Sunday, June 15, 2014

- Norwegian cuts can provide global oil squeeze – Today’s Market

Energy Oljemarkedet

– Oljens gullalder are over, writes Nordea senior analyst Thina Saltvedt in fresh note. She thinks kutt in oljeinvesteringene again may give rise oil prices.

artikkelen loaded in your leseliste.

– Oljens gullalder is to reach, writes senior analyst Thina Saltvedt at Nordea Markets in a markedsoppdatering.

Invest rings for 2015 operation on pipeline transport and utvinning of oil and gas gets oppgitt to 182.4 billion kroner, significantly lower enn the previous year, according to fresh tall from the Statistical Sentralbyrå (SSB).

– This indicates to invest rings will reach the top in 2014 and deadlock again in 2015. With the Brå decline in the supply, we risk a tight market and Higher oil prices next 2-3 years sikt when kuttene in invested rings will turn out into the lower produksjonsvekst, she writes.

predicts økt oljepris

The memo predicts analyst one økt oljepris in the near future.

– Large investeringskutt in Norway and other oljeeksporterende country may cause the market a significantly greater risk of large price fluctuations. It can lift oljeprisen with operation between two and five U.S. dollars laurylsulphate.



– Forced to stream tease dypt

Saltvedt further writes that new giant fields gets increasingly difficult both y locate and serve.

– It’s a number of challenges in the oil industry, with increasing pace proteksjonisme and unrest in the country with large oil reserves. On grunn av this gets oljeselskaper forced å dra far ut and tease dypt the stream fetch ut the precious Unction.

Les the affair here: Awaiting stup in oljeinvesteringene

– Over time, the sharp kutt in oljeinvesteringer lead to a dempet activity nivå in the oil sector, on a reduced etterspørsel pans capacity for work, and reduce the impact of the need for oljerelaterte items. It may even have a negative impact on the housing market, writes Saltvedt on.



Frykter permanent innstramming

She frykter to reduserte oljeinvesteringer will lead to a permanent innstramming av global oljemarkedet. She also predicts increased demand and a lower produksjon av oil in the future.

– With Limitation produksjonsbuffer y latch tilbake on in the future petroleum industry be endangering easily influenced av produksjonsforstyrrelser as the Arab spring inflicted country like Nigeria, Sor- Sudan, Libya, Iran and Iraq.

Les also:

Russia hevder Ukraina Bruker ‘banned’ weapon ‘

Regjeringen will open the for more info on sales and beer

Oljefondet owns in slavery-accused selskap

Tuesday, June 10, 2014

- Germany may snu – E24

According to the Financial Times should the German government before summer treat a case where it aims to repeal the law that currently prohibits the extraction of shale gas.

production of shale gas is highly controversial, not only because it contributes to increased production of fossil fuels, but also because the production method is considered as highly polluting.

Self-contained

The gas is extracted through what is called hydraulic fracturing, in which fluid is pumped into the shale underground. It gets the rock to break up and release the gas. The liquid is left, and critics claim it to pollute groundwater. In addition to polluting the groundwater claim critics that the method is wasteful of water, it releases harmful methane gas and that it can create small local earthquakes.



Called rifle on his Facebook wall – AP

Jerad Miller (31) wrote ominous messages online in the days before he and his wife brutally killed two policemen.

The two policemen Aalyn beck (41) and Igor Soldo (31) sat and ate lunch at CiCis Pizza in Las Vegas when the attack happened Sunday: Jerad Miller and his wife Amanda (22) came into the restaurant and shouted “this is the revolution”, before killing policemen and covered bodies with a Gadsden flag, often used as a symbol of disagreement with the authorities. Then they placed a swastika and a note on one inspector’s body.

– We assume the lateral authorities, the police and those who support the government, with the Nazis. They believed that the police are oppressors, said Deputy Sheriff Kevin McMahill at a press conference Monday.

– I note they repeated what they said when they came into the restaurant, among other things, that “this is a revolution,” stated he says.

  <p> VICTIMS: policemen Aalyn Beck (41) and Igor Soldo (31) was shot and killed while they were eating lunch at a pizza restaurant in Las Vegas Sunday. </p>  <p>” aria-describedby = “figcaption # dp-image2255627-23226414″ /><br /> <br />  <figcaption id=

VICTIMS: policemen Aalyn Beck (41) and Igor Soldo (31 ) was shot and killed while they were eating lunch at a pizza restaurant in Las Vegas Sunday.

Photo: Steve Marcus , Reuters

“We must prepare for war”

In the days before the killings let Jerad Miller multiple Facebook messages in retrospect appears to would reflect the heinous attack:

“A new day dawns. May all our upcoming sacrifice be worth it. ” The June 5 he wrote:

“People are starting to wake up.”

June 2, he published a long post in which he warned Match:

“We hope for peace. However, we must prepare for war. We are facing an enemy that not only has a lot of resources, but also believe they are fighting for freedom and justice. Those of us who know the truth and dare preach it, know that the enemy are our brothers. “

May 8th called him a weapon.

” I need a rifle. Can anyone help? “He wrote on his wall.



Hot out

Also his wife Amanda was active on the social site.

” To all the world’s people, you are lucky that I can not kill you now, but remember that one day I will take you for a day all hell breaks loose and I will stand in the middle with a shotgun in one hand and a gun in the other “she wrote on 23 May 2011.

since she also pictures of the couple dressed up as cartoon heroes The Joker and Harley Quinn. According to the newspaper Las Vegas Review-Journal pair used to dress up as different characters and posing for tourists Freemon Street in Las Vegas.

couple had recently had moved to Las Vegas Valley. Police believe they had an ideology similar to “white supremacy” movement, which claims that the white race is superior.

– We believe that the comparison authorities and the police to Nazis. In other words, they believe that those who maintain law and order oppress people, says McMahill.



– Told that they would kill

  <p> GRIEF: A few blocks outside the venue CiCi’s Pizza in Las Vegas, Nevada. <br/> </p>  <p>” aria-describedby = “figcaption # dp-image2255969-23226415″ /><br /> <br />  <figcaption id=

GRIEF: A few blocks outside the venue CiCi’s Pizza in Las Vegas, Nevada.

Photo: Ethan Miller , AFP

Before they left their apartment Sunday they had told neighbors that they would kill police officers, said a police source told The Las Vegas Review-Journal.

– He knew he was not going to survive the day. Police would die – and he was going to die, says police source about one perpetrator.

After the shooting incident at the pizza restaurant took the two suspects police guns and fled to a Walmart store across the street where they shot and killed a woman before they ended up in a shootout with police.

The female shooter shot and killed his accomplices before she shot herself. Police found large quantities of ammunition in the couple’s backpacks.

– It seems that they were prepared for a prolonged firefight, says McMahill press conference Monday afternoon.

Sources : Reuters / Yahoo News

Saturday, June 7, 2014

Congratulations on ‘choice’, Jonas! – Aftenbladet.no

MUCH WEIRD can of course happen, but usually it is the least weird it wins. Therefore, probably Jonas Gahr Støre Prime Minister in a few years. Then he will know that he has got his own Opinion from, well, a couple hundred people?

That’s how we do it in Norway. Only 5 percent of Norwegian citizens are members of a political party. Around one percent of these are then delegates at congresses. The country’s future leader, the person who will front the development of society and collect the majority of the dramatic changes, appointed by fewer people than it is on a single notion of “Game of Thrones”.

In 1980 WERE EACH 7 NORDMANN a member of a political party. Now it’s every 20 It is around the European average, but lots of other countries including at least members, get that they are, in selecting its leaders. In Denmark took 45,000 of the 46,000 members of the referendum when Helle Thorning-Schmidt in 2006 was elected chairman of the Social Democratic Party. In the UK the exhaust 200,000 party members vote as David Cameron in 2005, the Conservative leader. Both later became prime ministers.

EIRIK LOOP IN CIVITA has posted a note about the Norwegian electoral system and describes how we have minimal influence over the selection of persons to control us. Unlike many other countries that are close to us, we let the inner core of the parties appoint our representatives, without the possibility to change something during the few minutes we are at the polling station. He has called the note “Oligarchy or democracy?” And documents fairly convincingly that we lean towards the former.

Norwegian politicians enjoying yet great confidence – relatively speaking.

Loop writes that Norwegian voters have “unique little influence” on the composition of the parliament, compared with other democratic countries. The nomination process is closed, in 2005, only 1.4 percent of the population participated. Compared with this, the church elections the pure mass gatherings. When this elite has set up the list, there is precious little we can do. Parties’ nomination for parliamentary elections have never been changed by the voters. Act is arranged so, it is not intended that the many should overrule the (very) few.

In the book “Towards the election,” as Font publisher released this spring, writes the Belgian cultural historian and author David van Reybrouck that Europe suffers from a democratic fatigue syndrome. Turnout is lower than at any time since World War 2, and continues to fall. Fewer and fewer cares to participate actively in the political parties in the Netherlands is just one of 50 citizens with a party.

NORWEGIAN POLITICIANS enjoying yet great confidence – relatively speaking. However, the relative is not much to hang your hat on. The Global Corruption Barometer of Transparency International shows that political parties around the world are considered society’s most corrupt institutions. 9 out of 10 Greeks believe that the parties can be buy, 8 out of 10 French people think the same. In Norway there are 4 of 10 who share this opinion. Relatively good, but still an absolute problem.

The agency mission is being handled by former Health Minister Bjarne Håkon Hanssen (Ap) and the current Minister of Agriculture Sylvi Listhaug (FRP).

One important reason for the political apparatus declining legitimacy, we may well call First House syndrome, or as Frank Rossavik called it in a comment in BT a few days ago: The manipulative government. Cabinet ministers and state secretaries, diplomats and members of parliament take their networks and insight into the political system into a business where both a high priced commodity.

WHEN Troms Kraft, a public owned company with tasks which are vital for society, getting into trouble because they have provided illegal support to the Center, contact the First House, where a deputy representative to the Parliament for the same Centre, working. He gives them – secretly – advice on pushing responsibility on the Centre. After all, Troms Kraft paying for advice.

Drammen First House pays 300,000 dollars to make the city a new hospital. The agency mission is being handled by former Health Minister Bjarne Håkon Hanssen (Ap) and the current Minister of Agriculture Sylvi Listhaug (FRP). Once it is currently fairly weakened 4th branch of government, in the form of Drammen Tidende, bits stuck to the case, the voters know how their tax money is being spent. CEO Per Høiby say as always, “We do not comment on client relationships.”

municipality, from the Latin communis , which means joint , is becoming a customer that needs to be surrounded by secrecy. It is no longer us .

CURRENTLY DEALER United States and the EU on a free trade deal that could have enormous consequences for Norway. And here is “enormous” a conservative concept. Such a free trade area, which will comprise half of the world economy will affect Norwegian industry, labor, agriculture and trade more than we can possibly imagine. When the organization Corporate Europe demanded to know who the Commission had met to get input on Europe’s position in the negotiations, there was a list of 119 meetings with stakeholders. 93 percent of the meetings were with large companies or lobbyists for big business, big brothers of the First House. There is created the policy, not on open meetings with a politically mobilized population.

What was it we celebrated so vehement in May, the Council

Some of these companies will have the right to sue national governments for “loss of future profits” if they do not get what they want. In the same way that national governments can be punished by the EU if they do not follow the rules from Brussels. It is no good if the voters in those countries actually want a different policy. We have no real choice, only a limited freedom to determine who will follow the rules on our behalf, even when they are in our disadvantage.

What was it we celebrated so vehement in May, the Council?

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Last five Fripenn comments from Omdahl:

Eira salmon has ignited passion in 160 years – Romsdals Budstikke

Laksen i Eira, Siramoen Fiskevilla Og Engelskhuset by Syltebø tenders Har lokka sportsfiskarar sidan 1853.

I kjøpte 1853 engelskmannen Rovland Mucklestone Garden Sira Sira i Eresfjord av Bard. Med by handelen var også ei strekning not very vestsida kilometers by av lakseelva Eira.

Med debt begynte debt moderne lakseeventyret i Eira. Det gamle lakseeventyret hadde vart i hundrevis, jar kanskje tusenvis av AR. Eresfjordingane hadde OPP gjennom tidene fanga store mengder relax med andre tradisjonelle reiskap teiner Og, Og her Som i andre norske laksebygder GAR debt historier urn tenestefolk Som protesterte når debt vart servert relax til middag fleire gonger i veka, urn relax relax Som Som dyrefor Og urn gjødsel not markane!



engelske 65 AR AR

Med engelskmennene cum debt denies tider i Eira Eresfjord Og, the sum of these mange andre i norske bygder Og lakseelvar by denne tida. Laksefiske skulle vere sport, fisken skulle ikkje fangast med teiner greip Og, but Og krokar med med spinkle fiskestenger imiterte fluger.

Etter Mucklestone cum fleire engelske eigarar by Sira: General Seymour i 1874, i 1881 Sir Montagne Guest , Sir John Heachcoat i 1891 i 1902 Og Sir John Chaplin, Psalm denier Internet systems rekkja i av engelskmenn. I cum Sirah 1918 igjen by norske hender da consul Trygve Jervell HRF Ålesund kjøpte garden. Sonen hans, Otto Jervell Tok over 1955 i. Dagens eigar, Svein Magne Myrvang, arva Garden, lakseelva Og Siramoen Laksevilla etter stefaren sin, Otto Jervell i 1988.



Ventetid ved Eira

Slik Har debt sec at AEG EIN maikveld Star by tunet utanfor Siramoen Laksevilla saman med Svein Magne Myrvang. Rett framom OSS dear life Eira flyte forbi, innramma av rigidly trestammar Og med grøne grasbakkar not begge sider. Verdas vakraste Flashcards queens gjennom verdas vakraste bygd. Over OSS tronar mektige fjell, Skjorta, Goksøyra, Fløtatinden, Sjøvdøla, Nebbå.

Saman med OSS Star laksefiskarane Ola Thue, Robert Løvik, Lars Johannessen Og smuggle Østby. Dei sisters stadig not klokkene film Og ventar. Ventar not at klokka skal snegle seg fram til midnatt. DA, presis klokka 00.00 1. Juni, startar årets laksefiske.



Veteranar i Elva

Med OSS er også denier lokale roaren, klepparen Og fiskaren Mareno Nauste. Saman med Svein Magne Myrvang Har han vore gaid, Roar Og kleppar i Eira HRF gutedagane by 1960-talet.

– Lifestyle gjekk i lære hos til lighthouses Mareno, Håkon Nauste. Han var EIN svært dyktig kleppar by Sira Badè for Og etter krigen, fram til 1965, seier Svein Magne.

– Eg begynte å Ro laksefiskarar by Eira i 1966. Forst by Engelskhuset but alt groin etter flytta AEG over til Siramoen, der dei franske fiskarane dominerte. Det var steinhard jobbing HRF tidleg urn morgonen til seint not kveld kvar Dag unntatt søndag formiddag gjennom heile sesongen. Det er difor Svein Magne Og AEG er ungkarar. Lifestyle brukte kvar einaste sommar gjennom heile ungdomstida not roing Og klepping, kneggjar Mareno Medan Svein Magne nikkar Og flirer godt.



Siramoen Laksevilla

Lifestyle

FAR ei analytically omvising not Siramoen Laksevilla saman med Svein Magne Og Mareno. Det er eit eventyr å sjå Og høyre. By Heng veggene måleri av med laksar nøyaktig påskrift urn kven Som var fiskaren, vekt, kVA for EIN høl, dato Og årstal.

– Denne vart fiska av Einar BJORNSON, sonen til Bjørnstjerne BJORNSON, i 1919. EIN Fisk arms by 33 pund, city debt seie 15.7 kg, opplyser Svein Magne.

Under taket Heng gammalt fiskeutstyr. Ehi engelsk flugestong av med ei merket Hardy Hardy Perfect snelle. Klenodie HRF kring 1920. Mellom alle laksane dear life gamle photography av fiskarar Som Har BUDD by Sira HRF 1800-talet Og fram til horned dagar.



Storlaksen forsvann

da unggutane Mareno Og Svein Magne begynte Som roarar Og klepparar midt by 1960-talet, var Eira framleis ei stor lakseelv kjent for stor relax av god kvalitet. Det skulle ikkje GA fed AR for tidene endra dramatisk sec.

– Det var ei stor ulykke for Eira da dei Tok Mardøla Og Mardalsfossen stilna tidleg by 1970-talet. For Mardøla var debt over 2.60 meter vatn i Nyhølen utanfor Siramoen Fiskevilla. No. er debt 1.20 meter. Vi er heldige Som fekk oppleve Eira for Internet systems reguleringa denier. No. veks debt thanks Og skog der lives rodde laksefiskarar for 40-50 Ar sidan, seier Svein Magne.

– Storlaksen forsvann Og talet by Fisk gjekk dramatisk ned. Det er etter at Forst dei dyktige folka ved debt lokale settefiskanlegget cum fram til cup metodar for utsetjing av smolt, at Elva igjen Har fått EIN brukbar laksebestand. Dagens situasjon er at 65-70 prosent av laksen Som blir fiska i Eira, kjem HRF Settefiskanlegget i Eresfjord. Det hadde blitt magre tider urn life måtte Noah OSS med debt Elva produserer, seier Mareno.



Engelskhuset

Den andre store Og tradisjonsrike staden for laksefiskarar i Eresfjord er ved Engelskhuset Syltebø tenders. Der møter view eigaren Torvald M. Jørstad.

– Syltebø var statleg eigedom Og i bruk Som militærforlegning by 1600-talet. Da Som Setnesmoen overtok militærforlegning i 1825, kjøpte gausdalingen Andreas Jørstad garden. Sidan Da Har Garden vore i Private eige Og laksefiske utleige av med fiskerett Og innlosjering av laksefiskarar vart snart ei viktig attåtnæring.

– Engelskhuset stod ferdig i 1863, Og HRF første stund vart debt EIN populær stadiums for engelske laksefiskarar. Internasjonale storfolk Som Prinsen av Wales Har vore mellom gjestene. HRF-1940 til 1979 ARA leigde skipsreiar Thor Thoresen husa Og fiskeretten. Etter 1979 er debt AEG urn familien mining Som Har stått for utleige Og drift, seier Torvald M. Jørstad.

Også not Engelskhuset veggene full av er historisk materiale Som fortel urn laksefiske Og laksefiskarar OPP gjennom tidene. Her Som by Siramoen blir debt understreka at kundane FAR noko Meir Ein relax til i tillegg Eller rate:

– Dei Som kjem hit FAR ei oppleving av naturen Og kulturen. Det er minst like verdifullt Som fisken, seier Torvald.



Eira Flyfishing

Siramoen Og Engelskhuset Har fiskerett by EIN stor del av nedre del av Eira. Resten Har i fed AR vore oppdelt not fed små eigarar Og Har vore vying brukt til firelight. Det blir debt ei endring by AR i. Eira Flyfishing Har avtaler laga med mange eigarar Og tilbyr fiskekort by EIN stor del av øvre Flashcards HRF Skulebrua til Eikesdalsvatnet.

– Folk camp firelight ei strekning by 4 kilometers Flashcards by Same fiskekortet debt. Kortsalet er i gang, Og vi fått god Har responses. Er debt EIN sjanse for folk flest å Fa earnestly relax i denne fleet Elva. Avtalen prøveprosjekt eit er, but life Som Har harm FA EIN langsiktig avtale til fordel Badè for fiskarar Og elveeigarar, seier EIN av dei Som Star Backing Eira Flyfishing, Helge Dahlen.



Årets første

Korleis gjekk debts med dei spente fiskarane Eira i natt til 1. juni i ar. Det vart faktisk rekordtidleg fangst. Tre minutt over midnatt fekk Robert Løvik napp Og 7-8 minutt seinare hadde denier overlykkelege fiskaren EIN 6 kilos villaks by moors. Sidan Da Har debt vore nokså Stille Badè i Eira Og dei andre lakseelvane horned.

But

kVA gjer like to debt? Laksefiske er ikkje matauk. Laksefiske er med tre sommarmånader magiske øyeblikk.

Fjordlangs Eresfjord i

EIN old STI, triveleg bålplass, grindhus, blåskjel masse, ei gravrøys HRF jarnalderen Og synet av Skjorta Som speglar sec i fjorden.

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Skjonghellaren

Den spanande fjellgrotta not Valderøya fører 70 meter inn i fjellet. Her Har havbåra arbeidd millionar i av AR. Arkeologar Har funne sportswear etter Fisk, fuglar Og dyr Som levde lenge for Internet systems istid.

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You are here: Home> Audit> Audit Reports> Ringerike municipality practical … – Board of Health

Introduction

Theme and background Authority

About Ringerike municipality and implementation of audit

County Department of discovery

Further follow-up of audit

the County has the spring of 2014 audited Ringerike municipality and examined how the municipality safeguards obligations they have for health and care services law. The County has investigated how services are approved and implemented. We also examined how the municipality responsible for supervision duty, user participation and evaluation of services.

Authority gave grounds for establishing three deviation:

  • municipality has not established systems to ensure the proper performance
  •  

  • municipality does not assess systematically whether assigned services are acceptable
  •  

  • The processing of service carer is not in accordance with the applicable rules

were also given a note:

Not all users have showers and practical assistance when the service should be rendered on a movable holiday.

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

Date: 06/04/14

Wenche Jensen
audit manager

Anna Mech
Accountant

Ole Johansen Bennie
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 municipal health services § 12-3 given the authority to oversee how the municipality to attend to his duties under the Act.

This report was prepared by system audit in Ringerike municipality in the period 13.01. 14 to 04/06/14. 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 quality improvement efforts and 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 of the audit was on Ringerike municipality provides services practical / personal assistance and carer to residents of the municipality who are entitled to these services. The County considered whether it was argued in the decisions that assigned services were reasonable in design and scope. Furthermore, we investigated whether assigned services are implemented. We examined whether the municipality safeguards assessment requirement, supervision requirement and user requirement. The County also examined whether assigned services are evaluated and changed in conjunction with changes in demand.

the County has seen this oversight council proceedings leading up to the decision, how the municipality follows the decision and how the cooperation between ordering and performing in the municipality. The County has not looked at how the services are performed to the individual user. Authority is further limited to care services in the home, we have not seen health services are handled by a healthcare professional.

the County adds at the start of plans for the communities we should be supervised, and what will 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. Supervision of practical / personal assistance and carer is an audit, we have taken the initiative and we chose to oversee the Ringerike municipality on the basis of complaints and messages that have been received by the County Governor.

Ringerike municipality is home to approx. 29,000 inhabitants. The services the County as of the Authority, is organized in a book and utførerdel. Subscriber unit, hereinafter referred to as the Awarding Agency, makes a decision and sends the message to perform device, which initiates and executes services. The services assigned by the Assignment Office. The unit is currently acting head because unit managers on leave. It’s Home-based services are responsible for performing part, and company manager is responsible for nine different entities that provide services with residents in Ringerike municipality. Acting Municipal Director Kirsten Orebråten is the leader of both unit managers covered by the audit. Ringerike municipality has started an internal review where they among other things looks at the organization of the services covered by the audit. It is prepared an action plan for allocating office to be implemented in 2014. Through this work, the current policy documents are revised and incorporated in the business. Awarding Agency aims to meet residents with “one voice.” Furthermore, the introduction of procedures for quality service and award procedures for documentation. The municipality will also develop procedures for internal control where this is lacking. The County has received copies of two reports that the municipality has ordered; one from Buskerud kommunerevisjon IKS and KPMG. Both reports were published in autumn 2013, and touches partly the same space as the County on the audit.

manager of the agency for booking office is responsible for finance and personnel. There is one employee discipline leader who is responsible for the technical part. She supervisor in individual cases. Staff in the office are divided into different groups, divided on the services they are responsible. The various groups have weekly meetings where complex issues are addressed.

It is a guide for granting practices in the community, most recently revised in December 2012. Guide describes criteria for allocating services by health and care services law. Furthermore, it states that it is issued guidelines for how employees should exercise the necessary discretion. Employees must take into account the principle of user participation and Leon principle (lowest effective level of care) when assessing the need for services. Where the local authority has a duty to provide assistance, this obligation is met and in the guide it says that aid can not be rejected for financial reasons. The criteria for the award of practical assistance is comprehensive and detailed. The routine specifies that there should be an individual assessment. It says in the guide that where there is a need for washing windows, this shall be at the expense of another sink. It is equivalent to a separate, detailed procedure for the award of practical assistance in the form of training. The municipality has also routine for allocating carer. It is shown here that it is prepared guidelines for case management, but that these applications will be assessed individually. It will be used a “døgnur” by allocating a carer. The County has not been submitted to any of the guidelines referred to in the guide.

municipality receives an application, it shall be carried out a home visit. Information from this visit is central to the assessment process. It emerges from conversations with employees that applicants are consulted when services are designed and evaluated, and the municipality is trying to fulfill your requests within the scope of the regulations.

written notification of the decision [2] for each local authority reaches a decision. The municipality portions decision aid in practical assistance (cleaning) and home nursing. Home care includes besides necessary health care, personal assistance in the home. This means that applicants requiring both practical and personal assistance, made two decisions on this, by various provisions in the health and care services law [3] . Decision on practical assistance is given in time, while in decisions about personal development, it is stated what the applicants will get help unless this is time estimated. Performs under the supervision put forward a list that is used when the employee work schedules set up. The list was created in May 2011.

municipality routine to process deviations, complaints and feedback in health care. It’s unit manager is responsible for ensuring that all employees are familiar with discrepancies must be notified and it must always be provided feedback to the report. The routine defines that difference is the lack of fulfillment of the requirements defined in the laws, regulations etc. Moreover, it defined what a complaint and feedback are. It is also informed about current business systems. All deviations, complaints and feedback will be notified with a copy to the quality advisor. It is this that is responsible for systematization, analysis and reporting of quality choice and political choice. The municipality did not provide a complete overview of the deviation, then the quality advisor was on vacation.

It is a collaboration between award office and business Home-based services. The purpose of this is to ensure the content and quality of the services covered by the contract and ensure cooperation between the parties. The agreement regulates the changes in users’ needs should be reported through Performs a BE-note to the Assignment Office. Awarding Agency shall make a new assessment and provide feedback performs. Regular assessments shall be made through scheduled meetings between ordering and carrying out according to procedure. The staff is aware that they should write BE-note, and this is done largely according to the procedure. It does not, however, conducted meetings, such as routine describing.

the County issued audit notification 1/13/14. List of documents the company has submitted in advance of the supervisory visit is given in the appendix to this report. Opening meeting was held on 07/04/14. 12 people were interviewed. Among these were three units of home care services represented, managers, acting chairman and deputy acting Local authority. Overview of documentation were reviewed during supervision visit is given in the appendix. The final meeting was held on 08/04/14. From the County attended senior counselor Wenche Jensen, senior advisor Ole Johansen Bennie and adviser Anna Mech. Wenche Jensen was an audit manager.

the County investigated both how the award office investigates and makes decisions and performs on implementing services and follow procedures related to the evaluation of the decision.

guideline to Assigning office has no procedures related to the evaluation of the decision. It is also not submitted any procedures to ensure that this Assignment Office. In practice, decisions mainly evaluated annually, and it becomes an evaluation date in the decisions. There are varying practices for how long it should take from the decision date to the evaluation date, but this is not related to tjenestebehovets character. It is established practice that essentially ensures that decisions are evaluated within the given deadlines.

User participation in Ringerike is ensured through monitoring meetings with the applicant. However, there is little documentation what comes up at the meetings, which are not included as part of the reasoning in the decisions. The municipality is studying systematic cases, regardless of whether they come as a result of an oral or written request. This applies to both new cases and evaluations. However, there are no procedures for case management in the community beyond the aforementioned supervisor. This allows seemingly identical cases can be treated differently depending on who is the executive officer and without justified by individual needs. There is no assurance of decisions in terms of counter-signing. The individual officer makes the decision alone in the simpler cases, while more complex issues are discussed in the weekly academic meeting. It has also been reported that changes in the needs of users have not been captured by measures office.

practice of making annual resolutions and one decision per. assigned service allows applicants with complex needs are many decisions to deal with. In some cases, set revurderingsdato very short time after the date of decision, in some cases longer than a year, but in most cases, set revurderingsdato routinely one year after the date of decision. This is not illegal, but can create uncertainty for the individual applicant, related to what happens after the scheduled evaluation date. This also creates a lot of extra work for the municipality.

Business Home-Based Services is responsible for implementing services. This is done in accordance with applicable procedures, the area covered by the audit. It is evaluated how fast it is necessary to initiate services, and home is inserted immediately, if necessary. The County had conversations with committed staff both in performing and order, which stretched far to ensure that residents in Ringerike municipality get the services they have on decisions. However, it is clear that there is an under-reporting of deviations, even if they express that “they get it.” Deviations routine is not sufficiently known and implemented in the organization.

County Department concluded that the municipality’s duty to investigate is taken care properly for Public Administration. Furthermore, the participation by patient and user rights law [4] attended, although this is poorly documented. The municipality implements services that are resolved on, within a reasonable time.

In the following, the County Review the deviations and the notice given in the audit. When it gets to differ, this is because the community has a practice in violation of law and / or regulation. This constitutes illegal operation that the municipality must take measures to change. Notes are given where the supervisory authority believes there is a basis for improvement. The practice is not illegal, and the County can not require the municipality to change this. The supervisory authority does not follow up notes afterwards supervision.

the County made observations of illegal practices:

Deviation 1

  • municipality does not meet systematic guidance duties [5] . There is no written information material aimed at the public, and when it comes carer, it is difficult to find information about this on the internet
  •  

  • staff informs not systematically about services in Ringerike municipality
  •  

  • There is little current procedures for processing and decision is not quality assured before being sent out. This can lead to impaired discrimination of cases
  •  

  • decisions contain no assessment of whether the user meets the conditions for patient and user rights Act § 2-1, a second paragraph
  •  

  • justifications of decisions are generally very deficient [6] . There is scarce descriptions of the facts, and there is no explanation for the exercise of discretion. It is not apparent why the allocated services cover the actual needs [7] .

Overall, this amounted to the County’s evaluation practices that involve deviation from the statutory requirements for service. The County formulated discrepancy as follows:

municipality has not established systems to ensure the proper performance

This deviation from the Public Administration Act § 11 and Chapter V.

Comment

staff performing the service in Ringerike municipality stated that they are working effectively and mostly fail to provide the services they should be facing residents in Ringerike municipality. They discuss with users if there is a basis for evaluating the services, but this is not systematic. There is no routine for that service providers should inform the service for care, where they consider that this might be appropriate. Several stated that they did not know the service well enough to be able to guide on this.

Ringerike municipality makes decisions and apportioning services without considering whether the conditions for patient and user rights law are met. The law cited, however, in the decision. The majority of the decisions that the County has undergone, is very short and contains little or no fact. This is especially revurderingsvedtakene. In an internal report that the municipality has ordered, and the County has been presented, it is stated that the decision of the municipality granting services do not require supplementary decisions where it gets rejected. This is too narrow interpretations of the law on health care law, and it weakens the applicants’ legal rights. When it comes to decisions about health care, it must be fact which the municipality finds, where the information is retrieved from a rationale for why meted services cover the applicant’s actual needs. The situation around the user can change from year to year, and it is therefore important that the council refers to the fact which they have assumed.

Deviation 2

  • It is not an adequate system to ensure that changes in users’ needs are captured
  •  

  • community has standards for the award of practical assistance, and it is up to the individual officer whether this standard can be deviated. Sentencing in the decision is not related to the applicant’s needs. The standard takes little account of the nature of property
  •  

  • no assessment of total services to the users’ needs
  •  

  • the County has taken two decisions, as the basis of information in the case is considered to be below soundness requirement [8]
  •  

  • decisions about practical assistance contains terms that users can get washed windows, but it may be at the expense of assigned services
  •  

  • municipality deviation system does not capture the systematic failure of services
  •  

  • User participation is not documented beyond that it is carried out home visits.

Overall, this amounted to the County’s evaluation practices that involve deviation from the statutory requirements for service. The County formulated discrepancy as follows:

Ringerike municipality considering not systematically allocated for services is acceptable

This deviation from the Public Administration Section V, health and care Act § 4 -1, internal regulations and Quality Regulations.

Comment

system to notify any change in BE-form not followed up systematically by municipal employees. There have been failures due to this. There are no procedures for processing in Ringerike municipality, beyond guideline revised in 2012. However, it is introduced standards of service practical assistance, but it is somewhat different perception of what the standard really means. Sentencing happens without it tied to the needs and the residence applicant. Carries out said, however, that they also do other, necessary tasks if they see the need for this, unless it is known whether this is covered by the decision. There is no time stamp of Service “home care” for the part that includes personal assistance. There are very few decisions that provides help as dishwashing and garbage handling. Performs unit presented a list of time estimate used when setting up the lists. This is used as the basis for the services to be performed, and which also includes the services.

Decisions The design and grounds makes it impossible to assess whether services are allocated is justifiable, based on the requirements stated in the case. The decisions lacks fact, the various services provided is not mentioned in context and is not considered against the need for help seeking have.

Deviation 3

  • municipal processing of carer there is no evidence that the overall care needs are mapped
  •  

  • It does not appear the decisions which part of the care that is regarded as “particularly burdensome”
  •  

  • In sentencing carer to parents, it is not considered what is deemed to be age appropriate care
  •  

  • In six out of ten resolutions that are submitted to the County, the care salary set at 20% without further justification
  •  

  • In one decision, the municipality has meted carer in a fixed amount to compensate for the reduction in attendance. It is not considered in the decision whether this is an appropriate level of service. This is not set in the context of other municipal services.

Overall, this amounted to the County’s evaluation practices that involve deviation from the statutory requirements for service. The County formulated discrepancy as follows:

The processing of service carer is not in accordance with the applicable rules

This deviation from the Public Administration Section V and the health and care services law § 3-6.

Comment

Carer occupies a special position because the municipality has no obligation to provide this service [9] , provided it is inserted into other services that can help fulfill the need for a responsible manner. Family or others performing tasks that are regarded as “particularly burdensome” 9 entitled to assistance from the municipality [10] . The municipality must consider both what makes the applicant satisfies the conditions for obtaining services for patients and clients Rights Act § 2-1 a, second paragraph, and consider which tasks are considered to be particularly burdensome. What tasks this is, will depend on an individual assessment of each case. If the municipality does not insert other aid measures, the municipality shall compensate the carer for the hours that are considered to be particularly burdensome possibly less benefit [11] . Parents have a duty of care for their children [12] . The municipality must therefore associate help needs against what assistance needs of children of similar age have and determine what goes beyond that normally provided by parents responsibility. These assessments must be clear documentation in the case and the decision.

municipal supervisor says that hour shall be assessed on the basis of a “døgnur.” The County does not find evidence that this is being done, and it does not appear from the decisions. The enforcement of carer appears to be somewhat random and somewhat standardized although in our review found resolutions of up to 100% carer earlier. The County will also point out that an apportionment percentage without linking it to hours, may be partly very misleading, as it is not stated in the decision what is the basis of the percentages granted.

the County also found reason to give a note:

Not all users have showers and practical assistance when the service should be rendered on a movable holiday.

Comment:

The staff make agreements for showers and practical assistance on other days, but there is no evidence that they fail to capture all . It was also stated that most thought it was okay to take it another day, or they may skip once. However, there is no routine for how this should be handled. The County did, however, likely that users get these services and have not gone into the documentation related to this.

the County asks that Ringerike municipality within the County 06/27/14 sends a plan where the following is shown:

  • What measures are foreseen taken to correct deviations
  •  

  • How management will monitor and ensure that measures are put in place
  •  

  • How management will ensure that the measures have worked as planned, after they have been working 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 documented measures and directed deviations. Contact in after work will lead auditor Wenche Jensen, who can be contacted on e-mail: fmbuwej@fylkesmannen.no or tel. 32 26 68 61



1 Health and care Act § 4 -2 Regulations relating to internal control (FOR 20.12.2002 No. 1731) and the Regulation on Quality of Care for care (FOR 27.06.2003 # 792)

2 Public Administration Act § 27

3 Health and care Act § 3-2 no 6 letter a “medical home” and the letter b, “personal assistance, including practical assistance and training and personal support , “

4 Patient Rights § 01.03

5 Public Administration Act § 11

6 Public Administration Act § § 24 and 25

7 The obligation to provide proper services, see health and care Law § 04.01

8 the County has identified the issues facing the municipality after the final meeting

9 See health and care Law § 03.06

10 Cf Patient and User Rights § 08.02

11 Circular I-42/98 of Health and Social Affairs Section 5

12 Children Act § 30

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