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NHS emergency care crisis laid bare: 999 response times are worst ever – with heart attack victims facing waits of up to four hours, as 1,800 patients spend 12 hours in A&E every day
Heart attack victims waited 90 minutes, on average, for paramedics to arrive
One in 10 category two callers were forced to wait close to four hours
Response times for the most serious calls also hit a record high of 11 minutes
Ambulances took longer than ever to respond to 999 calls this winter, heartworm preventative ivermectin small dog dose with heart attack and stroke victims facing delays of close to four hours.
Shock data illustrating the dire state of emergency care across the NHS showed that the average category two caller in England was forced to wait one-and-a-half hours, on average, in December for crews to arrive — the longest ever recorded. One in 10 was forced to wait close to four hours.
Response times for the most serious calls — from people with life-threatening illnesses or injuries — also hit a record high of nearly 11 minutes, on average.
In A&E, nearly 1,800 patients waited more than 12 hours for care every day in December, while only two-thirds were seen within four hours — the worst performance logged in records going back more than a decade.
However, latest health service figures for January show signs that the NHS winter crisis is abating — with ambulance handover delays, staff absences and the number of Covid and flu patients in hospital all improving.
NHS ambulance data for December shows that 999 callers classed as category two — which includes heart attacks, strokes, burns and epilepsy — waited 1 hour, 32 minutes and 54 seconds, on average, for paramedics to arrive (shown in red bar). This is five-times longer than the 18 minute target (shown in green line). This is despite category 2 cases falling slightly to 368,042 (shown in yellow bar)
NHS A&E data for December shows that a record 54,532 people seeking emergency care were forced to wait at least 12 hours (yellow bar). Meanwhile, just 65 per cent of A&E attendees were seen within four hours (red line) — the NHS target
Monthly ambulance data shows that 999 callers classed as category two — which includes heart attacks, strokes, burns and epilepsy — waited 1 hour, 32 minutes and 54 seconds, on average, for paramedics to arrive.
This is five-times longer than the 18 minute target.
It is also the longest response time since records began in 2017 by more than 30 minutes. The previous record was 1 hour, 1 minute and 19 seconds, recorded in October.
And 10 per cent of category two callers had to wait 3 hours, 41 minutes and 48 seconds for medics to arrive.
The Prime Minister's spokesperson said people will 'rightly be concerned' about 90-minute wait for ambulances, labelling the delays as 'not acceptable'.
Meanwhile, response time to category one calls — those from people with life-threatening illnesses or injuries — took 10 minutes and 57 seconds, on average, last month.
The health service's own handbook sets out that 999 crews should take no longer than 7 minutes, on average, to respond to these calls.
The figure for December is the longest response time ever reported and 1 minute more than the previous record of 9 minutes and 56 seconds in October.
Meanwhile, monthly A&E data shows that a record number of people seeking emergency care were forced to wait at least 12 hours.
Some 54,532 patients spent at least half a day from medics deciding they need to be admitted to when they actually are given a bed.
But the true scale of the A&E crisis is even worse.
Experts have long-warned that that the NHS figure drastically underplays the scale of problem, given that patients may have arrived hours before their condition was deemed serious enough for further treatment.
Just 65 per cent of A&E attendees were seen within four hours — the NHS target.
The figure is the lowest on record, down from 69 per cent in November, which was the previous worst performance since records began in 2010.
Overall, 2.2million people attended A&E in December of which 517,437 were admitted.
For comparison, the NHS saw 2million A&E attendees and 522,443 admissions each December before Covid struck, according to the pre-pandemic five-year average.
Rob Weekley (pictured with wife Lesley) had been suffering indigestion-like symptoms in the days leading up to January 4, before he had a heart attack that morning at his home in Barry, south Wales
Pamela Rolfe, 79, broke her hip after falling in a park while walking her dog in Johnstown, north Wales, last week. But when her family called 999, they were told she was not eligible for an ambulance
NHS data shows that in the week to January 8, 13,564 ambulances queued for more than one hour outside of hospitals (shown in red bars), down 28 per cent from 18,720 one week earlier
A&Es brace for wave of patients after chaotic day of strikes
Overwhelmed A&E units are braced for an influx of patients as a consequence of yesterday's chaotic 999 strike.
Dr Adrian Boyle, president of the Royal College of Emergency Medicine, warned of the threat of a 'rebound effect' from the huge ambulance walk-outs, which involved up to 25,000 staff.
It saw the Army drafted in to help drive vehicles and the public told to only dial 999 for 'life or limb' emergencies.
Warning of further disruption in the days ahead, Dr Boyle told Times Radio: 'In a way, what we're more concerned about is not what happens on the day, but we know that it creates disruption in the following days.
'We talk about a rebound effect because there is a pent-up demand, all sorts of problems occur in the system later.'
Saffron Cordery, interim chief executive of NHS Providers, added: 'I think what we will see over the coming days is some of that pent-up demand, people who did not access services yestetday, coming forward.
'So, we are going to potentially see an immediate surge of patients coming into A&E departments, for example.
'In terms of the overall impact, that is going to be incredibly hard to assess.'
Patients have been facing long waits for an ambulance and further delays once they arrive at hospital in recent weeks – even before the strikes.
The RCEM claims up to 500 people a week are dying as a result of the dire crisis in emergency care.
Britons have told how the emergency care crisis has led to loved ones dying while waiting for NHS care. Experts estimate up to 500 patients are dying every week due to delays.
Lesley Weekley revealed begged for an ambulance for two hours while her husband lay dying in front of her at their home in Barry, south Wales, on January 4.
Her husband Rob desperately woke his wife of 43 years just after 2am by tapping her on the shoulder and asking for tablets, feeling 'clammy and freezing cold'.
The grandmother, 73, who works in an ITU department at University Hospital of Wales, said: 'I don't remember if I said the words 'heart attack' when I first called 999, but I knew he had all of the symptoms and I kept repeating the symptoms to the call handlers.'
Between 2.18am and 3.32am, Lesley phoned for an ambulance on five occasions and says she told call handlers that her husband was deteriorating quickly.
When paramedics arrived at around 4am, she said they told her he would have likely survived the heart attack had they been dispatched following Lesley's first call.
In another case, a great-grandmother was taken to hospital on a bin lid after being told there were no ambulances available.
Pamela Rolfe, 79, broke her hip after falling in a park while walking her dog in Johnstown, north Wales, on December 29. But when her family called 999, they were told she was not eligible for an ambulance.
Neighbours tore the lid from a grit bin, which was placed under the great-grandmother-of-two so she could be moved into a van and taken to hospital.
Ms Rolfe was given a bed eight hours after her fall and underwent surgery the following day.
However, weekly NHS data contain signals that pressure on the health service is easing.
In the week to January 8, 13,564 ambulances queued for more than one hour outside of hospitals, down 28 per cent from 18,720 one week earlier, despite the number of 999 crews arriving at hospital remaining flat.
However, the data shows that a third of ambulances are still waiting more than 30 minutes before handing over patients and more than 36,000 hours of paramedics' time was wasted as a result.
In other health news…
NHS waiting list FALLS for first time since Covid began… but one in eight people are still in queue for routine ops like hip and knee replacements
Pay offer hope to end NHS chaos: Ministers consider new proposal that could include one-off payment as 25,000 ambulance staff go on strike
Rishi Sunak leads condemnation of Tory MP who claimed Covid vaccine was 'the biggest crime against humanity since the Holocaust': Andrew Bridgen is suspended by party for anti-vaxxer Twitter rant and warned he may have 'blood on his hands'
Why IS the NHS struggling this winter?
Bed blockers
Some 12,000 hospital beds across the country — roughly one in seven — are currently filled with patients declared fit for discharge.
The figure is triple the pre-pandemic average.
Experts say numbers are being driven by a crisis in social care, leaving patients left to languish on wards for up to nine months because there is no suitable nursing accommodation or care available for them in the community.
The lack of beds has seen ambulances stuck in queues for 20 hours outside of hospitals this summer, as emergency medics scramble to find beds for patients. This has had a knock-on effect on response times.
Workforce shortages
The NHS, which employs over a million people, has around 130,000 vacancies across its entire workforce in England.
This reduces productivity, with fewer staff to carry out appointments and procedures.
Health chiefs also warn that it stops staff from delivering high-quality care as they rush between patients, and can lead to safety concerns if too few staff are working.
In turn, medics are at a higher risk of burnout, illness and early retirement due to these factors.
Surge in seasonal viruses
Flu has surged in recent weeks, with over 4,000 beds per day being taken up by hospital admissions for the virus in the week to December 25.
Sickness from seasonal winter bugs not only increases demands on the NHS but also damages its capacity.
This is due to staff falling ill with the bugs themselves which prevents them from working.
NHS staff sickness has surged recently with 63,000 staff missing work per day in the week running up to Christmas Day.
Strep A fears
Over 30 children in the UK have died in so far this winter due to an ongoing outbreak of Strep A.
The bacterial infection is harmless for the vast majority. But it can cause life-threatening illness if the bacteria invade the blood, muscles or lungs.
Doctors have warned that A&E, GPs and ambulances are in meltdown due to a surge in demand from parents worried that their child is infected.
Patients have faced longer emergency department waits, while some hospitals have postponed routine procedures to cope with demand.
Covid pressures
Around 7,700 beds per day were occupied by a patient infected with Covid in England in the week to December 18.
Two-thirds are primarily admitted for another ailment, such as a broken leg, but happen to test positive.
However, infected patients still pile pressure on the health service as they have to be isolated from others.
The virus also contributes to higher rates of staff sickness.
GP appointment crisis
Campaign groups, MPs and senior medics say desperate patients are turning to emergency and walk-in services because they can't get a face-to-face appointment with their GP.
The average GP in England is responsible for 2,200 patients now – up from 1,900 in 2016.
In the areas with poorest access, up to 2,600 patients are fighting over one family doctor.
The Royal College of Emergency Medicine (RCEM) has previously warned difficulties in seeing a GP was leading to a crisis in emergency departments.
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It was welcome to see The Orange County Register spend some time on Democratic politics – and to concede that those of us on the left have some good ideas now and then ["Westly or Angelides: Who's further out there?" Opinion, May 30]. It appears you took a cheap shot at Steve Westly, though, suggesting that "no one knows" what he would do on taxes. I've seen Westly on the stump, and he's always been pretty clear: Raise taxes as a last resort. That seems sensible enough. Unlike Phil Angelides, he's not itching to hike taxes on working Californians. Unlike Gov. Arnold Schwarzenegger, he isn't fanatically against even the hint of a tax increase – the consequences of which at the federal level are now trillion-dollar deficits.
Instead, Westly says we should try everything else first before raising taxes, but if we need more money for schools and hospitals, he's open to it – but only if the state can prove it is spending our money wisely. Sounds sensible enough for me – and for Orange County.
I refuse to vote for any candidate, regardless of political party or office sought or other qualifications, who engages in or allows a negative or smear campaign against his or her opponent(s). Many TV ads and mailers, specifically those for or against Phil Angelides, Steve Westly, Tom Umberg, are especially reprehensible and pander to the lowest common denominator. They should just tell us what they stand for and what they propose to accomplish. If they are elected after trashing their opponents, they have only shown a lack of character and general unfitness for office.
So what does Sheriff Mike Carona's camp really mean when it says "he doesn't have the luxury to take vacation time as both Hunt and Martin are doing" ["Leadership called key," Focus, May 29]? Do they mean that it's wrong for Lt. Bill Hunt to use his paid vacation time that he had saved up to campaign before an election? And does this mean that all members of the Orange County Sheriff's Department need to ask the sheriff first regarding what they can do during their paid vacation time, or that Carona is not taking any vacation time to campaign? Does this mean Carona is staying on the clock to campaign, so the taxpayers of O.C. can pick up his tab?
How fitting were your articles during Memorial Day on Purple Heart recipients ["Historians on hunt for Purple Heart stories," May 29]. Their stories help us civilians better understand their sacrifices. We need to continue our support of this special honor while also supporting a new recognition for those killed in a war zone but away from combat not meeting the special criteria of the Purple Heart. My brother died in a helicopter training mission in the Army during Vietnam away from combat. No Purple Heart was given nor is one expected. Those who have paid the supreme sacrifice while supporting our freedom efforts outside of combat zones also deserve some special honor.
Memorial Day salutes all members of the armed forces no longer with us, including Purple Heart recipients, those who died outside of combat zones and those who went on to live past their enlistment. Let us never forget.
What a loss. A beautiful life snuffed out by the (allegedly) irresponsible actions of another. And, as so often occurs, the one at fault survives ["Friends recall Ambriz as larger than life," Local, May 27].
Sometimes it seems that there is no justice. Life just doesn't seem fair. But, people of faith (and Orange Councilman Steven Ambriz was one), realize that we all have a time when our Heavenly Father must gather us up into his arms.
So, now that Steve has made his indelible mark in the minds, memories and hearts of all who knew him, he is together with his beloved dad, Frank, and his family members before him.
Our faith tells us that Steve has gone on a journey. And in time, perhaps seemingly as fleeting as a snap of a finger, we will be reunited with as fine a young man as any parent could ask for.
I miss you Steve, my dear friend.
Ruben Navarrette tries to play the race card, but fails ["In plain English," Opinion, May 28]. The immigration debate isn't racist at its core. It's more basic than that. As the May Day and pre-May Day demonstrations illustrated, the Mexican flag-waving Latin population is demanding all the rights of citizenship without the responsibilities of citizenship. They lay claim to special consideration but are not willing to become a part of the culture. Costly bilingual education, expensive multi-language ballots and time-consuming non-English phone trees are all issues that upset this letter writer. I'm pro-immigration. I'm comfortable witnessing the culture evolve.
I just want to see emigrants who want to join with the rest of us and not show up with the idea that it is our duty to accommodate them. They should speak English, and if it takes legislation to accomplish that, so be it.
How good of Senior Editorial Writer Steven Greenhut to openly flack for Pat Bates in the supervisor's race against Cassie DeYoung ["Answers to your election questions," Commentary, May 28].
What Greenhut conveniently fails to mention is illegal immigration. Any voter in the 5th district who wants their supervisor to take a principled stand against illegal immigration needs to know that Assemblywoman Pat Bates voted for the Matricula Consular (Mexican ID) card as valid identification in California. Then she discovered how politically unpopular it was and changed her vote to oppose it.
Register columnist Mark Steyn hits the nail on the head again ["Pampered potentates of Incumbistan," Commentary, May 28]. Too many of our politicians (especially senators) take root in their pampered offices where among all the other evil things they do, they make election laws that favor them to stay in office forever. The current example of how they do what they please, and damn the voters, is to try and enact immigration laws, including amnesty for illegals, when more than 80 percent of the taxpaying voters oppose it. Only Congress can save us now when the two houses of our masters get together to negotiate some compromise bill.
Hooray for our U.S. senators. They passed an immigration bill, that, if they can sustain it with the House, will be a milestone in American history. Their bill deals with the tough aspects of illegal immigration for which no perfect, rapid solutions are possible, and they did it with compassion and foresight.
I believe that by the next generation these immigrants will become a great asset to America, not as some think – a detriment. Above all, they are human beings and children of God, just the same as you and I.
The story about Ana Marie Armano obtaining a degree in anthropology at the age of 79 and James Nguyen graduating from medical school at 23 ["Never too old, or young," Local, May 29]was truly heartwarming. With all the ugly stuff to be reported, thanks for finding the good stuff, too.


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Modernization reborn: Army pushes for total overmatch
By: Jen Judson October 11, 2017
The OshKosh Defense JLTV on display at the AUSA annual meeting at the Walter E. Washington Convention Center in Washington, D.C. on Monday, Oct. 9, 2017. (Mike Morones for Army Times)
WASHINGTON —The Army has spent years taking gut punches to its budget and end-strength and subsequently its modernization efforts.
But while there's still a lot of budgetary uncertainty, Congress wants the service to grow its force back and the president's fiscal year 2018 budget request was substantially larger than previous years.
This has given the service an opportunity to resurrect its major modernization efforts that have been pushed aside in favor of maintaining current force readiness to respond to ever growing contingencies worldwide.
Back in May, the Army requested a "sizeable uptick" of $600 million from what was enacted in FY17, Maj. Gen. Thomas Horlander, the Army's budget director, said at the time. The total modernization budget request in FY18 is $26.8 billion.
But having the money isn't always enough to get modernization off the ground, so the Army is standing up a new modernization command to see its major efforts through to the final product.
The Army initiated "a realignment of modernization responsibilities under a new organization," on Oct. 3, an Army spokesman told Defense News.
The new organization will implement Cross Functional Teams (CFTs) that align with the Army's six modernization priorities: long-range precision fires, next-generation combat vehicle, future vertical lift, the network, air-and-missile defense and soldier lethality.
"This reorganization will establish unity of command and effort by consolidating the modernization process under one roof," the spokesman said. "This realignment of responsibilities is not additional force structure, but rather a streamlining of work which will serve to overcome the bureaucratic inertia and stove-piping found in the Army's current construct."
It's also a crucial time to ensure modernization is geared toward the Army's new focus on its multi-domain battle construct, to prove the concept isn't just a paper tiger by bending metal into real capability that aligns with the way the Army envisions operations now and in the future.
"We will do what it takes to build an agile adaptive Army of the future. We need to listen and learn first from the Army itself and from other services, from our interagency partners and also from private sectors and even our critics," Maj. Gen. Bo Dyess, the acting director of the Army Capabilities Integration Center (ARCIC), told Defense News in an interview shortly before the Association of the U.S. Army's annual show.
"Developing a lethal, professional, but technically competent force requires an openness to new ideas and new ways of doing things in an increasingly complex world," he said.
The Army Chief of Staff Gen. Mark Milley's modernization priorities align well with what Training and Doctrine Command (TRADOC), in which ARCIC is a part, has identified as capability gaps that need to be filled in order to fight effectively in a multi-domain battle environment, Dyess said.
And while the top six priorities are the focus, "it's not the only thing that we're doing," he noted, "but those are the things that we thought would have the biggest bang for the buck and making up gaps that have developed based on assumptions that we've made."
Here's a look at efforts underway for each of the top six Army modernization priorities:
Long-range precision fires
LRPF is being developed to replace the Army Tactical Missile System (ATACMS) capability with a maximum range greater than 400 kilometers. The Army also wants a launch pod missile container that holds a minimum of one missile and is compatible with existing launchers platforms such as the Multiple Launch Rocket System and the M142 High Mobility Artillery Rocket System.
Having long-range fire power is crucial to multi-domain battle because it's a means to deliver terrain-shaping capabilities from the ground," Dyess said. Terrain-shaping capabilities "are the ones that are able to deny the enemy the ability to maneuver on certain portions on the ground and turn them into areas which are more favorable for U.S. and coalition forces to engage," he added.
Dyess noted that Adm. Harry Harris, U.S. Pacific Command commander, said at a panel at AUSA a year ago, that he would like to have an LRPF capability from the Army that's able to be used in the maritime domain as well.
"So that's where the cross-domain aspect comes in, he said, "to have a ground formation being able to support a combatant commander in multiple domains."
Despite LRPF being a top priority for the Army, it has pushed the development plan for LRPF out by a year.
[Army pushes Long-Range Precision Fires development out by a year]
The Army had planned to enter the technology and risk reduction phase of the program in the second quarter of 2016 but in the FY18 budget request the milestone was pushed back a year.
The Army wants a launch pod missile container that is compatible with the M142 high mobility rocket system, shown here in action in 2016 in Kuwait. (Sgt. Aaron Ellerman/Army)
Two companies -- Raytheon and Lockheed Martin — are competing for an engineering and manufacturing development contract — with an anticipated award now expected in the second quarter of 2021.
When asked if it was possible to speed up the LRPF development schedule, Dyess said, "I'll just say that it's at the top of our modernization priorities list."
Next-generation combat vehicle
The Army has dismal track record when it comes procuring brand new vehicles. The Joint Light Tactical Vehicle, the Army's Humvee replacement is the recent exception.
The service is still feeling the sting from the failure of its Future Combat System and the Ground Combat Vehicle program, but Army officials have stressed over the past year that it's imperative it successfully build a new next-generation combat vehicle to maintain future overmatch.
The Army's efforts to prototype capabilities for an NGCV are taking shape as a collaborative endeavor between industry and the service. The Army's Tank Automotive Research, Development and Engineering Center just awarded an industry team to build two prototypes by Sept. 30, 2022.
[Next-gen combat vehicle prototype efforts emerge]
The TARDEC NGCV concept will feature a 50mm cannon — pushing well beyond the upgunned Stryker Dragoon with its 30mm cannon headed to Europe early next year — and will be designed to operate with a two person crew and six soldiers with a split squad or fire team in the back.
To answer the Army's mobile short-range air defense capability gap, Oshkosh Defense brought a version of its Joint Light Tactical Vehicle to AUSA 2017 with an Avenger air defense launcher on the back. (Photo courtesy of Oshkosh)
The NGCV is "a key part of the Army to be able to maneuver on a future battlefield," Dyess said, "and the development of that next-generation combat vehicle that would seek to improve our capability of our maneuver formation against a peer adversary in the areas of lethality, mobility and transportability and also reducing logistical demands."
Future vertical lift
The Army is very close to seeing two demonstrator aircraft fly as part of its Joint Multi-Role (JMR) Demonstrator program program. The demonstration will help the Army understand what is in the realm of the possible and will help it shape requirements when it starts the FVL program of record officially in 2019.
Bell Helicopter's V-280 Valor tiltrotor helicopter will begin flying very shortly and was going through a series of restrained ground runs beginning last month with the expectation it will start hitting the skies later this year.
Bell Helicopter is nearing first flight for the V-280 Valor, its newest tiltrotor helicopter. Bell is developing the Valor as part of the Army's program to develop a future medium-lift helicopter to replace its fleet of Black Hawks. Bell is building and testing the Valor at its Amarillo, Texas, production facility.
[Bell Helicopter 'within days' of first ground trials for V-280 Valor tilt-rotor]
The Sikorsky-Boeing offering — its SB-1 Defiant coaxial helicopter — is behind schedule and won't begin flying until late next spring or early summer due to some rotor blade manufacturing challenges that have since been resolved.
[Defiant's delay due to blade manufacturing challenges]
The Army also doesn't have a good track record in procuring new helicopters in recent years failing several times to procure a new armed reconnaissance helicopter, instead choosing to use the AH-64 Apache helicopter teamed with Shadow unmanned aircraft systems to fill the armed scout role after the service retired its OH-58 Kiowa Warrior helicopters.
But the process it's taking to get to an FVL program of record using prototyping seems to be catching on elsewhere, such as in the NGCV program and even its developmental effort to get a future runway independent UAS.
Where the network is headed is a bit more hazy. Army officials were called to testify before the House Armed Services Tactical Air and Land Forces subcommittee in late September to discuss its strategy to modernize the network.
And those officials were met with unhappy lawmakers who said they could not support plans to shift a half-billion dollars to revamp the ailing network without a detailed explanation from the Army on what is next for the network.
[Lawmakers to US Army: If network programs worth $6B are discarded, what's next?]
After months of getting slammed by lawmakers, like Senate Armed Services Committee chairman John McCain, R-Ariz., for investing roughly $6 billion in the Warfighter Information Network-Tactical system — the service's tactical network backbone that was deemed no longer suitable to perform well against emerging threats like electronic attack — the Army halted the program.
[US Army to halt WIN-T — its battlefield network backbone]
But didn't come up with much of a strategy to replace WIN-T or how it was going to shape the network overall.
All that is really known is the Army plans to invest a great deal of reprogrammed dollars — freed up by the halting of WIN-T and a few other programs — to modernize the network in a more rapid and agile way.
Air-and-missile defense
The Army has dragged its heels on modernizing its air-and-missile defense capabilities in a few areas, most notably choosing to incrementally upgrade its aging Patriot air-and-missile defense system rather than rapidly moving forward on its Integrated Air-and-Missile Defense (IAMD) program.
But the Army announced this year that intends to hold a competition to replace its Patriot radar and plans to begin analysis of materiel solutions in fiscal year 2018.
[US Army to hold competition for Patriot radar replacement]
The service has spent years grappling with when and how it will replace its current Raytheon-manufactured Patriot system first fielded in 1982. At one point, the U.S. Army planned to procure Lockheed Martin's Medium Extended Air Defense System as the replacement, but it canceled its plans to acquire the system, opting instead to procure key components of a new Integrated Air and Missile Defense System, or IAMD, separately.
Northrop Grumman is developing the IAMD's Integrated Battle Command System, the command and control architecture for the system, but its initial fielding is delayed by four years.
Key to the future system is to have a 360-degree threat detection capability achieved through a new radar. The current radar has blind spots.
While medium-range AMD is still a focus, the Army is also turning its attention to filling an urgent capability gap in the European theater — the ability to defend against air threats at short range.
[From Flying Tiger to Iron Dome, a SHORAD renaissance is underway]
The Army hosted a demonstration to rapidly find Short-Range Air Defense solutions to fill the gap last month and continues to assess options for interim solutions and down the road.
Soldier lethality
The Army is focused on finding lighter, safer but more lethal solutions for the soldier whether that comes in the form of a new rifle, ammunition, grenades or other weapon systems.
"We have got some thoughts about the next-generation of squad weapon," Dyess said.
Dubbed the 'Next Generation Squad Automatic Rifle," the Army is looking to replace the M249 squad automatic weapon.
The focus now for small arms is on the existing program for the 7.62mm Interim Capability Squad Designated Marksman rifle and evaluations are being conducted for an intermediate caliber round and rifle combination between 5.56mm and 7.62mm in order to develop a new infantry rifle to replace the M4 carbine.
But also robotics and autonomous systems can enhance soldier lethality and the Army is studying how they aid the warfighter whether that is to lighten the load or to send systems, rather than soldiers, into harm's way, providing more stand-off from danger.
About Jen Judson
Jen Judson is the land warfare reporter for Defense News. She has covered defense in the Washington area for eight years. She was previously a reporter at Politico Pro Defense and Inside Defense. She won the National Press Club's best analytical reporting award in 2014 and was named the Defense Media Awards' best young defense journalist in 2018.
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Courting Art Baltimore BCCC Reception
April 2, 2020 @ 6:00 pm – 7:00 pm
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Courting Art is a program that promotes youth artwork, connects the legal community with local communities of Baltimore City, and aims to reduce stress and anxiety for litigants and visitors by beautifying local courthouses. Hosted by the District Court of Maryland and in partnership with the Baltimore Bar Foundation, Incorporated and the Bar Association of Baltimore City, the contest is open to all Baltimore City public high school students. Courting Art Baltimore also collaborates with Baltimore City Public Schools, Arts Every Day, Baltimore City Community College, and the College Bound Foundation to achieve success each year since its first contest in 2016. Courting Art Baltimore also connects Baltimore City students with a local community college and provides scholarships to the winning artists to pursue higher education after high school.
Courting Art Baltimore is modeled after a program created by the Montgomery Bar Association of Pennsylvania. The Montgomery Bar Association began its Courting Art program in 2013 with its contest focusing on artwork by local senior citizens. The Montgomery Bar Association Courting Art Project received acclaim and has been credited with saving taxpayers' thousands of dollars in long overdue public improvements to the Montgomery County Courthouse. In addition, the contributing artists brought public attention to local landmarks and community treasures.
The specific theme of the contest for Courting Art Baltimore changes yearly, but always relates to the core mission of Courting Art. The top works are selected based on relation to the year's theme, artistic difficulty, aesthetic beauty, and connection to the mission of Courting Art of connecting communities, reducing stress for litigants, and beautifying the courthouse.
All submissions to the contest are displayed at a public exhibition at Baltimore City Community College. At the opening night of the exhibition, approximately fifteen to twenty top works are selected to be professionally reproduced for long-term display at the Eastside District Courthouse in Baltimore City.
Following the installation of the artwork at the courthouse, an awards reception is held to reveal the top works of the entire contest. All finalists receive gift certificates for art supplies, the contest winners receive financial scholarships for post-high school education.
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Dean's Advisory Council to Ohio University Scripps College of Communication.
Medal of Merit for Achievement in Entertainment and Television Production.
Commissioner to NY Mayor Michael Bloomberg on New York City's Latin Media and Entertainment Commission.
Honored member of Women's Leadership Board at Harvard's Kennedy School of Government.
My Father, Admiral Kenneth Shugart.
Best Buddies,Breast Cancer Awareness, Susan G. Komen Foundation, Same Sky.


Sometimes I think I shouldn't stop writing this blog as it seems that whenever I do someone significant to TV dies. This time, though, 'significant' doesn't cut it, and all superlatives are understatements. It's difficult to quantify what James Garner – who died of natural causes this July at the age of 86 – meant to television. Not only was he around during TV's formative years and helped the medium come of age, he had the rare distinction of playing two of the greatest characters to ever grace the small screen. Obituaries both written and forthcoming will doubtless talk about what an incredible movie star Garner was (and indeed he was) but I always thought there was a certain dailiness about his performances that made him perfect for television, and may help explain why he kept returning to TV while his film roles continually deflated the grandiosity of the cinema.
Garner's first major television role was drifter gambler Bret Maverick in Warner Brothers' western dramedy series Maverick, which he played throughout the late fifties. The show is a one-word argument against FCC chairman Newton Minnow's notion of TV in that era as a 'vast wasteland'. It was anti-formulaic, adult, challenging and irreverent, and Garner's humour, bathos and moral ambiguity in the part had a lot to do with that. Essentially a thinking man's riposte to the branding-iron western TV series (they didn't have cookie-cutters on the frontier!) that overpopulated the networks at the time, Maverick was an early indication of the quality of television that could be achieved working within popular genres. While Bret Maverick certainly paved the way for television antiheroes like Tony Soprano and Walter White, Garner saw him more as a 'reluctant hero' and played it accordingly. It was that kind of nuance that made the difference.
It's worth remembering that fifties American TV was highly praised for its character drama in anthology form like Philco Television Playhouse and Studio One, and so to offer this kind of psychological complexity in the form of a western series – more often regarded as the cultural antithesis of the anthology drama – was radical. It also showed that TV could do something worthwhile with the western formula.
That would be enough for most actors, but unbelievably Garner did it all over again as every-slob private eye Jim Rockford in Universal's detective series The Rockford Files which ran throughout the late seventies. One of the most perfectly-made shows in television history, Garner's lastingly lovable lead performance put it over the top, and into perpetual syndication. The actor's iron rule over his Cherokee Productions also ensured that Universal never dragged the show back to the studio lot, and kept it as freewheeling as the Southern California locations we saw onscreen. The Rockford Files' tone-perfect medley of comedy, drama and thriller was a template for quality US television to come, and all that was there in Garner's performance. Never humourless nor too frivolous; a hero you could believe in because he didn't believe in it himself. Unlike most sanctimonious American TV protagonists, Garner never pretended Rockford wasn't out for himself.
Despite a string of memorable and game-changing performances in a host of movies, Garner always went back to TV in the end. Whether it was the Rockford Files TV movies (which, oddly, didn't disgrace the original), a series of beloved Polaroid commercials with actress Mariette Hartley harking back to the repartee of romantic screwball comedies, or replacing the late John Ritter as the patriarch on sitcom 8 Simple Rules. Rather than trashing television as so many Hollywood movie stars have, he decided instead to make it better, either by seeking out the best material or improving drastically on the worst. After Garner was through with television, it didn't look like there was a distinction between TV and the movies any more. It would be impossible to find two better performances in television than Bret Maverick and Jim Rockford, but James Garner always meant more than the sum of his parts.
As someone who has spent the best part of their life enthusing, studying and writing about television, I often get asked what's best to watch, as if I have access to a secret channel that only the TV wing of Mensa are eligible to subscribe for. I'm always hesitant to answer. As a self-confessed TV snob, I know that whoever's asking will have dipped their toes into far more shows than I ever have and experimented with titles I would have simply dismissed. When you teach the tube (if you're doing it properly) you learn to embrace more of the spectrum of what we might call television. So I'm worried I would answer with something insane like CBS' coverage of the NFL or a public access schools programme about surrealism. It's also because there's now so much choice in television that it's possible (at least as a middle-class white man) to find a show that caters exclusively to you. I genuinely couldn't say whether or not Boardwalk Empire is great TV since it features just about everything I love in this world (gangsters, American history, HBO, Steve Buscemi), achieving distinction in my eyes just by being made in my lifetime.
Boardwalk Empire: If you don't like it, you're not me.
When people ask I'm pretty sure they want a good drama to sink their teeth into and aren't asking for advice on what rolling news service they should tune to. Givens that, (pun not typo) my go-to is always Justified which I can universally recommend with more, ahem, justification than my TV make-your-own pizza Boardwalk Empire. It's a show that's off a lot of people's radar, or at the bottom of their list, so I feel I might actually be telling them something they don't know rather than sounding like I'm reading from a list of trending tags. There's plenty for me to get excited about as an Elmore Leonard aficionado and lover of TV westerns and cop shows but there's something for everyone here. Every character from walk-on to lead is immaculately written and acted (even Bubba from Forest Gump) and there are beautiful men and women to gaze at, whether you like rough or smooth, or both. If you like your CSIs and your SVUs there's a whole, complete and expertly crafted story each week. If you're more of a long game person, behold the four seasons of onion-peel plot development and character works-in-progress like the ever-elusive Boyd Crowder (Walton Goggins). Without sounding like all the good things are in the past-to paraphrase Stevie Wonder-Justified represents a kind of television there's a severe shortage of today. A medley of action, story, humour and character that's entirely entertaining and yet never lacking in quality and complexity, not seen fully since The Rockford Files. With kicking dialogue and music to boot, you can't go wrong. And you'll be in love with from the first scene.
I often feel guilty about recommending shows that don't warm up until a few seasons in. In essence you're asking someone to commit all their free time to something that won't pay off for months. It's like getting someone to invest their life-savings in a niche restaurant that you know won't make any money for the first few years. How can I tell someone to start watching Breaking Bad in full knowledge that nothing compelling will happen until the third season? Sons of Anarchy doesn't even come together until the fifth season! That's roughly fifty hours of television to tunnel through before seeing any kind of daylight. In all but the rarest cases, we're talking about shows that you can't tell someone to jump into already knee-deep in story so you're really signing them up for work as much as enriching their lives. You see people that you've recommended slow-burning TV series to and you can see they're worn down and trying to think of something nice to say in order to match your enthusiasm but sweating pure ambivalence. If I think someone has the strength of character to endure the grind, I may nod them in the direction of The Walking Dead purely because it's only a mini-series worth of mediocrity before it all starts to fall in place, a comparative blink of the eye. Fancy a bet on a rank outsider? Try Portlandia. Ostensibly a location-specific sketch show, it's actually more freely artistic and socially incisive than most TV comedy or drama. You can keep asking me what's good but most of the time either you know or you don't want to know.
In an interview with the BBC some years ago, Sopranos creator David Chase, speaking of his first writing gig on The Rockford Files, remarked that what set the private eye series apart from most TV at the time was that it was recognisably set in Southern California and not some ersatz non-place. This innate sense of place trickled down into Chase's later TV work. One look at Jersey Shore and The Real Housewives of New Jersey and it's obvious that the landscapes and body shapes that feature in The Sopranos could only be from the Garden State. It's also something that distinguished Rockford creator Roy Huggins' TV shows. His previous creation The Fugitive (one of the other only TV programmes Chase admits to enjoying) was always specific in its geography, be it small town or vast metropolis, no mean feat for a series which had to change location every week.
Place is increasingly becoming the backbone of American TV. The unique appeal of shows like AMC's Breaking Bad is inseparable from their choice of setting. The meth-drenched desert hazes and border town hinterlands of Albuquerque provide not just a backdrop to the action but the pathetic fallacy of the characters' moral decay and corruption. Other programmes like Portlandia build their very concepts around a place rather than a set of characters or situations. It may be that the IFC sketch show starring Fred Armisen and Carrie Brownstein relates to something bigger than just the Oregon city-like the hipsterfication of everyday life-but such observations are always squarely aimed at Portland's grunge-throwback ways. The Wire (and the lesser known but not lesser in any other way Homicide: Life on the Streets) may speak to people as a microcosm of American social problems but in the end it's a programme about a place, Baltimore, Maryland, and impossible to truly appreciate without a working knowledge of that city's local political scene. So is this a new development in American TV and, if so, what changed?
It's tempting to put the recent emphasis on place in American TV down to historical shifts in the way that programmes are produced. For much of its existence, TV was filmed predominantly in studios making it difficult to manufacture an authentic impression of place. When location shooting was added into the mix, the ability to suggest events were taking place in a distinct locale improved drastically, even when programmes were still studio-bound. Cop drama NYPD Blue seemed firmly planted in the many and varied neighbourhoods of the Big Apple despite being the majority of it being filmed on the Fox backlot in L.A. simply because of the documentary-styled location footage of the ongoing life on New York streets that pre-empted each scene. Now that the technology of production has advanced sufficiently to shed the studio, putting place at the centre of a TV show should be everywhere by now, right?
NYPD Blue or LAPD Blue?
Possibly not. Location shooting is used more readily to invite a sense of reality without necessarily specifying the geography. It was used in Hill Street Blues to project a (radical) urban grittiness but stopped short of saying what city events took place in (we can assume Chicago but are never told for sure), even going as far to create a fake district of this unknown metropolis. The ability to film on location doesn't always mean you can film anywhere you like. Think about how many American TV shows are needlessly set in the vicinity of L.A. Often this isn't an artistic choice but a local one. It's plainly easier and more economical to find somewhere to shoot near the production base, in this case Hollywood, and use that to justify the setting. It's the only way to understand why a show like 24 about federal counter-terrorism agents is set in the City of Angels and not Washington or some more suitable hub of government activity.
It's clearly still a choice at the discretion of programme makers whether or not to push place and yet it's happening more and more. I'm not sure what the explanation is. Perhaps it's a product of multichannel television narrowcasting to niche audiences, allowing programmes about specific parts of the US to become popular regardless of broad national appeal. Maybe basing a show around a place is another way to create a programme's distinctive brand in an ever-more competitive market. Most commentators agree with Chase that a sense of place is a sign of television quality. It's certainly more important than it used to be.
Though you might be more familiar with the 1993 movie re-make with Harrison Ford (which unusually for a Hollywood revival of a classic TV show doesn't disgrace its predecessor), this long-running series from the mid-1960s is a classic in its own right. Falsely accused of his wife's murder, Dr. Richard Kimble (played by a perpetually constipated-looking David Janssen) escapes from custody and drifts from town to town doing a variety of blue-collar jobs until his identity is discovered by the locals-who somehow don't spot him by his iconic tweed jacket and jet-black hair-at which point he moves on. Kimble is occasionally pursued, when he can be bothered, by Lieutenant Gerard (the coathanger-jawed Barry Morse) and his wife's murderer, a one-armed man played by a fat Worzel Gummidge. Each episode is an impeccably crafted chamber drama and the weekly guest stars are amongst the best character actors of their era. It's also a scathing indictment of American society. Those in the justice system are invariably the villains of the piece and Kimble wanders an America full of corrupt institutions where the scum of society has risen to the top. It would be the highlight of anyone's career, if it weren't the creation of Roy Huggins, the man behind Maverick and The Rockford Files.
It's easy to be put off by the dated production values, air of tackiness and cloying music of this 80s sitcom but it would be a shame to let cosmetics get in the way of a show that otherwise is pure joy. Four senior ladies, sour divorcee Dorothy (Bea Arthur), her old school insult comic mother Sophia (Estelle Getty), southern belle-in-waiting Blanche (Rue McClanahan) and naïve farm girl Rose (Betty White), share a house in Miami looking for love and late-life fulfilment. It's sharply written with an underlying sarcastic wit that counteracts the mandatory sentimentality beautifully. The show was utterly fearless about confronting issues facing people in later life, like dementia and disability, as well as those that matter specifically to women-one memorable episode has Dorothy facing down a male doctor who misdiagnosed her based on her age and gender in a restaurant. In this sense it harks back to the socially responsible American sitcoms of the 1970s but it has a streak of misanthropic humour we more readily associate with sitcoms today. It's impossible to underestimate how important the central performances are to the success of the show. I'm particularly enamoured of Getty's pinpointed quick-fire delivery and White's knowingly played bravado turns of bumpkin innocence.
After countless sequels and movie versions, it's good to get back to the ground floor of this franchise and see exactly why people think it so worthy of resurrection. Enduring iconography aside, I was struck by how captivating the storylines of each episode were, and the perfect pace at which the mysteries unravelled while still leaving space for that surreal and colourfully psychedelic camp that people treasure about the show. One episode I caught, 'The Corbomite Manoeuvre', is structured like a poker game and ends with Captain Kirk having cocktails with a grown-man baby alien played by Ron Howard's brother. It's also quite remarkable how the character flaws of the main cast are highlighted as much as, if not more than, their heroic qualities. I always had it in my head that Kirk's chronic womanising was a fan fiction add-on that got recouped as canon after nudie-freak JJ Abrams got his pervy little hands on the franchise. But here Kirk is cruelly lascivious without apology or remittance. If like me you grew up with the relatively co-operative crew of The Next Generation, you'd be shocked at the amount these guys argue with each other. Dr. Bones in particular is more insulting to his fellow crew members than a drill sergeant with piles.


Christ Church Cathedral has a long history of supporting refugee families. In September 2018, an Eritrean refugee arrived, and later in the month, the Refugee Support Group welcomed three more members of the Syrian Alali family to Canada. They were living in Iraq and fled ISIS by escaping to Indonesia. The young couple are both university trained, he is an accountant and she as an early childhood educator. They have reunited with his mother and brother, already settled here, after not seeing each other for several years. Safia, the mother, is the sister to the wife in a family brought over six years ago by the Church of St. John the Divine. Safia and her son have adjusted well to life here. Although Safia has a number of health problems and has experienced so much trauma in her life, she continues to be positive and persists with her English classes.
We meet on the first Tuesday of the month at 5.00 pm in the Deanery or at the call of the committee chair.


LIC AAO 2019 Notification: The Life Insurance Corporation of India (LIC) is the largest insurance company in India. The LIC has released the LIC AAO 2019 Recruitment Notification on 2nd March 2019 for the recruitment of Assistant Administrative Officers (AAO) in various branches of LIC across India. Online registration for LIC AAO 2019 has already started and the last date to fill up the LIC AAO application form is 22nd March 2019.
Aspiring candidates who wish to join LIC as AAO (Generalist/IT/Chartered Accountant/Actuarial/Rajbhasha) must read the LIC AAO recruitment notification to see if they fulfill all the LIC AAO eligibility criteria. They must also have a clear idea about the important dates, registration process, LIC AAO exam pattern, LIC AAO syllabus, admit card, etc. This article provides all the necessary information regarding LIC AAO 2019 notification. Read on to find out.
Age Limit: The minimum age of the candidate should be 21 years and the maximum age limit is 30 years. For SC/ST candidates, there is age relaxation of 5 years, 3 years for OBC candidates, and 10 years for Pwd (General) candidates, 13 years for PwD (OBC) candidates, and 15 years for PwD (SC/ST) candidates.
LIC AAO (Generalists): The candidate must have a Bachelor's degree from any recognized university.
LIC AAO (IT): The candidate must be a graduate in engineering (Computer Science, IT or Electronics) or have completed his MCA or MSc (Computer Science) from a recognized university.
LIC AAO (Chartered Accountant): The candidate must hold a Bachelor's degree from a recognized university. He should also have passed the final exam of Institute of Chartered Accountants of India and be an Associate Member of the same.
LIC AAO (Actuarial): The candidate must hold a Bachelor's degree in any discipline from a recognized university. He should also have passed Paper CT1 and CT5 plus 4 or more other papers of the exam conducted by the Institute of Actuaries of India/Institute and Faculty of Actuaries, UK.
LIC AAO (Rajbhasha): The candidate must hold a Master's degree in Hindi/English/Sanskrit with English/Hindi/English & Hindi as one of the subjects at Bachelor's degree level.
1st Step: Go the official website of LIC: www.licindia.com.
2nd Step: Scroll down and click on "Careers".
3rd Step: Click on "Recruitment of Assistant Administrative Officer 2019".
4th Step: Click on "Click Here For Apply Online".
14th Step: Make payment of your LIC AAO application form and take a print out of the application form and confirmation page for future reference.
The English Language section is just qualifying in nature.
Candidates 20 times the number of available vacancies for each of the categories will be shortlisted to appear for LIC AAO Mains 2019.
The LIC AAO Mains exam pattern is tabulated below. Note that it is different for different posts.
Here, English Language (Letter writing & Essay)/Knowledge of Language (Descriptive)are just qualifying in nature.
Note that for both Prelims and Mains, the medium of exam will be English and Hindi, exce[pt for the Language sections.
Based on the marks secured by the candidates in the LIC AAO Main exam, they will be shortlisted for Interview. The Interview will be conducted for 60 marks. For SC/ST candidates, the qualifying marks is 27 whereas, for others, it is 30. Final selection of candidates will be based on the candidates' performance in both Mains and Interview.
As you can see, the LIC AAO exam pattern is almost similar to that of bank exams. So, taking bank mock tests for IBPS and SBI will help you immensely in your preparation.
Logical Reasoning Syllogism, Linear and circular arrangements, Coding-decoding, Distance and direction, Puzzles, Inequalities, Classification, Number series, etc.
Quantitative Aptitude Basic Mathematical knowledge – Percentage, Average, Profit and loss, Simplification, Time and work, Time, speed and distance, Simple and compound interest, Data sufficiency, Data interpretation, Geometry and mensuration, etc.
General Knowledge History, Geography, Sports, Economic and financial news/events/policies, Agriculture, Books and authors, Awards and recognition, History of banking, etc.
LIC AAO admit card/hall ticket will be released 22nd April 2019 on the official website. Candidates will have to log in with their Registration Number and Password to download the admit card.
The LIC AAO results will be declared on the official website of LIC. The results will be declared separately for each stage of the selection process.
Selected candidates will get basic pay of Rs 32795/- per month in the scale of Rs. 32795- 1610(14) –55335– 1745(4) –62315. As per norms, there will other allowances, benefits, and perks along with the salary. The total LIC AAO salary in 'A' Class city will be around Rs 56,000/- per month.
Candidates preparing for LIC AAO 2019 must be thorough with the LIC AAO syllabus and exam pattern and plan their preparation accordingly. The LIC AAO exam has more or less the same syllabus as any other competitive exams for government jobs, especially banking exams. Taking banking exams will help you in your preparation. Embibe provides banking mock tests for free which will be of great importance in your preparation for LIC AAO 2019.
We hope this detailed article on LIC AAO Notification 2019 helps you. If you have any query regarding LIC AAO 2019 Notification, drop a comment below and we will get back to you.
Notification kab tak aa skti hai….
Hey, please keep an eye on the official website.
Hey, LIC hasn't released the notification yet.
Hey Geethu, the notification is not out yet.
Hey Varaprasad, the notification is not released yet.
Hey, the notification is not released yet.
Last time there was no requirement of minimum 55% in graduation. So from where did you get this information? Please stop giving false information as this could ruin someones career because after reading this someone who doesn't have 55% might stop his preparations for the LIC AAO exams.
So use this medium responsibly.
And salary information is also wrong. The revision has happened long back. Are you people really that lazy to find the correct information to post it in your blog?
Hey Rohan, How may we help you?
It's our pleasure helping you.
Yes, Prashant you can fill the form for IT.
Yes, you are eligible for the post.
Hi Nandhini, you can select the test centre as per your preference. But, it totally depends on the authority as they provide your selected centres according to the availability of the place.
Hi Jashanjot, you can apply for the IT post.
Hi Shubhz, as you have not made the payment yet your form is still not submitted. You can go back to your form edit the info required.
I have B Tech in Electrical and Electronics, can I apply for AAO IT?
Sorry to hear that but we cannot help you as we are not the official authorities. We advise that you go to the official website and appeal your request over there.
Kindly contact the official authorities of LIC to get this issue solved.
For additional information please go through the official notification by clicking on the link provided in this article.
Hey Suresh the admit card will be released on 22nd April 2019. So you can visit the official website to download your LIC AAO Admit card.


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Adam Travis & the Soul
The Woman for Me
Gimme Some (Live)
Dying Day
Adam Travis & The Soul is a jam band that fuses reggae, rock, blues and soul. The band is based in Brooklyn, but formed in Boston during the summer of 2013.
Adam was a songwriting major at Berklee College of Music, where he met The Soul's core members: Mark Minoogian (Bass/Keys), Kenny Pearson (Bass/Keys/Guitar), and Alejandro Vega (Drums). The band has been playing shows all over the east coast ever since and is currently touring to promote their latest live album, Live At Puck, Vol. 1.
New York City, US9 LISTENERS
Brooklyn, US8 LISTENERS
Philadelphia, US5 LISTENERS
Managua, NI4 LISTENERS
Live at Puck, Vol. 1
Reckless Adventure
What This Love Can Be - EP
Listen to Adam Travis & the Soul now.
Listen to Adam Travis & the Soul in full in the Spotify app


In September I traveled to meet Becca, Andy, and 40 of their closest friends and family members on the island of Providenciales in Turks and Caicos for their intimate beach wedding ceremony. I'd be hard pressed to turn down the opportunity to photograph a tropical destination wedding, especially after the leaves begin to fall in Minnesota!
I was certainly honored to be a part of that day. Enjoy Becca and Andrew's destination wedding photography in the Bahamas!
One of our beautiful brides! What a spectacular wedding!