US activist guilty in murder case

Shawna Forde (centre) listening to opening arguments in her murder trialForde (centre) was found guilty on eight counts, including first-degree murder and attempted murder
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The leader of an anti-illegal immigration group has been convicted for the murder of a nine-year-old girl and her father during a 2009 home invasion in the US state of Arizona.

Prosecutors said Shawna Forde broke into the family’s home to steal drug money to fund her group’s operations.

The 42-year-old was found guilty on eight counts, including first-degree murder, attempted murder and robbery.

Jurors will meet on Tuesday to decide if the death penalty will be sought.

The Pima County jury found Forde guilty of killing Raul Flores, 29, and his daughter, Brisenia, at their home in Arivaca, near border with Mexico.

Forde was also convicted of the attempted murder of Brisenia’s mother.

Forde and two men dressed as police officers forced their way into Mr Flores’ home and then shot him, his daughter and his wife, who survived the attack, authorities said.

Albert Robert Gaxiola and Jason Eugene Bush, Forde’s alleged accomplices, are scheduled to go on trial later this year.

Forde’s lawyer, Eric Larsen, argued his client, who had pleaded not guilty, did not enter the home.

But prosecutors disputed the claim and said the leader of the Minutemen American Defense, a small immigrant watch group based in Arizona, must take responsibility for the organisation’s actions.

“She didn’t put a gun to Brisenia’s head… but she was the one in charge,” prosecuting lawyer Rick Unklesbay told jurors.

“Because of that you must hold her accountable,” he added.

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Scientists urge A-level overhaul

Science studentsThe report highlighted the lack of specialist science teachers
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Scientists are calling for a new Baccalaureate-style qualification at A-level that allows students in England to study a wider range of subjects.

The Royal Society says the standard three choices at A-level limits the number of students applying for science degrees.

This is because few take the two sciences and maths required by universities.

Ministers say they want to strengthen maths and science in schools.

Schools minister Nick Gibb says the government’s move to include mathematics and science in the new English Baccalaureate would drive up participation rates and attainment in these subjects pre- and post-16.

“We are already committed to looking at new ways to encourage the take up of science qualifications, in particular physics, at all levels,” he said.

He added that ministers were open to ideas from leading societies and universities about how to do so.

The Royal Society report says: “The levels of participation in science and mathematics, particularly outside Scotland, indicated problems with the structure of post-16 qualifications provision and an underlying cultural indifference towards science across the population as a whole.”

It says many students would welcome being able to take a wider range and number of subjects at A-level, and argues “it is clear that A-levels are not fit for purpose”.

Across the UK in 2009, just 17% of 16 to 18-year-olds took one or more science A-level, or equivalent qualification, the report says.

In the same year, 17% of secondary schools in England did not enter a single pupil for A-level physics. In Wales this figure was 13% and in Northern Ireland it was 43%.

And it warns that UK universities produce fewer than 10,000 home graduates in science and maths.

Chair of the Royal Society Education Committee Professor Dame Athene Donald said it should be a top priority for the government to reform England’s education system.

She added: “At a time of economic uncertainty, when science and scientists can play a key role in revitalising the UK’s financial outlook, it is deeply worrying to find that numbers of A-level science students are at such low levels.”

The report also points out that in the Scottish education system, where youngsters take Highers instead of A-levels covering five subjects, a greater proportion of pupils take core sciences at this level.

It also notes that England’s Education Secretary Michael Gove has announced a new English Baccalaureate at GCSE, which requires those wishing to gain it to study two sciences along with English, maths, a language and either geography or history.

The report also calls for more efforts to maximise the number of specialist maths and science teachers and for the diversity of A-level and equivalent qualifications to be reviewed.

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Doubts over mild asthma treatment

Woman using inhalerPreventer inhalers might not be needed in mild asthma
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Mild asthma might not need to be treated every day, say US researchers.

A “preventer” inhaler containing corticosteroid is part of many asthma sufferers’ daily routine, but it can result in reduced growth and children often forget to take it.

This study, published in The Lancet, shows that it is possible to manage the symptoms without a daily dose.

Asthma UK said daily treatment was still the most effective, and concerned patients should speak to their doctor.

The disease causes inflammation of the tubes which carry air to and from the lungs. If they become irritated, then the airways narrow, sticky mucus is produced and breathing becomes difficult.

More than 5 million people in the UK are being treated for the illness and Asthma UK estimates 1.1 million have asthma which is mild and under control.

Researchers at the University of Arizona believe there is a problem with the way the disease is managed.

Two types of inhalers are used: “relievers” which are used when breathing is difficult and “preventers” which are taken every morning and evening.

However, the researchers said that many children stop taking the daily medication if their symptoms disappear.

“If you have any concerns about your asthma treatment, Asthma UK recommends you speak to your doctor or asthma nurse”

Dr Samantha Walker Asthma UK

Professor Fernando Martinez, from the University of Arizona, told the BBC: “If you have a daily drug and a very significant number are not taking it, then that tells you it’s a losing strategy.”

“We want to find something which is more child- and parent-friendly as well as avoid the growth effect.”

In all, 288 children and teenagers with mild and persistent asthma took part in the 44-week trial.

The study showed that taking corticosteroids twice a day was still the most effective treatment, However, those taking the medication grew by 1.1cm (0.5in) less than children not taking the drug during the trial.

Importantly, asthma was also managed without daily treatment if the corticosteroids were combined with the “reliever” inhaler.

This eliminated the effect on growth and the researchers say it would be an easier form of treatment for children.

Further clinical trials will be needed to verify the results.

Professor Martinez said: “I’m continuing to recommend daily corticosteroid to my patients, but I know some of them will not take it.”

Asthma UK said the study confirmed that daily inhaled corticosteroids were the most effective treatment.

Dr Samantha Walker, executive director of research and policy at Asthma UK, said: “We know that long-term adherence to medicine treatment plans can be difficult, particularly when a child’s asthma seems to be under control.

“The use of combined ‘preventer’ and ‘reliever’ medicines as rescue therapy appears to be superior to ‘reliever’ inhalers alone and offers a new ‘step-down’ approach to the management of mild, well-controlled asthma in children and young people who find it difficult to adhere to long-term daily treatment with inhaled steroids.

“Many parents have concerns about their child’s steroid intake. However, research shows that children on low daily doses of ‘preventer’ medicines show no difference in growth. At higher doses, the picture is less clear. For all children, treatment plans should be reviewed at least every six months.

“If you have any concerns about your asthma treatment, Asthma UK recommends you speak to your doctor or asthma nurse.”

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Asian stock index talks on again

Singapore financial districtAsia’s financial markets are some of the most heavily traded in the world at the moment
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A planned $8bn (£5bn) merger between stock market operators in Australia and Singapore may be moving closer after talks started up again.

Analysts said the original deal will probably be restructured in order to make it more attractive to politicians and regulators.

The planned merger is between the Australian Stock Exchange (ASX) and the Singapore stock exchange (SGX).

It comes after rival market operators in the US and Europe announced tie ups.

Smoother road?

The deal was first announced in October last year, but ran into problems with regulators and policymakers in Australia who were worried about which company would have control of the new firm.

Should the problems be ironed out then analysts said the deal would help boost Singapore as a major financial hub in Asia.

At the same time, it would give Australian investors greater access to Asian markets.

Asian stock markets and investors are benefiting from quicker rates of economic growth than are being seen in Western markets.

ASX asked for its shares to be suspended while the talks were going on.

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‘Pedal while we work’ idea raised

Woman at workMini exercise bikes could combine a desk job with a workout
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Portable pedal machines could be used in every office to improve the health of workers, according to scientists in the US.

The researchers, writing in the British Journal of Sports Medicine, said sedentary lifestyles were a serious health problem.

They argue that small exercise bikes could be a cheap solution.

Charity Weight Concern said improving the health of workers would also benefit employers’ bottom lines.

Hours spent sat a desk staring into a computer screen is not an alien experience for many office workers.

Physical inactivity has been linked to obesity, heart disease and diabetes.

Previous attempts at increasing the health of workers have involved hooking a treadmill up to an office computer.

Now researchers at East Carolina University are investigating mini exercise bikes, which can be used while sat at a desk.

“If used regularly, not only would individuals benefit, but employers would see reduced absenteeism and improved performance and job satisfaction”

Dr Ian Campbell Weight Concern

During a small study with 18 workers, they assessed how feasible it would be for the bikes to be introduced.

On average, the workers each used the machine on 12 out of the 20 days of the study and pedalled for 23 minutes at a time.

In a questionnaire, the workers said they would use the machine regularly at work if they were offered one by their employer.

They researchers said: “Portable pedal machines may serve as a tool to reduce sedentary times in the work environment without necessarily influencing the sitting time necessary for performing computer-related tasks.”

The authors note that the novelty factor of having an exercise bike did wear off so additional motivation would be needed to keep employees using them.

Dr Ian Campbell, of Weight Concern, said: “It’s increasingly being recognised that employers have an opportunity to provide options for staff to become more active during the working day.

“In principle this is a good idea, and relatively inexpensive. If used regularly not only would individuals benefit, but employers would see reduced absenteeism and improved performance and job satisfaction.

“However, it’s not for everyone and I was concerned that, not surprisingly, use of the pedal machine decreased gradually over the one month trial period as enthusiasm waned.”

This article is from the BBC News website. © British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.

Clinton praises Iran protesters

Protests in Tehran

Footage of the protests in Tehran was captured on mobile phones

US Secretary of State Hillary Clinton has expressed her firm support for the thousands of opposition supporters who protested in Iran’s capital on Monday.

Mrs Clinton said they deserved to have “the same rights that they saw being played out in Egypt” and that Iran had to “open up” its political system.

One person was reportedly shot dead in the violent clashes between protesters and security forces in central Tehran.

Dozens were detained, and opposition leaders were placed under house arrest.

The BBC received reports of banned demonstrations in other Iranian cities, including Isfahan, Mashhad and Shiraz.

In their first major show of dissent December 2009, when eight people were killed, thousands of opposition supporters gathered at Tehran’s Azadi Square on Monday in solidarity with the popular uprisings in Tunisia and Egypt.

They chanted: “Death to dictators”.

At the scene

Riding on the back of a motorbike, holding my mobile to take video footage, I went to central Tehran on Monday afternoon. My driver skilfully found back alleys to reach Azadi (Freedom) Square, the Iranian counterpart of Egypt’s Tahrir Square.

Thousands of people made their way amicably and silently towards the square, most of them young. Many wore trainers, suggesting they were anticipating having to run away from the security forces to escape arrest.

Riot police began to disperse the crowd before they even started the rally. Men on motorbikes belonging to the police and Republican Guards charged the protesters and beat them severely with batons. However, this merely emboldened them.

When the troops fired tear gas at the crowd, it became very difficult to breathe. Some girls and women fainted. Many of the protesters were also detained. Others set rubbish bins on fire to combat the effects of the gas.

My driver was hit by a paintball fired by a policeman and lightly injured, but he was still able to drive me back to the office. Once there, I was shocked to see that official and semi-official news agencies were saying everything was normal when for a couple of hours, there had been total chaos.

Will Iran import Arab uprisings?

But the BBC’s Mohsen Asgari, who was at the rally, says it was not long before riot police fired tear gas, while men on motorbikes charged the crowd with batons.

Witnesses told the Associated Press new agency that at least three protesters had been wounded by bullets, with dozens of others taken to hospital as a result of the beatings.

Iran’s semi-official Fars news agency meanwhile reported that one person was shot dead by protesters and several others wounded.

Opposition websites said hundreds of people were arrested. There has been no official confirmation.

As night fell, hundreds of riot police remained on the streets of the capital.

Later in Washington, Mrs Clinton told reporters that the US administration “very clearly and directly” supports the protesters.

“What we see happening in Iran today is a testament to the courage of the Iranian people, and an indictment of the hypocrisy of the Iranian regime – a regime which over the last three weeks has constantly hailed what went on in Egypt,” she said.

Mrs Clinton said the US had the same message for the Iranian authorities as it did for those in Egypt, where President Hosni Mubarak was forced to step down after 29 years in power by nationwide mass protests.

“We are against violence and we would call to account the Iranian government that is once again using its security forces and resorting to violence to prevent the free expression of ideas from their own people,” she said.

Clash between protesters and police in Tehran (14 February 2011)Thousands defied the government’s ban on demonstrations and gathered in Tehran

“We think that there needs to be a commitment to open up the political system in Iran, to hear the voices of the opposition and civil society,” she added.

Earlier on Monday, police placed the opposition leader, Mir Hossein Mousavi, under house arrest and blocked access to his home.

His website said they intended to prevent the former prime minister attending the Tehran rally.

Fellow opposition leader Mehdi Karroubi, a former speaker of parliament and a senior cleric, is also reportedly being held under house arrest.

Both men disputed the re-election of President Mahmoud Ahmadinejad in June 2009, which triggered protests that drew the largest crowds in Iran since the Islamic Revolution in 1979. The authorities responded by launching a brutal crackdown.

The opposition says more than 80 of its supporters were killed over the following six months, a figure the government disputes. Several have been sentenced to death, and dozens jailed.

Although Iran’s establishment supported the Egyptian and Tunisian protests, describing them as an “Islamic awakening” inspired by the Islamic Revolution, it said the opposition rallies were a “political move”.

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Drug submarine seized in Colombia

Colombian soldiers guard a homemade submersible in a rural area of TimbiquiThe submarine has the capacity to sail as far as Mexico, officials say
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The Colombian navy has seized a submarine believed to have been built to smuggle cocaine to Mexico.

The 31m-long (100ft) fibreglass vessel was found hidden in a jungle area in Timbiqui, in south-westernern Colombia.

Navy officials said it was the most sophisticated submarine they had found so far, capable of travelling 9m (30ft) below water.

The officials said it could carry four people and up to eight tonnes of cargo, and was ready to launch.

Commander of the Pacific Naval Force Adm Hernando Wills Velez said it was one of the biggest homemade submarines ever found.

He said it was equipped with sophisticated navigational equipment, which would have allowed the crew to sail as far as Mexico.

Officials estimated the cost of the vessel at more than $2m.

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Praise for Scots education system

Pupils observe electrolysis of water during science lesson The report said almost half of Scots students aged between 16 and 19 took Higher science in 2009
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The UK’s national academy of science has called for authorities south of the border to “emulate successes” in the Scottish education system.

A report by The Royal Society found almost twice as many students aged between 16 and 19 studied science in Scotland than England or Wales.

It also suggested a higher proportion of students in Scotland took science subjects in combination with maths.

It added lessons should be learnt from the Scottish pre-university system.

Almost half of students aged between 16 and 19 took Higher science in 2009, according to the society’s State of the Nation report, which drew on government figures.

This was much higher than England, where 27.7% of pupils took the equivalent A-level science. In Wales, the figure was 26.6%.

The Royal Society said that as Scottish students tended to take five subjects at Higher level, they had more choice and flexibility than A-levels, where the tendency was to do three subjects.

“We need to identify the factors that make the Scottish education system so successful in encouraging the uptake of science subjects”

Dame Athene Donald Royal Society

More of them were therefore likely to take the two sciences normally required for entry onto STEM (science, technology, engineering and mathematics) degree courses at university.

The report suggested the A-level system in England be reformed to bring the system into closer alignment with the Scottish one, with a wider range and increased number of subjects.

Prof Dame Athene Donald, chairwoman of the Royal Society education committee, said: “We need to identify the factors that make the Scottish education system so successful in encouraging the uptake of science subjects in order to inspire the next generation of students to commit to scientific study from school to university.”

At the start of this academic year, the Scottish government introduced the Curriculum for Excellence, aimed at giving teachers more freedom and make lessons less prescriptive for children between the ages of three and 18.

However, teachers’ leaders have said they have serious concerns about the ability of schools to bring in the curriculum and prepare pupils for new national exams planned for 2013.

The Royal Society said whatever changes were made to the Scottish education system, it should continue to give students the breadth needed to study science and mathematics alongside other subjects.

It suggested that intermediates, which it said had proven effective in helping to maximise the number of students progressing to Scottish Highers, be replaced by a similar option.

Prof Donald added: “The current reforms by the Scottish government need to be carefully considered to ensure that they will not have a negative impact on the success the education system has seen in encouraging post-16 participation in science.

“It would be potentially damaging to Scottish science if the intermediate qualifications were removed and no replacement was found for them, as this could severely limit progression to STEM higher education.”

Education Secretary Mike Russell welcomed the Royal Society’s findings.

He said: “Curriculum for Excellence is encouraging new and innovative ways of teaching and I’ve already seen evidence of this encouraging more pupils to study science.

“Work to develop the new qualifications is currently being progressed by the SQA, who will be working with stakeholders as this is taken forward.”

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Youth crime warning over cut plan

A boy holding a knifeAxing the Youth Justice Board would save an estimated £6m over four years
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Crime may rise if funding is cut for youth offending prevention projects in England and Wales, MPs have warned.

The House of Commons’ Public Accounts Committee said the cost of any reduction in funds was likely to outweigh any short-term savings.

It also warned the government’s decision to axe the Youth Justice Board – the body which administers youth justice – could be counter-productive.

Ministers said they were committed to providing more cost-effective services.

The cross-party committee praised the board for its “central role” in reducing the number of 10 to 17-year-olds entering the youth justice system.

But it questioned how a national focus on reducing youth offending could be maintained by scrapping it.

“The reoffending rate for young people who have left custody has fallen only slightly”

Margaret Hodge Public Accounts Committee chairwoman

Savings were unlikely to be “significant”, it said, at around £6m over four years, or half of one per cent of the Ministry of Justice budget.

The committee’s report said: “Cutting prevention funding now increases the risk of the unintended consequence that more crime could occur in the medium term, with the cost likely to outweigh any short term savings.”

It found that youths who were imprisoned or given hefty community sentences remained highly likely to reoffend.

The MPs urged the board and Ministry of Justice to encourage investment in prevention.

The board is being abolished as part of the government’s decision in October’s Spending Review to axe 24 quangos.

The committee’s Labour chairwoman Margaret Hodge said: “The reoffending rate for young people who have left custody has fallen only slightly – with three out of four offending again within a year.

“There has also been an increase in the numbers of more serious crimes committed by young offenders.

“Given its decision last year to abolish the Youth Justice Board, it will be for the Ministry of Justice to maintain the national focus on reducing offending by young people and reducing the use of custody.

“It will not help that funding for work to prevent youth crime is being cut.”

This article is from the BBC News website. © British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.

Business as usual?

Lloyds Bank signAnalysts are speculating the government could sell its stakes in Lloyds and RBS sooner than expected.

After their near-death experience, Britain’s banks are staging a robust and speedy revival.

They came out of intensive care in 2009, and showed signs of recovering financial health in 2010.

As for 2011? It may well be the start of a return to business as usual.

Indeed, February may be the watershed; the point at which analysts can start talking about the banks seeing some sort of normality.

Barclays kicks off the banks’ financial reporting season on Tuesday.

The figures will fuel the debate about profits and bonuses in an industry underpinned by taxpayers’ money.

But in purely financial terms, Barclays’ profits will be welcomed as “a source of further reassurance and comfort”, said Ian Gordon, analyst at BNP Paribas.

After Barclays comes Standard Chartered’s results on February 22. Two of the more vulnerable banks, RBS and Lloyds Banking Group, report on 24 and 25 February, followed by HSBC on 28 February.

Analysts at Nomura, the investment bank, estimate that, excluding RBS, the four other banks should make combined pre-tax of profits of about £24bn, up from £21.5bn in 2009.

“The mood music is sounding sweeter if you’re a banker”

Banking analyst

The consensus among analysts is that HSBC, Europe’s largest bank, should see profits more than double the £5.16bn made in 2009.

And Standard Chartered is forecast to have made about £4.5bn for 2010, up from £3.8bn the year before.

Profits at Lloyds, 42%-owned by the UK taxpayer, are estimated at just over £1bn, slightly ahead of 2009.

RBS, in which the taxpayer has an 84% stake, is forecast to lose about £600m. But that is still a considerable turnaround from the £1.93bn loss made in the 2009 financial year.

A cut in bad debts, improved margins, and a more positive global economic environment are behind the better figures.

But a lot also depends on the banks’ area of focus.

Healthier profits from HSBC and Standard Chartered are based on greater exposure to the buoyant Asian economies, points out Richard Hunter, head of equities at Hargreaves Lansdown Stockbrokers.

“Those banks with an exposure to emerging markets, and Asia specifically, could have benefited from the continued exhilarating growth in those regions,” he said.

Mr Hunter added that the next few weeks should reveal the banks had done a “huge amount” to improve their capital ratios – the percentage of cash held in reserve, relative to the amount of money loaned.

“But what could really mark a turning point is if the banks continue to reduce their bad debts – both corporate and individual,” he said.

RBS and Lloyds – more focused on Europe and carrying heavier baggage from the financial meltdown – still have serious legacy issues to unwind.

Yet there is already talk that these two companies could soon be prepared for a return to private ownership and the government selling its stakes to recoup billions of pounds.

Following this more favourable financial climate has come a more favourable political one.

George Osborne, Chancellor of the Exchequer, set a new tone last week when he said that, regarding the bank sector, “Britain needs to move from retribution to recovery”.

The comment was widely see as part of a peace pact between the banks and the government to end “banker bashing”.

It followed a deal between the coalition government and the banks to provide more funds to small businesses, curb bonuses, and agree new disclosure rules.

The CBI and other business groups, along with a number of high profile executives, have also become more robust in their defence of the banks.

“The mood music is sounding sweeter if you’re a banker”, one banking analyst told the BBC.

Vince Cable and some fellow Liberal Democrats still have “issues” with the banks, including the separation of High Street and “casino” operations.

Bob DiamondBarclays chief executive Bob Diamond is likely to be the focus of criticism over bankers’ bonuses.

The Independent Commission on Banking (ICB), set up last year to look into a possible shake up of the industry, is due to publish an interim report in April.

But there has been much media speculation that the ICB is minded to conclude against separating banks’ retail and investment operations.

The CBI has thrown its weight against a break up. “We need a strong banking system to help support the economy and growth,” said John Cridland, CBI director-general.

And banking industry insiders also believe that a full break-up is unlikely. Their argument is that during the financial crisis banks with broad-based activities were stronger than “narrow” companies, like mortgage specialist Northern Rock, which was nationalised.

“Seeking to impose yet another round of severe restrictions in the form of splitting the activities of retail and investment banking is tantamount to cutting the legs of our banks off at the knees,” said Howard Wheeldon, senior strategist at BGC Partners.

“Those that are more retail-orientated, such as Lloyds, would feel only minimal pain. But for the majority the idea of splitting retail from investment banking is abhorrent, mainly because the health of one is often dependent on the other.”

But one area where there may be no return to normality for some time is the rehabilitation of banks’ reputation.

The bank reporting season also signals the bank bonus season, and public anger over the issue shows little sign of abating.

Protest group UK Uncut has said it will target some Barclays high street branches on Tuesday, followed by action against RBS next week.

In a few weeks the banks will start holding their annual general meetings, another potential focal point for demonstrations against bonuses.

And there are also cracks in the coalition.

Last week Lord Oakeshott, the Liberal Democrat’s Treasury spokesman, resigned in protest at the deal Mr Osborne struck with the banks.

“A multi-million-pound bonus is still a multi-million-pound bonus, even if you’ve got to wait two years to buy the yacht,” Lord Oakeshott said.

Barclays’ new chief executive Bob Diamond will most likely be the lightening rod for further criticism of bank bosses.

The Financial Times reported that Mr Diamond, who waived his bonus in 2009, is in line for between £8m and £9.5m. The other bank chiefs will reportedly get much less, between £1m and £2.5m.

The banks are enjoying a better financial climate, more positive political approval, and can see the threat of break-up receding. Only public opprobrium over bonuses remains unchanged.

But at this stage of the financial cycle, banks may well feel that three out of four isn’t bad.

This article is from the BBC News website. © British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.

NHS ‘failing on care to elderly’

Elderly patientThe elderly population is set to double over the next 25 years
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The NHS is failing to treat elderly patients in England with care, dignity and respect, an official report says.

The Health Service Ombudsman came to the conclusion after carrying out an in-depth review of 10 cases.

The ombudsman, which deals with serious complaints against the NHS, said the patients – aged over 65 – suffered unnecessary pain, neglect and distress.

Charities said the findings were “sickening”, while the government admitted improvement was needed.

While the report is only based on 10 cases, the ombudsman said they were far from isolated examples.

Of nearly 9,000 complaints made to the ombudsman last year, 18% were about the care of older people. In total, it accepted 226 cases for investigation – twice as many as for all the other age groups combined.

The report concluded there was a gulf between the principles and values of the NHS and the reality being experienced by older patients.

And the ombudsman, which is called in once a complaint cannot be resolved by individual NHS trusts, said the fact there was an ageing population made it even more essential that the concerns were dealt with.

Several themes became clear from the ombudsman’s analysis. Half the people featured did not consume adequate food or water during their time in hospital.

Case study

After being admitted to hospital with severe abdominal and back pains, Mr D was diagnosed with advanced stomach cancer.

He asked to be discharged so he could die at home. But when his daughter arrived to collect him, she found him sitting behind a closed curtain in distress.

He had been left for several hours, was in pain, desperate to go to the toilet and unable to ask for help because he was so dehydrated that he could not speak or swallow.

The emergency button had been placed out of his reach, his drip had been removed, fallen and had leaked all over the floor.

At home, his family discovered Mr D had not been given the right pain relief.

His daughter said later: “It was as if he didn’t exist.” After investigating the case, the ombudsman found the trust had failed on a number of grounds.

Some were left in soiled or dirty clothes. One woman told the ombudsman how her aunt was taken on a long journey to a care home by ambulance.

She arrived strapped to a stretcher and soaked with urine, dressed in unfamiliar clothing held up by paper clips, accompanied by bags of dirty laundry, much of which was not her own.

Communication was also highlighted as a problem with one 82-year-old woman recalling how, on being discharged from hospital after minor surgery, she was frightened and unsure of how to get home.

She asked the nurse to phone her daughter, but was told “this is not my job”.

In another case, a cancer patient wanted to be discharged to die at home. When his daughter arrived to collect him, she found him sitting behind a closed curtain in distress.

He had been left for several hours in pain and desperate to go to the toilet. He was unable to ask for help because he was so dehydrated that he could not speak or swallow.

Ann Abraham, the Health Service Ombudsman, said the accounts painted a picture of NHS provision that was “failing to meet even the most basic standards of care”.

“These often harrowing accounts should cause every member of staff who reads this report to pause and ask themselves if any of their patients could suffer in the same way.”

Michelle Mitchell, of Age UK, said: “The inhumane treatment of older people described in this report is sickening and should send shockwaves through the NHS and government.”

And Katherine Murphy, chief executive of the Patients Association, added the report echoed the findings of research her group had done.

“How many reports do we have to have before anything will change and patients will stop suffering?”

Nigel Edwards, chief executive of the NHS Confederation, which represents NHS trusts, said the cases highlighted were “completely unacceptable”.

But he added: “It is of course important to put these 10 examples in perspective. The NHS sees over a million people every 36 hours and the overwhelming majority say they receive good care.”

Care services minister Paul Burstow agreed, but acknowledged standards still needed to improve.

“We need a culture where poor practice is challenged and quality is the watchword. The dignity of frail older people should never be sidelined.”

He said the government’s reforms of the NHS would strengthen the voice of patients.

This article is from the BBC News website. © British Broadcasting Corporation, The BBC is not responsible for the content of external internet sites.