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JF3005: How Compounding Action Creates Huge Wins ft. Justin Moy
Justin Moy is a principal at Perpetual Wealth Capital and host of the podcast, Building Passive Income & Wealth (Through Real Estate). In this episode, he shares how his lifelong interest in real estate led him to flipping, wholesaling, becoming a realtor, and ultimately finding multifamily syndication and becoming a GP of 300+ units.
"If something is really worth having, you've got to know that other people have done it before you, other people were successful, and you can be, too."
Justin Moy | Real Estate Background
Principal at Perpetual Wealth Capital and host of the podcast, Building Passive Income & Wealth (Through Real Estate).
Lead GP and LP of 304 units
Based in: Kansas City, MO
Say hi to him at:
thedefinitiveguidebook.com
Greatest lesson: Refining your communication and sales skills, regardless of your position, is important.
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Ash Patel: Hello, Best Ever listeners. Welcome to the best real estate investing advice ever show. I'm Ash Patel and I'm with today's guest, Justin Moy. Justin is joining us from Kansas City, Missouri. He is a multifamily syndicator and has 304 units as both a GP and an LP. Justin, thank you for joining us, and how are you today?
Justin Moy: Ash, thanks so much for having me. I'm doing fantastic.
Ash Patel: Awesome, man. It's our pleasure to have you. Justin, before we get started, can you give the Best Ever listeners a little bit more about your background and what you're focused on now?
Justin Moy: Yeah, absolutely. So I've been in real estate for most of my professional life. I was in real estate sales, then helped investors buy and sell properties, then acquisitions, I've done flips, wholesale properties, and eventually landed into syndication, which is what I focus on now. There's quite a few reasons why I've gone to that, but real estate has always been something that's really ignited me. I think, maybe like many listeners, the conventional college and nine-to-five route wasn't quite for me. I had to kind of figure that out quick, by almost failing pretty much every class I ever took leading up into college... So I was looking for ways to make a lot of money without having that formal education. So real estate and insurance were kind of the two fields that I knew a lot of my friends' parents who didn't have degrees went into, and I decided to jump in both feet on in real estate. That was maybe eight or nine years ago at this point... And I haven't looked back ever since. Best decision I've ever made.
Ash Patel: Yeah. Listen, I had a horrible GPA in college because I didn't go to class a whole lot, so I get that struggle. Justin, you said you helped investors find deals... What does that mean?
Justin Moy: Yeah, so my very first step into real estate was as a realtor myself. I think maybe a lot of people have started there and maybe gotten their license... I was 19 years old at the time, so I had just graduated high school... And this was in the East Bay of California. So the East Bay of California, right across the bridge, at the time was like the fourth most competitive market in the country. I had no idea what I was getting myself into; I thought I would just tell my friends I had my license, I would sell some deals... And it was the old mentality, "Well, if I just sell one or two a year, I'm pretty good", because homes in the Bay Area - you know, $2, $3, $4 million plus.
So I started doing that, I was grinding on cold calls... I didn't really have a lot of direction, and I eventually did what I should have done in the first place and got a mentor. And my mentor said, "Well, why don't you start off by looking at some direction? Instead of cold calling everybody and their mother, do you like a certain neighborhood? Do you like a style of house? Do you like working with investors? Do you like working with tenants?" And I said "I think I like working with investors. I think I want to be a real estate investor one of these days, because I could see the burnout path of being a transactional person in the real estate field..." So that really stuck out to me, so I said, "Yeah, I really want to help investors find properties to invest in. He said "Okay, great. I do a ton of that. Let me show you exactly how to do it. This is what they look for, this how to find tenant-unoccupied properties, or non-owner-occupied properties... And really walked me through that. And that's really what ended up being my most successful kind of niche in real estate, was helping broker single family investment homes. And that really triggered me to look at incomes, and what other people who were in the owner sides of things, what lives they were living, and I said "I've gotta get out of the transactional space. I've got to be an investor myself."
Ash Patel: Yeah, you saw the money they're making. "How do I get that...?" Okay, so listen, a lot of people do that, right? A lot of people aspire to get to where someone else is. What steps did you take to get there? And how long did that take?
Justin Moy: I ended up being a real estate broker for about three years. Now, granted, I loved every day of those three years; it was both the hardest and the most successful thing I've really done. It was a huge learning curve, and it taught me an enormous amount; not just about business, but about sales, about mentorships, about not going at things alone... And it was definitely the most important milestone I'd hit.
One of the biggest takeaways I had from that was how quickly I got to where I wanted to go when I had a mentor. It was an informal mentor, but since then, I've done informal mentorships, formal mentorships where you pay somebody, coaching programs, masterminds, and it's really just taken me to the very, very next level... Because at the time I was a 19-year-old kid, I thought I could and should do everything myself... I thought, "Hey, everything's for free on YouTube anyways. Why would I do this? Why would I pay somebody to do this?" So I think that was the biggest part, was "Hey, if you have people in your corner, you're gonna get there significantly faster, no matter how hard you work, just by compounding people's knowledge." So that was a huge, huge, huge first step for me to realize what I needed.
Ash Patel: You mentioned it was a very competitive market... How did you penetrate that competition, when you were a beginning realtor?
Justin Moy: It was really, really tough because we were in a market that was very generational. A lot of people, they were inheriting their father or mother's business, who inherited their father's or mother's business, who essentially sold the land to develop that stuff to the initial owners. And so a big part of that to me was, I knew that I had to really outwork the hell out of everybody. And cold calling was my method of doing that. I would cold call, and [unintelligible 00:05:50.23] listening, and they remember those back in the days, or maybe they're in those days now, where they're just banging the phones like crazy... Somebody had told me in my office, "Hey, if you ask 20 people a day if they want to sell their homes, you'll probably make pretty good money here." And so I said, "Okay, so if I ask 50 people a day, I can't fail, right?" And they said, "Well, I guess... Sure." So that was my goal; every day, I needed to ask 50 people if they're selling their home. And what was the quickest way I could do that? I stood outside of grocery stores, handing out business cards, I cold called people, I pulled lists, I had targeted lists... It didn't matter to me. But every single day, I knew I had to ask at the very least 50 people if they were going to sell their home. And that's the only way that I could have ever managed. And I just had to continue to do it. I'm a really, really, really big fan of compounding efforts; the things you do every single day do add up to this enormous results at the end of the week, month, day, year, or your career... And that finally got it for me.
Ash Patel: Justin, do you think that would work today?
Justin Moy: I definitely think it would work today. A lot of people say cold calling is dead. I could see it being sort of on its way out. I don't think it's quite here yet. I'm really also into marketing, and you see kind of some market cycles and sales tactics cycles... So I think it still works; at the end of the day, you can't really overcome human interaction. And that's what a cold call is; that's what a door knock is. That's what standing outside of a grocery store is. It's a human interaction; you're gonna see that those numbers increase. So when I was in the business about 10 years ago, maybe that was 50 a day; maybe now if you cold call, it's 70 a day. Maybe it's 75 or 80 a day, because the numbers dilute. But at the end of the day, you need to find out, whatever you're doing in your business, "What do I need to do every single day to get me where I want to go?" In direct sales, it's usually some type of prospect outreach, in acquisitions it's usually some kind of underwriting properties... Whatever that number is, what do I need to do every single day that's going to have the most impact on my business? And that really is fundamentally what that comes down to.
Ash Patel: Let's go back to when you were working with a mentor, when you had coaches... What was the next action step you took to level up?
Justin Moy: To me, it was a big thing of whatever my coaches told me, whatever my mentor said, I would pick, whether there was a person, or a company, or a [unintelligible 00:08:05.18] whatever it was... Because there's so much information out there, and there's so many ways to do the same thing, and there's so many ways to be successful at the same thing that you could have to extraordinarily successful mentors or coaches tell you two totally different things, and they probably both work. But the biggest thing with a lot of people is they hop from one to another. They say "Oh, this person said cold calling is the way to do, and I'll do that." Then after a week they go, "Oh, this isn't working for me. This person said I've gotta knock on doors" and they go over there. Then "Oh, that didn't work for me. This person says that cold calling is dead. I've gotta go do this."
So what you really need to do is figure out "What is the firm direction that I want to go?" Because another thing that really helped me realize and level up my career was realizing that I can't do it all. There's a lot of great ideas out there. There's a lot of great methods of doing things. I have to pick the one, to two, to three, whatever you have the capacity for, and really hone in on those, commit to those, and do them well. So don't get too blindsided by a lot of advice, because there's a ton out there, and there's a ton of great advice out there. Pick what you think will work for you, and really go all in on that. Don't spread yourself too thin.
Ash Patel: Yeah. So how did you go from being a realtor to being a syndicator? What was that journey?
Justin Moy: So I was in a real estate sales. Anybody who is in that life knows that it's quite a grind. It's not as glamorous as the shows make it seem. It's very, very transactional. And there are two things that really bugged me about the business. First that it was a transactional; I've got to work, and I realized I could never step away, just me personally. Even when I was taking a day off, I was never really off. I could never really enjoy time with my friends and my family... That's just kind of the personality that I have. And second was it was very locationally-specific. If I continued down that path, as a recent high school graduate - I was 19 years old when I got my real estate license. If I was going to build this big book of business as a real estate agent - well, that typically means you have to stay in that area. And if you go somewhere else, you've got to continue all over and you've got to build an entirely new book of business. So I decided "Shoot, those are two really big deal killers for me. I don't want to be transactional, and I don't want to be tied to a specific area." And through working with a lot of my investors, I can't say that -- actually, the majority were not even in California. The majority handled everything remote. They were in Taiwan, or Japan or their vacationing, or they say, "Yeah, I just live in this other country or this other state now", and I realized "That's life that I want. So how do I do that?" And then the thought process, especially for a lot of people, is "Well, I'll just continue buying one or two single-family homes every single year." Again, a great strategy. There's nothing wrong with it. But when I really dove into the numbers, that cash return and what we were seeing for how long it would take for you to be able to sustain a pretty great life purely off of just that cash flow - it was really staggering. I needed a lot, a lot of properties, and a lot of cash.
So I continued down that rabbit hole to see, "Hey, how can I do these things faster? How can I achieve what I want to achieve faster?" And I looked into multifamily syndications, and it really checked all the boxes for me. There's active and there's passive roles in them, and there's small deals, there's big deals, there's multifamily, there's industrial... And the whole world opens up when you start to see real estate not just as "I've got to buy the house next door and put a tenant in there." So I went down that rabbit hole in syndications, and I haven't looked back since; it's been an awesome journey.
Ash Patel: Justin, what was your first deal?
Justin Moy: My first deal was a 41 unit property, which we were actually -- I don't know, depending on when this airs, we might have sold at this point... And that was a few years ago. For units, we ended up making it 41, out in St. Louis County. And it was a total gut rehab, vacant building, it was condemned, it was like overrun by gangs before... It just had this enormous rap sheet of history on it, so we got a for an incredible price... And with very, very conservative projections, we should be exiting that property in the next couple of months with an extraordinary return, probably two and a half to 3x.
Ash Patel: Did you say you went from 4 to 41 units?
Justin Moy: 40 to 41. I ended up adding an additional unit.
Ash Patel: I was gonna say, man, what a value-add...
Justin Moy: Yeah... I Grant-Cardoned that thing, 10x-ed it. [laughs]
Ash Patel: What was the purchase price on that?
Justin Moy: Yeah, we purchased it for four million bucks.
Ash Patel: Okay. Wow. 40 units for a million dollars.
Justin Moy: Yeah.
Ash Patel: And what's the sale price is going to be?
Justin Moy: It'll be closer to - in a very conservative sense, close to about 3.1, 3.2.
Ash Patel: And how much do you have in it?
Justin Moy: Me personally, I didn't put any money in.
Ash Patel: No, what's the total CapEx, total budget?
Justin Moy: Total CapEx, it'll be about 1.5.
Ash Patel: So at the end of the day, you'll walk away with about 600k total. So why did you do such a heavy lift for your first deal?
Justin Moy: It was about partners. I found this deal, and I initially had walked away from it, because just like you said, I said "This is too much. This is too heavy of a lift. I don't know how to do these things. I don't know anything about construction (at the time). I don't know nothing about electrical panels", I didn't know any of that. So I went to a conference actually in Texas, and I was talking to a few people, and I remember I met this guy who actually built multifamily properties and built custom homes. And I call him and I said, "Hey, I've got a question for you, man. Would you do a deal with me out in St. Louis?" And the guy's out in Boise, and he says, "Yeah, why not? What do you need?" I said "Well, it needs everything. It really needs a gut to the studs. We've got to do everything on this property." I showed him the picture, I showed him the aerials, we did video tours, we walked the place... And he said, "Yeah, this is no problem. I can take care of this." So we said "Perfect", and we ended up inking that deal with a PSA I think the next day; but without that partner, it would have been way too much.
Ash Patel: And what was the split on that partnership?
Justin Moy: We would do 50/50.
Ash Patel: And you took on investors for that deal?
Justin Moy: We didn't end up needing to take on investors. Well, not as a syndication aspect. We JV-ed it, we had two investors on the deal, and then we did the work on it. So it was a small JV for my first deal, but I couldn't have asked for a better one. You always say you learn the most on that first one that happens, and it was an incredible ride, for sure. Nothing in the courses, or the books, or the other podcasts could really replace the experience of actually doing that first deal.
Break: [00:14:20.11] to [00:15:26.00]
Ash Patel: Justin, you weren't cash-flowing on that deal on day one, were you?
Justin Moy: No, absolutely not. We ended up losing money on the loan for about five or six months before we broke even.
Ash Patel: Did you prep your investors for that? Your two JV investors.
Justin Moy: Yeah, absolutely. And I know a lot of the investors that we took on were very used to putting into deals that didn't cash-flow for maybe one or two years, or they invested in a lot flips, where they weren't really looking for that cashflow; they wanted to put their money somewhere, have the tax benefits and then get that bigger pop in a year or two years or three years. So yeah, you definitely have to let your investors know "This is the game plan, where we're not buying a cash-flowing property. But the reason why we think it's a great deal is because we are projecting a cashflow", whatever it was; for us, it was 12 months, and we ended up hitting it in six. But they knew going in that cashflow wasn't a big aspect of it. They were looking at IRRs, and they were looking at equity multiples.
Ash Patel: Yeah. I think that's so important, that you align the expectations of your investors... Because there's a lot of investors out there that rely on that monthly or quarterly pref payment, and there's others where it's just an accounting headache. They don't want it. They just want the backend returns. What will the total return to investors be on this deal?
Justin Moy: Between 2x and 2.5x their initial investment.
Ash Patel: Would you do another heavy lift of this caliber again?
Justin Moy: Absolutely. I think we would change our criteria a little bit. I think we would have a little bit more leeway for how much more do we want to put into this property. Cost of labor over the course of us doing the project had fluctuated up and down, so I think having a little bit more of that prep for me, knowing it was going to go up, it was going to come back down... Lumber changed prices four times within the last couple of months... So just prepping to know, "Hey, this is going to be a journey over the next 12 months, it's going to be a little bit more volatile. It's hard to plan for a lot of these things, but we should add a little bit more cushion here." And overall, the returns are fantastic. And I like to do a lot of that work. I like to add value. We took a literally condemned building, and now we're able to house 41 tenants in it, which is helping a huge housing crisis we have. So I love to add value, I love to feel like we had a big impact on that community and those tenants.
Ash Patel: Justin, how do you find deals today?
Justin Moy: We work all through brokers. We're actually adding on an arm of the company that will do some direct to seller for smaller multifamily. But 41 right now is the smallest we have in that portfolio. A lot of those trade through brokers, and I'm a really big -- just like I talked about before, really staying focused on one or two really hardcore strategies and not spreading yourself too thin. So again, there's a lot of ways to find properties. You can send mailers, you can cold call, you can text blast... I get mailers on all of our properties; they all work. But what is the one or two methods that you can do every single time and get the best results? For us, we network a ton with brokers, and now we're just starting to add on a direct to seller method, which will be cold calling; going back to my roots.
Ash Patel: Yeah, and that was gonna be my question - why are you not cold calling? What worked so well in the past and what you advocated.
Justin Moy: Yeah. It's tough. When you get into multifamily and you get bigger properties, the strategies are a little bit different. [unintelligible 00:18:33.04] a little bit different, you're dealing typically with a little bit more of a sophisticated seller, or a sophisticated owner once you get to a certain unit count; then you get a lot more gatekeepers, you get a lot more LLCs, into different LCS... So it's a little bit harder. And also [unintelligible 00:18:47.00] on time. Again, we have to prioritize where we spend our time. Our time has been so far better spent with people whose job is to do these things all the time, and they're the cold callers, and we're kind of networking a lot with them and building those great relationships... That has been more lucrative on our time investment thus far.
Ash Patel: How do you get a competitive advantage with brokers? Because there's a lot of other Justins out there looking for deals.
Justin Moy: Yeah, that's huge. And I worked in a commercial brokerage before as well. What I can say - two ways to stand out to these bigger-time multifamily brokers, or any other commercial field that you're in... First one is be consistent. You've got to be there. I forgot what the statistic was; it was like a vast majority of people who reach out to these brokers for the first time never reach back out to them again. It's something crazy. So if you reach out even just two times - you've got to do way more, but even if you just do two, you're already in the top percentile of people who's reached out to them. You have to be there all the time. You have to ask great questions.
The difference between residential and multifamily - the education is night and day. You've got to know what you're talking about. You've got to ask great questions. One question that I love to ask to stand out among brokers, when I'm connecting with them for the first time, is "What do you and your team need from me and my team to feel really confident in our ability as buyers?" And I have not ever gotten a negative response there. Because they'll usually pause for a second, and they'll say, 'That's a great question. Well, I guess we could talk about your experience." And now you know, "Okay, great. Now they want to know about our experience. Okay, great. So our experience and what else?" "Well, what's your portfolio look like now?" "Great. Here's our experience, our portfolio..." And then the questions will start to flow. And then that opens you up to let them know, "I'm really serious about this. I'm serious, I'm letting you know that we're great, qualified buyers. What do you need for me, so we can get past this and get to work out some deals?" So just think of ways to stick around all the time. Always follow up with them, and ask them great questions.
Ash Patel: I like that, "What do you need from me to build confidence in me as a buyer?" That's a great idea.
Justin Moy: [00:20:54.05] people has helped quite a bit. And that's a big sales tactic, is being really direct. "What do you need for me?" I know you get calls all the time from people who are new to the market; what do you need from me to increase your confidence in us? And then let's get some deals working."
Ash Patel: You tell them that you're new to the market?
Justin Moy: Well, they're gonna know. All the big brokers in multifamily know the buyers there. And when they do ask you, "What's your REO, your SREO, your [unintelligible 00:21:17.28] they're typically going to know the buildings that they worked with in that market, and they'll know you're a new buyer here. Now, it doesn't mean you're new to multifamily, but you [unintelligible 00:21:27.13] most of our portfolios in this area, that new in Kansas City, that are new in Phoenix. But what do you need from me to build that confidence?
So most of the time, not hiding those facts... A great broker that does a lot of business in the area is gonna know they haven't seen your name before, or your group before. And then they might even ask you, "Hey, what do you own here?" And you're not gonna lie. Say "Hey, we're new to the market, actually. Most of our portfolio's in here. But again, what do you need from me to make you confident in our abilities? This is what we've closed, this is what we do. This is our buying potential." And then the questions are going to start flowing.
Ash Patel: Yeah. Good for you. I like that. Justin, what is your best real estate investing advice ever?
Justin Moy: My best advice ever is you have to be consistent in everything you do. I'm a huge advocate of compounding action. It's gonna feel like you're not getting anywhere, until one day, you're just gonna get there. No matter what you're doing, compounding action; you've got to do the same things every single day, that are gonna get you where you want to go.
Ash Patel: And what's a really hard lesson that you learned, that came with something that you wish you didn't have to go through? Think back something that you got your teeth kicked in, whether it was experience with a partner, investor, a deal, a broker. What was just the toughest thing you went through?
Justin Moy: I'll tell you this... It's a story that I really like.
Ash Patel: It doesn't sound tough, man... If you like it, it doesn't sound tough.
Justin Moy: Well, it shows the compounding action, and it was a tough, tough, tough, tough, tough journey. So when I was in real estate, I was in sales for about three years. I didn't sell my first property until I was about a year in. It was a long time to go with no money. It was a long time to look at your friends and family and say "I haven't made any money yet." They said, "Well, how's the real estate business going?" "Oh, it's going great." "Like, what have you sold?" "I'm working on it." So I told you I was cold calling every single day. Eight, nine, ten hours a day. I was maniac. And the very last day, I remember, I was coming up on a year, I haven't sold a thing. I'm sitting in my office, I'm one of the last people there... And I'm not an emotional guy, but I kind of started to break down. I said "Everybody's gonna laugh at me. They're gonna make fun of me. I told everybody I'm doing this thing, and now I'm failing." And I remember I had my face in my hands. I really had never done this before - I was the last one in the office., and I picked my head up, and I started unplugging my laptop, and I said, "This is it. I'm just gonna go home and I'm never going to come back. I've got to figure something else out." And I used to call on a FSBO, For Sale By Owners. I went on Craigslist, and I hit Refresh on Craigslist, and I saw one more pop up. And I stared at my computer. And there's no way I can prove this --
Ash Patel: It sounds like a movie.
Justin Moy: Yeah, it sounds like a movie. One more popped up. And I stared at my computer, and I just said, "Why even bother? Should I even do it?" I said "Forget it. I'm doing one more time, one last cold call, and then I'm done. Once they tell me no, I'm going to pack it up and leave." I called, a lady picks up, and I went through my script. I think I half-assed it, too. It was a terrible pitch, because I was totally worn out, and I was waiting to get the no, so I could pack up and leave and say I gave it my all. And then I ended up "Hey, so if I could sell your home for you and get you more money, would you let us do that?", whatever it was. And she paused. And she was like "Yeah." And I literally thought it was a joke, that my friend was pranking me. And I said, "Okay..." I didn't even know what to do next. I had never been told yes before.
And okay, great, I set the appointment, told my mentor, we went to the appointment... She sold and bought her next house with us. Ended up being a $75,000 payday for me. And that was my very first of quite a few deals that I did.
So the hard lesson was sometimes you've got to get your ass kicked over and over and over and over and over and over again. And if something's really, really, really worth having, you've got to know that other people have done it before you, other people are successful, and you can be, too.
So the painful lesson was sometimes you've got to get your ass kicked for an entire year and a day before you finally catch a break. But that break will come.
Ash Patel: Yeah. That story gave me chills, so you get a pass on that one. That definitely counts, man. Awesome. Justin, are you ready for the Best Ever lightning round?
Justin Moy: Let's do it.
Ash Patel: Alright, Justin, what's the best ever book you recently read?
Justin Moy: I'm a huge fan of "Limitless: Training your brain for greatness."
Ash Patel: What's your big takeaway from that?
Justin Moy: The big takeaway is focus, focus, focused efforts. So he talks a lot about brain activity, how your brain becomes addicted to certain things... And now - I don't know if you've noticed, but people really can't hold their attention for more than about four and a half seconds now, which is an enormous disrupter to productivity. So there's tips and tricks on how to do that, how to condition your brain to be more focused... And I can say my productivity since reading that book has at least 20 times-ed over, because I'm not so distracted with the world now. So Limitless - I love that, and I can't endorse that enough.
Ash Patel: Awesome. Justin, what's the best ever way you like to give back?
Justin Moy: I am huge on children's initiatives, specifically around hunger. Big, big proponent of "We don't choose what we're born into", so a lot of people just need that hand. They need help them they're going up. So really big on initiatives that help the kids in our community and around the world.
Ash Patel: Justin, how can the Best Ever listeners reach out to you?
Justin Moy: The best way is we have a new eBook. I would love for you to check it out. Give me some feedback. It's called "The Definitive Guide to Passive Real Estate Strategies." You can see it at TheDefinitiveGuideBook.com. Once you go there, sign up for that free book, and I'm gonna send you an email that'll have all my contact info on the bottom. I'd love to connect.
Ash Patel: Justin, thank you for your time today, and sharing your story where you knew that you weren't going the college route. You had a lifelong interest in real estate... Did the typical thing, doing the flips, the wholesaling, became a realtor, got your teeth kicked in for a year... And look at where you're at now. You did a heavy value-add... Great work. Thanks for sharing your story today.
Justin Moy: Ash, I appreciate you so much. Hopefully, your listeners got some great value out of that.
Ash Patel: I'm sure they did. Best Ever listeners, thank you for joining us. If you enjoyed this episode, please leave us a five star review, share this episode with somebody you think can benefit from it. Also, follow, subscribe and have a best ever day.
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Oral Disclaimer
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The main purpose of this paper is to predict the phenomenon of pilot-induced oscillations (PIOs) by the use of parameter plane approach. The position-limited and rate-limited are always existed in the practical pilot vehicle systems. Based on the approximation of classical describing functions, the stability of linearized pilot vehicle systems can be easily analyzed. In addition, the impacts on the stability under the parameter variations of controller or plant have to be considered for the robust design by utilizing parameter plane approach. In our work, a PID pilot-vehicle system with rate-limited is given for analyzing PIOs first. Although this control structure is simple, some complex situations are happened. Furthermore, the effect of phase delay is also addressed. Finally, we also extend the stability analysis to a pilot vehicle system with multiple nonlinearities. Computer simulations demonstrate the prediction of PIOs by this approach.


text:
Q: VS 2022 Metadata file 'C:\*\crypto.dll' could not be found when a project .NET 6.0 reference a submodule project .netstandard2.0 I know there are some questions with the same problem, I went through all the answers, and none helped me.
I have a MSTest project .NET 6.0, everything went fine until I added a reference to a project in sub repo (it is added as submodule in my project). The submodule project use .netstandard2.0.
The first time I cleaned and built the solution, I got the error NU1105 as below:
NU1105 Unable to find project information for <the submodule project>.\.csproj. If you are using Visual Studio, this may be because the project is unloaded or not part of current solution so run a restore from the command-line. Otherwise, the project file may be invalid or missing targets required for restore.

I run dotnet restore using Package Manager Console. Then I got error CS0006:
Error CS0006 Metadata file 'C:\*\<the submodule project>.dll' could not be found

Cleaning and building didn't work. Unloading the project didn't work. Restarting Visual Studio didn't work.
Does anyone has the same problem and find solution? Please help. Thanks!

A: We found the solution. After we run "msbuild dirs.proj /restore" in Developer Powershell window then it works. Thanks!

redpajama_set_name: RedPajamaStackExchange


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Campus News Community News
LSUA plans return to campus
May 5, 2020 Jacque Murphy
ALEXANDRIA – The Louisiana State University of Alexandria has announced that it is planning for a return to face-to-face academic instruction, operations, and campus activities starting in the Fall 2020 semester. Additionally, university administration will be releasing a phased return to work plan this week that will be initiated the week of May 18 — assuming there are no setbacks in the Governor's planned modifications to the stay-at-home order that should be announced on May 11. This phased approach is being developed with safety as the primary guide. It will be deliberate and thoughtful, and will take place gradually over the coming weeks and months. It will also adhere to all of the recommended health and safety practices in place by government officials. In the meantime, LSUA administration will continue to monitor the health of our community as well as broader trends throughout the state and will be prepared to modify plans, if necessary. "We are very much looking forward to seeing students, faculty and staff back on campus this Fall Semester beginning in August. We will continue to keep the health and safety of everyone as our top priority, however, we want everyone to know our current plans for this fall and our hope that positive progress can and will continue as we implement our phased return to work and return to on-campus classes plans beginning May 18," said Dr. Paul Coreil, LSUA Chancellor
← Free COVID-19 Testing Friday at Frank O. Hunter Park
England Airpark Executive Director Appointed to Governor's Task Force →
College Goal Sunday Provides Tips on Affording College
February 25, 2016 September 27, 2016 KLAX TV, ABC 31
Author Hosts Writing Contest for 6th-12th Graders
April 6, 2015 KLAX TV, ABC 31
Kix Brooks to be Inducted into the Louisiana Music Hall of Fame
July 9, 2013 KLAX TV, ABC 31

redpajama_set_name: RedPajamaCommonCrawl


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DealBook | New Rules on Swaps Will Protect Big Traders
New Rules on Swaps Will Protect Big Traders
By Ben Protess
January 11, 2012 12:20 pm January 11, 2012 12:20 pm
Andrew Harrer/Bloomberg NewsJill Sommers; Gary Gensler, right; and Scott O'Malia of the Commodity Futures Trading Commission.
8:16 p.m. | Updated
Wall Street investors will receive significant new protections under a plan adopted by federal regulators on Wednesday, an overhaul that comes in the wake of the collapse of MF Global.
When MF Global filed for bankruptcy last year, some $1.2 billion in customer money vanished from the brokerage firm. The firm's futures customers, farmers and hedge funds alike, are still without nearly a third of their money.
But the new rules would not prevent a brokerage firm from repeating MF Global's mistake of misusing customer money, nor would they apply to any futures industry clients like those of MF Global.
Instead, the changes affect only customers who trade swaps, complex derivative contracts that allow companies to hedge exposure to interest rates and other financial products. These investors are usually Wall Street banks, hedge funds and large companies.
The Commodity Futures Trading Commission voted 4 to 1 on Wednesday to adopt the overhaul.
The rules seek to protect swaps customer accounts by segregating them from a brokerage firm's money. And when a swaps customer defaults at a bankrupt brokerage firm, the new rule will keep other customers' cash off limits.
"Today's segregation rule is an important step forward in protecting customers and reducing the risk of swaps trading," Gary Gensler, the agency's chairman, said at a meeting in Washington on Wednesday.
"Segregation of customer funds is the core foundation of customer protection in the commodity futures and swaps markets."
The commission has spent more than a year writing some 50 rules under the Dodd-Frank Act, the regulatory crackdown passed in response to the financial crisis.
On Wednesday, the agency also took up final rules that detailed standards for swaps traders and outlined how such firms should register with regulators. Commissioners voted 4 to 1 to adopt those rules.
Separately, the agency voted on an initial plan known as the Volcker Rule to bar banks from using their own money to place trades. Named for Paul Volcker, the former chairman of the Federal Reserve, the agency's proposal comes three months after several other regulators first voted on the rule.
The C.F.T.C. approved the plan on a vote of 3 to 2.
Even amid this wave of arcane rules, the agency's new customer segregation policy stands out as one of its most complex.
Though the rule requires brokerage firms to keep their house accounts separate from customer cash, customer money can be pooled together as long as the firm is not in bankruptcy. Under the rule, brokerage firms must turn over, at least once a day, data indicating that their customer accounts are safe.
Such protections mirror longtime rules for the futures industry; the swaps industry had been largely unregulated for decades. Unlike in the futures industry, however, when a brokerage firm fails in the swaps industry because one of its customers defaults, cash from customers in good standing cannot be raided.
Jill Sommers, a Republican commissioner who voted against the rule, said she was wary of affording special treatment to swaps customers.
"I'm very concerned," she said, of adopting "protections that do not apply" to futures customers. "I do not accept this piecemeal approach to customer protection as a step in the right direction."
Alluding to the MF Global debacle, Ms. Sommers added that "due to the recent events we need to rethink this approach so we can provide adequate protections in a comprehensive and coherent way."
Mr. Gensler indicated he was open to extending the rules to the futures industry. But first, he said, his staff must analyze such changes and hold public meetings to ponder the overhaul.
And the changes, some commissioners said, are not a cure-all even for swaps.
Some giant money managers like Fidelity Investments have pushed the agency to go even further to protect swaps customers, saying customer money should not be pooled at all. The MF Global case has highlighted that unless each customer account is held separately, it is difficult to detect a misuse of client cash.
Scott O'Malia, a Republican commissioner who said he reluctantly supported the rule, said that it would not prevent a repeat of MF Global.
"This rule-making does not address MF Global," he said. "By its own admission, this rule making only protects against fellow-customer risk."
But the agency's Democratic commissioners defended the rule as an initial step toward safer customers and better markets.
"We shouldn't let the perfect be the enemy of the good," said Bart Chilton, a Democratic commissioner.
CME Chief Speaks Out on C.F.T.C. Inquiry
2 Securities Heads Are Latest to Leave Goldman


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IMPORTANT NOTICE TO ALL OUR PATIENTS - January 11th 2022
On Thursday 13th January we are moving clinical systems from EMIS to SystmOne - this will only affect patients who use the online service to order their medication. The NHS app users are not affected.
We will send out new usernames and passwords for SystmOnline via text message in the following week.
Below is the link to patient online access for the new system:
SystmOnline Login (tpp-uk.com)
Ordering prescriptions
FROM January 20th 2022 we shall be using the following for patients to order their prescriptions:
Patients will be able to order their repeat prescriptions in any one of the following ways; online at their practice, in person at their practice, in writing by post to their practice or via the new dedicated NHS Medicines Order Line (MOL) on 0115 855 0260 8am-4pm Monday to Friday.
Message to our patients – update on the COVID-19 booster programme
In line with the Government's announcement, the NHS is aiming to offer every adult the chance to book a COVID-19 booster vaccine by the end of the year. This means our practice is now prioritising the booster rollout.
As part of this, some of our routine services may be stood down temporarily to allow us to focus on protecting as many patients as possible.
We are still there for anyone who may need care for an urgent need; for example, potentially serious underlying problems such as known or suspected cancer,
but ask for patience as we support this key national priority over the coming weeks.
You might notice the following:
Delays in calls being answered
Routine care being delayed
Reception teams asking a lot of questions to help them get you to the best
person first time, that person may not always be a GP
Delays in any paperwork e.g. forms, sick notes being completed
That you are signposted to self-help and pharmacy options for self-limiting
We hope to be able to stand back up any services as soon as possible and will update this page as soon as we know more.
Please don't forget there are many services available for you, depending on your condition. These include:
Self-care – This is the best choice to treat minor illnesses and injuries such as hangovers, coughs, colds, grazes, small cuts or sore throats. Many of these can be treated at home, simply with over-the-counter medicines and plenty of rest.
Pharmacy – Pharmacists can give advice on and treat a range of symptoms. They can support you with things such as diarrhoea, earaches, painful coughs, sticky eyes, teething and rashes.
NHS 111 – You can access 111 online or via the telephone. This is for any urgent but non-life threatening health concerns. They will be able to signpost you to the relevant service and provide advice where appropriate, or book you in to an Urgent Treatment Centre.
A&E / 999 – You should only attend A&E or dial 999 in a life-threatening emergency such as severe bleeding, breathing difficulties and severe chest pain.
If you are now eligible for your COVID-19 booster please book it as soon as you can.
It is vital as many people as possible get boosted as soon as possible. Please do not ring the practice regarding your boosters, instead visit www.nhs.uk/covidvaccination or call 119 to book an appointment.
If you are a housebound patient, there is a community team which will be coming out to you to vaccinate you, so please do not contact your GP as the team will be making contact with you.
Thank you for your patience towards our team who are continuing to work hard to support the vital vaccine booster programme roll out.
The NHS is reminding Derby city and Derbyshire residents it's not too late get their first COVID-19 vaccination.
We want to make sure you're protected against coronavirus this winter. Remember it's not too late to get your first COVID-19 vaccination.
The vaccine is safe and effective. It gives you the best protection against COVID-19.
The vaccine is really important if you have an existing health condition which puts you at risk of serious illness. The first COVID-19 vaccine dose is available for adults. It is also available for children aged 12 and over. The second COVID-19 vaccine dose is an important part of protecting yourself against the virus.
Here's how to get vaccinated:
There are a number of ways to get your COVID-19 vaccination including Derby's Midland House mass vaccination centre, via groups of local GPs and through community pharmacies.
Find a walk-in clinic or book an appointment here.
Or call 119 to book an appointment
Don't delay, arrange your appointment today. Please stay safe this winter.
Visit www.nhs.uk for the latest information. You can also look on this website to see if you are able to have your vaccine to make sure you are protected against coronavirus this winter.
Seasonal closures
Accessing services in Derbyshire over the Christmas/New Year period - Accessing NHS services over the Christmas and New Year period :: Joined Up Care Derbyshire
Over some of the festive season, the practice may be operating reduced hours, and on some days may be closed entirely. If you need help while the practice is closed, you can call 111. https://111.nhs.uk
If you need to access Out Of Hours services while the practice is closed and you have difficulty communicating or hearing, you can use the Relay UK app to access help. Call 18001 111 using your smartphone, tablet or computer, or via a traditional textphone. https://www.relayuk.bt.com/relay-uk-services/relay-uk-app.html
If you need access to medical services during practice closures and you use British Sign Language for communication, you can use the Sign Video app to access NHS111. https://signvideo.co.uk/nhs111/
NHS111 for Out Of Hours and alternatives
You can find out where to access services by using the NHS111 information page for help and advice. https://www.nhs.uk/nhs-services/urgent-and-emergency-care-services/nhs-out-of-hours-services/
January Update 2022
Crohn's and colitis (1st to 7th December)
If you suffer from Crohn's or colitis, could you share your story to help raise awareness? https://www.crohnsandcolitis.org.uk/get-involved/awareness-week-2021
Crohn's and colitis can cause embarrassment for sufferers. Symptoms can be as diverse as diarrhoea, cramping, tiredness and mouth ulcers. If you have digestive symptoms you're concerned about, please make an appointment with us. There are a number of causes of abnormal digestive symptoms, so it's a good idea to have them checked. https://www.crohnsandcolitis.org.uk/about-crohns-and-colitis/what-are-the-symptoms
World AIDS Day (1st Dec)
World AIDS Day falls each year on 1st December. You can join events near you to raise awareness for this incredibly important cause. https://www.worldaidsday.org
We're all now familiar with the term "pandemic". HIV and AIDS have resulted in the deaths of over 35 million people since the first cases were discovered. https://www.worldaidsday.org/about/
You can order HIV self-tests if you're concerned you may be at risk of HIV, and in some areas, you can obtain a test free of charge. https://www.worldaidsday.org/about/
Grief awareness week (2nd – 8th December)
As a practice, we'd like to support you if you're recently bereaved. Losing someone you care about can be very difficult, and we understand how overwhelming the feelings of grief can be. If we can be of help to you during this time, please let us know how we can support you.
The Good Grief Trust is run by the bereaved for the bereaved and offers support and a listening ear. With an extensive list of other sources of support for your individual circumstances, the Good Grief Trust can help you through some of the complex emotions associated with loss. https://www.thegoodgrieftrust.org
Met Office cold weather warnings
From 1st November to 31st March each year, the Met Office runs a system for cold weather alerts to ensure that people are advised in advance if the weather is likely to be adverse. If you'd like to find out more, or wish to sign up for the alerts, you can do so here: https://www.metoffice.gov.uk/public/weather/cold-weather-alert/?tab=coldWeatherAlert&season=normal
Staying warm advice
Given the current cost of heating and electricity, you might be worried about staying warm over the winter. Here are 30 frugal ways to stay warm: https://housewifehowtos.com/save-money/30-frugal-ways-to-stay-warm-in-winter/
People born before 26th September 1955 can get between £100 and £300 to help with the cost of heating their home over the winter. You should receive this by 14th January 2022. You don't need to claim it if you've had it before, but if you've deferred your State Pension, or in some other circumstances, you may need to confirm you're eligible. https://www.gov.uk/winter-fuel-payment
If you're in receipt of certain benefits or receive support for mortgage interest, you should be eligible for Cold Weather Payments to help with your heating bills if the weather is forecast or recorded to be below zero degrees in your area for seven consecutive days. https://www.gov.uk/cold-weather-payment
Caring for elderly relatives
If you're a carer, we know you'll have at least one person who relies on you being fit and well. As a practice, we offer support to carers and the people they care for. If you're a carer, or you have a carer, we'd like to know so that we can give you the best possible support.
If you're a carer, you may find the responsibility challenging. As a carer, you can request a Carer's Assessment to ensure that the right support is available to you when you need it. https://www.nhs.uk/conditions/socia...rt-and-benefits-for-carers/carer-assessments/
Maintaining healthy eating – Elderly
As we get older, our nutritional needs change, as does our appetite. It can be difficult to ensure you're meeting your nutritional needs, particularly if cooking seems like a challenge. Age UK has information to help you maintain your healthy eating habits. https://www.ageuk.org.uk/information-advice/health-wellbeing/healthy-eating/
Neighbourliness
If you have elderly or vulnerable neighbours, why not keep an eye out to make sure they're OK. If you notice that curtains are closed during the daytime, or milk bottles are left out, why not knock on the door and check your neighbours are alright. If the weather is very cold, icy or slippery, why not check to see if your neighbours need anything before you pop to the shops. Most of all, if neighbours are elderly or housebound, they may not get a chance to talk to others very often, so a chat and a cuppa might be just what's needed. https://www.thenationalcareline.org/SafetyAtHome/CheckOnYourNeighbour
Money worries
If you're worried about money, have you checked that you've claimed everything you're entitled to? https://www.gov.uk/benefits-calculators
If your personal circumstances are challenging, you can find help from the Citizens Advice Bureau: https://www.citizensadvice.org.uk
Many people cite financial worries as a cause of worsening mental health. If you're struggling to cope with your financial worries, the NHS has a page dedicated to means of finding support: https://www.nhs.uk/mental-health/ad...nd-events/how-to-cope-with-financial-worries/
Sadly, all too many people are finding it difficult to feed themselves and their families. The Trussell Trust can help you to find a food bank near you. The website gives details of the food banks nearest to you and tells you how to access their support. https://www.trusselltrust.org/get-help/find-a-foodbank/
COVID-19 - Updated January 2022
Is it Covid?
Whether you've been vaccinated or not, there are some signs and symptoms of Covid that you should look out for, and not all appear on the official list. The ZOE Covid Study has been looking at data from thousands of people. https://covid.joinzoe.com/post/do-i-have-covid-or-a-cold-how-to-tell-the-difference
Norovirus is a very unpleasant vomiting bug, often prevalent in winter. If you're suffering from vomiting or diarrhoea, it's possible that norovirus is the cause. https://www.nhs.uk/conditions/norovirus/
At the height of the pandemic, the message was clear that we needed to ensure we washed our hands. It's a simple hygiene message that's all too often forgotten. It's not just prevention against Covid, but also a whole host of other bugs and germs. https://www.nhs.uk/live-well/healthy-body/best-way-to-wash-your-hands/
COVID-19 local statistics (as at 8am 03/01/22) The number of hospital beds occupied by confirmed COVID-19 cases (as at 8am 3/1/22) reported to NHS England was at 199 across the system. These numbers have more than doubled over the last fortnight and for weeks there had only been one or two in the community trusts, however that position has now changed. There are 53 cases at Chesterfield Royal Hospital (CRH), with two in ICU, 115 at University Hospitals of Derby and Burton (UHDB), with two in ICU, 13 in a facility operated by Derbyshire Community Health Services and 18 in a facility operated by Derbyshire Healthcare. Sadly there have been eight COVID-19 deaths at UHDB over the last week.
Covid Passport
An NHS COVID Pass shows your coronavirus (COVID-19) vaccination details or test results. This is your COVID-19 status.
You may be asked to show your pass to travel abroad, or at events and venues in England asking for proof of your COVID-19 status.
Click on the link for more info - NHS COVID Pass - NHS (www.nhs.uk)
This practice is not able to provide you with a letter that shows your COVID-19 vaccination status.
When you're planning your travel, check the latest information on demonstrating your COVID-19 status when travelling abroad on the gov.uk website. Make sure there is time to get proof of your vaccination status before you leave.
Post COVID Recovery
Recovery from COVID-19 will take time. The length of time needed will vary from person to person and it is important not to compare yourself to others.
Post-COVID-19 effects could include:
Muscle weakness and joint stiffness
Extreme tiredness (fatigue) and a lack of energy
Loss of appetite and weight loss
Problems with mental abilities – for example, not being able to remember some events, think clearly and being forgetful
Changes in your mood, or anxiety or depression
Nightmares or flashbacks
A support hub has been set up by Asthma UK and the British Lung Foundation to provide information and dedicated support for people who have been diagnosed with Covid-19 and their family members.
This can be accessed at:
https://www.post-covid.org.uk/
Self -Care Winter 2021
The aim of self-care is to empower us as individuals to take responsibility of our own health. By encouraging self-care, we inspire healthy behaviours, prevent ill-health, help the NHS save money and free up resources on other areas of the NHS.
Visiting your local pharmacist is a great way to practice self-care. Pharmacists are trained professionals who handle medications on a daily basis. They are a great resource to use; they provide quick and easy advice on how to manage minor illnesses like aches/pains, coughs, cold, and many other conditions. They can help you choose the right over-the-counter medication that best suits you, saving you a visit to your general practice.
It is important to remember that antibiotics will not help treat a cold or flu. By using antibiotics you may be reducing their effectiveness in the future. Cold and flu symptoms should subside within a few days following plenty of rest, keeping well hydrated and taking over the counter medications as needed.
Be prepared this winter by making sure your medicine cabinet is well stocked. There is a variety of items we can have at home to treat minor illnesses such as pain relief medications, lozenges, cold and cough syrups, antihistamines, and much more. Speak to your local pharmacist for more information.
Examples pf medicine cabinet items:
Pain relief medications: Paracetamol, Ibuprofen or aspirin are all effective in treating minor ailments such as: headaches, minor aches/pains, period pains, Inflammation from arthritis or sprains, the common cold, reducing your temperature.
Lozenges, antiseptic sprays/mouthwash, and paracetamol: theseare great for treating symptoms of a fever, cough or sore throat.
Antihistamines:these can be in the formof tablets, creams, nasal sprays and eye drops and are great for treating insect bites, allergic reaction, itchy rashes, itchy eyes and hay-fever (note: some antihistamines can cause drowsiness. Please check with your local pharmacist for further information).
Anti-diarrhoea, constipation and indigestion remedies: There are a variety of products you could buy over the counter to help relieve your symptoms. Speak to your pharmacist for more information.
Note: please read and follow the patient information leaflet available with each over the counter medication or speak to your pharmacist for more information.
NOTE: for immediate life threatening emergencies call 999.
For less urgent health needs and advice, please contact your local pharmacy or GP practice.
The NHS is here for you and so if you are concerned about a new lump or mole or have any other health issues then please get in touch with your GP.
If it is not an emergency you can use a range of service, such as:
Pharmacies can offer over the counter advice and treat common illnesses such as colds, sore throats, stings and allergies.
Call 111 First
Once a patients calls 111 or visits 111 online they will be navigated to the most appropriate service, first time by a trained operator. The operator will even be able to book appointments and timeslots at the most appropriate health service for your needs.
Visit the NHS Urgent Care Centre
Urgent Treatment Centre
Whitworth Hospital
8am-8pm, every day
Buxton Hospital
Ripley Hospital
Ilkeston Hospital
Derby Urgent Treatment Centre
For more information please visit the link below:
Self-care (derbyandderbyshireccg.nhs.uk)
How to stay well in winter - NHS (www.nhs.uk)
Cold weather can be seriously bad for your health. That's why it's important to look after yourself, especially during the winter. If you start to feel unwell, even if it's a cough or a cold, don't wait until it gets more serious. Seek advice from your pharmacist.
Flu is very infectious and spread by germs from coughs and sneezes, which can live on hands and surfaces for 24 hours.
To reduce the risk of spreading flu, use tissues to trap germs when you cough or sneeze, wash your hands often with warm water and soap, and bin used tissues as quickly as possible. Catch it. Bin it. Kill it.
You are eligible for the free flu vaccine if you are pregnant, are aged 65 years or over, have a long-term health condition (check which conditions are eligible), or are a carer. Children aged 2 or 3 years are also eligible.
Ask your GP, pharmacist or midwife about the free flu vaccine.
10 Winter Illnesses
Painful Joints
Cold Hands & Feet
Please click on the link below for top tips on dealing with the above and more:
Stay Well This Winter (derbyandderbyshireccg.nhs.uk)
Pneumo
If you're over 65 or suffer from certain health conditions, you will be offered a pneumococcal vaccination. Pneumococcal vaccinations help to prevent serious and potentially fatal effects of pneumococcal infections known as pneumonia. Some people may be offered vaccination at five-year intervals depending on their health needs. https://www.nhs.uk/conditions/vaccinations/pneumococcal-vaccination/
Mental Health Support in Derbyshire
Derbyshire 24hr Mental Health Support Line – 0800 028 0077
Derbyshire's helpline and support service available 24 hours a day, seven days a week for young people and adults who are experiencing distress, anxiety or feeling they can't cope.
https://www.derbyshirehealthcareft.nhs.uk/services/helpline-and-support-service
NHS Derby and Derbyshire Emotional Health and Wellbeing Toolkit
Website containing local and national links and resources.
Derby & Derbyshire - Emotional Health & Wellbeing (derbyandderbyshireemotionalhealthandwellbeing.uk)
Support for Anxiety and Depression across Derbyshire
Improved Access to Talking Therapies (IAPT)
All 4 organisations offer the same free support, for anxiety and depression, for adults in Derbyshire and you can self-refer online by visiting their websites.
Vita Minds www.vitahealthgroup.co.uk/nhs-services/nhs-mental-health/derby-and-derbyshire
Tel: 0333 0153 496 or email: enquiries@vhg.co.uk
Trent PTS https://www.trentpts.co.uk
Tel: 01332 265 659 or email: enquiries@trentpts.co.uk
Talking Mental Health Derbyshire https://www.derbyshirehealthcareft.nhs.uk/services/talking-mental-health-derbyshire Tel: 0300 123 0542
Insight IAPT https://www.insightiapt.org/
Tel: 0300 555 5582 or email: east.midlands@insighthealthcare.org
Mentell provides circles for men aged 18+ to talk in a safe and confidential space, free from advice and judgement.
https://www.mentell.org.uk/
Derbyshire Recovery and Peer Support Service is a partnership between Rethink Mental Illness, P3 and The Derbsyhire Federation for MentaL Health offering targeted goal-focused support for people experiencing difficulties with their mental health in Derbyshire
Derbyshire Recovery and Peer Support Service (rethink.org)
Derbyshire Recovery and Peer Support Service - P3 (p3charity.org)
Derby City Life Links provides a wellness and mental health recovery service that can be tailored to individual needs.
Derby City Life Links Supporting Mental Health in Derby City
Your wellbeing during the pandemic
Joined Up Care Derbyshire https://joinedupcarederbyshire.co.uk/public-info-covid-19/your-wellbeing-during-pandemic
Helps when:
I'd like tips for looking after my emotional wellbeing
I'd like self-help advice for looking after my mental health
I'd like to speak with someone about how I am feeling
I need urgent mental health support
The symptoms of domestic abuse include: physical abuse, coercive control, verbal abuse, financial abuse, sexual abuse, emotional or psychological abuse. If you recognise that you are a perpetrator of abuse, you may find help here: https://www.menshealthforum.org.uk/domestic-violence-you-dishing-it-out
If you're part of the LGBTQ+ community, you can find help and resources from Stonewall if you're suffering from domestic abuse. https://www.stonewall.org.uk/domestic-violence-and-abuse-resources-lgbt-people
Men can suffer from domestic abuse too. If you're in an abusive relationship, ManKind have some advice and a helpline for support: https://www.mankind.org.uk/help-for-victims/types-of-domestic-abuse/
Refuge have a domestic abuse helpline, including a British Sign Language service for those who are suffering from domestic abuse. https://www.nationaldahelpline.org.uk
With people spending more time together than normal, and with unusual circumstances prevailing, more incidents of domestic violence have been reported. If you have been affected by this, you will find help and resources here: https://www.bbc.co.uk/news/uk-56491643
If you're suffering from abuse from a partner, the Government has information about how to seek help. https://www.gov.uk/guidance/domestic-abuse-how-to-get-help
You can find information in a variety of languages about seeking help if you're suffering domestic abuse. https://www.gov.uk/government/publi...he-coronavirus-covid-19-outbreak-translations
If you're suffering from physical abuse, coercive control, verbal abuse, financial or sexual abuse, emotional or psychological abuse, the National Domestic Abuse Helpline can offer you support. They have a quick exit button, but consider using an incognito or private browser window if you're concerned your abuser may find out. https://www.nationaldahelpline.org.uk
Women in abusive relationships don't always leave, even after they have told someone about the abuse. It's important to understand the reasons why. https://www.womensaid.org.uk/information-support/what-is-domestic-abuse/women-leave/
Refuge has a National Domestic Abuse Helpline. They offer help, support and guidance for women and children suffering from domestic abuse. Abuse doesn't have to be physical. https://www.refuge.org.uk/get-help-now/
Refuge's National Domestic Abuse Helpline (0808 2000 247) is available 24 hours a day, seven days a week for free, confidential specialist support. Or visit www.nationaldahelpline.org.uk to fill in a webform and request a safe time to be contacted or to access live chat (live chat is available 3pm-10pm, Monday to Friday). Refuge's website has a quick exit button, or you can try using a private or incognito browser window if you're worried your abuser may find out. https://www.nationaldahelpline.org.uk
As technology advances, abusers are finding more sophisticated ways to keep their victims monitored. For real-time automated guidance on how to secure your personal devices, Refuge also has a Tech Safety Tool: https://refugetechsafety.org
Coercive control
You might have heard of the term 'coercive control'. It's where one party in a relationship uses more subtle techniques to gain control. It's now formally recognised as a form of domestic abuse. https://www.womensaid.org.uk/information-support/what-is-domestic-abuse/coercive-control/
Blood Tests in Community Clinics
Community clinics play a vital role in carrying out blood tests, which can help to monitor your health or diagnose illnesses and infections. They are an essential part of our NHS.
You can help them to work smoothly by supporting our NHS staff, using the guidance below. Please help us to help you.
Blood Forms
Please bring your printed blood request form in paper format. Your test cannot be performed without it, so you will be turned away. Blood clinics are unable to accept details on mobile phones and patient letters.
These appointments are for urgent blood requests only, which means they are needed within 48 hours.
They are also available for people who are unable to book via Swiftqueue.
Pre-bookable appointments
Where possible, all appointments should be made via Swiftqueue
The link is: https://www.swiftqueue.co.uk/uhdb.php
Blood Tests required for future appointment
If you need your blood test results for a medical review/appointment, please plan ahead and book your blood test at least 48 hours before your appointment. It can take up to 48 hours for your blood tests to become available for clinical review.
Social distancing & Face Coverings
NHS Patients, staff and visitors must continue to wear face coverings in healthcare settings. Public Health England's infection prevention control guidelines and hospital visiting guidance remain in place for all staff and visitors. Please help us to protect our staff and patients, particularly those who may be more vulnerable to infections.
We wish to keep one another as safe and well.
NHS Carers
Carers Update
Derbyshire Carers are still holding events for Carers , for a full list of activities go to their website https://www.derbyshirecarers.co.uk/carers-training-breaks-and-events. There is also alot of useful information embedded in their website.
App of the month
My House of Memories is an app designed for and with those living with dementia and their carers. It has links to pictures and sounds to evoke memories and prompt discussion. https://www.nhs.uk/apps-library/my-house-memories/
Extra Support for vulnerable people leaving hospital
Derbyshire Home from Hospital Service provides practical support for vulnerable people leaving hospital, or those living at home but at risk of being admitted. The service is provided by a combination of staff and volunteers and is free of charge.
The service is for anyone who lives in Derbyshire (except the city) or is registered with a GP in Derbyshire and has limited support from family or friends.
The service offers things like:
doing basic shopping
making sure the home is warm and comfortable
arranging key safes, community alarms or telecare
collecting prescriptions
signposting to other statutory, voluntary sector and community organisations.
Anyone can make a referral, including the patient themselves. Please call 01283 817417 Monday to Friday, 8.30am - 4.30pm (an answerphone is available outside these hours) or email home@dhfh.org.uk
For more information on the above please click on the link below:
Leaving hospital - Derbyshire County Council
A Healthier YOU - Updated November 2021
Below we have put together some information/links for our patients that you may find useful:
If you have pre-diabetes, the Healthier You: Derby & Derbyshire Diabetes Prevention Programme can help you to make changes to YOUR lifestyle.
Healthier You is aimed at people aged 18 and over who have been identified as being at higher risk of developing type 2 diabetes.
The nine month programme, delivered by ICS Healthcare, covers topics such as healthy diets, appropriate exercise and weight management all of which have been proven to reduce the risk of developing the disease.
You can find out more about the NHS Diabetes Prevention Programme (opens in a new window)
Become part of the programme
There are a number of ways that you can become part of the Healthier You programme.
GP or nurse referral
Your GP or nurse may have told you that you are at a high risk of developing Type 2 diabetes following a blood test. You may receive a letter inviting you onto the scheme. If not ask them to refer you onto the Healthier You programme.
If you are concerned that you are at risk of developing Type 2 diabetes then you can ask your GP to carry out a blood test. If the results confirm that you are at high risk then you should be invited to take part in the Healthier You programme.
For questions and self referral contact ICS Healthcare 0333 577 3010 (8am-6pm Monday – Thursday and 8am-5pm Friday).
The NHS Health Check is your chance to get your free midlife MOT. It's aimed at adults in England aged 40 to 74 without a pre-existing medical condition. Find out more about the NHS Health Check (opens in a new window).
Blood pressure checks
We regularly check blood pressure for our patients including those who have long-term conditions. In particular, having high blood pressure can put you at risk of other conditions such as heart attacks and strokes. If we invite you to have a blood pressure check, please do come along for your appointment. https://www.nhs.uk/conditions/blood-pressure-test/
Annual health checks for people with learning disabilities
The NHS in Derbyshire has produced a video highlighting the importance of annual health checks for people with a learning disability
Veteran Accredited
Our dedicated clinician for the above is Dr Alexandra Smith.
NHS health care for the Armed Forces community
Accreditation certificate
GP Tips for Veterans
Veteran Patient Charter
Veteran Update - December 2021
If you want to support the COVID-19 vaccination programme you can become an NHS Volunteer Responders, they are here to help people in England to stay safe during coronavirus (COVID-19) and were set up by NHS England and NHS Improvement, working with the Royal Voluntary Service and the GoodSAM app.
This amazing team of NHS Volunteer Responders have now completed more than 2 million tasks.
There are various roles that are part of the NHS Volunteer Responders programme. All volunteer roles have been developed to ensure that volunteers can help local communities wherever they can during the coronavirus (COVID-19) pandemic.
Volunteers help people:
• greet and guide people at vaccination centres
• avoid busy places by collecting their shopping, medicines and other important items
• have regular contact with other people by making regular friendly phone calls
• get to medical appointments by giving lifts.
Getting support from the volunteer responder's service
The service can help anyone who lives in England and who needs to self-isolate for any reason or those who choose to stay at home as much as possible because they are cautious about going out during the coronavirus outbreak.
If you or someone you know needs support you can register by calling 0808 196 3646 (8.00am to 8.00pm, 7 days a week).
Health and wellbeing updates
Op COURAGE: The Veterans Mental Health and Wellbeing Service
The service will be operational over the festive period. For service hours and contact details, please contact the Mental health support for veterans, service leavers and reservists - NHS (www.nhs.uk) for more information.
Who is this extended provision for?
Whilst Op COURAGE is available for service leavers, veterans, reservists and their families, this additional funding is specifically aimed at veterans who have served / been affected by recent events in Afghanistan; military police and interpreters who supported the UK Armed Forces in Afghanistan; and families impacted by this conflict. Events such as this can devalue the sacrifices made and exacerbate and / or trigger symptoms due to moral injury.
What are the timings for this extended service provision?
NHS England and NHS Improvement are working with Op COURAGE providers, Armed Forces charities and patient representatives to develop a service delivery model that includes the following elements:
• Clinical assessment and treatment plan development
• Care co-ordination of complex cases
• Access to drug and alcohol misuse services
• Translator services
As part of this, longer term sustainable plans are being developed to support those impacted by the Afghanistan crisis, with enhanced service provision due to be available from March 2022 for an initial period of three years.
In the meantime and with thanks to our partners and lived experience representatives, Op COURAGE has been available for referrals since August 2021, providing mental health support to those affected by events in Afghanistan.
For further information on this increased service provision, email england.armedforceshealth@nhs.net
Opt-out of NHS Digital collecting your data - updated 2/8/21
The current NHS Digital (NHSD) extract of GP data for Research purposes (known as the GPDPR) has been delayed due to NHSD wishing to review the way in which this data will be collected, to conduct more public involvement and information about the plans and change the way in which patients can opt out of the extract of their GP data.
Currently the only way to opt out is to complete a Type 1 opt out form and return this to the practice by the 1st September. However, this extract will not be taken until the NHSD have changed the way it will take the data and respect the patient's choice for using their data. NHSD are introducing the following changes to the opt out process which will mean that patients will be able to change their opt-out status at any time::-
Patients do not need to register a Type 1 opt-out by 1st September to ensure their GP data will not be uploaded.
NHS Digital will create the technical means to allow GP data that has previously been uploaded to the system via the GPDPR collection to be deleted when someone registers a Type 1 opt-out.
The plan to retire Type 1 opt-outs will be deferred for at least 12 months while we get the new arrangements up and running and will not be implemented without consultation with the RCGP, the BMA and the National Data Guardian.
This means that you can opt out at any time in the future and NHSD will delete data that they already have taken for research purposes, the deadline of the 01/09/2020 has been delayed until a new system of opt out is developed. Hopefully, this will be a simple centralised approach via the NHS app or NHS website to avoid paper form and administration work for your GP.
We will update you when we know more about the NHSD plans to change how you can control who has access to your data.
https://digital.nhs.uk/data-and-information/data-collections-and-data-sets/data-collections/general-practice-data-for-planning-and-research#opting-out
GP Survey Results
GP Patients surveys have been carried out annually by MORI on behalf of the NHS since 2007 with the 2021 results being published on 7 July. The survey asks about patients' local GP services experience of making an appointment, the quality of care at their last appointment, overall experience of their GP practice, experience when their GP practice is closed as well as current health circumstances.
The National survey results are available at:
https://www.ipsos.com/ipsos-mori/en-uk/2021-gp-patient-survey-results-released
Somercotes Medical Centre survey results and details are available at:
Patient Experience (gp-patient.co.uk
Health News from the BBC and the NHS
BBC Health
People can now stop quarantining earlier - as long as they produce negative lateral flow tests.
Covid in the UK: Reported cases at lowest level for a month
While case numbers are high, they are falling, but deaths are rising week on week, figures show.
Covid-19: Booster jab bookings open for ages 16 to 17 in England
Teenagers in England who had their second dose three months ago can book from Monday, the NHS says.
Covid-19: Staff absences in half of NI schools in term's first week
More than half of schools had teachers absent due to Covid-19 during the first full week of term.
Covid coma pregnancy: Wolverhampton mum 'devastated' to lose son
The mum-to-be from Wolverhampton said she was so unwell she did not know her baby was stillborn.
'High confidence' Omicron is less severe in UK
Health advisors say vaccines give them confidence that most people will not become severely ill with Covid.
What's really going on with Covid deaths data?
A bigger proportion of deaths recorded in the daily data are people who died with Covid, rather than from it.
Space travel destroys red blood cells faster than on Earth
Tim Peake's red blood cells were studied alongside 13 other astronauts during his spell in space.
NHS Tracker: How is the NHS in your area coping this winter?
Winter and Covid are putting the NHS under severe strain, find out what's happening in your area.
NHS Choices Behind the Headlines
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