include county council and city council procurement bodies, as well as local
schools, fire authorities, NHS procurement etc. Calculations above are made on
the basis of a 1SDR = £1.09 exchange rate.

·        
Below these thresholds, much procurement is opened
to suppliers in other EU member states because of principles that are part of
the Treaty on the Functioning of the European Union. Leaving the EU should
therefore create scope for additional flexibility for public authorities to
require the use of local or regional suppliers after Brexit below these
thresholds. That would allow procurement contracts
below GPA thresholds to contain local jobs and content requirements, directing
public money back into local economies.

“As regards
below-threshold procurement, the practical importance of covering this may
depend on the extent to which regional or local discrimination is prohibited
internally in the UK, since this kind of discrimination may provide the
greatest barrier to market access.”  Source: Sue Arrowsmith, Consequences
of Brexit in the area of the public procurement
,
April 2017

·        
In
2012 the UK had 96.8 billion of public procurement contracts
above threshold.  Of these contracts, €74.4 billion (or 77%) were
covered by the GPA and €22.4 billion (or 23%) were not.  Since 2012 there
the GPA has been revised and EU procurement directives have been updated. In
2015, the UK spent €127.56 billion on above threshold public procurement. 
This is roughly a third to a half of all procurement spending, implying that at
least half falls under thresholds.

These figures are
indicative figures only. They are provided by the House of Commons library with
the following notes:

·        
2012 figures are from WTO Committee on Government Procurement, STATISTICS
FOR 2012 REPORTED UNDER ARTICLE XIX:5 OF THE AGREEMENT: REPORT BY THE EUROPEAN
UNION
, June 2016 – UK annex (annex 29), Total
table

·        
2015 figure is from European Commission, Public
Procurement Indicators 2015
, December 2016 – this
figure is based on the value of tenders published in the EU TED (OJEU)
database, including for utilities and defence. Tenders must be published in the
database if they are over threshold.  The database – and therefore the
statistics – do include some tenders that are under the threshold – about 8% of
UK tenders are under the lowest of the thresholds.

·        
There are a couple of ways to calculate total public procurement
spend and these affect the calculation of the proportion of all spending that
is above threshold – figures from the Whole of Government Accounts give a lower
total (and a higher proportion) as they exclude public sector purchases from
the public sector itself.

 

3.       Labour
is calling on the Government to do an impact assessment of the level and extent
of coverage of the GPA on “left behind” local authorities

·        
The UK is currently subject to the GPA as a member
of the EU, but not in its own right – the government is apparently “considering
the UK’s position” as to whether it will seek to remain
a member after Brexit.

https://www.publications.parliament.uk/pa/cm201617/cmselect/cmintrade/817/81705.htm

·        
While the USA is signed up to the GPA, there is
significant variation in the level of coverage across different states. Only 37
of the 50 states are included in the GPA, and, among those that are, the GPA
has extensive coverage over public spending by the states of, for example,
Washington and California and much more limited coverage in Mississippi and
Hawaii.

https://www.wto.org/english/tratop_e/gproc_e/gp_app_agree_e.htm

·        
The USA and Canada also have higher thresholds for
sub-national contracts for goods and services than the UK currently does within
the EU.

355,000 SDR compared to 200,000
SDR for EU countries, see https://www.wto.org/english/tratop_e/gproc_e/thresh_e.htm

·        
Given the restrictions imposed by the GPA on local
authorities, Labour is calling for an impact assessment of different levels of
GPA coverage on local authorities in the UK and of the thresholds to which they
are currently signed up. 

 

In 2014/15, UK public sector procurement was worth
£191.7 billion. Of this, £68.9 billion was local government procurement and
£115.5 billion was central government (including NHS) procurement. Note that
these figures do not include public sector procurement from other parts of
the public sector.  Source: House of Commons Library.