Thursday, June 30, 2016

Do not put down the welcome classes – Hamar Arbeiderblad

OPINION

The opposition parties (Labor, SV, Pp and Christian Democrats) and position parties (BBL, Right, MDG, Left, Party and Progress Party) had two completely different solutions to this. While we suggested the funds back into the pot, proposed the position to cut the entire pot of three million from 1 January 2017. Their reason for this is to follow “best practices” with regard to the Oslo School. They suggested then 1, 2 million of the three million back to the strengthening in all schools. The actual cut of Hamar school is thus at 1, 8 million.

In several letters to the editor this week we can read scientific arguments for why it is important to focus on Norwegian training for newly arrived students. From one of Norway’s strongest research groups, Hedmark University College (HUC), the politicians warned against taking this measure. They write, among other things: “Welcome Classes serves as a learning space where students’ voice is heard, the language is in active use, and students receive close supervision of teachers with multilingual and multicultural education.” More letters to the editor from teachers emphasize the same and in a memo from the base of Training, we read:

“When resources are removed, the qualitative program for all students in all groups in Hamar school deteriorate.” because HT also refers to a report published last week by Minister stating that a minority language student without sufficient training, will cost society an average of 2.6 million kroner. Right writes on its website that they believe it to attend their local and drop to move, is the main argument. It is a point that is both worth taking with you, and that schools with welcome classes make compensatory measures. But against all the benefits we are many, including academics at HUC, who thinks it is not good enough reason to put down the welcome classes. And certainly not at that same time taking down the budget in Hamar school with 1.8 million. If the intent was to achieve better solutions in that students attend local school, so would the number one is to have a dialogue with the academic community and number two not to cut the budget.

And the cut should been effective from the autumn of 2017. As had been held in the spring to make the necessary steps for the budget meeting in December. But the decision applies from 1 January 2017. And the alderman confirmed the chairmanship meeting 29.06 this is the march-order he follows. A process of layoffs and relocations must therefore start in the autumn.

“Children and young people first” is the slogan of Hamar. Therefore cut measures for vulnerable groups of children and young people be academically based and dialogue with stakeholders be taken into account. It is not done in this case.

But it is allowed to turn! – But it must be done now, not in December.

LikeTweet

Wednesday, June 29, 2016

Won police contract with illegal trimmed car – VG

When police were choosing new police cars had BMW’s flagship for weak engine. When trimmed BMW up test car without paying the fee of several thousand crowns.

One of the requirements to provide patrol cars for the police is that the motor provides 0.11 hp per kilogram car. This claim could not BMW 520d. It was simply too heavy for its 190 horsepower. But rather than be content to deliver an accessible stronger car, chose BMW a more creative solution.

By modifying your car’s engine electronics and replace some parts, received the Bavarian car giant squeezed 15 extra horsepower out of the 2.0-liter diesel engine.

Special Here are the police assessments of police candidates and VG scrutiny

But such trimming is not unproblematic in charge organized Norway. Every horsepower has its price, and at this power level there is a high price. BMW should therefore paid over 37 000 to trim up car police to test drive.

BMW even calculates according to the documents VG has disclosed that the trimmed variant triggers a lump sum of 229,521 kroner. A regular 190 hp strong variant of the same car, according Opplysningsrådet for Veitrafikken a lump sum of 191,665 crowns, a difference of 37.856 million.

See also: Here are the new BMW police cars

According to the Public Roads Administration was however never reported to them that the car police tested on Rudskogen and drove on the highway from the police Fellestjenesters (PFT) premises at Jaren Hadeland to motorsport center, was trimmed.

– There is no information about any PowerKit on this car. We’ve double-checked and the car has never been built with anything other than 140 kW (190hk) in our system. If it is so that the effect is increased this is a change that is illegal. It is not reported and approved by us, says Espen Andersson, Deputy Director at the Directorate of Roads section for vehicles.

The car in question, a BMW 520 xDrive, ended up winning the whole bidding process. This is the car that Norwegian police estimate that they are going to buy around 400 million over the next four years.

In the tender papers explains BMW that they have chosen a trimmed version of the original equipment delivers 190 horsepower.

Read also : VW considering dropping police

BMW: It was not reported power increase

Andersson explains that data from their records should be properly and there should be no “loophole” that allows effects can legally be something other than what it says.

BMW Norway concede that they have not reported trim kit which was adopted on the specific vehicle.

“the car that was used in the test which lasted one week was not reported with increased power. PowerKit was taken out of the car immediately after the test was completed. BMW Norway had oral contact with both customs and tax authorities and NPRA in advance but got no clarification on how an interim reporting of power increase would be handled. NPRA gave notice that they would not update the car’s specifications as long as the deviation was below 10 percent, it was in this case, “writes BMW marketing director Christian Gottschalk in an SMS to VG.

Experts the police tender : May have broken the law

He emphasizes that there is talk of a legal PowerKit supplied by BMW AG.

– Any effect change on a car should be reported to us. It must be due to ignorance if they have not been joined it. The so-called “10-percent” referred to are used where we suspect an trimming and measuring car at one of our traffic stations, says Andersson Roads VG.

In a note, they said that when it because of the natural variation in effect within an engine variant and possible variation in the measurement, they shall have a leeway of 10 percent.

– It is not so that the industry can speculate on this. In cases where it is mounted trim set from the factory is that the demonstrably executed a power increase that triggers notification to us, says Andersson.

Read also : Police replaced leather jackets for over 20 years

Roads: Thin excuse

for BMW’s assertion that this information on the enforcement of tax rules by trimming was verbally given by the authorities themselves, he commented.

– This will be a thin excuse. BMW sells as one of few importers such trim sets. Then one could expect that they know what rules apply for this. It’s hard to know in retrospect what is said in a conversation over the phone. If they have called a case manager with us and got the wrong information is of course regrettable. But such a large player should anyway have investigated this thoroughly than just by a quick phone call, said the director of Public Roads.

BMW Norway will now contact the authorities to ensure that the correct impact fee on the temporary mounted trim kit is paid.

VG Astrid Meland comments : Nice should be

the industry discourages trimming

Norway automotive Association discourages a general basis trimming cars.

– so far we know of offering no importers or dealers in Norway so trimming of cars, the models and engine options offered are automotive brands official price lists. There is a reason. Trimming may have implications both for the car technical terms, for guarantees and so on. Therefore, we discourage on a general basis, this type of trimming, says CEO of Norway’s automotive Association, Stig Morten Nilsen.

They were not aware of BMW at the importer sites have offered such PowerKit.

Police Internal services (PFT) was also aware that the car they test-drove had been trimmed up to 205 horsepower while in the vehicle was registered with only 190 horsepower.

– Trim kit was put in and taken out. Chiptuning is a negatively charged word, but this is a proprietary system that maintains emissions, guarantees and so on. Just on the test car, we assumed that everything was within the rules, says Technical Supervisor at PFT, André Laskerud.

They show that BMW Norway in the tender have calculated the increase in registration tax.

fee the car should be right by such so-called renovation / new construction supplies NPRA technical data from the motor vehicle registry in tax (before customs) electronically, as they calculate their fees on the basis of.

When an original trim seen from carmaker is used have the vehicle submitted for approval, according to Andersson.

– the documentation that ships set, and then apply to the current car, must contain enough information to authenticate the car after. That is evidence that the car manages the technical requirements for what is changed, such as exhaust gas, noise, engine and new technical data on this, says the director.



Mercedes-importer reacted trimmed BMW

None of the other tender participants fielded tuners. More reacted afterwards that BMW got quiet with a tuned car. Among other importer of Mercedes, Bertel O. Steen, has difficulty in understanding how they could quietly with a car that was not available on BMW’s price lists. This is stated in a written report from a meeting with police after the bidding process.

In police forms for submission of tenders was namely the phrase “price list minus tax.” The car with this motorization exists neither in Information Council Road traffic its database of all registered models in Norway. PFT says in its reply that it has been meaning to require that offered vehicles had to be at the provider’s price list.

– In competition documents stated that one should indicate the car’s list price minus one-time fees. This we realized that offered vehicles must exist as an alternative to an official price list, says communications director of Mercedes-Benz Norway, Christoffer Nøkleby.

– There’s a procurement expert assessment done in order to approve this car says director of materiel and logistics at PFT, discipline leader André Laskerud.

– in public tenders it is essential for us that the criteria are clear and realistic, risking allowing for a healthy competition on equal terms where maximize providers can compete. If one allows for “creative” – ​​and not necessarily innovative – solutions, it may mean that these conditions change and you do not get a healthy competition, says CEO Stig Morten Nilsen in Norway Automotive Association.

LikeTweet

Tuesday, June 28, 2016

Ashford with new courtship opposite Roan – Fosna people

The meeting at the State House in Botngård, lay a long agenda with nearly 700 pages in all. And amidst this brick of a dossier, stood program record for municipalities form.



Bjugn plus Orland laid dead

The marriage between Orland and Bjugn was primarily also adopted laid dead from Ashford side, after ølendingene entes about a no and Orland council followed the advice. In Bjugn was incidentally majority during the referendum for a yes.

On North Fosen Åfjord and Roan agreed that they should continue to work towards a merger with effect from January 2020. After that was no Orland, has Bjugn expressed a desire for talks with Åfjord and Roan to consider the possibility of joining in the constellation. The proposal has Åfjord agreed, while Roan council has declined.



Understand skepticism

In today’s meeting of Botngård, la mayor Ogné Undertun forward a note, which he suggested sending Roan.

More in Ashford council expressed that they understood the skepticism Roans politicians have expressed towards Ashford.

– We arrived late into court, and considering the size Bjugn has, I can understand that Roan can regard us as “the big bad wolf,” said Conservative Tore Melhuus.

Einar Aaland (H) stated that he supported the presented proposal from Undertun.

Ketil Sundseth (H) questioned about rumors that Orland and Bjugn could be forcibly merged by the County of Sør-Trøndelag.

– This is a matter to be in ministry and parliamentary gradually and will be treated after advice from the County. But I have little faith that it will get such advice from the side, without it can be dismissed altogether. Anyway this is a now a possibly separate and new races, black Bjugn Councilman Emil Raaen.



– We have good intentions

Several other municipal councilors were also up on the podium and gave their support for a new approach towards special Roan.

– It is important for us to emphasize that we have good intentions and that we will exercise magnanimity. We must deal with it basically we have. I can not impose any vote in a certain direction, but this is the type of case where I think it is important that we stand united, underlined Ogné Undertun.

When it came to the vote, was orførerens advice followed . For it was unanimously decided to authorize Councillor tasked to submit the presented note.



note

In its entirety, it is note as follows:

“Ashford council refers to the decision of 7 June on the formal request to Roan and Åfjord for the purpose of dialogue to explore opportunities to join together in a future coastal municipality. This dialogue is based on the already signed letter of intent between Roan and Åfjord, and otherwise with the following basis:

Roan, Åfjord and Bjugn municipalities face significant growth opportunities ahead. With one of the world’s most productive marine areas along the coast, the municipalities based on the long tradition of fisheries be important contributors to ensure future food production. Large parts of the value chain within farming is already represented from hatcheries, feed production, farming and butchery business.

As the base for national commitment wind power and increased production of renewable energy, the municipality will be able to create skilled jobs and derivative industries that could help solve future increasing demand for environmentally friendly and renewable energy. With several tourist destinations and long traditions in construction and agriculture, the new municipality have good conditions for developing jobs in existing industries.

If these opportunities are managed well can provide the basis for significant growth throughout the amalgamated municipality. This requires cooperation and resources to build infrastructure, facilitating businesses to establish and develop, and ensure access to skilled labor. Different places have to develop each their advantages based on natural conditions.

Bjugn council will in connection with the establishment of a new and larger coastal municipality with Roan and Åfjord work and prioritize the following measures in infrastructure and transport:

1. Continue work on avalanche protection and accessibility of the FV 14 between Sumstad and Roan center, including support construction of the next tunnel between Hellfjord and Description Country Fjord.

2. The new municipality will support a new Fosen Package 2 which includes a bridge over the Trondheim Fjord and Stjørnfjord, striving to ensure that the last project in FV 14 Sumstad – Roan incorporated into this package.

3. Working for linking communications along the coast better together, by bridge over Åfjord maelstrom as the first subproject.

Administration Centre in the new municipality with political and administrative management added Åfjord, but the new municipality shall besides the ordinary service production be present in Roan through service office in Botngård through a corporate social house.

Bjugn council will work to further develop Botngård as an important nursery and education center at Fosen, with Fosen high school, elementary school, school, DPI etc.. At the same time vital functions placed in such a way that proximity and secure living and childhood environment can be safeguarded. This means that the current structures with physician offices in Botngård, Årnes and Roan maintained as today, and that it should still be secondary education at Åfjord high school. “

LikeTweet

Monday, June 27, 2016

Ørskog get trapped also probably the Robeks-list – Sunnmørsposten

Rådmannen alerts that Ørskog in autumn also probably will end the “black list” of municipalities visually impaired economy.

The reports municipality on its Facebook page.



deficit

– Everything indicates that Ørskog municipality hosts should file Robeks during autumn. The reason is that the municipality have not covered in accounting-related deficit for 2014 and 2015 at ein correctly writes Councilman Synnøve Vasstrand Synnes EiT note.

Ørskog had zero money in real unmet deficit, but get trapped anyway in the Register of Communards in economic imbalance.

I calculate the cabinet says nemleg minus six and 2.7 million for these two years. That the municipality has EiT fund with 13 million of little help when rules says that deficit in 2015, applies a 2014 deficit host stroke.

– The consequences of this defines Robeks rules used in violation of the plan covering, as påpeiker alderman .

– Was not aware of the rules

Chief Synnes explains in the note that the municipality dei past year ADOPTED EiT budget in balance, but that they have spent more on husbandry.

– we have therefore dei last two years had deficit each year. This coupled with that we not aware that coverage of the 2014 deficit not in line with stripping rules, has led us to Robeks even if we have money in mutual funds. It does not exist ein “Robeks-light”, thus we are inside, writes alderman Furthermore.

This means among other things that Ørskog will be dependent on approval from the County of borrowing, and that the budget host grundigare controlled. Councilman Synnes hope the municipality will be out of the registry in 2017.



Mulege austerity

Ho påpeiker that the municipality has ståa is demanding financially, instead of click that care services have decreased in the number of institutional sites, frames work involving adolescence has wart less and they have paid manna in kindergartens.

measures recruiting stops, Withdrawal of temporary employees, temporary state, purchasing freeze and review of costly measures host drawn voted mulege consequences.

– in the longer term we have to accept that the scope and level of municipal services must be reduced and better fit the economic realities, writes alderman.

LikeTweet

Investment Bank forecasts sharp downturn after brexit – E24

Vekstutsiktene som følge av brexit er svekket, og det vil påvirke hele Europa, inkludert Norge, ifølge den amerikanske investeringsbanken Goldman Sachs.

Snaue to døgn etter resultatet av folkeavstemningen i Storbritannia sendte storbanken ut en oppdatert analyse som tar for seg hvilke effekter «brexit» skaper for Europa.

Samtidig jekkes utsiktene til den globale veksten med 0,1 prosentpoeng til 3,1 prosent i 2016.

Spår kraftig skrell i britisk økonomi

Den amerikanske investeringsbanken ser mørkt på vekstutsiktene for britisk økonomi etter at det ble klart at øyriket ønsker å forlate EU.

De neste 18 månedene vil Storbritannias bruttonasjonalprodukt (BNP) lide av en reduksjon på 2,75 prosentpoeng. Bare inneværende år kuttes veksten med 0,5 prosentpoeng.

Allerede i første halvår 2017 vil Storbritannia være i resesjon, heter det i rapporten.

I 2017 kuttes anslaget med 1,8 prosentpoeng, i 2018 med 0,9 prosentpoeng i 2018 og med 0,1 prosentpoeng i 2019.

Årsaken er de kumulative effektene fra «økt usikkerhet og dårligere handelsbetingelser», skriver Goldman Sachs’ Jari Stehn, Karen Reichgott og Jan Hatzius i analysenotatet, ifølge CNBC News.

Effekter av brexit-effekter

Prognosemakerne og økonomene i Goldman Sachs lister hovedsakelig opp tre økonomiske endringsmekanismer som følge av brexit.

  • Det britiske bytteforholdet er ventet å bli redusert. Spesielt gjelder det hvis det blir vanskeligere å eksportere høyverdi-tjenester, som finansielle tjenester, til andre EU-land.
  • Reduserte investeringer i Storbritannia, fordi bedriftene får mindre investeringslyst som følge av økt usikkerhet knyttet til tiden fremover.
  • Svakere etterspørsel fra Storbritannia etter andre lands varer og tjenester, hovedsakelig som følge av et svekket pund.

Etter folkeavstemningen, som kom overraskende på mange, har den innflytelsesrike investeringsbanken nedjustert veksten i eurosonen i år og neste med henholdsvis 0,2 og 0,3 prosentpoeng.

For 2016 og 2017 spår dermed banken en årlig vekst for eurosonen på 1,5 prosent. 

«Videre nedjusteringer kan bli nødvendig dersom de globale finansmarkedene forverres utover den første reaksjonen, eller dersom vi ser større enn forventet politisk og økonomisk smitte til andre europeiske land», skriver banken i notatet.

Renteøkning i USA lite sannsynlig

Allerede i midten av juli tror Goldman Sachs at Bank of England vil annonsere nye kvantitative lettelser, som i sin tur vil bidra til at etterspørselen i økonomien stimuleres.

I august venter banken at den britiske sentralbanken kutter styringsrenten med 0,25 prosentpoeng, til 0,25 prosent. 

Videre mener investeringsbanken at muligheten for en amerikansk renteøkning fra Federal Reserve i juli langt på vei er avverget, og at brexit-sjokket «effektivt har fjernet en juli-økning fra styrebordet».

Goldman Sachs utelukker heller ikke at sentralbanken i Japan vil kutte videre i den japanske styringsrenten i juli.

Norge slipper ikke unna

Goldman Sachs mener svekket europeisk vekst også vil få konsekvenser for Norge, ikke overraskende.  Banken kutter vekstanslaget for Norge med 0,3 prosentpoeng neste år, og 0,2 prosentpoeng inneværende år.

To tredjedeler av norsk import skjer fra EU. Med olje og gass holdt utenfor, går to tredjedeler av norsk eksport til EU.

NHO uttrykte tidlig etter folkeavstemningen i Storbritannia at brexit skaper stor usikkerhet for bedrifter, og indirekte også rammer Norge.

– Lavere vekst i Storbritannia betyr mindre muligheter for norske bedrifter. Også europeisk økonomi vil kunne lide, noe som slår inn på norsk økonomi siden vi er så sammenvevd med EU, uttaler NHOs direktør for internasjonalisering og Europa-politikk, Tore Myhre.

Friday, June 24, 2016

Leaden stock after Brexit shock: – Oil prices have not seen the worst – OBI Online

Oslo Stock Exchange remains deep in negative terrain Friday but has rebounded from the worst levels after Brexit-shock.

The main index is writing in 585.85, down 4.10 per cent .

Shares and equity certificates are hitherto traded 3.172 million.

Shock waves after Brexit

the results after the referendum showed earlier today that Britain wants to withdraw of the EU. British polls, most of which pointed to “Remain” -seier recent days – was thus ridiculed again – as in the election last year.

The statement came from the BBC around the clock 05.40 Norwegian time Friday morning, and shortly after at 07:00, the result was official: 52 per cent of Brits have been to take the country out of the EU. BBC calls it a political earthquake, and the news creates shock waves both in the UK and the EU.

– La June 23 go down in history as Independence Day spring, says out-General Nigel Farage and hope the EU as “failed project “now forced to its knees.

Britain’s decision has triggered børsras in Asia and Europe, and the pound plunged to their lowest levels in 30 years. The Norwegian krone has weakened considerably. However rises so-called “safe havens” such as gold.

British FTSE 100 falls now 4.8 percent, German DAX 7.2 percent, French CAC 40 was 8.6 per cent, while Milan Stock Exchange is down throughout 10.4 percent.

European central banks have been quick assurances additional liquidity if necessary.

Bank of England stands ready with 250 billion pounds to ensure that financial markets work, and according to Governor Mark Carney, the bank is well prepared for a Brexit.

the European central bank (ECB) considers it to mean that the banking system in the eurozone is resistant in terms of capital and liquidity.

Read also: Brexit-shock: Share Tips to fund saver, investor and trader

oil prices sharply

A risk appetite in sharp decline is also reflected in the oil market.

Brent August oil is down as much as 5.2 percent to $ 48.25 a barrel, down from around $ 50.60 when the stock exchange closed on Thursday.

WTI oil falling 5.0 percent to $ 47.60 a barrel.

When the polling stations in the UK closed Thursday night (11 p.m. Norwegian time) lay Brent oil at $ 51.18, supported by the expectation that the country would remain EU member .

– the global uncertainty referendum likely to trigger, will potentially have a negative effect on GDP growth, not only in Britain but also Europe. We know obviously not now, but compared to where we were 24 hours ago, is the impulse response of selling on reality, says principal analyst Michael Hewson of CMC Markets said.

Some analysts believe oil prices may be exposed further pressure on the downside.

– Our view is that we have not seen oil prices at their lowest today and Brent will probably be traded down to $ 45 or lower until we have seen the worst, writes chief analyst Bjarne Schieldrop of SEB told Reuters in a note to its clients.

Norwegian being punished

On the Oslo stock Exchange reacts Statoil to fall 4.2 percent to 135.20 kroner. DNO is down 4.9 percent to 9.00 million, while the Norwegian pulls down 2.6 percent to 94.15 crowns.

The very few escape the red Friday.

among OBX shares (the exchange’s 25 most traded shares) marks BW LPG the most negative, with a drop of 10.4 percent to 28.23 crowns.

We note also Norwegian, slimming 8, 4 percent to 314.50 kroner at today’s fourth-highest volume so far: 243 million.

Arctic analyst Magnus Berg points out several concerns after Brexit referendum, both British growth and not least currency effects.

– Norwegian has much costs in euros and dollars, and now weakens against those currencies. Corrects not crown again, EPS estimates (EPS = earnings per share) for the 2016 and 2017 fall by 10.5 million on the basis of this, he says to TDN Finans.



Finance and oil struggling

Financial stocks plummeting in Europe, and DNB is doing the same at home. The two drops respectively. 7.3 percent to 99.05 kroner and 7.2 percent to 32.10 crowns.

Oil Service struggling. Subsea 7 falling 6.0 percent to 77.10 crowns, Seadrill 6.6 percent to 26.71 million, while PGS goes back 5.8 percent to 20.78 crowns.

Brexit however, will not be so negative for the salmon market, claims analysts opposite IntraFish according to TDN Finans, showing among other things to a weaker Norwegian krone.

Marine Harvest falls for example, only 2.0 percent to 140.30 kroner, Salmar 3.3 percent to 241.30 million and Bakkafrost 2.9 percent to 309.20 kroner.

REC Silicon is doing relatively well and falling just 0.9 percent to 1.48 million.

Among other heavyweights fall Telenor 4.9 percent to 126.05 kroner, Hydro 4.1 percent to 30.50 kroner and Yara 5.9 percent to 261.50 kroner.

Gold Stock to the top

in the top of the list of losers fall four shares double digits.

Wilson is very top after a decline of 24.7 percent to 6.51 million. But the volume is thin, only two trades.

Virtually follows Havila Shipping at minus 12.8 percent to 1.90 million and Fred. Olsen Energy of minus 10.5 percent to 25.70 crowns.

In addition to the already mentioned DNB and Storebrand, falls Navamedic`s, Panoro Energy, Aurora LPG, Sevan Drilling and DOF 7.8 percent.

Speaking of the flight to gold, topped the relatively very short list of winners of Avocet Mining, rising 26.6 percent to 10.90 crowns.

Oslo Axess-listed PCI Biotech also rising double digit, it ie 13.2 percent to 5.49 million.

Kongsberg Group and Opera Software goes against the grain with upturns respectively. 3.8 percent to 122.50 kroner and 0.8 percent to 66 million.

LikeTweet

Salmon shares falls less than the market – Intrafish.no

To ensure that those who have paid for IntraFish protected against non-subscribers will get free access to news and other materials, we have created a security system to stop electronic distribution of articles from IntraFish . Read more

LikeTweet

Thursday, June 23, 2016

Home> …> Breast Cancer – patient choice of alternative treatment … – Board of Health

Exempt from public disclosure pursuant to offline a. § 13 cf. PAA. § 13 first paragraph. 1

Norwegian Board determines each year a significant number of supervisory issues facing healthcare professionals and businesses in the health service based on information on individual events. Some of these will be published on this website anonymously. The cases are intended as such matters for enterprises and personnel to benefit from them and to inform them about our business, and not as an aid to identification of individual cases and individual personnel.

The public demands for transparency in individual cases are handled through that anyone can request access to individual documents, based on publicly available mailing lists.

Procedural process

The subject matter

Legal basis for the assessment

Norwegian Board of Health review

Conclusion

Norwegian Board of Health has completed supervision case against you without administrative sanction. We have determined that you have violated acceptability requirements of the Health § 4, but you should not be given a warning.

Procedural process

Norwegian Board of Health received the letter XXXXXX from County of XXXXXX sent a supervision about your business as a doctor. Audit case concerns your monitoring of a patient in XXXXXX XXXXXX was diagnosed breast cancer.

We oriented you by letter XXXXXX that we would consider giving you a warning. You said you this by letter XXXXXX.



The subject matter

You are a graduate of the University of Oslo and became certified physician on XXXXXX, HPR no. XXXXXX. You are a specialist in family medicine and works as a general practitioner at Løkketangen GP centers. You have been the specific patient’s general practitioner since XXXXXX.

Norwegian Board has considered the matter on the basis of the documents you’ve got submitted earlier in the proceedings. Below is a discussion of the factors that has been important for our assessment.

XXXXXX HF (hereinafter XXXXXX) sent the XXXXXX a concern to the County of XXXXXX, which in turn forwarded it to the County of XXXXXX as the appropriate authority the XXXXXX. This report was your monitoring XXXXXX f XXXXXX ( “patient”) after she XXXXXX was diagnosed with breast cancer.

It appears the collated record documents that you referred the patient to a specialist in XXXXXX, after she had discovered a cool left breast. Finnålsbiopsi showed when no malignancy.

The patient wanted in XXXXXX consideration of a new bump on the lateral side of the right breast. The patient had had the ball for several months without that she had sought you as her GP. You referred the patient to the surgical department XXXXXX same day. From there she was referred to the XXXXXX XXXXXX HF, where it was performed mammography. Mammography showed a large masses laterally in the right breast and a pathological lymph node in the right axilla. The patient did not want to take a biopsy of the ball and was referred to a surgeon for evaluation and further processing. By surgical outpatient clinic at XXXXXX XXXXXX it gave ultrasound bullet suspect a huge malignant tumor. Because of bad experience previously wished basically patient not to take the biopsy. This was nevertheless conducted two days later. In journal note, it appears that you encouraged the patient to take the test and stressed that it was important to get examined the bullet properly. The biopsy showed high-grade carcinoma.

In the journal the XXXXXX have noted the following: XXXXXX bullet in h.bryst is malignant. Offered first chemotherapy, then removal of the breast and eventually radiotherapy. She did not want this then becomes too great a burden, which I agree in due XXXXXX . Want an alternative treatment XXXXXX , to get started in the summer. XXXXXX New contact if necessary. “

The XXXXXX is noted in the journal that it ” [g] years in general much better, the ball has shrunk somewhat and shape are soaring. “ from medical record XXXXXX: ” waiting for cancer drugs from XXXXXX , to the treatment stay on XXXXXX when these are received. “ From medical record XXXXXX: “Is i XXXXXX for cancer treatment. Much nauseated and in pain, asking for Rp.på antiemetic and larger pack of Tylenol. “

The XXXXXX is the following listed in the patient file: ” Coming to KTR. Not wanted recommended follow-up / treatment of breast cancer XXXXXX have more faith in alternative therapies, XXXXXX . The bullet is still large and tender, but liquids are not. Doctors XXXXXX informed her that biopsy of the tumor could lead to the spread and gave her rough told that she will die of the disease. XXXXXX Upon inspection we see a big bump on the lateral side of h. Chest sticking out, the skin is bluish discoloration, but dry. She looks less healthy than before. Breast cancer treated alternatively, opportunities for improvement, but uncertain prognosis. XXXXXX New contact if necessary. “

Of journal notes the XXXXXX and XXXXXX stated that the patient had severe pain due to blasting in cancer bullet, and the bullet liquids. Tylenol and Codeine did not give satisfactory pain relief, and the patient received prescribed OxyContin 20 mg x 2. Patients received advice that she as well as OxyContin can take Tylenol.

The XXXXXX took the patient in touch with you. This time because she wanted to initiate traditional medical treatment of the tumor. In the journal, it is noted: “[...] bullet in h.bryst has grown even more. She wants me contacts

XXXXXX for review. I have today consulted oncologist at XXXXXX , recommended to refer the patient to the hospital XXXXXX for further investigation (metastasis screening) and treatment (chemotherapy and hormone therapy?), Released today . A photocopy of f. Discharge summaries. The patient thinks this is a good solution. Not capacity to contradict her at XXXXXX . “

Of the documents appearing on the patient met for consultation by XXXXXX XXXXXX it. The patient had at the consultation by XXXXXX an unusually large locally advanced breast cancer located in upper lateral part of the right breast and right armpit. According to description measured tumor XXXXXX. The tumor was so large that it was considered inoperable and had to be treated with chemotherapy to be shrunk prior to the operation. As also discussed in the journal notes, the patient was offered chemotherapy in XXXXXX already in XXXXXX, but she refused this because she was very concerned that such treatment could lead to recurrence of XXXXXX.

After consultation at XXXXXX on XXXXXX expressed hospital in concern of XXXXXX to the County that they were uncertain whether you’ve been supportive by encouraging the patient to use alternative treatment for her cancer. Furthermore, they believe disease severity does not appear on your journal notes, and that they therefore are unsure whether you have been aware of the severity of the disease and that this is potentially life threatening. The hospital writes concern message: “Especially statements such as” opportunity for improvement “the XXXXXX arouses concern of yours.” it make the hospital questioned whether you have overestimated the effects of alternative treatments for patient cancer, and whether the patient as a result now has developed an unusually large locally advanced breast cancer.

the patient has been submitted to the relevant documents, including your statement to the case, but did not leave a comment. In telephone conversation with the County of XXXXXX XXXXXX the expressed patient that she thinks it is a pity that it has opened a supervision against you. She trusts you, and that’s why she kept you as her doctor XXXXXX. She feel understood by you, which takes into account her XXXXXX.

Excerpts from your statements

You’ve stated you to the case by letter of XXXXXX and XXXXXX.

from the statements stated inter alia that quickly referred the patient to the specialist services in XXXXXX and XXXXXX when she told of bullets in the chest. Furthermore you that the XXXXXX stated in the record that you had encouraged the patient to meet to review the hospital because it was important to clarify what the bullet in the right breast consisted of. You also shows the patient the XXXXXX when examined by a surgeon / oncologist in XXXXXX said she would not take new biopsy, surgery or receiving chemotherapy, if the bullet would prove to be malignant. This reasoned patient with her XXXXXX, who would make sure she would not tolerate any form of cancer treatment or biopsy.

You also notes that in the journal memorandum of XXXXXX was so precise in your statement then you had noted that you agreed that offered cancer treatment would be a great strain. There you had meant was that such tough treatment combined with known XXXXXX and XXXXXX in general would be expected to reduce the patient’s general condition even more. In your statement of XXXXXX sorry that journal note was imprecisely worded and has created confusion. What you meant was that you could understand why she thought so and that it made a choice difficult, but you had thus the same opinion regarding cancer treatment that colleagues in XXXXXX. You sorry also that you note the XXXXXX wrote that there were opportunities for improvement. It was the patient’s own experience and observations, and not yours. As shown by the note XXXXXX tried you in getting the patient to change his mind. This time she wanted to receive traditional treatment and was quickly referred to this. Of medical records from XXXXXX XXXXXX it emerges once more that the patient took up the fear that her XXXXXX would worsen after cancer treatment. She was again urged to accept such treatment.

You also states that the process has been delayed because the patient wanted time to think about and have had great faith in alternative therapies. You write that this choice is made on the patient’s own responsibility, and you have been agreed that she must choose the treatment itself and you could not force her into anything. Your impression is that the patient does not quite have understood how serious the situation was.

You are very clear that you have not backed that she would not accept the traditional cancer treatment, and that you have understood that the condition has been fatal . However, no patient about to receive such treatment. She got good information specialist at an early stage and you thought that she then had received the necessary information from qualified individuals to make an informed decision. You do not mean it’s your job to say something about this, then the specialists are those who have the right expertise to provide patients with necessary and correct information. You do not think that by the understanding that she meant cancer treatment would aggravate her XXXXXX, has made that the consequences were different.

You refer to the minutes of the telephone conversation between the County and the patient the XXXXXX where the patient said she was happy with you, which took into account her XXXXXX. You point out again that you had the understanding that cancer treatment in combination with XXXXXX could aggravate the latter, but that you are not advised not to accept offers of traditional cancer treatment.

Former supervision

the State Board of Health has previously dealt with a supervision toward you (XXXXXX). Audit case concerned whether your diagnosis and monitoring of a patient with XXXXXX was professionally acceptable according to the Health § 4 Board of Health concluded that you had misdiagnosed the patient and given XXXXXX inadequate monitoring. There was thus one breach of the Health § 4 and you were imposed a warning under the Health § 56.



Legal basis for the assessment

The information in supervision by the case to consider whether you has acted contrary to the requirement of sound management in the health § 4. Including we will consider whether the patient was given the necessary information so that she could make an informed decision on whether she would accept the offered health care or not, see. patient and user rights Act §§ 3-1, 3-2 and 4-1, ref. the Health § 10 sections outline the relevant provisions.

The Health § 4 subsections:

Health personnel shall conduct their work in accordance with the requirements to professional responsibility and diligent care that can be expected based on their qualifications, work character and situation in general.

Health professionals should abide by their professional qualifications, and shall obtain assistance or refer patients further where necessary and possible. If the patient needs dictate, the profession shall be by collaboration and cooperation with other qualified personnel. Health professionals have an obligation to participate in work with individual plan when a patient or user is entitled to such a plan after patient and user Rights Act § 2-5.

the health § 10 first paragraph:

the health health services, should provide information to the person entitled to it under the rules of patient and user rights Act §§ 3 -2 3-4. In health institutions information under the first sentence given by the person whom the institution designates.

Health & Rights Act § 3-1 first paragraph:

Patient and user have right to participate in the implementation of health services. This includes the patient’s right to participate in choosing between available and appropriate examinations and treatment. The form should be adapted to the individual’s ability to give and receive information.

Health & Rights Act § 3-2, first paragraph:

Patients should have the information necessary to gain insight into their health status and contents health care. Patients should also be informed of possible risks and side effects.

Health & Rights Act 4-1 first paragraph:

Health care may be granted only with the patient’s consent, unless there is a legal basis or other valid legal basis to provide health care without consent. For the consent to be valid, the patient must have received the necessary information about their health status and content of health care.

The Health § 4 is a central provision. The provision requires professional responsibility and diligent care and to health professionals’ professional practice. What is justifiable is determined by an assessment of each case, and how health workers ideally should have acted.



Norwegian Board of Health review

Norwegian Board has considered whether your patient follow-up after that she had breast cancer diagnosed in XXXXXX has been prudent, ref. the Health § 4. in this connection, we assessed whether the patient received the necessary information and guidance so that she could make an informed decision that she did not want to accept the recommended cancer treatment.

good practice for handling and monitoring of patients referred to a specialist for suspected breast cancer

It is known practice that any woman with recent onset, well-defined tumor in the breast, regardless of age, should be referred to a surgeon or breast clinic for diagnostic assessment. The report from there and implementation of treatment is a task for the specialist. When controls finishing transferred from the specialist to the GP, it is after the specified program.

A general practitioner must rely on specialist health assessment and advice on further action. However, it is also necessary that the family doctor, through his relationship with the patient, will provide information and guidance. The Health § 10; see. Patient and user Rights Act § 3-2, first paragraph requires health professionals to give the patient the information necessary to gain insight into their health status and contents of the health care provided. The purpose is to ensure that the patient receives the information necessary to give informed consent for health care and to assist in the implementation of treatment, cf. Patient and user Rights Act §§ 3-1 first paragraph and 4-1, first paragraph. Participation court gives the patient a right to participate in choosing between available and justifiable treatment, cf. Patient and user Rights Act § 3-1 first paragraph.

What kind of advice and information provided and the main content of this shall documented. It is not sufficient that the information only be given orally during the consultation.

There are specialist health that is responsible for further investigation, diagnosis and treatment of breast cancer. However, it should be known to all GPs that alternative treatment under no circumstances should be chosen instead of traditional cancer treatment.

Primary treatment of breast cancer is surgery at unresectable tumor. The options are breast-conserving surgery (BCT) or mastectomy (mastectomy). Participants also receive any adjuvant therapy (endocrine, chemotherapy, radiation therapy) to eliminate remaining micrometastases. Endocrine therapy, chemotherapy and radiotherapy can be given both in adherence to primary curative interventions or metastatic disease.

Assessing Your dealings

on the basis of the subject matter as described above, adding Norwegian Board assumed that the patient was to consultation with you on XXXXXX and that the same day referring the patient for examination at XXXXXX for consideration. Mammography showed a large masses and a pathological lymph node. XXXXXX accepted patient biopsies, which showed high-grade carcinoma. The patient did not want traditional treatment. First the XXXXXX accepted patient a new referral from you. The bullet in the right breast had then grown even more.

You had telephone consultation with the patient the XXXXXX and XXXXXX and XXXXXX. and XXXXXX. The XXXXXX had to patient consultation. You journaled when including doctors in XXXXXX had given her “rough told that she will die of the disease” . Furthermore, you wrote that the patient was “positive and optimistic for the future” and that it was “opportunities for improvement, but uncertain prognosis” . Regarding inspection of breast noted that you could see a big bump on the lateral side of the right chest sticking out. His skin was bluish discolored but dry. The patient looked less healthy than before.

Norwegian Board considers that you initially quickly referred the patient to a specialist. On subsequent telephone consultations and by the consultation the XXXXXX stated it is not the record that you urged her to accept traditional cancer treatment. Nor does it appear that you confirmed specialist health information that the initiation of treatment was urgent and that it could go very wrong if she did not accept the advice she was given. On the contrary journaled you that it was “opportunities for improvement” by alternative treatment .

Norwegian Board of Health has no information that you really supported the alternative treatment other than that you recognized the patient’s right to be consulted (complicity). However, patient and user Rights Act § 3-1 first paragraph, only the patient a right of codetermination of available and appropriate treatment methods. It is not until the matter is that you adequately informed the patient that the only proper method of treatment was the treatment specialist health services offered.

Although the hospital is responsible for the treatment of patients with breast cancer, the elementary knowledge for a general practitioner that alternative therapies are not an acceptable alternative. Norwegian Board considering that you had many occasions to explicitly in the journal strongly urge the patient to follow the treatment method proposed by the hospital.

Norwegian Board of Health is aware that neither the specialist health services managed to persuade the patient to consent to health care before after several months. Yet had you as the patient’s general practitioner, a physician patient trusted and had known over time, unique. This also because the patient’s skepticism to receive treatment primarily due fear of worsening her XXXXXX -sykdom which you were responsible treats of. In your statement you write that you had the impression that the patient had not quite realized how serious the situation was. Norwegian Board of Health believes that you, the patient’s general practitioner had a duty as far as possible to make sure the patient understood the serious situation she was in. Although cancer treatment in combination with XXXXXX could aggravate the latter, it is of minor importance if the patient, without treatment, are in danger of dying from the former.

in a situation like this, where the patient sat in mortal danger by denying health care, more stringent requirements for information and documentation. Norwegian Board is of the opinion that you should have made sure it was apparent in the journal what information you had given to the patient so that the Journal is hardly conducive to any doubts about what was your recommendation in the case. You conducted many consultations with the patient during the time period, and thus had several occasions to this.

Norwegian Board has therefore concluded that your monitoring of the patient during the period after she got breast cancer diagnosed in XXXXXX, was unjustifiable, ref. the Health § 4.

Assessment of whether you should be given a warning

Norwegian Board of Health has concluded that you have broken acceptability requirements of the Health § 4. violations of Health Personnel provisions we can give warning pursuant to the Health § 56 which reads:

the board can issue a warning to healthcare professionals who intentionally or negligently violates the obligations under this Act or regulations issued pursuant to it, if the breach of duty is liable to endanger the safety of health and care services, to affix the patients and users with a substantial load or to substantially undermine confidence in healthcare or health and care services.

The board can give a warning to health care professionals who have demonstrated a behavior that is likely to significantly impair confidence in the profession.

Warning are individual decisions under the Public Administration.

To give warning is firstly a condition that you have acted negligently. In this assessment, the Norwegian Board of Health to decide whether you can be blamed. In the assessment, we could focus on whether you had alternatives of action in the current situation. Norwegian Board of Health believes that you had courses of action in that you had many occasions to strongly urge patients to follow treatment hospital suggested, and to explain the serious situation the patient was in, something that the journal appears that you do not have sufficiently done. Norwegian Board of Health has on this basis concluded that you acted negligently.

The second condition that must be met is that the act is likely to endanger the safety of health care services, apply patients or users with a substantial load or to substantially undermine confidence in healthcare or health and care services. It does not matter whether the action in the present case actually received such consequences.

Norwegian Board has considered whether your negligent conduct is likely to cause patients considerable strain. We believe that the family doctor has a responsibility to clearly inform and guide patients when they oppose vital treatment recommended by the specialist services. This applies particularly where the patient is in close contact with the family doctor and where the disease severity and prognosis are known GP. A failure to do this is in our opinion likely to cause patients considerable strain.

The main conditions to give you a warning pursuant to the Health § 56 are met. The Board shall make a judgment on whether you should be given a warning. Such assessments are based on the purpose of giving warning that is responding to serious violations of the Health. The reaction will help to promote quality in health, patient safety and help prevent future breach of duty.

We in this evaluation emphasized that you acted quickly and adequately when the patient first decided to accept treatment. This applies both to references to diagnostic evaluation in XXXXXX and XXXXXX, and when she finally accepted the reference to necessary treatment in XXXXXX. Furthermore there is no information in the case to suggest that you considered alternative treatment as an equal treatment. We have also emphasized that neither the specialist health managed to persuade the patient to receive proper treatment at an earlier stage. After an overall assessment, the Public Health concluded that it is not appropriate to give you warning.



Conclusion

Norwegian Board of Health has concluded that you have breached the requirement of professional responsibility in the Health § 4 but we have not found it necessary to issue a warning.

Audit the thing is with this end.

Sincerely,

XXXXXX
XXXXXX

XXXXXX XXXXXX

The letter is approved electronically and sent therefore without signature

Copy to:
County of XXXXXX XXXXXX

Legal officer: XXXXXX
Health Academic coordinator: XXXXXX

Go to top

LikeTweet

Zoning Løvsethaugen 2 – plan proposals for consultation / public scrutiny – Melhus Municipality

The Austrians have in meeting 06/14/2016, issue 64/16, adopted the following resolution:

Pursuant to the Planning and Building Act § 12 to 10 be proposed zoning for Løvsethaugen 2 with plan description , a planning map and plan provisions for public inspection and circulated for comment. Emphasis by ROS analysis, area layout, site plan / outdoors plane sun / shade analysis, the VA plan, approved VA-note, geotechnical report and geotechnical note.

The planning proposal is in line with the overall plan and sufficiently enlightened to that it can be available for public inspection and circulated for comment. It must, however, in consultation period examined further whether trail north in the planning area is a sunken road or not. It must be sought in finding good solutions for maneuverability for future timber traffic in the area. It must also be accounted for capacity schools and kindergartens in the area.

Before the plan laid out for public scrutiny and consultation, the following changes are made:

  • Access to area B1 must appear / endorsed the plan map, and it must be stated in the provisions that visibility also is safeguarded acc. road standards.
  •  

  • It should be added provision section. 3.3 that network stations must be established and tension set before granting the use permit.
  •  

  • The provision section. 4.3 and 4.5 respectively pedestrian and cycle path and public other veggrunn – green area be removed, as they are not linked to any object in the plan.
  •  

The plan is prepared by Voll architects on behalf of pulse Eiendom AS. The purpose of the proposed plan is to facilitate a development of 34 plots of land and one plot for 6-5 townhouses, gathered up to 40 units.

The planning proposal can be seen here. Changes in the decision must be made before the plan laid out for public inspection and circulated for consultation is completed. Plan documents are thus updated with the latest changes.

Capture or notices sent by post to Melhus Municipality / Land Management, Town Hall Road 2, 7224 Melhus, or via e-mail postmottak@melhus.kommune.no within 08/12/2016 .

LikeTweet

Wednesday, June 22, 2016

Four investments that defied “brexit ‘distress – E24

Usikkerheten er betydelig to dager før britene går til stemmeurnene for å avgjøre landets videre skjebne i EU.

Fortsatt er utfallet helt åpent, hvilket den siste tiden har skapt uro blant investorer verden over og gitt store svingninger i markedet.

De siste to ukene har man kunnet observere klare bevegelser mot såkalte «trygge havner», på bekostning av blant annet aksjer.

– Mange av våre kunder har nå trukket seg ut av aksjemarkedet – eller gått «short», sier norgessjef Henrik Sommerfelt i CMC Markets til E24.

CMC følger kundenes disposisjoner fra time til time, og Sommerfelt kan opplyse om at andelen investorer som tror at den tyske DAX-indeksen skal stige er redusert fra omtrent syv av ti til et lite mindretall.

Hvor strømmer så pengene når aksjemarkedet virker for usikkert?

Noen satser på det trygge, og ser mot statspapirer. Problemet her – sett med investorøyne – er avkastningen. Forrige uke brakte med seg flere bunnrekorder for europeiske statsrenter, med negativ rente på både tyske og sveitsiske rentepapirer.

Andre tenker igjen utenfor boksen. Her er fire investeringer som har vært populære etter at «brexit»-frykten grep markedet:

1. Edelmetaller

– Blant våre kunder som har posisjoner knyttet til gullprisen, så mener to av tre at gullprisen skal opp fra nivåene i formiddag, sier Sommerfelt.

Spotprisen på gull har så langt i juni steget rundt fem prosent til 1.273,6 dollar per unse, og nådde fredag det høyeste nivået siden prisene en kort periode brøt 1.300 dollar i mai. Før den tid må man tilbake til nyåret i fjor for å finne tilsvarende nivå.

Saken fortsetter under grafen …

 <p><b>OPPTUR:</b> Grafen  viser spotprisutviklingen på gull de siste 30  dagene.</p>

OPPTUR: Grafen viser spotprisutviklingen på gull de siste 30 dagene.

Gull er en klassisk «trygg havn», og det har vært en effekt av dette i gullprisene. I et klima med svært lave renter og reduserte renteforventninger fra den amerikanske sentralbanken mener også ekspertene at det kan være ytterligere oppside i gullprisene.

Dette har sendt profilerte investorer som George Soros inn i gullet, og her hjemme opplyste Jan Haudemann-Andersen i forrige uke til Finansavisen han igjen ser på mulighetene i edle metaller.

Råvarestrateg Daniel Hynes i Australia and New Zealand Banking Group tror uro rundt «brexit»-avstemningen – som har beskriver som et «vannskille-øyeblikk» for edelmetallene – kan sende gullprisen over 1.400 dollar.

«Dersom kampanjen for å forlate EU er suksessfull, vil den forventede kollapsen i britiske pund og den påfølgende markedsvolatiliteten sannsynligvis drive investorene til å søke trygge havner», skriver Hynes i et notat.

I likhet med gullprisen har også sølvet løftet seg.

2. Råvareselskaper

En god del av investorer som satt i råvareselskapene gjennom 2015, må ha revet seg i håret i ren frustrasjon. De som kom inn da vi bikket 2016, kan derimot glede seg over meget pen utvikling.

Dersom man ser på vinneraksjene på FTSE 100 i London den siste måneden, toppes listen av råvarehandelsgiganten Glencore. På plassen bak finner man Fresnillo, som sitter på store edelmetallforekomster i Mexico, og i toppen er også gruveselskapet Anglo American og gullutvinneren Randgold Resources.

Saken fortsetter under bildet …

  <p><b>BØRSVINNERE:</b>  Oversikten viser FTSE 100-aksjene som har hatt  størst prosentvis oppgang den siste  måneden.</p>

BØRSVINNERE: Oversikten viser FTSE 100-aksjene som har hatt størst prosentvis oppgang den siste måneden.

Nevnte Soros har for øvrig kjøpt seg inn i Barrick Gold, og også Haudemann-Andersen snuser på gullgruveaksjer.

Driverne for utviklingen er i stor grad lik som dem beskrevet for gullet over. Her hjemme kan det nevntes at det Oslo-noterte selskapet Avocet Mining, som har gullvirksomhet i Vest-Afrika, gjorde et markant kurshopp torsdag i forrige uke.

Aksjen steg da over 30 prosent på én dag. Den har i etterkant falt en del tilbake, men er fortsatt nær det høyeste nivået siden januar 2014.

3. Bitcoins

I hvilken grad bitcoins faktisk er en trygg havn er en diskusjon i seg selv, men faktum virker å være at prisingen av kryptovalutaen har steget en god del på «brexit»-uroen.

Ifølge Bitstamp er prisen på én bitcoin nå 685 dollar, mot 243 dollar for en måned siden. Dette er en oppgang på over 180 prosent.

Strategisjef Peter Rosenstreich i den sveitsiske onlinebanken Swissquote tar i en kommentar hos FXStreet for seg de mulige utslagene i valutamarkedet som en følge av «brexit» (han anbefaler shortsalg av pund/yen og euro/franc og ser salgspress for kronen). Her påpeker han følgende:

Saken fortsetter under annonsen.

« … frykt for «brexit» har igjen satt bitcoin/kryptovaluta tilbake i søkelyset. Kryptovaluta er i teorien den eneste rene måten å rømme fra manipulering av fiat-penger og å unngå den potensielle uroen skapt av sentralbanker i etterkant av den britiske avstemningen».

Det kan være verdt å notere seg at det angivelig skal være en strukturell, deflatorisk endring i utvinningen av bitcoins innen kort tid. Ifølge Techcrunch innebærer dette en halvering av utbyttet fra «gruvevirksomheten».

4. Kakao

Muligens en litt løs sammenheng, men kakaobønner er én av ikke så mange råvarer som fortsatt handles i pund. Ettersom pundet er ventet å svekke seg betydelig på en eventuell «brexit», vil det gjøre kakaoen billigere i andre valutaer.

Trader Max Goettler, som jobber hos selskapet Cocoanect i Rotterdam, sier til Wall Street Journal at han venter et betydelig rally i den London-handlede kakaokontrakten dersom EU-motstanderne vinner frem.

Kakaofutures i London, som benyttes som «benchmark» for prising av fysisk kakao, er den siste måneden opp 5,8 prosent. Siste pris er 2.248 pund per tonn.

Saken fortsetter under bildet …

 <p><b>STIGER:</b> Grafen  viser prisen på kakaokontrakter de siste 30  dagene.</p>

STIGER: Grafen viser prisen på kakaokontrakter de siste 30 dagene.

Aldri helt trygt

Som et lite post scriptum kan det påpekes at investeringene over ikke er noe E24 anbefaler eller ikke anbefaler – det er kun en sammenstilling av effektene man kunne observere da «brexit»-frykten for alvor grep markedene i forrige uke.

Ingen «trygge havner» er helt trygge. Som professor Nouriel Roubini skrev i en kommentar i The Guardian for noen år siden:

«Dersom du bekymrer deg for finansielt Armageddon, er det metaforisk talt på tide å fylle bunkeren med skytevåpen, ammunisjon, hermetikk og gullbarrer».

Tuesday, June 21, 2016

Researcher: “Motivation can not be bought” – Sunnmørsposten

“Research shows that bonus generally have little impact on effort and performance”, it says in a note after the leading group in Helsebygg in 2006 discussed measures to keep employees out construction phase 2 during the construction of St. Olav’s Hospital.

The note was marked “Attention: Confidential” and is among the documents Sunnmørsposten has disclosed concerning bonuses during the construction of St. Olav in Trondheim.

The project was divided into three construction phases . The first phase was allocated 15 million for bonuses.

According to the note had not these not had the desired effect: “Motivation can be stimulated, not bought. (…) The scheme has generally had relatively little impact on the individual’s choice, and especially for employees in critical functions . “

See also:

the massive distrust towards Health Central

Chairman: – End of bonuses

Director exasperated bonus use the health region

Satte of 44 million for employee bonuses – no overview

Critical

After the note was written was allocated another 30 million. to various bonus schemes up to 2013.

– what they’ve written, I could told them before they began. And they continued afterwards is a bit odd, says Professor Bård Kuvaas BI.

Although he understands the need to ensure that employees are in a temporary position, he believes there are better options. Bonuses may on the contrary be counterproductive:

– You can risk that they will remain for the wrong reasons. That they are to get the bonus and not to do a good job, he says.

In particular individual bonuses may have negative consequences for work performance and work climate, according to the researcher. In Helsebygg was in addition to collective bonuses made some special agreements for people to “critical” functions. – It is dangerous to have individual bonuses in projects where one is dependent on several cooperating, says Kuvaas.

LikeTweet

Monday, June 20, 2016

Read your history and see footage from the municipal board meeting – Østlands-Posten

You can see footage from the municipal board meeting

123/16 Enrolled question

– Joined by Turid Løsnæs (AP)

Background:

Meetings are late. Cases are exposed. Difficult for ia parents

Q:

If the mayor help, as a trial, that council meetings are held during the day coming fall. Finally meeting time for council going forward decided by the experience one reaps?

The mayor ANSWER:

Mayor believes it is important to consider the timing of the municipal council meetings to ensure prudent and soundly. Mayor wants it by autumn adds up to council meetings during the day and preferably in the period from 09.00 to 16.00. Mayor will initiate such a change.

The question of reorganization and framework for the political work in general will be clarified in the process of municipal amalgamation. Clearance will include the distribution of cases, meeting time and delegation for the various elected bodies. Experiences from elected work from Larvik and Lardal will join vurgeringen.

124 / 16Eierskapsmelding 2016

– Ownership Report form the basis for Larvik. The municipal council shall once during the election period in their own case gives an overview of companies that municipality has ownership interests in and draw up general guidelines forforvaltning of ownership.
Additional Proposals from Hallstein Bast (V): Rådmannen provides an assessment of how we can energize ownership through adopted.

162/16 Interpellation: (Submitted by Thomas Løvald, Right):

Background (excerpt):

Larvik has good grant programs for local organizations ….. there are enthusiasts who are not part of the organized, but that probably spends as many hours a week on unorganized volunteering. Many young people do not fit into detordinære layer ogforeningslivet. …. Common to them all is that they do not currently have any opportunity to apply for any grants ….

SUGGESTIONS:

Larvik set annually by 100,000, Crowns for a flexible grant scheme where it continuously throughout the year can be sought funds from. Councillor puts up a proposal which simple criteria for the award is proposed. The amount will be imposed should not exceed £ 5000, – and the allocation should be made administratively avkulturavdelingen. Kostnadeneinnarbeides in its strategy for the period 2017-2020.

The mayor ANSWER:

As interpellanten writes in his interpellation; Larvik has good grant programs for local organizations. But, as interpellanten also points out, this ertilskuddsordninger which can be applied for when you have a registered association, with elected board, a budget and some degree of control / reporting. This has been a deliberate policy that it has largely been agreed. It is therefore largely the organized voluntary work which receives support from the municipality. I do not perceive that there is any political disagreement about the importance of the work done by this kind of non-governmental organizations, clubs and associations. I also perceive that we are quite largely harvært agreed not to reduce the level of municipal support for this type of activity, selvmed tight budgets and reductions second steder.Interpellanten also right when it comes to the unorganized volunteering. Again there are individuals and groups who spend a lot of time to recuperate on activities and initiatives that are important ogsom embraces children and young people who do not fit into the ordinary layer and union life. It is not difficult to agree that we should have better arrangements to also support these. Sominterpellanten printer; “We should help the little on the road.” That said, so allow clothes also good reasons for our systems to the greatest extent directed innmot the organized part of the voluntary work in organizations, clubs and associations. When we from the municipality pays out funds to organizations, clubs and associations, want viå have enoversikt over the business. Thus, we can control the use of resources in motaktivitet that fit in relation to the values ​​and overall goals we have otherwise. Therefore, we also want a degree of verifiability in relation to the use of funds. It comes through the democratic control that is in registered organizations, societies and associations annual meetings, reports and audits. Disbursement of funds directly to individuals will also be a challenge in relation to skattog reporting for private individuals who motar this type of funds. Here we must create clarity in all aspects so that we do not solve a problem while creating a new one for the people who work voluntarily. It is also true that the volunteer efforts, both in organizations, clubs and associations, has a long tradition of being voluntary in the sense that those who engage not forventerkompensasjon efforts. As municipality we shall be careful not to upset the etsåpass fundamental principle. It would be detrimental both displaced Julienne kind of activity and forkommunen, if we as a municipality contribute to a compensation and betalingskultur.Når said this so I want to clarify that I support what I see as the fundamental idea iinterpellantens proposals; we have to help a little on the road. I therefore ask the administration about etinnspill in this respect towards the treatment of the strategy document. Administration besom to come back with a note that clarifies the opportunities within current funding, briefly discusses issues related to pay out money to individuals and incidentally suggest measures that do not involve direct payment of funds. I am thinking here of the possibility of enkommunal scheme of distribution and / or lending of equipment, old material, manpower and localities.

The proposal was approved

163/16. Interpellation: infill artificial turf (registered by Vinjar Rosendal, MDGs)

SUGGESTIONS:

council asks Rådmannen ensure that all new artificial turf gets green granulatog that granules of old tires not used as infyll council asks also Rådmannen prepare an action plan to prevent runoff of granules into watercourses. Council requesting that the initiative be taken towards national health authorities to clarify whether there are increased health risks for children and young people by playing on artificial turf.

The proposal fell.

125/16 IC development Tønsberg Skien. Political tilbakemeldingpå preliminary proposals for planning programs.

– Larvik Municipality joins the preliminary proposed planning for municipal and environmental impact assessment for InterCity double Tønsberg Larvik with the following comments: 1. Larvik are aware that planning program sets the framework for decision station localization and selection of the trace of the railway from Tonsberg to Farriseidet. Selection of final localization occurs when the EIA is finalized. 2. Larvik see corridors proposed studied can provide good solutions for the city. We still want it seen on optimization avstasjonslokaliseringene by considering several options in the corridors. 3. Larvik want to gain more knowledge about the routes that are not recommended are taken into the planning program, and therefore proposes that the following be included iplanprogrammet and evaluated.
Corridor 3C-1 and 3C-2: study station at Little Square and in Hammerdalen · Corridor 3E-1: study station north of Market. New Combination: Corridor 3E-1 from the east over leksikon / Alfred Andersen enters korridor3B-1 evaluated with station on Alfred Andersen and Johan Sverdrup street. 4. Several of the corridors indicates that the local road system in Larvik are affected and changed. Viber that the consequences for the road system are clearly described in the report. 5. The development of Larvik harbor is closely related to cargo PAABER. We ask that the different corridors of the port connection is illustrated. 6. Drive Positioning and number of flights per hour is important for both the local ogregionale industry. We ask that the nourishment economic consequences (more benefit) of the various stations localizations and number of flights assessed. 7. The development of track and trace will have big consequences for Larvik center both during construction and in operation. We ask that this be discussed and evaluated in an urban development perspective, both the specific challenges we face and the possible consequences and development opportunities this can provide.

Conservatives Bjarne Steen suggested: Larvik part is a quick clarification on station location and trace of vital importance. Development of dobbelstspor Skien must be accelerated so that it is completed within 2027. This was adopted.

Tormod Knudsen (MDGs) suggested:

Corridor 3C-1 from the east that goes into 3E-1 further west, with platforms ca.under Upper Bøkeligate and output from the platforms both at Little Square and vedBergeløkka. “ the proposal was adopted.


Additional Proposal from Per MANVIK (FRP): Larvik pray that it investigated the creation of a spacious parking for travelers north of Larvik city just off the road E -18. Wherever final location of the station is – will the parking lot and drive may be linked with environmentally friendly means of transport. (the proposal fell)

126/16 Oppstartssak regarding the subsequent use of railway trace Larvik Porsgrunn.

– it initiated a project in cooperation with Porsgrunn municipality to clarify whether it is possible to realize a continuous walking route / trail for all or part of the existing Vestfold Man stretch Farriseidet-Eidanger station. 2. It developed initially a pilot project. The pilot project will include clarifying technical standard, alternatives, costs associated with various solutions, the need for security measures and the costs of operation and maintenance. 3. Before the pilot project initiated shall be present a case for the Chairmanship tilpolitisk treatment with a calculation that provides a basis for allocating funds tilgjennomføring of the pilot project. The case will be put forward for political consideration early fall, 2016.

Additional Proposals from Turid Løsnæs (AP): New pedestrian and cycle in connection with subsequent use of E18 Bommestad – Farriseidet sought Kobla against any new trail that re-use of existing rail trace Larvik – Porsgrunn. Additional proposal was adopted.

127/16 subsequent use of E 18 Bommestad-Farriseidet.Omregulering to footpaths and cycle tracks and sports area.

– According. Planning and Building Act §12-12 adopted detailed plan for the re-development of E-18Bommestad Farriseidet.

128/16 Detailed zoning for Skreppestadveien gbnr1014 / 71 etc. , Assembly hall. Finalization.

– Was adopted.

129/16 Vindication of building bordered along the sea and rivers

– The proposal was adopted.

130/16 How can dive preparedness in Larvik be better?

– the chief administrative officer will contact Sandefjord municipality to assess the possibility of a partnership the establishment of a fully fledged dykkerberedskap.En common diver preparedness could contribute to a strengthening of the existing cooperation between the two fire stations. In addition, applicants are invited to an information meeting with the full-fledged diver emergency. The meeting invited representatives of municipalities that already have a safety service, as well as representatives from Sandefjord Municipality. In addition, invited especially employees who innehardykkerkompetanse / want this expertise. On the basis of obtained information compiled case of full-fledged diver emergency quote system in autumn 2016. The case is presented in two options, with or without the cooperation with Sandefjord Municipality. Financial implications sought incorporated into the strategy document for 2017-2020.

131/16 Evaluation of sweeping service

– Sweeping the chimney konkurranseutesettes not, but handled by its personnel

132/16 Proposed planning programs for zoning forgruvedrift in eastern Hedrum / Anders Baann / Kodal area, transportation to Larvik harbor and the necessary land in Larvik (the case is withdrawn from the meeting)

133/16 Appeal of council resolutions concerning. Solstad west area B5

– Reference is made to the municipal board’s decision the detailed plan for Solstad west area B5datert 05/30/2015. In complaints concerning. Above mentioned plan have emerged new elements that indicate partial reversal of a decision in sak167 / 15. Council takes partially upheld the appeal by Henrik Jenzer.

134/16 Appeal of the municipal council in Case 045/16-Upper Works Farm gbnr. 3020/2817 and others, detailed zoning

– the municipal council refers to complain of the condominium in Kirkegata 1, dated 04/19/2016 and the assessments presented in the case presentation. The appeal is granted and the amendments in regulatory provisions for Upper Works Farm. Other changes here.

135/16 Nansetgata ranking of doom

– Larvik Municipality continues to work with the planning of a doom option kryssingav Nansetgata. The aim is to provide a traffic solution as safe as possible in relation to the new school on Thu Tvedt. The case should have the highest priority so that the underpass is completed by the time school starts in autumn 2017. It establishes a stop-transition related to bus pocket by Nordby mall.

136/16 Final report of project Stavern oceanside-welcome

– the municipal Council takes final report from “Stavern oceanside-Welcome” note. 2. Larvik Port Authority was requested to assess and prioritize measures in line with the project group’s recommendation when it comes to matters that Larvik is responsible. 3. Rådmannen initiate a project to assess the implementation of Risøya channel in cooperation with landowners / developers, Larvik, Stavern båtforening and Marintmiljøforum. The assessment should be possible implementation in line with the development plan and cost estimates as well as the operation and management of the channel. Project Will report back to the council by 15 June 2017.4. Councillor take the initiative to conduct a survey and assessment of a culture center in Stavern in line with the project team’s work. It considers both interest, organizational structure, operating and localities. It is reported back to the council within 15 March 2017. 5. Profile and content of the waterfront are defined and presented as suggestions in the case in September.

137/16 Plan forhelhetlig adolescence 2016-2020 (the case is drawn from the meeting)

138/16 Rammesak and status analysis from 2017 to 2020

– Real growth in the free income tax and state grants are budgeted for 2017 in line informs the signals provided in the municipal proposition and from what can be derived from the assumptions on the state budget has on free income. For years 2018-2020 budgeted detmed 1% real growth.
The aim is to budget a net operating profit in 2017 of about 0.5%. For 2018 ogetterfølgende year set a target for net operating profit increased by 0.3% points per year.
Frame case basis for further work on the Strategy Document 2017-2020.

Additionally, a number of points from the green Party, have been over. (See paragraphs bottom of the article) Point 5 and 12 were not adopted. The other points were adopted.

Read more about the case here.

139/16 Restructuring 2016 proposed measures

– It implemented reductions in the approved budget for 2016. the following measures laid back and taken out of the line of action proposed and will be implemented:

(Reduction in road maintenance must not affect pedestrian and cycle path. )

Skiavtale and trail riding.

Reading Stavern

Reduce purchasing teaching aids and equipment in Larvik learning Center.

Bicycle Hotel

Environmental Programme and follow-up measures in the climate and energy plan.

Reduced transmission to wave Culture.

the funds covered by the disposal fund.

Support for ice skating on Market be allocated.

140/16 New assisted living Huseby Grounded-determination avkostnadsramme (the case is drawn from the meeting)

141/16 project reduced use of part-time

– the second interim report for the project “reduced use of part-time” in Larvik taken into consideration.

142/16 Rollover of action Plan to combat inequalities in living conditions ogbarnefattigdom.

– action Plan to combat inequalities in living conditions and poverty among children adopted, cf. appendix, accompanying addition to action list; Continue Volunteer Fund for Recreation, support for families with children not harøkonomi to recreational activities for barna.KOK pray that councilman taking a brief assessment of any economic konsekvenserved increasing number of adventure cards from 40 to twice that.

143/16 Oppstartssak: Temaplan integration avinnvandrerbefolkningen 2017- 2020

– Temaplan integration of the immigrant population from 2017 to 2020 initiated as proposed. Theme plan is developed in two parts; Part 1: Decision Basis and Part 2: Goals and action. Operational concerns four main areas: employment and basic qualifications. Culture and upbringing. Health and care. Settlement. It establishes an administrative cooperation with Lardal municipality about the planning process.

144/16 Revised Guidelines innvandrerådet Larvik Kommune

– The Municipal Council approves the revised policy for immigrant in Larvik municipality.

145/16 Bedriftshelsetjeneste from 2017

– Larvik buying external employee with effect from 01.01.2017, as a trial. The scheme is evaluated multipartite within 01/01/2018 considering on device prinsipiellavklaring into the new municipality.

146/16 Municipal Merger-buy-out of officers

– Fellesnemdas decision in Case 23 / 16pkt. 1-4vedrørende release time for union representatives approved.

147/16 Application for a retail license-commerce avalkoholholdig drink up to 4.7 per cent alcohol

– Application of Larvik microbrewery AS & Marketing Gruppen AS, the license to retail commerce of alcoholic beverages by up to 4.7 per cent alcohol was granted.

148/16 Objectives and regulations forkommunens emergency work

– Was adopted

149/16 the host agreement with Lardal municipality about library services

– Was adopted

150 / 16 Municipal planning strategy for Larvik and Lardal

– Was adopted

151/16 Kulturhuset wave-1. Interim 2016

– Taken into consideration.

152/161 Interim 2016 primary fund

– Taking into consideration

153/16 Larvik-municipality cooperation

– Twin city cooperation with Frederikshavn and Borlange continued. It thanked no to the invitation twinned cooperation with Wismar in Germany. It thanked no to the invitation twinned collaboration with Sheki in Azerbaijan

154/16 Answer from Municipal and moderniseringsdepartementetpå questions about the delegation rules

– Section 6.6.1 in delegation Regulations (version dated 08.28.2015) is maintained on the basis of Ministry uttalelseav March 9, 2016.

155/16 Fixing Election Day for Big Tings-ogsametingsvalget, 2017.

– Big Tings and Sami elections in 2017 held on Monday September 11th 20172.Det also held election in all constituencies Sunday 10 September 2017 with unntakav Kjose and Hvarnes circuits.

the result of the elections referred to the municipality’s website.

156/16 Selection Conciliation

157/16 Selection Fixed of representatives to the conciliation board

158/16 Selection board member Larvik voluntary central

159/16 Selection Board for Legatet Mrs. Clara Johnsen Minde

160/16 Selection director Kong Haugen Christians Primary

161/16 Election jurors, lay judges to tingrettenog land consolidation judges for the period 2017-2020

165/16

166/16

New paragraph 3 (setting’s point 3, paragraph 4)

The municipal council provides Rådmannen following green control signals:

1. It established stations for measuring air quality / pollution at busy roads through residential areas in cooperation with the Public Roads Administration during the 2017

2. All municipal building’s opportunities for energy conservation surveyed during 2017 and measures with a repayment period less than 10 years carried out by 2020. Funding through energy saving contracts or for its own account, for example. using green bonds through municipal bank. Referring to increased funding for energy efficiency measures in the 2016 budget and the appointment of an energy consultant. These are expenses for future savings.

3. Is developing a plan during 2017 for the disposal of old and new municipal buildings (including leases) on the basis of information provided in the municipal board matter

046/16. Whenever the need arises for more building land shall first consider whether the municipality has other existing buildings that can be used / refurbished rather than building new.

4. Environmental quality in municipal settlers ensured through active use of BREEAM and renewable materials incl. Wood in accordance with the current climate and energy plan. New construction shall be designed for a lifetime of minimum 60 years, and followed up with adequate funding for maintenance incl. Replacement of technical systems in accordance with these lifetime. This is also carried out as far as possible for the municipality’s old buildings.

5. Is developing a plan for replacement of municipal vehicles to fossil-free as they scrapped / renewed. In own and intermunicipal tenders on vehicles shall be incorporated out a life cycle analysis for both environmental and monetary economics, and the environment shall be weighted in accordance with the municipality’s ambitious environmental goals.

6. Recycling at Grinda accommodated within project recycling facility early in 2017.

7. Awareness-raising campaign aimed at sustainable consumption awareness is carried out as part of the environmental information program during 2017.

8. Agricultural department strengthened for greater focus on organic production, local food, local processing, urban agriculture, allotment gardens, school gardens, share farming ETC. during 2017.

9. Environmental Teaching certified & amp; quot; Green flag & amp; quot; scheme to promote sustainable development during 2017.

10. Purchase of a minimum of 20% organic or local food to institutions, schools, kindergartens and public canteens implemented from 2017.

11. Plan for development of charging stations for electric and hybrid cars are revised and incorporated hydrogen filling stations and biogas during 2017, ref. increased appropriations in the 2016 budget so and long-term budget.

12. Arrangements are made for shore power for all ships in Larvik harbor by 2019. Colorline recently adopted its shore facilities, and indicates that EU requirements for such facilities at all ports.

LikeTweet