An online tool designed to eliminate errors in the application process for lasting powers of attorney (LPA) has gone live today. Currently, almost a fifth of applications received by the Office of the Public Guardian (OPG), which manages the LPA scheme, contain mistakes. An LPA is a legal document allowing the applicant to appoint someone they trust to make decisions about their welfare, money or property, should they lose capacity in the future. LPA numbers have grown from 150,000 in 2010/11 to 229,000 in 2012/13, an increase of around 53%. The online tool developed by the Ministry of Justice takes users through each page of the application, ensuring each is completed correctly before being printed off and submitted. Applicants can complete the process themselves or seek help from a solicitor or other trusted individual. The government has also just announced that it is to launch a consultation on making the process fully digital – so that forms can be submitted online. Alan Eccles, the public guardian, said: ‘More and more people are taking the important decision to apply for an LPA and it is right they receive the best possible service. This online tool is the first step in making the whole system simpler, clearer and faster. We are continually looking to identify further improvements.’ Access the new digital tool.
Lee Johnson’s men travel to Hillsborough on Saturday, November 18th (3pm kick-off) and will be housed in the Leppings Lane End, with 558 tickets initially allocated.Tickets are priced as follows: Adult – £33, Senior 65+/Under-21 – £23, Under-17 – £15, Under-11 – £10, Under-5 – £5.Ambulant disabled and wheelchair-using supporters pay the relevant price category and may receive a free carer if required.Note: The Under-5 rate is available in advance only.SALES PROCEDURE & CATSSeason card PLUS members can purchase online now, with all season card holders able to buy from November 1st.Forever Bristol members can purchase from Wednesday, November 8th, with any remaining sales kicking off on November 10th.CATS will be running coaches to Hillsborough, departing from Ashton Gate at 8.30am. Seats cost £24 for season card PLUS members, £29 for all others.Please note there will be no parking at Ashton Gate due to an event being held at the stadium.
CHICAGO | New mammogram advice from the American Cancer Society says most women should start annual screenings at age 45 instead of 40, a change that moves the group closer to guidelines from an influential advisory task force.The cancer group also now advises switching to screening to every other year at 55. The task force recommends starting routine screening for breast cancer at age 50, then every other year.It’s not a one-size-fits-all recommendation; both groups say women’s preferences for when to be scanned should be considered.FILE – In this Tuesday, July 31, 2012, file photo, a radiologist compares an image from earlier, 2-D technology mammogram to the new 3-D Digital Breast Tomosynthesis mammography in Wichita Falls, Texas. The technology can detect much smaller cancers earlier. In guidelines published Tuesday, Oct. 20, 2015, the American Cancer Society revised its advice on who should get mammograms and when, recommending annual screenings for women at age 45 instead of 40 and switching to every other year at age 55. The advice is for women at average risk for breast cancer. Doctors generally recommend more intensive screening for higher-risk women. (Torin Halsey/Times Record News via AP)The advice is for women at average risk for breast cancer. Doctors generally recommend more intensive screening for higher-risk women.“The most important message of all is that a mammogram is the most effective thing that a woman can do to reduce her chance of dying from breast cancer,” said Dr. Richard Wender, the cancer society’s cancer control chief.“It’s not that mammograms are ineffective in younger women,” he said, but at age 40, breast cancer is uncommon and false alarms are more likely.Concern about false alarms contributed to the cancer society’s new guidance. These lead to worry and more testing — they mean an initial result was suspicious but that cancer was ruled out by additional scans and sometimes biopsies.The latest guidelines acknowledge that some younger women are willing to accept that, and that for them starting annual exams at age 40 is fine, as long as they know the risks.The guidelines were developed by experts who reviewed dozens of studies including research published since 1997 — the year the trusted medical group recommended yearly mammograms starting at age 40, and since 2003, when it stopped recommending monthly breast self-exams.The update also drops a recommendation for routine physical breast exams by doctors, saying there’s no evidence that these save lives.The Rev. Jennifer Munroe-Nathans, a church pastor in Millis, Massachusetts, said she hasn’t paid attention to guidelines and started getting annual scans around age 40 on her doctor’s advice. Her mother had breast cancer; so have some of her congregants and Munroe-Nathans said she has no plans to change course when she gets older.“For my own peace of mind I intend to continue yearly mammograms,” she said. “I’ve seen the impact of breast cancer — perhaps that makes me a little more hyper-vigilant.”The society’s updated guidelines say switching to every other year at age 55 makes sense because tumors in women after menopause tend to grow more slowly. Also, older women’s breasts are usually less dense so cancer is more visible on mammograms, said Dr. Kevin Oeffinger, chairman of the society’s breast cancer guideline panel and director of the cancer survivorship center at Memorial Sloan Kettering Cancer Center in New York.The guidelines were published Tuesday in the Journal of the American Medical Association.More than 200,000 women in the U.S. are diagnosed each year with breast cancer and about 40,000 die from the disease. Overall, 1 in 8 women will be diagnosed with the disease at some point and chances increase with age.Oeffinger said women need to be familiar with their breasts and aware of any changes, which should be evaluated by their doctors.The U.S. Preventive Services Task Force, whose guidelines have historically influenced Medicare coverage, made waves in 2009 when it recommended mammograms every other year starting at age 50, to age 74. In draft recommendations released earlier this year, the group said mammograms for women in their 40s should be an individual decision based on preferences and health history, and that more research is needed to determine potential benefits or harms for scans for women aged 75 and older.That panel also questioned the value of breast exams by doctors, citing a lack of evidence for any benefit or harm. It will examine the cancer society’s evidence review in finalizing its update, said Dr. Kirsten Bibbins-Domingo, the task force’s vice chair and a professor at the University of California, San Francisco.Most health plans are required to cover screening mammograms free of charge as part of preventive care mandated by the Affordable Care Act, and many insurers cover the screenings starting at age 40.Several doctor groups still recommend mammograms starting at age 40, including those representing radiologists and gynecologists, but the American Cancer Society’s breast cancer guidelines are the most widely followed, said Dr. Kenneth Lin, a family medicine physician at Georgetown University School of Medicine.Lin said he supports the new guidance but that it will make his job more challenging at first, trying to explain to patients the changes and differences with other groups. Lin said he — and probably many other doctors — will likely continue doing physical breast exams, out of habit and because they consider the exams to be an important part of doctor-patient interactions.Online:JAMA: https://bit.ly/1LzevQACancer Society guideline history: https://bit.ly/1c1F5QTFollow AP Medical Writer Lindsey Tanner at https://www.twitter.com