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County Governor of Buskerud

Introduction

Theme and background Authority

About Nav Gol and Hemsedal and implementation of audit

County Department of discovery

Further follow-up of audit

Appendix Document Substrates

the County has the 2014 audited Gol Municipality v / Nav Gol and Hemsedal work with handling of applications for financial support. It will firstly say Nav Gol and Hemsedal effort to map the user’s situation and needs help, and secondly the work of assessment and granting of financial support.

Authority provided the basis for establishing one deviation:

In some situations curtailed benefits to cover the bare essentials for a longer period than regulations allow, and without documented evaluation of the individual user’s situation.

The report discusses both the realized variance and the parts of the service were examined without uncovered discrepancies or made comments.

Date: 24/04/2014

Gisle Skaaden
audit manager

Anne Cathrine Dahl
auditor

This document is electronically approved and transmitted without signature

Supervision is legality. The purpose of the audit is to enhance service and legal certainty for users. Governor is in the law of social services in Nav § 9 given the authority to oversee social service in the employment and welfare administration.

This report was prepared by system audit of Gol Municipality v / Nav Gol and Hemsedal Municipality during the period from 14 January to 6 March 2014. System audit consisted of a review of documents and case files and interviews with employees and managers. The purpose of the system audit is to assess whether services are reasonable and in accordance with legal requirements, and if the municipality operates its own adequate planning and control of the services they provide. The local authority has a statutory duty to engage in such internal controls. ^[1]

During the audit, we examined whether it is compiled routines in the areas audit included. We also checked whether these are available and known to the employees. Next, we assessed whether procedures are in accordance with the regulations. We controlled what is practiced, whether this is in accordance with internal procedures, and whether practices are well enough documented in the material presented.

 

Theme and background Authority

Theme for the audit was handling applications for financial support under the Social Services Act in Nav. It will firstly say Nav Gol and Hemsedal effort to map the user’s situation and needs help, and secondly the work of assessment and granting of financial support.

Financial support is one of five services by law Social Services in Nav. The report is not an overall assessment of the social services at Nav Gol and Hemsedal. The report also only based on what was the office’s practice at the time of completion of the audit.

the County adds at the start of plans for the Nav office shall be supervised and what should be the theme. For some of the system audits is the theme adopted by the State Board of Health, as part of the nationwide audit. In 2013 and 2014 the award and performance of the qualification program nationwide theme for the supervision of the municipal services in Nav.

the County shall also determine the topic of supervision based on knowledge of the services in their own county, and reviews of how it risk of failure in service. Supervision of Nav Gol and Hemsedal was decided in particular for two reasons. Firstly Nav Gol and Hemsedal were merged into one office from 1 January 2013. Secondly, that the County in 2013 experienced a marked increase in received complaints from both municipalities, and that the proportion of converted and canceled the decision of the appeal proceedings were over average for the county.

the County supervised the Nav Gol in 2010 and Nav Hemsedal in 2012. Results from these audits were respectively a note and one deviation. The deviation at Nav Hemsedal were corrected, and the audit completed in autumn 2012. Reports are available on www.helsetilsynet.no.

Gol Municipality and Hemsedal municipality is located north of Hallingdal, with respectively about 4600 and 2200 residents . From 1 January 2013 the municipalities entered into collaboration on joint Nav office. Gol Municipality is host by the Local Government Act, Chapter 5 A.

Nav Gol and Hemsedal is headquartered in Gol, but some of the staff are also present at the town hall in Hemsedal few days a week, and it is possible to make conversation with the supervisor also there. Bear Lac Seth was the former head of Nav Gol, and is now head of Nav Gol and Hemsedal. He reports to the chief administrative officer of Gol Municipality of municipal services and the county director of Nav Buskerud about government services. Team leader for the reception with special focus on audience reception, the law on social services in Nav, refugee services and monitoring of jobseekers with standard and specific efforts. Personal responsibility lies with the Nav-chairman, who is responsible is the municipal services in both Gol Municipality and Hemsedal Municipality.

In addition to being locally Nav office for Gol and Hemsedal, the office is also a resource unit perform state functions for Nav in Hallingdal.

Six coaches have financial support as one of its tasks, including team leader for about half position. Some more employees have duties that include managing inquiries from the public concerning financial support. Received applications and inquiries added directly to the supervisor, considering how the matter should be followed up on.

Simply by Nav Gol and Hemsedal is a weekly technical meetings where individual cases are discussed. Here attends all supervisors working with social services, as well as team leader reception. Are to be kept. Supervisors have delegated decision-making authority. The office routine manual states that the team leader will conduct random checks, and copies of all decisions together in one binder. Team Leader participates in weekly management meetings in the office.

Statistics (KOSTRA figures) shows that Gol Municipality in 2012 had 148 people who received financial support, that is, 3.2 percent of the population. Of these, 66 persons received benefits for more than six months, and 42.6 percent had financial support as the main. Mean length of benefit was 5.7 months. Hemsedal Municipality had in 2012 37 people who received financial support, of which 14 people long-term recipients, and the proportion of financial support as the main income was 75.7 percent. Under supervision visit, it was stated that the office estimated approached by 2-4 new users of the social services every month.

the County audit notice sent on 8 January 2014. Summary of business documents has been submitted in advance of the supervision visit is given in the appendix to this report. The opening meeting was held on 5 March 2014. Seven people were interviewed, among them chairman and team leader. Overview of documentation were reviewed during supervision visit is given in the appendix. The final meeting was held on 6 March 2014, audit manager had telephone conversation with Chief Administrative Officer Hege Dark Gol Municipality same day. From the County participated Deputy Anne Cathrine Dahl and senior advisors Lena K. Hjelle and Gisle Skaaden, with the latter as an audit manager. Adviser Dag Kjetil Strandbo participated as an observer.

 

County Department of discovery

the County examined both Nav Gol and Hemsedal effort to map the user’s situation and needs help, and the work of assessment and granting of financial support.

In considering mapping work labeled the County that it is not in use survey form, checklist or other written aid as a tool of tracking the user’s situation. County Governor also noted that the quality of notes taken after discussions with users was variable.

Nevertheless County Department conclusion that Nav Gol and Hemsedal effort to map users’ circumstances and needs, in line with statutory requirements. The workforce is stable and follows their users over time. The impression from the interviews was that the staff have a good knowledge of their users and their situation. This impression was confirmed by review of case files. Many decisions about the allocation of the benefit in itself shows that the user’s and the family’s situation is well known for Nav Gol and Hemsedal and the processing time is usually so short that the specific needs of the case concerns, are addressed.

County Department concluded therefore that Nav Gol and Hemsedal effort to map users’ circumstances and needs, in line with statutory requirements.

the County assessed the Agency’s work with allocation of financial support under the Social Services Act § 18 and transfers in special cases under § 19

Like everything mentioned, experienced the County in 2013, a marked increase in received complaints from Nav Gol and Hemsedal and proportion of changed and canceled the decision was above the average for Buskerud. Upon review of the submitted resolutions supervise the visit, the County formed in a different impression than what was possible to read out the complaint statistics for 2013 alone. Among these 379 submitted resolutions were few cases where the decision alone indicate improper understanding of the law. County Department review showed that the office has the correct understanding of the costs of living man, as a starting point, you assume covered by current subsistence allowance and the expenses that must be evaluated and awarded separately.

document review and interviews during inspections showed that taking account of the expenses necessary to ensure social participation of children. Both Gol and Hemsedal is typical ski resorts, where children in low-income families may fall outside of fellowship with peers, as some activities are costly. County Governor noted that Nav Gol and Hemsedal cover expenses for these and other activities, where necessary. Individual attention is taken.

weekly technical meetings is the venue for discussion of individual cases and general issues that arise based on these. The printed abstracts in which the conclusion about the outcome of the discussion going forward. Team leader is with all these meetings, and then have the opportunity to follow the technical discussions in the office. Technical meetings are not an appropriate venue for the quality of work done with the decisions, because supervisors are delegated decision-making authority, and thus do not need immediate superior recognition of individual decisions. But as copies of all resolutions put in a binder, the team leader able to follow the decisions.

County Department concluded therefore that the office’s practice of granting of financial support was essentially in line with statutory requirements.

We still did some observations of illegal practices:

1. grant restricted in some situations to the most appropriate (“emergency”) for periods of up to 14-16 days. It happens both in normal and emergency applications in response to breaches of conditions.

 
2. granted in these cases, benefits for children 50 NOK. day for all children between 0 and 18, with no differentiation because of the child’s age or specific assessment of the child’s needs during the period the decision applies.

 

3. Where such benefits are enforced in response to breaches of conditions, it is not documented in the decision or otherwise being made an assessment of the consequences of the reaction before it is implemented.

Total seen this constituted the County’s evaluation practices that involve deviation from the statutory requirements for service. The County formulated discrepancy as follows:

In some situations curtailed benefits to cover the bare essentials for longer periods than regulations allow, and without documented evaluation of the individual user’s situation.

This is the deviation from the law on social services Nav § § 18 and 20

Comment

That benefit may be limited to the bare essentials, the first mainly on the grounds that in some cases it is important that the matter be dealt with quickly than that done the same mapping and proceedings otherwise. Nav Gol and Hemsedal operates, like other Nav offices, with dagsatser for such cases. The rates are £ 100 per. day for couples / partners, kr75 date. day for singles and kr50 date. day for children. Under current guidelines ^[2]

will benefit the most appropriate, in practice only referred to as “emergencies” only be prudent in “some few days “. A period of 14 days can not be characterized as a few days and practice at this point in violation of the law.

People between 0 and 18 are children, but have very different needs. A baby needs diapers, while a youth of 17 years happily eats like an adult. An emergency kit at $ 50 per. per day. children, regardless of age, does not capture these differences. In combination with periods of using the emergency level of up to 14-16 days, entails the risk that the child’s needs during the period not covered.

steel. § 20 as conditions for granting of financial support, with the aim of making the recipient financially self-reliant. Decomposed condition without reasonable cause, it can have consequences such as reduced benefits, even down to so-called emergency level. But even in these cases the benefit to the bare essentials is limited to a few days. Alternatively, the reduction in benefits will be less, but for a longer period. In all cases it is required that there be an assessment before reaction to violation of terms taken, where it is to be emphasized that the cause of the condition has not been fulfilled, and the significance of the consequences reaction is allowed to use and user family. ^[3]

Such considerations did not documented in the County’s decision or otherwise.

particularly relating to benefits for large families

During the final meeting said the County Office’s special procedures for the assessment of benefits for large families. From the beginning of 2013/2014 was introduced a scheme whereby it as a base to calculate so-called economies of scale benefits to families with more than five members. The idea behind this is partly to reflect the economic reality set in savings, for example through inheritance of clothing and food purchases in larger quantities. And partly because the benefit may otherwise be so high that it becomes difficult to find work that will provide the same or higher income.

office routine manual states that it shall be a deduction of 20 percent of total family subsistence support when the family has six or more members. The starting point is the state’s recommended rates for subsistence support ^[4]

Routine Manual also stipulates that there should be an assessment of each case. For families with five or fewer members, made no reduction in benefit.

Taken literally means routine that a family with two adults and four children can get lower benefit than if the family still only had three children. This was the reason why the Governor sought to obtain through past cases in which it was granted support to large families. During the interviews, it quickly emerged that Nav Gol and Hemsedal had seen the impact that routine, read literally, can get. It was also clear that such matters are always discussed in the academic meeting. The County did not find that the new routine had been reflected in practice in a way that made it the basis for saying that the practice was contrary to law. And because the office had seen the possible consequences, it was our opinion no basis for saying that the risk of failure of the service was so great that this alone was reason to point out a discrepancy. Nav Gol and Hemsedal stated themselves that they saw reason to revise the handbook routine at this point.

 

Further follow-up of audit

the County asks that Gol Municipality v / Nav Gol and Hemsedal before 1 June 2014 the County sends a plan where the following is shown:

• What measures are planned implemented to correct deviations.

 

• How management will monitor and ensure that measures are taken.

 

• How management will ensure that the measures have worked as planned, after they have been in operation for a while.

 

• What limits the municipality has taken to ensure progress is being rightly deviations.

the County will terminate supervision when the municipality has corrected the discrepancy.

 

Appendix Document Surface

organization’s own documentation relating to the daily operations and other significant matters that were submitted during the preparation:

• Organization for Nav Gol and Hemsedal, including overview the meeting structure.

 

• Cooperation agreement between Gol Municipality and Nav Buskerud on operating joint local office.

 

• Cooperation agreement on joint Nav services in Gol and Hemsedal

 

• Delegations of authority under the Act on Social Services in Nav.

 

• Overview of managers and supervisors who take care of inquiries, surveys and makes decisions concerning economic benefit.

 

• Introduction Plan for new employees at Nav Gol and Hemsedal.

 

• Procedure manual for processing applications for financial support, revised 1/30/14.

 

• Minutes of weekly technical meetings.

 

• Procedures for evaluation of the services provided by the Social Services in Nav Nav Gol and Hemsedal.

 

• Template for quarterly reporting.

 

• Application for financial support.

 

• simplified application form for financial support.

 

• Results from local user survey, conducted in 2013.

 

• List of users with dependents who received financial support from Nav Gol and Hemsedal date. 1.2.14.

 
• 379 decisions on financial support from the period from 10/01/13 to 31/01/14.

In addition, information materials and municipal annual reports available on the municipal website.

following documentation requested the County that were presented supervised visit:

• Complete dossiers for 20 users, according to the list.

 
• the past ten notes for the first time calls / survey calls.

 

• the last ten decisions on the allocation of financial support to households with more than five members.

 

• dossiers in the past ten cases in which it had been reacted to the breach of conditions (for steel § 20) with stopped or reduced financial support.

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[1] Statutory obligation to establish a management system was introduced on 1 January 2010, see § 5 of the Act on Social Services in the Labour and Welfare Administration. Regulations on internal control for the municipality in the labor and welfare administration was granted 19 November 2010.

[2] Labour and Welfare Directorate circular H35 paragraph 4.18.1.6.

[3] See Labour and Welfare Directorate circular H35 paragraph 4.20.2.8.

[4] See the Work Ministry circular A-1/2013.

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Consultation – proposal booking possibility for GPs – Board of Health

Fra:	Statens helsetilsyn
Dato:	25. april 2014
Vår ref:	2014/232 2 JKT

Tillitsforholdet mellom fastlegen og pasienten

Reservasjonsspørsmålet i historisk perspektiv

Forholdet til abortloven og helsepersonelloven

Tilsynsmessig oppfølging av forslaget om en reservasjonsmulighet

Konkret merknad til ordlyden i lovforslaget

Administrative utfordringer

Konklusjon

Helse- og omsorgsdepartementet (HOD) har lagt fram et lovforslag som gir fastleger en mulighet til å reservere seg mot henvisning og behandling ved alvorlige samvittighetskonflikter knyttet til liv og død. Videre foreslås det en endring i fastlegeforskriften slik at kommunen og fastlegen kan inngå avtale om at fastlegen kan reservere seg mot å henvise til abort.

Høringsnotatet tar opp en tematikk som er kompleks, og lovforslaget søker å finne en hensiktsmessig løsning på en krevende problemstilling. Statens helsetilsyn er av den oppfatning at foreslått reservasjonsmulighet for fastleger vil kunne svekke tillitsforholdet mellom pasienten og legen. Vi mener at hensynet til kvinnens rett til forsvarlig og omsorgsfull hjelp må veie tyngre enn fastlegens personlige overbevisning. Statens helsetilsyn støtter derfor ikke forslaget.

Tillitsforholdet mellom fastlegen og pasienten

Departementet skriver på side 10, kap. 4.2.1 i høringsnotatet: “Den klare hovedregelen bør være at pasienter kan regne med åfå tilbud om alle de allmennlegetjenester som de har behov for hos sin faste lege. Fastlegene skal ivareta det offentliges interesse av at alle innbyggere får tilbud om enfast lege som gir allmennlegetjenester, iriformasjon og veiledning og somfyller rollen som hjelper og veiviser for pasientene inn mot den øvrige helsetjenesten”. Statens helsetilsyn slutter seg fullt til denne beskrivelsen.

For å kunne ivareta oppgaven med å yte forsvarlige allmennmedisinske tjenester og omsorgsfull hjelp må det være etablert et tillitsforhold mellom pasient og lege. En forutsetning for et slikt forhold er at legen opptrer profesjonelt og fremstår som fordomsfri overfor alle pasienter, uavhengig av hvilke problemer og behov de måtte ha. Som følge av forslaget vil fastlegens avtale om reservasjonsmulighet bli kjent for pasientene, noe som vil gjøre fastlegens verdisyn på dette området offentlig kjent.

Statens helsetilsyn mener at det å åpne opp for at legenes verdisyn skal tematiseres i pasient-legerelasjonen, vil kunne utfordre tillitsforholdet. En forutsetning for å kunne få forsvarlig helsehjelp er at legen får tilgang til all nødvendig informasjon om pasientens tilstand. Forhold som kan bidra til å svekke tillitsforholdet mellom pasient og lege vil kunne hindre en nødvendig informasjonsutveksling. Dersom pasienten er kjent med at fastlegen har reservert seg mot å henvise til abort, kan det oppleves som vanskelig å ta opp og være åpen overfor fastlegen om andre forhold av privat og intim karakter som har betydning for helsen og helsehjelpen. Dersom ordningen innføres innebærer det at det ikke er tilstrekkelig at kommunen vet at andre leger i kommunen vil henvise til abort når det trengs. Kommunen må ha fastlegekapasitet nok til at langt flere pasienter enn de som kan oppleve uønskede svangerskap kan få bytte/velge annen fastlege.

Prinsipielt mener vi det er riktig at pasienter informeres om at deres fastlege har reservert seg mot henvisning til abort, men samtidig viser dette noen dilemmaer. Noen av legene som i praksis har reservert seg mot å henvise til abort, har bestrebet seg på å håndtere disse situasjonene på en slik måte at pasienten ikke har blitt konfrontert med legens verdisyn og holdninger. Legene har uttrykt at de ikke ønsker å la egne holdninger og overbevisninger være et tema overfor pasientene fordi de mener det er lege/pasientforholdet uvedkommende. Dersom ordningen innføres som foreslått tvinges disse legene til å gå offentlig ut med sine holdninger og overbevisninger, noe som åpenbart kan påvirke langt flere pasientrelasjoner enn de som er knyttet til uønskede svangerskap.

Statens helsetilsyn savner en mer utdypende drøfting av forslagets mulige konsekvenser for tillitsforholdet mellom alle pasienter og fastlegene.

Reservasjonsspørsmålet i historisk perspektiv

Reservasjon etter abortloven omfatter bare helsepersonell som utfører eller assisterer ved selve inngrepet, jf. abortloven § 14. Loven gir ingen hjemmel for å nekte forskrivning, utlevering av prevensjonsmidler, eller for at fastleger kan nekte å henvise til svangerskapsavbrudd.

Spørsmål om reservasjonsrett for spesifikke helsefaggrupper til å yte bestemte typer helsehjelp har tidligere vært drøftet blant annet i forbindelse med, og som oppfølging av abortmeldingen, St meld nr 16 (1995-96) Om erfaringer med lov om svangerskapsavbrudd mv.

Under revisjon av abortloven i 1994/95 kom det flere henvendelser fra helsefaggrupper, som leger, sykepleiere, jordmødre og farmasøyter som av samvittighetsgrunner ønsket en reservasjonsrett for det de oppfattet å være abortrelaterte handlinger. Daværende Helse- og sosialdepartementet fant imidlertid ikke grunnlag for å foreslå endringer av gjeldende bestemmelse.

I 1999 konkretiserte det daværende Sosial- og helsedepartementet i samarbeid med Statens helsetilsyn de gjeldende lovbestemmelsene i abortloven. Målet var å opplyse om hva som skjer og kan forventes å skje i prosessen fra kvinnens begjæring frem til det endelige inngrepet. I brukerinformasjonen om legens oppgaver i forbindelse med håndtering av kvinners begjæring om svangerskapsavbrudd ble det understreket at
“dette er en oppgave leger ikke kan reservere seg mot”.

I rundskriv I-4/2011 fastslo Helse- og omsorgsdepartementet igjen at fastlegen ikke kan reservere seg.

I høringsnotatet fra HOD side 8 kap. 4.1.4.1 viser departementet til et rundskriv fra Statens helsetilsyn (IK 24/95). Videre henviser departementet til praksis fra enkelte tilsynssaker og skriver at Statens helsetilsyn har lagt til grunn at det er anledning for leger til å reservere seg mot å henvise til abort m.v. av samvittighetsgrunner dersom helsetilbudet til pasientene ivaretas tilstrekkelig. Statens helsetilsyn finner ikke grunnlag for en slik konklusjon på bakgrunn av vår tilsynspraksis. Vi har i en tilsynssak gitt en lege kritikk for ikke å ha henvist til abort samt nektet å sette inn spiral og foreskrive minipiller. Statens helsetilsyn påpekte at legen, til tross for personlig overbevisning, hadde ansvar for å sikre at pasientene fikk den helsehjelpen de hadde behov for. I det omtalte rundskrivet uttalte vi at nødvendig helsehjelp innbefatter henvisning til abort og et fullverdig prevensjonstilbud.

I forbindelse med Helsedirektoratets kartlegging av omfanget av samvittighets­begrunnede reservasjoner mot å utføre ovennevnte oppgaver i helsetjenesten i 2012, gikk Statens helsetilsyn gjennom tilsynssakene fra 2001, altså etter at fastlege­ ordningen ble innført. Fram til 2012 har vi behandlet kun to konkrete tilsynssaker. I begge sakene var saksforholdet at legen hadde nektet, og dermed bidro til å forsinke henvisingen til svangerskapsavbrudd. I den ene saken konstaterte vi brudd på kravet til omsorgsfull hjelp i helsepersonelloven § 4, og ga samtidig veiledning om hva som er å anse som god praksis. I den andre saken fikk legen advarsel.

I NOU 2013:1 Det livssynsåpne samfunnet, ble reservasjonsmulighet mot å henvise til abort og assistert befruktning og til å forskrive eller sette inn prevensjon, drøftet av Stålsett-utvalget. Flertallet (11 av 15) ville ikke tilrå å gi fastleger rett til å reservere seg mot å henvise til abort, assistert befruktning eller til å forskrive eller sette inn prevensjon.

Denne kortfattede historiske oversikten tydeliggjør etter Statens helsetilsyn sin oppfatning at helsepersonells adgang og mulighet til å kunne reservere seg fra å yte ulike former for helsehjelp ikke er en ny problemstilling og at den er kompleks. Det ble funnet en svært begrenset løsning i abortloven § 14 knyttet til gjennomføring og assistanse til selve inngrepet. At lovgiver og departement ikke tidligere har funnet grunn til å åpne opp for reservasjon av flere personellgrupper og mot annen type helsehjelp, er først og fremst fordi man har satt pasientenes rett til forsvarlige og omsorgsfulle tjenester foran hensynet til helsepersonellets samvittighetsgrunner.

Helsepersonells grunner for å reservere seg kan være flere og dreie seg om ulike former for helsehjelp, og det er vanskelig å veie den enes grunnlag opp mot andres og finne naturlige avgrensninger. Helsepersonell i offentlig helsetjeneste må forventes å yte den tjenesten det offentlige anser som forsvarlig.

Forholdet til abortloven og helsepersonelloven

Forslaget til lov- og forskriftsendringer grenser opp mot dagens abortlov. Vi savner en uttømmende drøfting av forholdet mellom gjeldende reservasjonsrett etter abortloven og den foreslåtte reservasjonsmuligheten for fastleger.

Helsepersonelloven regulerer helsepersonells plikter og rettigheter, herunder kravet til faglig forsvarlig og omsorgsfull hjelp i § 4. Slik vi vurderer det, vil det særlig være pasientens rett til omsorgsfull hjelp som utfordres ved at legen gis en reservasjonsmulighet. Dette forholdet drøftes ikke i høringsnotatet. I notatet vises det kort til helsepersonellovens kap. 11 om administrative reaksjoner uten at bestemmelser og vilkår gjennomgås og drøftes. Etter Statens helsetilsyns oppfatning er det helt nødvendig å vurdere disse virkemidlenes egnethet før det kan konkluderes med at bruk av dem i denne sammenhengen er hensiktsmessig.

Tilsynsmessig oppfølging av forslaget om en reservasjonsmulighet

Statens helsetilsyn stiller spørsmål ved om bruk av tilsynsmyndighetens virkemidler er hensiktsmessige når det gjelder å sikre etterlevelse av det foreslåtte regelverket.

Departementet viser i høringsnotatet til pålegg mot kommunene og bruk av administrative reaksjoner overfor den enkelte fastlege som mulige virkemidler for å sikre gjennomføringen av foreslåtte ordningen med reservasjonsmulighet.

Tilsynsmyndigheten kan følge opp og vurdere om kommunen gjennom sine avtaler har lagt til rette for at pasienter som er blitt uønsket gravide får et forsvarlig helsetilbud, og eventuelt anvende de virkemidlene vi har, blant annet pålegg.

Bruk av advarsel eller tilbakekall/begrensning i autorisasjonen forutsetter at helsepersonellovens bestemmelser er brutt. Det vil kunne forekomme tilfeller der en lege ikke vil henvise til abort (uten avtalt reservasjonsmulighet), men medvirker til at en kollega overtar denne oppgaven uten at det oppstår tidsforsinkelse av betydning og på en måte som sikrer pasienten omsorgsfull hjelp. I slike tilfeller vil ikke avviket fra god praksis bli vurdert som så stort at tilsynsmyndigheten finner helsehjelpen uforsvarlig og at det dermed ikke vil være grunnlag for administrative reaksjoner fra Statens helsetilsyn. Dersom departementet vil endre grunnlaget for bruk av administrative reaksjoner må dette drøftes og beskrives i forarbeidene, og det må foretas nødvendige lovendringer i helsepersonelloven.

Formålet med å ilegge administrative reaksjoner er å bidra til at pliktbrudd ikke gjentar seg og at praksis i fremtiden blir i henhold til kravene. Statens helsetilsyn er i tvil om at en advarsel til en fastlege som reserverer seg mot å henvise til abort av samvittighetsgrunner, til tross for at vedkommende lege ikke har denne adgangen, vil medføre at legen vil endre personlig overbevisning og innrette seg etter vårt vedtak.

Dersom en lege til tross for advarsel unnlater å innrette seg, kan det foreligge grunnlag for å tilbakekalle autorisasjonen. Om tilbakekall av autorisasjon er en hensiktsmessig reaksjon overfor enkelte fastlegers samvittighetsgrunner og personlige overbevisning, bør vurderes grundig. Dette er særlig problematisk dersom kollegaer med tilsvarende verdisyn og praksis “slipper fri” fordi de har fått en avtale med sin kommune om at de kan reservere seg.

Departementet foreslår at fylkesmannen skal få tilsendt alle avtaler som er inngått mellom kommuner og fastleger om reservasjon. Etter vår oppfatning må forslaget innebære at departementet mener at fylkesmennene løpende skal vurdere denne typen driftsmessig informasjon uten at det er holdepunkter for svikt. Statens helsetilsyn vil understreke at det er tjenesteyter som har ansvaret for å yte forsvarlige tjenester. De begrensede tilsynsressursene hos fylkesmennene må innrettes mot tjenesteområder der det er stor risiko for svikt og der tilsyn vil kunne bidra til forsvarlige tjenester. Å pålegge fylkesmennene en løpende tilsynsmessig overvåking av avtalene som kommunene inngår, er etter Statens helsetilsyns vurdering ikke hensiktsmessig ressursbruk. Fylkesmennene vil imidlertid innhente den/de aktuelle avtalene ved behandlingen av eventuelle tilsynssaker.

Konkret merknad til ordlyden i lovforslaget

Forslaget til ny bestemmelse i helse- og omsorgstjenesteloven § 3-2 tredje ledd lyder: “Departementet kan gi forskrift om nærmere bestemmelser omfastlegeordningen, herunder om kvalitets- og funksjonskrav, om adgangen til suspensjon av fastlegeordningen og omfastlegers mulighet til å reservere seg mot henvisning eller behandling når reservasjonen er begrunnet i alvorlige samvittighetskonflikter knyttet til liv og død. “

En slik vid hjemmel åpner for at det i fremtiden kan forskriftsfestes at fastleger kan gis en generell mulighet til å reservere seg mot å henvise eller behandle pasienter begrunnet i alvorlige samvittighetskonflikter på flere områder. Det fremgår av høringsnotatet at det med alvorlige samvittighetskonflikter knyttet til liv og død, først og fremst menes abort. Det åpnes imidlertid for at hjemmelen også skal kunne omfatte reservasjon mot aktiv dødshjelp dersom dette skulle bli tillatt.

Statens helsetilsyn vil sterkt tilråde at en eventuell bestemmelse formuleres klart og avgrenset, slik at det fremkommer i selve lovteksten at det kun gjelder mulighet til å reservere seg mot å henvise til abort. Innføring av aktiv dødshjelp og eventuell reservasjonsadgang i den forbindelse, vil være problemstillinger som uansett må underlegges egen grunnleggende debatt og behandling.

Administrative utfordringer

Høringsforslaget medfører omfattende detaljregulering av vilkår og innhold i en avtale mellom kommune og fastlege om reservasjonsmulighet. Det kan bli en utfordring for kommunene å måtte vurdere alvorlighetsgraden av samvittighetsgrunner dersom det er flere fastleger som ønsker reservasjon. Det blir også vanskelig for kommunen å ha en kvalifisert oppfatning av hvor mange pasienter som ikke ønsker å ha en fastlege hvis personlige overbevisning og verdisyn er offentlig kjent og som dermed enten vil bytte fastlege eller ikke velge vedkommende fastlege. Den foreslåtte ordningen vil kunne medføre administrativt merarbeid for kommunene. Avtaler om reservasjonsmulighet vil også kunne medføre en belastning for de fastleger som reservasjonsleger henviser kvinnen til.

Uavhengig av ovennevnte mener Statens helsetilsyn, at dersom foreslått ordning innføres, må det være den enkelte kommune som inngår avtale med fastleger om reservasjonsmulighet. Da kommunene er ansvarlige for å sikre tilstrekkelige og forsvarlige helsetjenester ser vi det ikke som hensiktsmessig å pålegge kommunene å innføre en slik ordning.

Konklusjon

Statens helsetilsyn er av den oppfatning at en reservasjonsmulighet for fastleger kan bidra til å svekke tillitsforholdet mellom pasienten og legen. Spørsmålet om en reservasjonsmulighet for fastleger dreier seg om en avveining mellom hensynet til legenes overbevisning og retten til lovbestemte helsetjenester. I denne avveiningen finner Statens helsetilsyn at retten til lovbestemte helsetjenester må veie tyngre enn fastlegens personlige overbevisning. Vi støtter derfor ikke forslaget til endringer i helse- og omsorgstjenesteloven og i pasient- og brukerrettighetsloven.

Med hilsen

Jan Fredrik Andresen
direktør

Kristina Totlandsdal
seniorrådgiver

Helsefaglig saksbehandler: seniorrådgiver Kristina Totlandsdal, tlf. 21 52 99 21

Juridisk saksbehandler: seniorrådgiver Lisbeth Raastad, tlf. 21 52 99 65

Gå til toppen

Can become more styrekluss in Light – Aftenbladet.no

Tuesday 29 April will elect new directors at Lyse Energi AS.

Sandnes municipality’s co-owner right on one representative on the board. Mayor Stanley Wirak will replace current chairman Ivar Rusdal with Pål Morten Borgli (FRP). The Nomination Committee of light, with Sagen Helgø leader, disagrees and will keep Ivar Rusdal.

– Nomination Committee has held many meetings and discussed thoroughly. The Committee is unanimous in the proposal. The choice is made considering what is best for the company. We should not feel pressured to choose a person who is not the best for the job, says chairman and committee chairwoman Christine Sagen Helgø. Yesterday saw Helgø preliminary meeting with members of the corporate assembly in Stavanger.

Nomination Committee’s role

Bright has a board and general meetings. In 2001, they also have a nomination committee that will ensure that people with different backgrounds, knowledge and gender are represented on the board.

– Until 1998, suggested the owners and municipalities only male directors. On this basis, the Nomination Committee created, says Sagen Helgø.

Sandnes Mayor Stanley Wirak think Nomination Committee’s proposal is contrary to the shareholders’ agreement. An agreement that the parties must adhere to when choosing new board members. Wirak the election committee should have listened to Sandnes its proposal to set Pål Morten Borgli the board.

– Shareholder agreement provides that holders the right to elect our own representative. It seems strange if someone who has made a deal can suddenly say that it does not apply. Another point is how to promote cooperation between Stavanger and Sandnes, Stavanger Now when trying to choose our representative. Stavanger has its own two members of the board of Bright. I do not want others to instruct us about who we should put on the board, says Wirak.

Who decides?

saw Helgø points out that the nomination committee’s proposal is completely independent and in light of what they think is the best for light. But if business meeting decide to keep Rusdal (Nomination Committee’s proposal) instead of Borgli (owner / Sandnes municipality’s proposal) may get a different result.

business meeting elects in violation of the owners’ desire AGM has the right to choose new corporate assembly. The corporate assembly consists of 66 people; those voting in the election. The shareholder agreement states that each of the owners have the right to “demand called for an extraordinary general meeting to elect new members to the Corporate Assembly.”

– We have not laid a plan for what will be the next step if the election results are contrary to our desire, says Wirak.

Prosecution’s response

Because of the discussion on this issue has Sagen Helgø set an independent lawyer to look into the selection committee’s role. She asked three questions to Christian Wille Kaisen from Kluge Law Firm:

1 Is the Election Committee committed, possibly justified to recommend the candidate Sandnes municipality has “nominated” to “their” control room?

2 Is the company (at the business meeting) “committed” to select the director Sandnes nominated in the sense that it is legally precluded from valid to select another candidate to the appropriate place on the board?

3 Can an own municipality instruct “their” members of the corporate assembly with the effect that each of these personal are legally obliged to vote in accordance with the municipality’s nomination?

note from the lawyer says that the nomination committee is not bound by shareholder agreement. However, the Committee must take into account the owners’ wishes. “But such guidelines in their current form, it must be excluded in principle to” automatically “add such wishes basis for the selection committee,” writes lawyer.

Ministry refuses to pay extra for the Great Hall – newspaper Nordland

Ministry of Culture splices happy to NOSO rent in The Tempest, but purses are not the extra large room.

Multi Consult has estimated that annual FDVU costs (operation, maintenance and development) for the entire storm will reach 27.5 million in cash.

ALSO READ: The storm will be the third most expensive cultural center

Joined custom

North Norwegian Opera and Symphony Orchestra (NOSO) and Bodø municipality is now negotiating a lease for part of the orchestra in the storm; proposal is 5,150,000 a year in rent, plus 2.46 million that the municipality believes NOSO must pay.

municipality justifies this by saying that the great hall was more expensive than would have been necessary, because it is adapted NOSO use of the house.

not pay court

After a calculation of how much of the concert hall NOSO to use, based on Multiconsult calculations of Culture Ministry in a note to the municipality that they can accept an annual rent of up to 5,150,000 million for NOSO.

Ministry accepts however that 2,460,000 million taken out of the calculations for the main hall and charged NOSO alone with reference to specific adaptations for NOSO.

Misunderstanding

According to CFO Stephan Other Skjelvan in Bodø municipality comes Culture Ministry’s refusal to splice the arrangements in the saddle as surprised.

– We will be meeting at the ministry in the next week to clarify what we perceive as a mistake, he says to newspaper Nordland.

He believes the note where the Ministry disclaims responsibility for the splicing of the 2.46 million pounds, is characterized by a number of factual errors.

– Error that it will be necessary to get explained and elaborated through conversations and discussions, says Skjelvan.

Fangeskipet “Danube” siste rice – Aftenposten

Ship name “Danube” brings forth a wide range of memories, associations and tales from the years of occupation. The most dramatic was the “Danube” part of the story of the deportation of Jews from Norway. When the ship’s bell struck the departing November 26, 1942, left the “Danube” pier 1 at the America docked in Oslo with 532 Jews on board: 302 men, 188 women and 42 children. Only nine men from this transport survived WW2.

More’d been with

idea was that the “Danube” should have brought more Jews on November 26, but many transports from other parts of the country missed out on time. Jews on board the “Danube” was arrested by Norwegian police officers and representatives of the Germanic SS Norway and crews from Hird, by order of the German occupying forces.

guard force on board consisted of 50 men. It was Hauptsturmführer Wilhelm Wagner as November 24 ordered that all Jews with “J” in the passport should be arrested and deported from the country. Wagner himself was present at Pier 1 along with police inspector Knut Red, who had led the arrests of Jews in Oslo and Aker.

Conditions on board the 532 Jews were miserable. They were crammed into two holds, women and children in one and men in the other.

Simply by Drøbak was blowing up a storm, and “Danube” therefore remained a while out in the Oslo Fjord. Once out in the open sea the ship rolled violently, and several were seasick.

Many on board saw that transport should go north to a work camp in Norway, but the “Danube” was heading south through the Øresund. They could eventually see the illuminated Sweden on the port side and the darkened Denmark on the starboard side.

Because of the strong storm in the Baltic Sea was “Danube” delayed and arrived in the port city of Stettin on the morning of November 30. At the dock were Jews from Norway left to the German security police and security guards from the uniformed police.

Killed same day

transport proceeded by train and 1 December arrived Jews from Norway extermination camp Auschwitz-Birkenau . All children, women and men who were defined as unable to work, was killed the same day – a total of 346 people. A total of 186 men aged 15-50 years were registered as able-bodied prisoners. Only nine survived the war.

Of the total of 772 Jews who were deported from Norway in the three vessels “Danube”, “Monte Rosa” and “Gotenland” survived only 34 About 250 Jewish families were wiped out.

D / S Donau was built by Deutsche Schiff-und Maschienbau in Hamburg in 1929. ship was owned by the German company Nord-Deutscher Lloyd and was the 9035 gross register tons. Danube was basically a civilian cargo ship, but was at the 2nd World War erupted requisitioned by the German war navy and equipped with anti-aircraft guns and underwater bombs.

After the invasion of Norway, the ship was put into transport between Stettin and Oslo. Primarily brought the “Danube” German troops and quantities of supplies to Norway, but the ship was also used to dislodge German troops from Norway to bet on the Eastern Front.

Slave Ship

“Danube “was under occupation referred to as” slave ship “, when it was used to transport starving Russian prisoners for forced labor in Norway, and to carry Norwegian prisoners to Germany and occupied Poland. Among these were Norwegian students and officers were sent to prisoner of war in Germany.

officers were sent in two groups: One group was transported by ship “Isar” of Stettin. The second group was sent in September 1943 aboard the “Danube”, where they landed in the big, dirty cargo holds on the stern. They were divided into three decks connected by means of makeshift stairs through door openings. Straw mattresses with papirlakener lay on large racks and on the door.

officers told after the war that everywhere the “Danube” could read the names and inscriptions from former prisoners, including Jews and Russians. Also arrested police officers were sent with this ship. In December 1943, 271 policemen sent to capture the ship “Donau”, they ended up in concentration camp Stuffhof near Danzig.

“Danube” transported several hundred arrested Norwegian sailors returned to Norway in May 1941 after they were captured by German warships and forcibly sent home.

Sunk by Manus and Nielsen

night of 16 January 1945 placed Max Manus and Roy Nielsen nine limpets on the “Danube” vessel bottom. These explosives were connected in parallel and some in series, all with good latency. “Danube” left Pier 1 on the day on 16 January. Two pilots landed in Drøbak to 16 o’clock. Shortly after powerful explosions sounded.

ship was landed with the bow and foredeck well up on the mainland bedrock, while the stern sank to the seabed at 40 degree angle. Approximately 1,500 Germans and 450 horses found themselves on board. In a note from 1950 about capturing the ship “Danube” final journey called the cash, “screams sounded until Drøbak. Furthermore, the process nach das Vaterland was stopped. “

After the war took over management of Enemy Property casualty. It was negotiated with several skipsbergere no results. In the early 1950s, a consortium of Bergen negotiated a salvage contract with German salvors. In March 1952, the ship was registered as “Bergensiana,” and in April docked at Akers Mek, after the equal and horse carcasses were removed. It was found that the hull and machinery was in such a condition that the repair was considered. But it was uncertain times, in August 1952 the ship was sold and towed to “Eisen und Metall”, Hamburg, where it was scrapped.

Two ships clocks were left in Norway. A small clock that stood on the “Danube” Bridge has been Linge club’s ownership. Main ships clock that stood on the “Danube” tires, has for decades been exhibited at Norway’s Resistance Museum at Akershus Fortress.

It was this bell was used to signal the departure and arrival and other activity on “Danube” and it is this clock that has now come to the HL-center at Bygdøy.

More than anything symbolizes the ship’s bell from the “Danube” the attempt to annihilate all Jews in Norway.

deportations of the Norwegian Jews were part of a European extermination project, where the Nazis would purge Europe of Jews – from east to west and north to south. To enter into a small ship’s bell in the big story.

Erna Solberg data storage can be torpedoed – Bergens Tidende

Telenor fears that Erna Solberg’s warranty policy has little value. In an internal legal memo from Telenor called rules, which are designed for data storage, unclear.

– It’s almost comical about the police, to escape the paper mill with court proceedings, can only continue as before and get access to traffic data. The requirement of court proceedings, which were proposed because of the Data Retention Directive, is a system very easily bypassed, says Chief Jørn Bremtun in Telenor.

Stops data storage

Swedish data and telecommunications businesses stops all data storage after the Directive was invalid.

Get easy access to day

Today the police may request access to traffic data, such as telephone companies hold about their customers for up to five months without the right treatment. Post and Telecommunications Authority may suspend the confidentiality of each case, after a request from the police or prosecutors. It created the impression that this would stop the Data Retention Directive.

Government informed Parliament on Friday that it “will carefully review the judgment to see if there is a need to make changes in the rules for data storage from April in 2011. Prime Minister Erna Solberg said in Parliament last Wednesday that the regulations for data storage can be made to Norwegian law, although the data storage directive has been declared invalid by the European Court. She believes the high level of domestic conditions Parliament adopted in 2011 captures many of the objections from the European Court of Justice.

tribunal procedure

– The question is what kind of national law we should have come, and we will keep the laws which we designed to implement the directive, said Erna Solberg. She stressed that Norway has solved many of the challenges facing the European Court pointed out to the security around the collected data “and that there should be judicial proceedings to retrieve the information when the police should have them.”

But if these are the opinions shared.

Telenor wrote in the memo that police and prosecutors “on several occasions” have said that they can request access to traffic data for the current regime, “without taking into account the data storage requirements for including trial and sentencing. “

Unlucky for privacy

conclusion is that” it would be unfortunate “to have such uncertainty about customers’ legal rights and privacy.

note In June 2013 submitted to the Ministry of Transport, who sent it on to the Justice Department. Telenor has still not received a reply, which will be because the government has waited EU proceedings of the Data Retention Directive.

One thing is uncertainty about the content of the national regulations, otherwise if there is a legal basis for introduce a regulatory framework based on an EU directive declared invalid. The directive is based namely on one of the EU’s central policy directive – Privacy and Electronic Communications Directive.

Delete obligation to storage

Ministry said that “the general rule in the Directive is a clear duty of data. The directive was established as an exception to this. When the exception is declared invalid, are left with plain duty as a rule. However, there is some room for exceptions also for communication protection directive. The question then is which national leeway they have to establish their own rules on data retention, in light of both the European Convention on Human Rights and including communications protection directive. “

Communication Protection Directive provides an opening for data storage, due partly to fight crime, but EU Court decision provides a new legal situation that must be considered carefully.

Ministry stated that “there is at least true protection for occupations that handle confidential information, such as doctors, lawyers and priests, as well as source protection to journalists. The lack of protection for these groups is emphasized by the European Court. This is not handled in the Norwegian regulations. “

Sprik government

Transport Minister Ketil Solvik Olsen said Friday Dagbladet that the government has put the case on hold. When “there is no point in investigating something that does not exist. Now we have to start at the issue from scratch, “he said.

same time, ie the Prime Minister informed Parliament that it will go through the judgment of the EU, to see if there is a need to make changes to the legislative work performed. It is therefore an open question who is right – if future legislation is similar to already approved, or if the whole work must begin again.

Miley still in hospital – canceling concerts – AP

Pop star remains in the hospital and dislikes that she should have to cancel concerts.

Miley Cyrus was rushed to hospital in the state of Missouri earlier this weeks after she got a severe allergic reaction to antibiotics.

posts led to the pop star had to cancel two concerts, and according to Entertainment Weekly that reputation flood started.

To prepare selected Miley Cyrus sending out an explanation via Twitter, posted as a note on the phone so she gets more space to express themselves.

First, she writes, “Shut up and let me get well” before she presents the note.

where she reveals the name of allergy medicine that she reacted, and she writes that reactions can last from five to 27 days.

– Miley is heartbroken at having to cancel concerts and probably disappoint the fans, says the note, the pop star – or the person who writes on behalf of her – pray that privacy is respected.

Miley had to cancel concerts in Kansas City and St. Louis because of hospitalization. Last week she had to drop a concert in Charlotte because of the flu.

Now, two additional concerts in Nashville on Friday and Louisville on Saturday.

If she has bad luck max is the artist put out of action until around May 13. The European part of the “Bangerz” tour starting May 2nd in Amsterdam. She is expected to Norway and Telenor Arena on May 28.

Billion Fines cable companies for cartels – Technology Magazine

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Publisert: 2. April 2014 kl . 15:34 – Oppdatert: 3. April 2014 kl. 09:24

EU-11 kommisjonen gir kabelselskaper 2,5 milliarder norske kroner i bøter for å ha drevet kartellvirksomhet i markedet for høyspente kraftkabler.

NEXANS, Psalm virksomhet i Norge også Har, Har Alene fått online bot tilsvarende online halv milliard norske kroner.

Goldman Sachs

Kabelprodusentene, Psalm produserer underjordiske Og undersjøiske høyspentkabler, Har delt markeder Og kunder mellom sec HRF 1999 Og i nesten small AR, EU-sier kommisjonen is a pressemelding.

Høyspentkablene brukes til å koble produksjonskapasitet til strømnettet, Eller å overføre KRAFT mellom ulike moors. Prisen by disse kablene Har director påvirkning by folks strømregning, Har-EU kommisjonen tidligere uttalt.

NEXANS er til I tillegg Brugg, PRYSMIAN, Hitachi Og Goldman Sachs blant two bøtelagte selskapene.

Den største boten by 872 kroner millioner er til gitt PRYSMIAN. Investeringsbanken Goldman Sachs MA dekke online stor andel av boten, ettersom two tidligere var eier Og skal ha utøvd avgjørende innflytelse over kabelprodusenten.

– Det er ingen antydninger urn at Goldman Sachs hadde noen kjennskap Eller involvering i den påståtte, oppkonstruerte adferden, lyder online uttalelse HRF Goldman Sachs pressekontor i London.

NEXANS varsler egen gjennomgang av kommisjonens omfattende avgjørelse Og de sier vurderer å Anke gigantboten, ifølge Reecharge.

Samarbeidet, blue fritatt

Selskapet ABB var også online del av EU-kommisjonens granskning but er fritatt HRF å betale online bot by over 270 kroner millioner fordi selskapet var med PA avsløre kartellvirksomheten for kommisjonen.

– Disse selskapene visste veldig godt at debt gjorde ulovlig var. Derfor opptrådte two varsomt Og i største hemmelighet. Gjennom felles innsats HRF flere konkurransemyndigheter rundt urn i werden Har view sporet OPP deres konkurransebegrensende avtaler Og Fort L’Tile slutt, sier direktør for konkurransepolitikk i EU-kommisjonen, Joaquín Almunia i meldingen.

Kartellet involverer two største selskapene i kabelmarkedet, inkludert sex europeiske selskaper, milked japanske Og rate koreanske selskaper.

Slik gjorde of debt

Ifølge EU-kommusjonens avtale kabelprodusentene å holde seg unna hverandres territorier Og deretter timings mesteparten av debt embracing markedet mellom sec.

Kartelldeltagerne delte two aktuelle kabelprosjektene mellom hverandre avhengig av geografiske plassering, Eller etter hvilken kunde oppdraget gjaldt.

Innad i kartellet hadde kartelldeltagerne egne kallenavn, hvor two referte til seg selv Som henholdsvis “R”, “A” Og “K”-selskaper, Psalm refererte til europeiske, japanske Og koreanske selskaper. Når japanske Eller koreanske selskaper fikk forespørsler HRF kunder i USA, varslet two film europeiske kartellkollegaer Og avviste å gi et tilbud.

for a sweetened wheat at prosjektene styrt i ønsket retning blue kartelldeltagerne enige urn hvilket prisnivå sec by two skulle legge, Eller utvekslet informasjon urn pristilbud for a sweetened at utpekte kabelleverandøren ville tilby denier denier laveste prisen. Two andre selskapene sørget for å sende et høyere tilbud, Eller avstå HRF budgivningen.

Kartelldeltagere hadde ifølge EU-kommisjonen jevnlige møter by hotell i Sor-OST-Asia Og i Europa. Ellers holdt two gjennom Contact e-post, fax Og telefonsamtaler.

Kommisjonen finner ikke til å grunn tvile not at aktørene var klar over at konkurransereglene blue brutt.

I pressemeldingen viser kommisjonen avslørende linjer til i et notat HRF et engines hvor fordeler Og ulemper ved å ga inn i kartell blue diskutert: “Det ville vært vanskelig, med mindre andelen for hvert selskap øker Og fordelene overstiger risikoen ved å ha et kartell. “

Les også:
Statnetts kabler øker strømprisen
Forventer enda en Tysklands-kabel for 2030

Church loses his grip on Oslo – Osloby

Major living Church is prepared for changes, but hopes to retain at least a couple of Sunday church services a month.

Member failure combined with strong population growth pushes forward changes in oslo church. Merging parishes and rental of church buildings is highly relevant. This spring there are limits in Northern and Western Aker Aker prostitution as erased and redrawn.

One ward – three churches

One of the proposals is to merge the three parishes Vestre Aker, Bakkehaugen and Major living room. You will then have one church and three churches. The question is what to do with the two churches that are left over.

In a note Oslo Bispedømmeråd sent for consultation, recommended that until further be two worship services a month in Major living Church.

– We’ve basically set us hopeful that there will be a joint parish council. What we have argued is that we continue to have Sunday worship services, if not every Sunday, so at least twice a month, says Arnbjørn Jakobsen, Head of Major living parish.

Other religions increases

The Norwegian Church lose their foothold in Oslo. Membership has fallen from 370,050 in 2000 to 344,616 in 2013. Once the capital at the same time has experienced strong population growth, the proportion of Church membership ever lower.

At the turn of the millennium was 72.9 percent of Oslo’s population Members of the Norwegian Church. Last year the proportion had fallen to 55.2 percent.

This is why the Church now feel compelled to change its facility in the capital.

For many of those who move into the city, belongs to another denomination. Number Muslims and members of other Christian faiths increases. Both groups have netted 50,000 members. In 2013 was 8.4 percent of Oslo’s population of Muslims. 9 percent belonged to another Christian denomination.

Churchwarden Robert Wright does not deny that the reorganization is due to religious Oslo is changing.

– These processes are clearly declaration that there are changes. We do not know what’s coming.

– Must reach more

Back in Major living Church is the parish leader Jakobsen afraid that the church community has built up, it will disintegrate if the offer worship Sundays are closed.

– We have a real audience, one foundation of the church, which meets every Sunday and is very fond of his church, says Jakobsen. He estimates that there are about 60 people on average worship services.

He has full understanding of the Church is going to have to see how it can make the most of your money.

– We must find new ways of being church on. When the Norwegian church member’s share drops, the challenge that we must reach out to more.

Ward manager thinks reorganization may open innovation.

– The church should be a place for freedom and joy. Church’s mission is to present themselves in a way that responds to our need for communion with God and with people.

Posted: 15.apr. 2,014 9:53 p.m.

Will time thieves to life – Daily Commercial

small-time thieves contributes to more than half of the workforce is in arrears, according to a new survey. Managers often use half the working day to meet.

Lars Kristian Solem

Published: 04/13/2014 – 21:00 Updated: 04/13/2014 – 9:14 p.m.

article has been added to your reading list.

Repeated interruptions in the work situation tops the list of time-thieves that inhibit workers in large and medium-sized businesses.

Seven Tips for Effective Meetings It can undoubtedly saved on average about one hour per day just by removing the time-thieves, and even more if they are working smarter, says Jan Kristian Karlsen consultancy Company Pulse. The company has done a survey of 3,500 employees in various industries.

Karlsen notes that collaboration itself is disruptive for many businesses. Noise, data problems and little available colleagues also considered as significant time thieves working days. Time Thieves are not only costly for employers, they also make employees more frustrated.

– Time Thieves creates considerable frustration, says Karlsen.

Premieres “head roll” – Bygdeposten

It was last week administration in Upper Spokes sent out the note which employees are asked to participate in brainstorming session to reduce positions. Here it is also allowed to have an opinion about someone else’s work. This is justified by the municipality’s financial situation.

It also says that the trade union will award the three best proposals with 2,000 pounds each.

The submitted proposals can also be treated confidentially if desired.

Strange double role

– I think the double role of the trade union is interesting. At worst, they will assist an employee in a process to terminate his employment, while simultaneously premieres another employee to have come up with the idea that lead to the resignation, says a concerned employee who has contacted Bygdeposten.

Head of the Norwegian Union of Upper Spokes municipality, Knut Sjulsen, admits that the text of the note may be somewhat poorly worded.

– There is no question that some will enter Associates. But we must save the equivalent of 20 jobs this year, says Sjulsen.

He says that brainstorming session, which is part of the tripartite cooperation must be seen as an opportunity to find solutions.

It says nothing of note how one has thought that the cut in positions to take place.

Surprised

– I must admit that I am slightly surprised that the staff interpreters invitation negative. It seems I do not there are grounds to do. The city manager and I will be happy, if there is a need to clarify any misunderstandings, said Mayor Ann Sire Fjerdingstad.

municipality has a tight economy and must adapt.

The paper can be read, the council has said that future savings not only can be done in initiatives aimed at residents but also by looking at cuts in labor costs. The community should now consider all types of jobs in the community, management and administrative positions included.

Expertise

– The employees’ skills and experience are very important in this restructuring process, not least because they can easily see new possibilities and solutions. There may also be new ways to solve tasks that go across sectors and responsibilities. That is why we ask employees to think again, says Fjerdingstad

The submitted proposals will be considered in a joint meeting between management and union representatives.

– I am pleased with the commitment that organizations and staff shows. That union local will also help with prizes for good suggestions, I think is great, says the mayor.

want quick answers

Administration will provide feedback on the restructuring work of the council in June, and it is indicated in the note that you therefore wish that the proposals are notified as soon as possible.

17th of May Committee would remove children from kindergarten train – TV 2

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Reply to EVP Rinnan – Buy publication

This notwithstanding, I should probably say that Rinnan not entirely accurate in his statement. It attaches not a corporate director to talk down their own company, but one could perhaps expect that a person at this level in a large company had tabs on the concepts and data and a greater level of precision. We can take it point by point:

1 challenges with the electricity prices affect the possibility of return to the owner municipalities. Rinnan writes in its response: “‘. Although not so that it threatens the annual payout of approx. 300 million to our shareholders in the coming years. ” The 300 million divided into 200 million in dividends and 105 million in interest on subordinated loans. However, we can read a more reserved rating in the note to the owner municipalities from autumn 2013, “Falling the price level down to 20 cents / kWh and remains at this level, it is hardly acceptable to the Board and maintain a dividend level of approx. NOK 200 million. ” Such price level is probably realistic, therefore alerts Eidsiva need for changes in the shareholder agreement and yield will be reduced.

2 Eidsiva book equity has decreased from $ 7.467 million per. 31.12.10 NOK 5.095 million per. 31.12.13. This is significant exercise was done in 2010, when 1.5 billion of equity was converted into subordinated debt and $ 750 million of equity capital was paid back to the owners. By ownership municipalities came Hamar particularly well, they had a lot of investment in time, with a payment of 167 million. In addition, this resulted in a tax savings of about 60 million annually. It dripped a little on all own communities, so this was all for, but now in the wake of low electricity prices, one can ask the question of how wise this outline was.

3 Rinnan states that inland municipalities and counties own one of the country’s more solid companies. It is clear that there is value in the company – power plants, power lines, incinerators, electric direksjonsbil, holiday in Hafjell etc. But all companies need while ample liquidity. My simple point in the first post was that of NOK 230 million in the bank at year end, so calling warning bells. The obligations of payments for 2014 is as far as I can see: Dividends to shareholders of $ 200 million tax of $ 350 million, repayment of debt of $ 350 million Combined, this £ 900 million. You obviously need to borrow.

4 I should also point out some other obvious errors in Rinnans accordingly. He writes that the net value is 9500000000. How can that be right with its own information about the asset value is level approx. £ 6 billion. Furthermore, he states, debt to U.S. $ 5 billion. Preliminary results for 2013 provide a debt of 10.9 billion. Thus also claim that Eidsiva have more equity than debt failures, it is approx. 32 percent.

There is urgent need for a more critical attitude to the development of Eidsiva. Do Municipalities must take a more proactive role through business meeting. One of the summaries of those investigated Troms Kraft, was that business meeting where slept, everything was settled in her room, the organ was hardly a sandpåstrøer. In order not to end up in the same situation, must be required to give an account of the public in an academically stronger than the Rinnan performing here. It is not wrong to discuss the group’s weaknesses openly, it is a weakness not to do it. We – the citizens and the electricity customers – must on the one hand be confident that the administration of the group not mislead owners into thinking Eidsiva will continue to provide major contributions to municipal operating budget. On the other hand, do not ambitious mayors suggest new antics with equity. Eidsiva will primarily produce and deliver electricity to a proper price for the customers and the company’s need for investment and maintenance.

Finn Olav Rolijordet, member of the council Red Gurgaon

Dropper security zones of Government House – Agderposten

Dropper freding av Statens Hus

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Norwegian must be important - Dagbladet.no

Publisert den 9. apr 2014, kl. 10:43 av

Kristian Meisingset, Forfatter av «En liberal mediepoltikk», Civita
Eirik Vatnøy, Forfatter av «En liberal mediepoltikk», Civita

I forrige uke publiserte vi Civita-notatet «En liberal mediepolitikk i et endret mediemarked». Dagbladets kommentator Andreas Wiese svarte med kritikk av flere av våre forslag.

En første kritikk gjelder den direkte pressestøtten. Vi foreslår at den ikke bare styres av antall abonnenter, men også av kvalitet: Bidrar mediet med noe nytt og viktig? Wiese mener en slik endring vil gi staten mer makt. Innvendingen er god. En forutsetning i vårt forslag er at forvaltningen legges til en aktør med stor nok avstand til staten.

Krav til kvalitet kan være gunstig fordi sentrale elementer i dagens ordning er blitt uklare. Før hadde ett sted gjerne én sosialistisk og én borgerlig avis. Da var nummer-to-avisene viktige. I dag kan én avis tenkes å være bedre enn to dårlige. Videre er det uklart både hva en lokal og en riksspredt avis er. Hvis regionale medier utvikler «superlokale» tilbud, er de da lokale? Når alle nettmedier er tilgjengelige overalt, er de da riksspredte? Kanskje er ikke de mest spennende meningene å finne i Vårt Land eller Dagsavisen? En mer kvalitativ ordning kan i større grad bidra til en mangfoldig demokratisk offentlighet.

En andre kritikk gjelder at vi ønsker momsfritak for alle medier, slik at de tjener mer på å ta brukerbetaling. Det blir stadig vanskeligere å skille mellom medier: Skal avisens helgemagasiner ha momsfritak, men ikke ukeblader? Skal Aftenpostens magasiner ha momsfritak, men ikke kulturtidsskrifter? Bør eventuell brukerbetaling på VG TV få momsfritak, men ikke TV 2 Sumo? Lik behandling er rimelig når mediene nærmer seg hverandre. En slik likebehandling finner man i andre land, som Sverige. Det kan bli dyrt, mener Wiese. Men når mediene blir digitale, er det ikke sikkert at prislappen blir så høy.

FØLG DAGBLADET MENINGER PÅ TWITTER OG FACEBOOK

En tredje kritikk gjelder forslaget om at NRK skal satse mer på kvalitet og krevende journalistikk og mindre på sport og barn og unge. Vi mener at når vi har stadig flere medier, bør NRK være mer kresne og prioritere det viktigste. Det gir ikke lenger mening å kreve at NRK skal være noe for alle, alltid. NRK.no trenger ikke å ligne på Dagbladet.no, men kan legge større vekt på dybde og kvalitet. Wiese mener at dette fort blir et elitistisk NRK. Det er vi ikke enige i. Kringkasterens mål må være å tilby noe vesentlig og opplysende til så mange som mulig.

Vi er derimot enige med Wiese i at NRK må ivareta de viktigste barneprogrammene. Likevel må man spørre seg om rundt 5000 timer barne-TV er i overkant mye, og om det er nødvendig å fylle en hel kanal med innhold som i hovedsak er innkjøpt fra utlandet. I dag har NRK en dominans i dette markedet som gjør det vanskelig for andre å satse.