Felly, mae'n fwyaf i fewn i'r gweithio i gweithio'r sgwr i'r ffynol yma. Felly, mae'n gweld Nicola ymddangos yma. Nicola ymlaen i'r ffynol yma yn 1986, ac yn 1988, Nicola ymlaen i'r ffynol yma'r amser, ac sy'n ddim yn yw'r ffordd yn y Gymraeg mewn ysgol yn Ysgol yma yn Ysgol yma yn y Ysgol. Yn y gweithio'r ffordd yma, ymlaen i'r ymgyrch, Nicola hefyd yn cymryd i'r meddwl yw'r meddwl, cyfwyrddai'r ffordd o'r llwyr yn y dyn nhw. Yn ymgyrch ymlaen o'r meddwl, Nicola hefyd yn cyfryd i'r ffalu i'ch ddweud y dyfodol phallol yng Nghymru at Cardiff University. Mae'r meddwl hefyd yn ymddiadol i'r meddwl yw'r meddwl sy'n myl o'r meddwl a'r meddwl i'r meddwl i'r meddwl a'r meddwl hefyd o'r meddwl yw'r meddwl i'r meddwl. Nicolaeth gennych chi efallai eich gwahanaeth, gyda'r gwahaniaeth cymorth i ymlaenau, o hynny yn dod i'r cyfrifio llwyddiant, eich gwahaniaeth, i gymryd cyfraithiaeth yn mynd i gyflores, i gymryduneisio ddim mynd i'r mynd i gyddion i'r prifysgwr i hefyd, ac i'r hollwn mynd i'r mixyn. Efallai yn yn fwy iawn o'r ei bod yn flirio â Nicolaeth. Nicol, you might just have to unmute your mic at the bottom of the slide and you should have control now, welcome. Hello, good morning. Can you hear me? Perfect. Lovely. Thank you. Hello, thank you for joining this session. Thank you for coming all over the world to listen to this session. It's quite astounding me. I'm speaking to you from Wales, in the UK. If you have any questions, like Aligh says, if you can type them in the chat box and I'll try a feddwl chi'n rai nhw sy'n gwybod eu terni nhw i f ORSIGrobeAM yn ei ddim yn gelydd wahanol hiçbiru helt o bumpachau a fen icingrach neu chwaithence ar y Ffயğ yw'r Whole Pchylio. Fe ydi hi'n ei dda okayoedd o gallais dros iddynt – Llywodraeth Cymru – ac Gall centre Prychwil ac Ysg Haoedd Drffesio trains mewn i'r waist to oddiach grwp Myrtoedd. i ni i'n gwneud am y cyfansiwydd yn ei wneud, a fawr i'r fawr i'r wneud am gweithio yw'r gweithio a'r fawr i'r wneud. Rwyf wedi gwneud cyfansiwyddau'r fawr, iawn i gwneud yn yw'r gweithio'r ysgolau mynd i'u cyfansiwyddiadau ymgyrch. Felly mae wedi gwneud i'r wneud, oherwydd, rydych chi'n fawr i'n gwych gweithio a fawr i'r gweithio a fawr i'r gweithio a fawr i'r gweithio a fawr i'u gweithio. had an issue with a mental health. I wasn't too sure where to send them. So that was the basis of why I decided on this topic. So the perinatal period is usually defined as pregnancy and up to a year after birth. Oh, hold on. Sorry, I've jumped all the way through the slides now. I'll get back to the right slide in a minute. OK, so the background to the study when I was looking at previous research was concentrating on women's experience of probably postnatal depression more than the nae antinatal period. And they do also a lot of research about experiences of women with severe mental health diagnosis. But researchers emerging to suggest that what happens in the womb has short and long term consequences for the child. And there's also also an economic cost for society with the long term care of the child affected by the negative outcomes of poor mental health. So the aims of the study were to explore the experiences of pregnant women with mild to moderate mental health issues and the midwives who care for them. And I chosen women with mild to moderate mental health issues because they can't access the services that provided a perinatal mental health team who provides services for women with severe mental health issues. And they're usually cared for by midwives and by the general practitioner. So I wanted to explore this area. So before I start, I've got a quick poll similar to the one that Ali had. So the first question I just want to note because you've come from all over the world. Have you got any services in your health service for specialist, specialist perinatal mental health services for women with severe mental health issues? So I'm just going to put the poll up on the right hand side. And then you should be able to. Is that coming up? No. OK, thank you. Well, it seems to be an overwhelming majority that have got specialist services. So that's reassuring. I know most of the UK has now now got some service in place. Thank you. Still a few more people responding to your couple more minutes. OK, I'm going to stop that there. So, yeah, 41 percent, 47 percent. That's a good majority of the people with specialist services. So the other question, which is the area I was looking at, was I wondered if you had support services for women with mild to moderate mental health issues. So by that, I'm thinking about women, not specific services for birth trauma or for bereavement, but more a general service that cares for women's mental health. So I'm going to put the poll up and then you can vote. We still seem to be quite a good percentage of services for women with mild to moderate mental health issues. I'd be interested to know what they are, but I can't ask you all individually. OK, so I'm going to stop the poll and publish the results now. So again, about 77 percent compared with 29 percent. I've got services for women. Thank you very much for that. So next I'm going to just tell you a little bit about the background of the study and the way it was set up. So it was a multi-method study. And I was speaking to women who had questionnaires in early pregnancy and to midwives as well. So in early pregnancy, women were offered a questionnaire which included the Edinburgh Postnatal Depression Scale and the General Anxiety Disorder screening tools. And these were to assess what their levels of anxiety and depression symptoms were at the time. In that questionnaire, I also invited women to express an interest in coming to an interview later on in pregnancy. I'm not going to report on the first phase of the study. I'm going to concentrate on the interviews with women and the feedback from the midwives as well. So the midwives were also provided with a questionnaire and some of them came to a focus group as well to discuss their experiences of caring for women with mental health issues. So this is the timeline that I used with women and I conducted 20 interviews with women in late pregnancy. They were all over 34 weeks pregnant by the time I spoke to them. Some of them were actually due on that day and the women had mild to moderate mental health issues as assessed on the early screening tools. So this timeline I gave them when they were invited to the interview and to get them a chance of thinking about their moods and emotions over time, thinking about how they thought their emotions were in early childhoods through to adolescence pregnancy and you can see right up until the future sort of after they'd had babies and this formed part of the discussion during the interview. And some of these women had actually obviously looked at this timeline. One woman I went to speak to, I asked her one question to ask her how her moods and emotions had been and she gave me an hour long story from childhood all the way through to the present day. Of how a moods and emotions were, so I didn't have to ask much in that interview. So some of the themes that came out, there were three themes that came out from this research and the first one when I was talking about moods and emotions and over a time period, women described adolescence and childhood as a time when they perhaps experienced changes in their moods and emotions and their mental health and it was usually big changes such as leaving home or going to university that seemed to trigger some of these issues. Women suggested that their moods were affected once they got to pregnancy by the early symptoms of pregnancy which is understandable tiredness early morning sickness and the worry of miscarriage and then during pregnancy women mentioned several women were mentioned in a particular emphasis on the importance of feeling babies move which we know is really important but this did become quite an issue for some women and actually led to more anxiety and even though they were concerned about the baby's health they felt as though they were such an emphasis on baby's movements they seemed to spend a long time trying to work out was their baby moving what was the pattern they were supposed to expect and it's an area that is obviously a concern for women. Then several women described how they actually hadn't enjoyed their pregnancy they really one woman said I hated it and she had extreme anxiety and concerns about the health of her baby all the way through pregnancy it might have been because she was a healthcare professional she actually looked after sick babies that probably was part of the reason but she was really really anxious and stated how she really hated pregnancy which to me as a midwife was a bit of a shock I hadn't perhaps realised that how many women did not like pregnancy and it actually led to her asking for an elective cesarean section for the birth of her baby so that she could reduce the risks as much as possible and that time the interview like I say women were mostly over 34 weeks of pregnancy by then some women were discussing perhaps fears around birth or just worries around birth not real fears and then and a few women like the quote there says that they were thinking more about especially first time moms how they were going to look after the baby afterwards I can see a few comments about the EPDS as a scale for looking at anxiety and depression I did do a big review on the scales looking at picking up anxiety and depression symptoms in pregnancy and it's I just had to use something as a way of working out which women to speak to in the interviews so yes I know there are problems with different scales and how how accurate they are at picking up women's sort of anxiety levels and depression levels but it was for practical practical reasons that I chose one of that scale so the next slide I'm looking at another theme the expectations and control women seem to put an awful lot of pressure on themselves they talked about their expectations and how they were worried about what other people thought and they compared their women with previous children compared their parenting style to others there was a lot of guilt expressed by women with one of the women using the words in relation to having a previous assisted delivery by forceps she felt guilty that she'd let her daughter down I didn't explore that further but that was an interesting worrying comment to me and there was a lot of frustrations about women not being able to go for a run as the pregnancy progressed and also some women were worried that they had had to pass some of their household tasks that are cleaning over to their partners and they actually felt some guilt and frustration over that as well there are lots of everyday practical issues which cause stress and anxiety another issue that came over quite strongly was that caused stress was a lack of control some women were saying this was because they were busy they were not able to get on top of things and others were suggesting ways of overcoming this issue by being organised and a couple of women by actually asking for an elective cesarean section so that they could be organised in their lives and knew what to what to expect some making very detailed plans one lady was explaining how she made detailed plans about going on holiday and she had second sort of ideas about how to cope with everything she had spares of everything and that was her way of overcoming this control and reducing stress and another lady explained how she has a sort of an ABC plan of how labour would go and what to do in each scenario and she felt that this prepared her and her husband ready for the forthcoming birth and it helped again to reduce her stress levels another issue that came over was the interaction between midwiser and women and sometimes women felt they weren't getting enough information from healthcare professionals there was one woman who had been diagnosed with a group B infection and another where her baby was found to be in a speech presentation and they both felt that they weren't fully informed that they did not have all the information or enough information to make an informed decision and this led to anxieties and they were uncertain about the options that were available to them and this made them feel out of control so an attempt to gain some control and being informed and reduce anxiety women spent a lot of time looking for information and I looked through the information and came out with these statistics about 19 out of the 20 women actually looked for information via some form of technology. Google was a big way of looking for information some women just suggested they put whatever they were looking for in the search engine and then just looked at the first site that appeared. There were women's different ideas over chat rooms some found it a place of contradictions and the conversations made them feel uneasy and didn't help them at all however there was one woman with severe early morning sickness and she felt that the support the emotional support she got from people in this chat room and the comfort in knowing that people going through the same issues as her she felt that was a real support to her and you can see that a few people actually relied on health professionals for information but reassuringly when I was asking who they were speaking to and what they were asking about women tended to rely on healthcare professionals if it was something to do with a complication of pregnancy so such if they wanted to talk about cesarean sections um or if one lady had a percent of previa then they would ask health professionals those questions it tended to be um when they were going online just google insights it tends to be looking more at general development of the baby and pregnancy as it progressed um and I was a bit surprised maybe I shouldn't be but the age didn't seem to be a factor and one of the younger women in the interviews was actually one of the ones that least relied on technology and actually was more likely to you speak to health professionals because she felt she didn't have the ability to work out what was reliable information and what wasn't so the other theme that came out from the women was the knowledge or the lack of knowledge and some of the conversations that they had with women so women weren't too sure if a change in their mood was down to the hormones whether it was part of their character women were not sure if it was normal for pregnancy or when they should ask for support and for extra help um and one woman actually thought that poor mental health could only occur after the baby was born I think she didn't have that that minute problems with emotions so it just hadn't been an issue that she had spoken to anyone about or any discussion she'd had with anyone else or her friends um and stigma was also something that she was brought up by women that made them afraid to ask questions or to talk about their emotions and their mental health um they didn't want to discuss with their friends or work colleagues and some people didn't even want to discuss issues with their family and when it came to their antinatal appointments with their midwives or qp or the consultant um this comment came up a few times um if they were asked how are you feeling that sort of opening question how are you feeling today when we weren't too sure whether that was just an opening question whether it was relating to how the pregnancy was going or whether healthcare professionals were actually asking how they were feeling themselves physically sort of emotionally um and women appeared in the antinatal appointments to be more concerned about their baby's health they were saying as long as my baby's okay then i'm okay so they weren't really thinking about themselves and perhaps what they needed um and their emotions so most of the antinatal appointments appear to be on the physical aspects of pregnancy looking after the mum and baby i know in our health sort of board we've got a list of questions so you do women's blood pressure you do the temperature have to check urine and all those other things and emotions tends to come last on the list of um tasks to do if you want to call them tasks and both of these resulted in sort of emotions not being discussed so lack of time and physical um aspects of pregnancy the women who were aware that maybe their mental health wasn't quite as good as it should be or deteriorating they suggested talking to their partners was a way of helping some people talk to family members especially a female family members their mothers and sisters um or friends who had been pregnant before there was a lot of support from people that had been through similar situations and that peer support um and a support network was mentioned by several women so they perhaps used the husbands for the practical childcare their mothers for the emotional support and they might speak to their friends and just talk to them even if perhaps their friends weren't listening they found talking the sort of therapeutic in itself even if they didn't get answers women also discussed about self-help and how if they recognised they were getting a bit stressed um that they had either time alone that they went and had a rest they went out for a meeting with their friends they all had different ways of supporting their emotional help when they recognised that they needed that bit of extra extra helpful rest um and there was also a lot of discussion around support from anti-natal groups they seemed to be especially enjoy groups which had education exercise and peer support all together um and with us that a lot of people talked about a national tribe of just um type of groups where the partners went as well and they were suggesting that it was actually the peer support that was more important than the educational aspect or the information they received and sometimes the peer support outside the groups they really held on to this as something that's really important so that was the um women and the interviews with the women and then I also um talked to midwives of the questionnaire and the focus groups so before I get onto that bit a bit more work for you so wherever you're working whether you're a student or a midwife or if you're working with women pregnancy and after pregnancy I was wondering do you formally assess women's mental health at each appointment so is there a specific question in your um notes that you have or do you use um the screening tools obviously I can't get the individual responses but just yes or no as to whether you have a formal way of assessing um women's moods and emotions each time you see them so I'll put the poll up now and then just click on the poll there's probably just over half the amount with a formal assessment it's very difficult because there's different ways of calling it a formal assessment but just a rough gauge okay I'll stop that one so I've got about just over 50% saying there's some sort of formal assessment um 41% without okay and then so we have got questions in our booklet and I'll discuss about that a little bit later on how midwives went around asking questions of the women so the next one is have you had any training to assess women's mental health in pregnancy so specific training of how you go about asking the questions about their mental health so again I'll put another quick poll up and if you can click on the box on the right this is coming the opposite way around whereas say the majority are saying that they haven't had any training and from the questionnaire I ran with the midwives there were about 31% of the midwives stated that had some training of looking after women's mental health but a lot of this related to the drugs and alcohol and abuse safeguarding rather than specific to mental health I'll just publish that result so yes about 66% so about two thirds saying they've had no training so I think that's that's similar to the results from this study thank you very much for joining in with that okay and out of those the midwives are saying they'd had some training only 21% felted health in practice and I'll go on to talk a bit more about that towards the end of the slides about 95% of the midwives are actually asking for more support so women were midwives mixed up the midwives were offered a questionnaire and had about 145 questionnaires completed it was asking about their skills knowledge of looking after women with mental health issues so most women looked most midwives had looked after women with anxiety and depression but about 80% felt their colleagues were out of depth when they were faced with women with poor mental health and about half of the midwives thought that problems were not recognised in mental health problems were not recognised in women midwives suggested various ways of observing women's mental health so they wouldn't necessarily ask outright but they might look at moods anxiety levels availability of support women's mental health history and ways of sort of assessing women's mental health it wasn't just a single question and they suggested perhaps clinical experience and instinct instinct played a part in assessing women's mental health so the focus groups which sort of added on to the questionnaire there were similar questions in them but it allowed more time just to ask the questions in a bit more depth so the focus groups aimed to expand on the topics of discussion three focus groups the total of 15 midwives one of the groups was specialist team of midwives and one of them was a group of newly qualified midwives who had only been in health board for a couple of weeks and the other one was sort of a mixture of midwives in various areas so we were talking about how they asked questions and similar to the questionnaire they were talking about asking about sort of observing women one were midwives suggested observing the behaviour when she listened to baby's heartbeat as a way of working out if women were bonding which i thought was a good way of assessing moods and emotions and the midwives in the specialist team who look after vulnerable women they said they felt comfortable about asking questions but they were still worried about whether they were doing it right and this became a bit of a theme throughout the discussions with midwives and the newly qualified midwives thought that the there is a question in our notes and they thought that the way that some of the midwives were asking it sounded a bit like a tick box exercise and that it wasn't part of a natural conversation and they thought perhaps this stopped the conversations with women about their mental health some midwives suggested they should be re-fator phrased so there was a lot of discussion about how to talk to women how to ask women about mental health none of the women actually mentioned using the screening tools that are recommended in the united kingdom which are the edinburgh postnatal expression scale and the general anxiety seven as well as a few others but that wasn't brought up by any of the midwives and similar to the women midwives mentioned that appointments were actually mainly focused on the physical side of pregnancy of the mother and baby and that there was also a limited time to expand those conversations into emotional side of pregnancy and another issue that came up was midwives didn't have that information they needed to discuss medication there were a lot of women were coming up to them and asking about the medication should they carry on was it okay for the baby and midwives are not certainly in our area are not taught about that and then the midwives were worried because they were sending them off to the general practitioner and the general practitioners would sometimes stop in the medication and that worried the midwives and perhaps sent that you know the women's emotional side of their life became worse rather than better so that that was another issue that came up and midwives in the specialist team were explaining how the complex lives of these vulnerable women it was difficult to know what support to give these women and even the perinatal mental health team have they can only take a very few women on and they don't want to take women on that perhaps having problems with post-traumatic stress there's some asylum seekers have had traumatic pasts so they had a lot of issues with trying to get support for these more vulnerable women and because the specialist team tend to look after these more vulnerable women there was a sense that midwives every every day midwives a majority of midwives felt uncomfortable talking to women with severe mental health issues because they didn't have that experience that these specialist midwives had and that left a bit of a gap in their in their ability to care for these women and made them uncomfortable and not confident and the other issue which came up um the title i think came up from one of the midwives who summed up how she felt this whole issue about talking to women and perinatal mental health she said there was a need for midwives um the midwives to support women's mental health they needed training for midwives and support for women um and overall this seems to be one of the main themes that has come out so midwives are very keen to support women in all aspects physical and mental health but they felt ill-equipped to prepare and to provide this care for mothers and their emotional well-being they were afraid of making things worse by saying the wrong thing they felt their training and not provided them for the everyday practical skills to provide the care for women's emotional health and they felt their training was mostly on the physical health um and there didn't appear to be much difference between the newly qualified midwives and experienced midwives either which was i thought perhaps the new qualified midwives might have felt more competent there was a bit of difference but not a huge amount and what was even more i don't know worrying was the specialist community midwives who look after these women that are vulnerable they hadn't had much more training than other midwives but i think they had that experience they sort of learned on the job um and then this other issue of providing support midwives weren't too sure where they could ask women for more support they weren't you know they knew they could send them to the general practitioner the health visitors are sometimes able to help out and they send online apps um but there was not much counseling for women if they sent them to general practitioner and they tended to end up on medication um so there was another gap where midwives were unsure of what to um how to support these women so in conclusion um women noted was noted to have a bit of a lack of knowledge that were not sure if their emotions were normal they were not aware of mental health problems perhaps they could occur in pregnancy and they need information on well-being and perhaps when to seek help there seem to be emphasis on women and babies physical health at the antenatal appointment and some women reported that as long as the baby was well and they were really assured they seemed unconcerned about their own mental and physical health there was a lack of continuity appointment at appointments um and midwives and women also mentioned that knowing each other they the midwives could observe the changes and mood and perhaps improved communication when they've got you know trusting relationship and enabled conversations about mental health and because there's still some stigma around that topic and the lack of time at appointments also made this worse and midwives were overwhelmingly keen to provide this support for women but they appeared to lack confidence discussing mental health issues and this resulted in them not asking questions as they were worried they could make the situation worse or they were unable to know what to do if women disclosed an issue and they suggested further training to prepare them to support women's mental health and it was the practical training they were asking for not the theoretical they wanted training on how to speak to women um they wanted training on medication um and services as well there were long waits for counselling um and gps were unsure of medication the perinatal mental health team only support women with severe mental health conditions so there was this concern that midwives um they need resources and a plan of when to send where to send women and what advice they can give them so that they feel supported when it's beyond the role of the midwife um so that's it from me i'd like to thank you very much for listening and thank the vidm for allowing me to share my study filings um i'm going to hand back over to Ali and there's probably still some time for questions if anyone has any thank you very much for listening thank you very much nicola for that comprehensive introduction to your phd study and what an interesting topic to have looked at we did have a question from kathryn do you think that some of these issues i think for women having a lack of knowledge or understanding could be addressed with better education in schools now that we live less with extended family and in close communities well that's a good question i hadn't actually thought of that anywhere in my my topics of conversation with anyone um i think certainly talking about mental health in general um i know there's a lot more in the media in in the uk that i've picked up on talking about you know men's mental health and you see the football mental health support groups um there's not much talked on perhaps on perinatal mental health at the moment but certainly i don't see any problem with it starting with education in school um just talking about mental health like we talk about physical health and how sports important um to children um i think there is a little bit more now in schools am i involved with a high school and i know there is talk about bringing mental health education in so hopefully this will you know will help um as well as the general public becoming more aware of mental health issues through the media yeah thank you it was an interesting question if anyone else has any questions please feel free to put them in the public chat we have some time now for questions nicola i wonder if from your research whether you think that training of midwives in these kind of lower grade mental health problems that women might come to them with is important or whether having a specialised service i know we have perinatal mental health for the higher level mental health problems that women might come to us with but do you think there needs to be a specialist service for the lower levels or is it just training for midwives that's important um i would say i think it's a bit of both i think that all midwives need some sort of background training and i know there is training in undergraduate and maybe a bit in postgraduate level but the midwives were asking for the very practical aspects of how to speak to women and every midwife does have to approach women and ask them about their physical and mental health and so i think they need training on that practical aspect and having more confident confidence in speaking to women um and yeah i still i think there needs to be a service as well for women we've got a service in obstetric assessment unit where women can ring up if they haven't felt the baby move or if they've got a bit of a pain in their tummy but they have we haven't got that system for women to ring up and say you know i'm unsure about there could be obstetric midwifery type of issues um i'm you know i've been diagnosed with center previa it's making me anxious so there's very practical issues for women as well as the general anxieties that they may you know have um i know there are some services around the country there's lots of different services in different areas that run in different ways but i think there needs to be something what it is um what works best i don't know at the moment but so i'm hopefully something i can look into in the future thank you caroline is asking would you think that the lack of confidence for midwives in supporting women with mental health issues could perhaps be linked to some level of personal stigma and bias that they may have yes i suppose it could be yeah um i mean i have seen midwives say quite derogatory things about women sometimes and sort of say oh that's you know batty women over there or that you know i have heard derogatory comments and i was initially shocked and thought oh my goodness that's awful but having done this study i began to realise that i think midwives are actually scared of of women because they haven't got that experience so i don't know i'm sorry i lost the questions lately um it was just about the the midwives own personal experience it could be and perhaps you know if there is more training that's a topic that could come up in the training and um midwives might become more aware that it's a personal issue you know and there might be some way of having a one-to-one conversation with a trainer to discuss those issues yeah yeah could well be and another question that's come up from a few people is did the midwives or the women mentioned anything about continuity of carer being an asset really for their mental health support yes there was a lot from women and midwives about continuity um and i know it's something we're trying to bring in in England all over the UK and Wales as well um the women felt that i mean i think some of them have about nine appointments with midwives and quite often it's a different midwife at least half of those appointments and they didn't feel they could build up a relationship so they didn't feel comfortable discussing their emotional side of pregnancy they just went in did all the physical checks and then left again um and then for the midwives as well they felt it was very important because they could build up a relationship with women and they could observe women so once they found out initially about the woman and about her issues or the way you know way of life and the pregnancy um they could actually assess on the next meeting whether they looked any more happier or you know their moods had dropped um and also meant they didn't have to ask all those initial you know hello questions at the beginning of each meeting as well so it would reduce the time so it was definitely a very important issue there's an interesting comment from um Maeve there about in current COVID-19 times women are perhaps finding virtual appointments scary and lacking and could increase anxiety mental health problems and that obviously could be something that we have to think about going forward yes I know locally the NSPCC the national children's charity they've actually set up a system for nursing mothers specifically to talk about their emotional health I don't know what it's like the rest of the country or the rest of the world but yes I think it is a recognised with with everyone not just pregnant women anyone who's self isolating yeah and there was a question just a little bit earlier on if I can find it from Sophie saying the community midwyr free that she's experienced um in the UK many midwives are tied to 20 minute or 30 minute appointments maximum and is it feasible for non-specialist mental health midwives to provide that mental health support and the routine care that they're expected to in that time frame yeah I think what I'm thinking about when I'm thinking about the antenatal appointments it's more not providing perhaps support for emotions but allowing women to talk about their emotions because women are saying that just talking actually helps them therapeutically and the midwife might not might not be able to spend a long time talking to them and they might have to refer on to other services but they need to have that initial conversation because if they don't ask women about their mental health they're never going to find out and women quite often won't disclose you know there's been a lot of research saying women need to be asked um so it's just broaching that subject and sometimes just the fact that someone has asked them a question and they can you know quickly tell a midwife about the issues um that just helps in itself and with continuity it would mean that the midwife can follow up on that as well um so yeah sometimes they do need to be you know sent to someone else but is that every day remembering that you are supporting their emotional side as well just when you're talking to them when you're asking questions um just being concerned about their emotional side I think it's part of it thank you Nicolae I think we've come to the end of our time for questions so I just want to say um a formal thank you from the vidm for presenting your phd so wonderfully here and I think this is only going to become an even bigger issue for midwives across the world I know from the UK perspective it's becoming more prevalent on social media that women men need to talk about their mental health issues and as healthcare professionals we need to be there to support them so this is going to be really valuable research for us I think moving forward so thank you Nicolae


All right, so we had Went to the New York New York to that terrible Asian restaurant They have in there that terrible Chinese joint and I had had Mongolian beef and then we went back and through the party it in the room and so I Got a little bit too drunk Shall we say and at the end of the night as everybody was You know as the party rolled down. I ended up in my in my bathroom In my bedroom, and I just lost all of it Just like it looked like somebody grabbed a big old plate of Mongolian beef and just threw it The entire bathroom and we looked it was awful.  We'll clean it up after So as we're we're rolling back to the hotel and we're walking up to the hotel room and this poor maid Oh, the look on her face was was awful She walks out of the room and she looks at us because she knows we have the hotel room She's like someone in there go blah. It's so bad. I go blah Like we made the maid at Def Con vomit. I feel so bad for this poor lady I think we handed her $60 or something is a tip I just apologized and that is that's the Mongolian beef story right there in a nutshell Yes, oh, yeah Yeah, the AC had frozen and it was the smell was awful and I was just sweating bullets It's no naked laying in a pile of my own vomit on the floor. Yeah, that's Yeah, that's a high moment You were gonna let me walk out of here Without that golden footage Def Con was good for some reason I stopped going Congratulations, that's what the years Jeff I support you Very good


The bandwidth is a huge problem on mobile forms, then there's a problem of r-direction and means that if you want to present your site on a mobile phone differently than on a desktop you needed to be able to switch your image with another image but not using the same aspect ratio. Our company built for Drupal 7.2 modules to solve the problem. They're called breakpoints and pictures. Picture is later renamed to responsive images in Drupal 8 core but it's basically the same principle. So the evolution of the picture take, it started with the source set that was added by Apple in the CSS so you could define multiple background images. There was a first one in 2012 but it never succeeded. There was not enough browsers interested in the problem. In September 2013 we had a meeting in Paris with all browser builders trying to explain to them why we needed a solution. At the end of the meeting there was no conclusion so eventually your voice started writing the code for blink to support picture and at that moment people from Firefox also jumped on and said that they would support it as well. It is for a moment available in Chrome 38 and in the latest version of Firefox that should be released in like two weeks or so. The people from the filament group, Scott Yale, they created a polyfill for picture take that is now being used as well by Drupal 7 module as Drupal 8 core. The polyfill works on most browsers. The problem you're probably going to face is that in the Explorer 8 it's not going to support media queries correctly so the output of picture is probably not going to be as expected. So when do you use picture? There are four cases. When you are better to use picture instead of a plain image take. The first one is that if you need different sizes the next one is if you want support for retina displays so and that's for the moment most I all new phones are retina displays for instance the Nexus 5 of Google as a DPI of three meaning that you have three pixels plotted on one pixel. Another use case is MIME types. If you want to output WebP format images to save bandwidth you need a way to support browser that has support for WebP and which is Chrome for the moment because the huge advantage of WebP is that it's at least 20 percent smaller than GPEG files and the last case is the R direction. There are cases when you better don't use picture for instance if you have a small logo on your site there's no need to provide different sizes so you can use it on all devices use the same image things like avatars things like banners and ads especially their third party it's going to be difficult to wrap their outputs and switch to picture and if you're using SVG you don't have the problem of the scaling and the bandwidth so break points break points are basically media queries they're for moments used in CSS files or in SAS so you can target different media with a different set of CSS the break points module in Drupal 8 core uses exactly the same break points as defined in your CSS so there are two types of break points you have break points you use to define the layout of your page so you say on a mobile device I want all my blocks I made my navigation at the top and then my content on the desktop I want my leg navigation on the left and what my content on the right and then there was also break points you use for your content to define how your content has to react depending mostly on the rate of your screen okay so break points for layout they are defined in the in your team dot break points of the MMO file so each team has to chip with such a file that defines the break points there is in Drupal 8 core no UI to define your own break points they have to be defined inside your team so the ones for so I made a small demo site so you have a layout that defines your page so it's mobile first approach so you have a page and then regions they're all 100% wide and then you have a container that contains your blocks so on a tablet the layout changes that your sidebar so the region sidebar moves to the left and the content moves to the right so and at the top you can see that there's a break point added so if the width is 38 ms you get this layout at the CSS applied and so it changes your layout since that's the same layout we're going to be using on the desktop there's nothing that you needed need to define in your CSS so the break points that you saw in the CSS are the same the only addition is there is a mobile break point with an empty media query so that's added so it can be used later on by the picture module to do his job so and you see an error break point that's that's for the 38m and you see the white break point for 50m so the layout looks something like this you have a header at the top the orange one is the the sidebar and the green one is the content and on a tablet you have the header still at the top and the sidebar to the left content to the right and the same for the desktop so now we have break points needed for our layout but we still need to define the layout of our page our content content is going to react so on the desktop we want our image floated to the left with the text wrapping around it so we need to define with a 50m break point or the white break point that it has to flow to the left and the text will be wrapped into the right so I added the dimensions of the rough dimensions of the images so mobile you have a banner at the top that's as full width 240 pixels wide and 90 pixels in height the content image is also full width and on tablets the layout changes that the banner image gets another dimension and the image for the content is scaled to full width and then on desktop we wanted the layout that the text is wrapping around the image so the image gets smaller as on a tablet so if we have all of this next thing we have to do is we have to define responsive image mappings so we need to define a mapping to tell RuPaul what the connection is between a certain break point and a certain image style we want to use to output the image so adding responsive images is pretty straightforward for the moment so you have to enter a name and select the breakpoint group you have to select image styles and save it so that's a screen for adding a mapping so you give it a name this one is called content image because it's going to control the image in the content you select the breakpoint group which is basically or is normally always your team you're using but modules are also able to define break points so that's added so country can later on build modules that works with breakpoints as well so if you select the breakpoint group and you save you get a list of all your breakpoints so the one X is a multiplier that defines the D the DPI of the screen so basically they're all I you always have a 1x multiplier but later on you can add others as well so you see the the whites breakpoint and error breakpoint and the mobile one and then these three at the bottom are a field set so you can click on it and they slide open so easy can then select the image style you want to use for each of them so I created image stars content image desk tablet and mobile and I just map them on that screen so for the banner at the in the cyber we have to do the same so we just enter the name select the same breakpoint group and we add the the mappings as well so we choose for tablets both on narrow and white because the image stays the same on both tablets and desktops so to control the output it's similar as it is in the 2.7 since views is part of 2.8 the output of the banner is controlled by a view so this is a basic view it has the image field if you click on it you can select the responsive image formatter and you can select the mapping that's the responsive image mapping this to be used for the output you also see the fallback image the fallback image is needed if the browser doesn't support picture or the polyfill or if the user is is not using JavaScript so if they disable JavaScript and we don't have native support for the picture element they will see the fallback image so for the image in the content we have to do the same but this time we use a field formatter so if you go to the manage displays page you can select the formatter and changes from image to a responsive image you select your mapping the same and you select the fallback image style so and depending on how you design your site you either select the smallest available or the biggest available so if you want to support I8 the safe bet is to select the big picture assuming that all all browsers are going to be I8 so most browsers out there might be updated like Firefox and Chrome so they will be are sooner going to be adapting the picture and supporting it so I build a small demo of this okay okay so this is a demo site so on the left the little ducks is the banner image on the right you see the image and the text wrapping around it so it will make my screen smaller so this is a tablet so the image is displayed on the full bit of the content and with the text is and move to the bottom the banner image stays the same the same and if you go to a mobile device the ducks are displayed at the top and the image of the content is also full width so and so the thing that the picture module is doing is it's outputting a picture tag so you have the picture element and picture elements contains sources so for each breakpoint you use in your responsive image mapping you get a source take edit so this one is for the 50m and the sources defines which file it has to be used so 50m it uses the banner tablets for the tablet one it uses tablet as well and for the mobile one it uses the mobile image style to output it the green comments are needed because i9 doesn't like the use of source text so if the comments are not added or stripped during rendering i9 will display all these by default because it assumes that what you're outputting is a video instead of picture element so and the thing the polyfill does is that it changes the fallback image on the fly so you can see which one is used on this screen the mobile one is used if you have native support there's no easy way for a moment to tell which picture is actually used so it can be a little bit hard to to find potential problems so for the moment we have one image outputted for each breakpoint but the problem the problem is on the mobile screen this image is exactly the same image if it's this white as it and as this one so it means that for this image you're downloading way too much data to output it because this is approximately 200 pixels wide if you go near the size of the tablet this is almost 500 pixels wide so we need a way to define extra images so we can save on the on the bandwidth so the other process the better image that you saw between is between the mobile and tablet breakpoint but to render it properly on the widest possible you needed to make it as wide as the tablets and for the content image you have the same image between mobile and the tablet breakpoint you have one image that's used all over the time so these are the problems there are two solutions for those problems so the first one and the old one was adding more breakpoints in your team so you had a breakpoint for 38 m it was at 1 for 30 m 26 m 20 m all the way down promise you have a lot of breakpoints that you have to add and you have to repeat your meetings all over the time so there's a new solution and that uses sizes and sizes allows you to react on the width of the browser screen so I just nothing to do with the size of the image is the size of the browser screen so to do that we have to change our mappings and there's a third option there's an option to use sizes and sizes you define how wide you expect your picture to be on a certain width of a screen so and it has a new unit added is VW from viewport and it allows you to say okay I want 100 VW meaning 100% of my viewport width so for the banner we need our banner to be as wide as our device so in sizes we can just say okay we want 100% of our viewport width all the time so I created a new set of image mappings so I have to change my settings in my view then for the content image we have something different so there are sizes yeah and it's hard to read but at the bottom the sizes are mean width 38m which is the breakpoint we use and on that width if that is true we want the image to be 70% of the width of our screen and in all the cases we want it to be 100% of the width of our screen so for the sizes you have first to define the sizes itself and then you have to select the image styles you want to use so what we normally do is we create image styles W21 or W4 and W600 but so and those are simple resizes so they resize the image to that width you have to change your settings in the display and then I'm going to try to do it live so these are the the settings of our content image so I change my mapping to the new one I created so I call it content width sizes you have to hit save at the bottom and for the banner block there's something similar you have so the image and it changes to the banner width sizes yeah so there's visually nothing changed it's exactly the same but if we so if we look at the output now so you see that for the source there are a lot of image styles added to it so and the browser knows which one to choose depending on what you define the sizes so in the easy case where you say sizes 100% of my viewport browser knows how wide your screen is and it knows how many dpi your screen is so it just multiplies the dpi with the width of your screen so if you have a 320 pixel wide screen with three dpi's you get 960 pixels it scans the list of the break of the source set to find the best the best matching source of the image and that's the one that gets loaded so if you do it properly you can define multiple image styles for different reads and you can save a lot of bandwidth and your site will render a lot faster especially on mobile phones yeah so but this is this still means that that's as a cyber that you have to define 10 or 20 image styles you have to define all your mappings but since ruple 8 has support for config files and the teams and modules in ruple 8 are essentially the same it allows teams also to define config so what what teamers can do to make it easier for people using their team they can define the breakpoints in the breakpoints demo file but they can also define all the image styles they think are appropriate for a site in the config install and they can do the same with responsive image mappings in config install so if they put all of the those into their config install the moment the team gets installed the site builder has all the image styles and has all the responsive image mappings out of the box there are still some problems with the picture element because it reacts on the width of your screen meaning if that if you have a 30 inch screen and you maximize your browser the calculations are going to be done with with that size so the browser either 100% viewport width is going to be the same as 2500 pixels and the picture element is going to load the highest possible source set that it is defined so there's a solution for it and it's called element queries that allows but that's still a proposal that allows you to react on the width of the container of your image so if your image is in region content and that that region is only 500 pixels wide you can the say that the 100% viewport width is the 500 pixels so we'll get better control of the output but that's still a proposal the responsive image community group is working on it but we they have still to convince browsers that it's really needed that is the list of group or eight issues so for the moment group or eight is not up to date with the polyfill so that needs to be done the sooner the better there's also an issue created to discuss the use of the polyfill because there are people worrying that it's going to be abused instead of used correctly there are people saying that it would be better to not use the polyfill but just our picture and force people or browsers in that way to update sooner but that's the discussion that still has to be held the UI needs some work because for the moment it's way too complex especially if you have a lot of breakpoints and a lot of image styles it's not easy to use there's still a problem with with Ajax callbacks in Drupal 8 and there is an issue that should be ready that allows you to change the mime type of your file so you could say I want my users to upload a GPIG file but I want to convert it on the fly-to web p-format so I can use that there's still some other issues needed for the gd toolkit because for the moment that's no support for other image formats I made a list of a couple of blog posts about sizes and source sets because for most people it might be intimidating in the beginning because it's a complex thing there's a lift there's a link to the draft of a spec and there's a kind of a formal spec for the moment browser supports is added so for the moment Chrome F5 Fox and Opera are having support for it IE is still considering the use of picture but normally they will add it to IE 12 and Safari or Apple has still no formal decision if they're going to use it or not so for the moment for Safari and for in-exploit you will need a polyfill there's a tool called SizerSauce that allows you to scan a website to see how much you can save if you use the picture tag for most sites that are not optimized that can be a lot there's a list of use cases for picture and some other blog posts about the picture fill yeah some people like to think is ELSA breaks who wrote a lot of their patches for Drupal 8 and who is co-mentaining the Drupal 7 modules Mark Brahmant who is helping to get all issues fixed as soon as possible the responsive images community group who started with the proposal for the picture element and who developed it the filament group because they are still maintaining the picture polyfill your wife is the guy who wrote the code for blink and Marcus Casera is an open-source lead in the Firefox team I have to remind you that Friday is a sprint and that the more people that are coming to help the sooner that the Drupal 8 will be released so yeah anybody has questions okay then guess that's it oh wait I'm sorry no no no the break on model the only thing the break on model does in Drupal 8 is read the break once you modify from your team and expose it as a kind of config settings to responsive images so the output is controlled by the picture mobile okay thank you


e used to replace striking workers. That is the industrial relations of the 19th century, not the 21st. The bill is petty because it attacks the simple good practice of check-off and facility time and it is vindictive because it seeks to cut off a source of income to the Labour Party. That unilateral attack on one party's funding by another in government has long been considered unacceptable, not least by the likes of Winston Churchill. As I made in my contribution, Mr Gray said that the political funds of many trade unions do not just fund the Labour Party, they fund vital work on behalf of the members of those unions. It was indeed a thanks for the intervention. It was indeed the next sentence of my speech to recognise that many trade unions who are not affiliated to any party will find their capacity to campaign, not least against this kind of legislation by the measures in the bill. Those are views overwhelmingly, if not unanimously, shared across the chamber. It is regrettable that so many speakers have chosen to use this as an opportunity to return to debates about constitutional powers. I differ with SNP members in that I believe that standards of workplace rights should be protected across the United Kingdom. I oppose the bill in Scotland, but I oppose it in London, Manchester, Liverpool, Newcastle and Cardiff, too. To do otherwise, no. To do otherwise is to fail the very principle of solidarity that underlies those trade union rights that we seek to defend. I cannot do better than, quote the STUC, who said that arguing for devolution of workplace protection is an insufficient response to the trade union bill, because we would still have to fight its imposition in the rest of the UK. Frankly, no. Frankly, to use this struggle is to betray the unity of opposition to the bill across party lines and national boundaries. To make that the core of your argument for party purpose is to betray the interest of 6 million trade unionists. Far better, then, to focus on where we do agree. Back in December, Labour and the Government strongly agreed that this Parliament should debate a legislative consent motion for this legislation. The argument was clear, and as far as we are concerned, it remains correct. The bill may not impinge on the legislative competence of the Scottish Government, but it certainly impinges on its executive competence in health services, education fire services and certain elements of transport. We welcomed the submission of an LCM by the cabinet secretary, and we regret the decision taken that it is not competent. We remain frustrated that the lack of an LCM leaves the recommendations of the committee and any decision that we take tonight without force. Our colleagues in Wales have successfully brought an LCM to their chamber today. We are told that our standing orders are different. We are told that our standing orders do not allow an LCM on this bill. Our view is clear. If that is the case, then our standing orders are wrong, and we should change them. That is the thrust of our amendment today. I want to assure Mr Stevenson that our intention is to ask the committee to find the best way to correct the situation in which we find ourselves, and we are not wedded to a particular amendment. I welcome the Government's support this evening, and I think from other members too, for that approach. There is another far more fundamental reason why we believe that we not only should oppose this bill but should resist it too and believe that the Scottish Government must resist it too. Christina McKelvie alluded to this when she spoke in her speech about her concerns regarding the breach of human rights constituted by the trade union bill. I agree with her. Our view is very clear that this legislation breaches article 11 of the convention on human rights, which says that everyone has the right to form or join trade unions and that no restriction can be placed on those except in the interests of national security, prevention of disorder or crime, public safety or protecting the rights of others—a test that is not met in this case. However, those rights are, of course, embedded in this Parliament in a way that they are not in Westminster. Indeed, the Scotland Act states that a member of the Scottish Executive has no power to make any subordinate legislation or do any other act so far as the legislation or the act is incompatible with any of the convention rights. We will continue to pursue legal advice with regard to this point, but if the cabinet secretary agrees and she has the political will and determination to found on that view, then not only should she reject the legislation morally, she will be obliged to do so legally. Whatever, Presiding Officer, there is a long way to go in opposition to this legislation, whether Mr Johnson and his colleagues like it or not, and we intend, Presiding Officer, to stay that course. Thank you. I now call on Rosanna Cunningham to wind up the debate until 5 o'clock, cabinet secretary. Thank you, Presiding Officer. That was a very spirited end to today's debate. I just say to Ian Gray that he came very close to making me change my mind about the amendment, given the nature of some of the closing comments, which I do not think reflected the whole of the debate, because today's debate has been valuable and it has reinforced a couple of messages. Of course, we come at this from slightly different perspectives. If we do not respect and understand that, I think that it is unfortunate. However, the first of the messages for me is the essential progressive role that trade unions have to play in our society and in developing safe, productive and fair workplaces. That was a point that was made very eloquently by Clare Adamson and Patricia Ferguson in their contributions. The second is how misplaced and ill-thought-out this bill is, and the dangers that it presents in undermining those valuable contributions. The obvious unanimous opposition to this bill is clear for all to see, an opposition not only in Scotland but a reflection of what is also happening in Wales and indeed in England, where the flaws in this legislation, of which there are many, are continually being brought to light. I fear that if this legislation was passed, it would continue to be brought to light, some perhaps unforeseen. This bill is not driven by evidence or by a commitment to creating better workplaces. It is a bill driven by an out-of-date ideology and a dogmatic opposition to the fundamental principles of trade unions and workers' rights, and no amount of dressing it up to the contrary is going to persuade anybody of anything different. The refusal to listen is clear in the UK Government's response to its own consultations and has been clear in the lack of response to this Government's representations to the UK Government. Despite the UK Government's unwillingness to engage, we will continue to make those representations working alongside all those who share our view. Once again, today's debate has shown the wide range of ways in which this legislation will have a negative impact if passed, and I would like to reflect on a number of the issues raised. It is clear from the UK Government's own response to the consultation supporting this bill that it does not care about the views of the people that this bill will affect. Instead, it is bloody-mindedly determined to drive through this legislation regardless of impact. This scant regard to consultation is reflected in the Government's response to the bill's consultation on ballot thresholds in important public services, mentioned by some of the members. Even though a majority of respondents disagreed with the categories that should be subject to the 40 per cent rule, do you think that the Government took any heed of not a chance? Kevin Stewart mentioned the BMA's response to the legislation. In fact, they have described the plans as, I quote, arbitrary, unnecessary and place punitive restrictions on workers employed in specified public services. Despite the UK Government's claim that those measures are not an attempt to ban industrial action, the purpose of the double threshold appears simply to be to make it more difficult for all unions to organise industrial action. That is what the BMA had to say. The UK Government chooses to ignore such evidence. Now, no doubt, Alex Johnson thinks that the BMA, or indeed his own Tory councillor, Henry, is politically motivated. Nor, frankly, can his analysis, which was interesting at the end of today's debate, explain why Scotland has so much better a record than the rest of the UK in terms of industrial relations. If the legislation had been so wonderful, one might have expected to see the same kind of change in the rest of the UK, but Scotland stands ahead of all that. It might reflect on the measure of this Government's commitment to working with the STUC and the trade unions, evidenced in the memorandum of understanding, setting out the parameters of that relationship first signed in 2002, but refreshed on a number of occasions since then, including as recently as May 2015. That is how sensible Governments do things. That is how they make the kinds of achievements that we have made in Scotland. That is the kind of thing that the UK Government should be looking at and considering if it actually intended to do anything about industrial relations in a partnership way. I noticed that, despite Alex Johnson's assurances and rhetoric, his contribution was still singularly short on actual evidence that he might have taken the opportunity to lay before us today. That absence makes it clear once again that there is no such evidence and, indeed, clearly Bruce Crawford was unable to identify any such evidence either. The clear lack of evidence, now identified by so many organisations, so many individuals, must surely make even Alex Johnson think again. We can conclude there for that. However you might categorise the Conservative Government, and many words do spring to mind, it is clearly not in the business of evidence-led governing. Christina McKelvie emphasised how detrimental the Tory Government's approach to trade union issues was to healthy businesses and productivity and, indeed, Leslie Brennan also referred to that in respect of the NHS in her contribution. I think that that is absolutely right. That is the view that this Government takes about healthy industrial relations in the workplace, leading to healthy and productive workplaces. It is one of the foundations of both the working together review that was carried out some years ago and the existence of the fair work convention, which is currently looking at fair work practices. That comes out of that understanding that, without that essential partnership, you will not get the improvements nor will you get the increases in productivity. Margaret MacDougall mentioned the likely adverse impact of the use of agency workers. She may recall that in the debate in November I made it clear that the Scottish Government will absolutely not use agency workers to cover a valid withdrawal of labour. The First Minister reiterated that assurance at the trade union rally on 10 December last year. Gordon MacDonald raised the issue of clause 3 regarding emergency workers who will now need to reach a 40 per cent threshold on any ballot, abstentions being counted as a no vote. I wonder why this leaves such a bad taste in people's mouths. A number of members have referenced the LCM process in this Parliament. I do understand why members do, why Neil Findlay, Margaret MacDougall, Patricia Ferguson want to focus so much on the issue of parliamentary process. However, I do fear that they misunderstand the likely impact of any LCM in the circumstances that we are in with this bill. The assumption appears to be that Westminster will or must abide by a vote of this Parliament if it is a vote on an LCM. The difficulty is that there is no such certainty. The LCMs, formerly known as sole motions, are a convention, not mentioned anywhere in the original Scotland Act. Unfortunately, the Scotland bill, currently being debated at Westminster, does not do anything that would strengthen the position and role of LCMs. Leaving aside for the moment the issue of the devolution of all relevant employment powers, it might have helped had there been more attention paid at the time of the Smith commission to the role of LCMs in this Parliament. Neil Findlay? I think that she is making a number of very fair comments. Devolution is a developing process. This is a situation that is developing that, if we do not deal with it, will arise again. It is better that we deal with that cross-party to establish that principle. The point that I am making is that we have to be just a little cautious not to overstate the likely potential from them. Reference is made to the Welsh Government. Yes, they are discussing an LCM this afternoon, but the difference in their devolution settlement means in practice that there is different constitutional interpretation than here in the Scottish Parliament when looking at issues of competence. Sadly, however, the history of LCMs in Wales suggests that Westminster ignoring the outcomes is an all-too-real experience for our colleagues there. I understand the motivation. I want us to just be a little cautious about what the process might end up with. Ultimately, however, the debate that we are having today in this chamber will make clear this Parliament's opposition to the very idea of consent to this legislation. I sincerely hope that such a clear expression of the will of Parliament and the voice of the Welsh Assembly will see the UK Government reconsider their position on the bill and to do otherwise would demonstrate little regard for the devolved Parliament or the impact the bill will have on industrial relations in the devolved nations. I do understand the challenges to the Parliament's procedures. I recognise the need to consider a mechanism that can allow this Parliament to formally express its view on a reserved matter which impacts on devolved areas. I am happy to engage in any constructive dialogue around that. However, I do think that this has to be done properly through the Parliament's Standards, Practices and Public Appointments Committee, and we must all respect the role of that committee in this, as in other matters. Such consideration will of course take time, so for now our efforts must continue to focus on where we can make the biggest impact. That is why this Government will continue to make the case against this bill, extending to Scotland directly with the UK Government, including representations from the First Minister directly to the Prime Minister, to conclude, Presiding Officer. Let me once again thank the Devolution Further Powers Committee and its convener for this report, which gets right to the heart of the issues here. The first is a response to this legislation and let me be clear that the Scottish Government fully endorses its recommendations and we will continue to make the case to the UK Government that the bill has no place in Scotland. If we cannot be fully removed, then at the very least we should be able to set the regulations that apply to devolve responsibilities in Scotland. If the UK Government truly respects the will of the Scottish Parliament and the spirit of devolution, then it should work with us to reach a such a position. That concludes the debate on the trade union bill. We now move to the next point of order, Mr Findlay. Information that I have received from NHS Lothian has exposed how senior officers of that organisation colluded with senior civil servants and politicians to delay the publication until after the election of a critical report into the future of the children's ward at St John's hospital in Livingston, despite warnings that such a delay could damage the viability of that service even further. Can I ask if there is an opportunity this week for a statement from the Cabinet Secretary for Health so that she can be held to account for her actions and the actions of her officials? Thank you for the advance notice of your point of order, Mr Findlay. As you are aware, ministerial statements are a matter for the Scottish Government and for the parliamentary bureau. May I suggest that you raise the matter of a statement with your own business manager who can then get in touch with the Government? We move to decision time. There are three questions to be put as a result of today's business. The first question is at motion number 15130, in the name of Christine Grahame, on Pentland Hill's regional park boundary bill, be agreed to. Are we all agreed? The Parliament is not agreed. We move to a vote. Members should cast their votes now. The result of the vote on motion number 15130 in the name of Christine Grahame is as follows. Yes, eight, no, 105. There were no abstentions. The motion is therefore not agreed to. The next question is at amendment number 15414.1, in the name of Neil Findlay, which seeks to amend motion number 15414, in the name of Rosanna Cunningham, on the trade union bill, be agreed to. Are we all agreed? The Parliament is not agreed. We move to a vote. Members should cast their votes now. The result of the vote on amendment number 15414.1, in the name of Neil Findlay, is as follows. Yes, 99. No, 14. There were no abstentions. The amendment is therefore agreed to. The next question is at motion number 15414, in the name of Rosanna Cunningham, as amended, on the trade union bill, be agreed to. Are we all agreed? The Parliament is not agreed. We move to a vote. Members should cast their votes now. The result of the vote on motion number 15414, in the name of Rosanna Cunningham, as amended, is as follows. Yes, 99. No, 14. There were no abstentions. The motion as amended is therefore agreed to. That concludes the decision time. We now move to members' business. Members should leave the chamber, should do so quickly and quietly.


Welcome to All Hands Update. I'm Petty Officer Andrew Johnson. October is Breast Cancer Awareness Month. Breast cancer is the second most common cancer in American women. Each year more than 22,000 people are diagnosed with breast cancer and 40,000 die from it. Breast cancer does not just affect women. Men can get breast cancer too. Many people survive breast cancer if it is found and treated early. Early detection through routine screening has helped increase the survival rate for many cancers. Women are encouraged to do self-exams and get annual checkups and mammograms.  For more information about Breast Cancer Awareness, visit the Navy's Healthcare blog and go to All Hands Magazine online to read about a sailor's personal fight against breast cancer.


Good morning my fine feathered friends and oh you humans watching too the box did you watch yesterday's video we're hooking up to this man it's actually not as close as I thought it was from the angle I was at over there made it look with these trailers we're a lot closer together than they actually are it has an ATV in here I'm gonna bring it into Winnipeg I'm gonna hook up the lights and the air what I could use right now an energy drink but I don't want to buy one because I'm cheap I'm trying to save money so I'll just have to go without it not good for me anyways right weasel is here with us today diesel how you doing are you very fine thank you for asking I'm gonna just put air into my trailer and then we're gonna go and check all our lights okay I'm gonna turn them on over here I'm gonna hook up my official brake tester brake light tester thing hook that on there hook this on to my fire extinguisher there because I'm not fancy diesel I'll be right back with you okay I'll be right with you you're good hey you're good some AC cranked in here man there you go okay lights working all the way to the back here signals lights working oh what was that scared me I don't know why but I think flapping around as I walk past it for some reason I thought it was a cat jumping out at me don't ask me why my brain works in mysterious ways I can hear the suspension filling up already it's gonna go clang right away you hear it or is it usually does it as it adjusts and lifts up you hear the air filling up it's a good sign okay it's a little bit windy back here ABS light is off all right oh different kind of signals on this side then on this side I don't like that I don't like that at all it's not symmetrical it's not symmetrical license plate light working see what we got in here well we got here oh this is for these Argos these are really cool it's eight by eight you know four by four but this is an eight by eight these things can float on the water so you can drive them on land you can drive right onto the water they're amphibious vehicles the coolest thing ever okay oh and got like handlebars like a motorcycle for some reason I love these things hey there bud how you liking your bed is it working out for you working out you want to come down don't you yeah one second one second buddy I gotta put your leash on first one second by yeah what is that five steps and you only use two every time alright man you give her I'm gonna try to stay out of the wind here he's got to do his thing so I think I explained it to you last time right during business hours here with trucks moving around the yard and everything they asked that we always have our dogs on a leash just in case you know just to keep them out of out of harm's way in case you don't want any dog getting run over everybody here is or most people here they're big dog lovers and everyone would hate to see an accident involving a dog it would it would definitely ruin everybody's day and it'd be a big issue so during business hours I mean I've been here in the middle of the night before like three in the morning and this is an entire the whole compound is fenced in right so I can let diesel rip around then but not during not during the day even now I don't know what I'd do if anything were to ever happen to him that I could have prevented like if he gets hit by a truck or something and because I didn't have him on a leash I don't fucking live with myself so just to be safe it's a long lead to it's like eight meter eight meter lead along this thing is it's like half the length of these trailers probably like 30 feet 25 feet and it doesn't have a very strong recoil on it so he doesn't even notice it that much alright man let's hit the road someone out there is waiting for their fancy TV deep I know come on there you go there you go good boy I got these it's called pet loader I get asked this a lot you can find them on Amazon just Google or look up pet loader on Amazon make sure you get the right size because there's many different sizes hey man who was chilly in here next the AC crank don't we oh it's a good boy who's a good boy oh I don't know we did me boy hey we got stuff to do man let's get going make sure this trailer's not gonna fall off okay hold on hold on good idea yeah laying down good idea for this gonna pull forward there we go make sure that that trailer it's hooked on with the brakes working that they release right on you got my assignment for tomorrow it's like we're going to canora first thing in the morning we're gonna pick up some of those culverts again bring them on down to vancler and yonzi that'll be the day for you to come with the gendies you want to come to canora tomorrow wanna go see Ontario oh I'm excited too if you think about it I'm kind of like Santa Claus I'm a little fat and I'm bringing someone their toys there's it's just not Christmas yet it's an early Christmas present I'm sure this thing's probably already been sold from what I've heard from the motorsports dealers that I go to everything's sold before it even hits the shortroom floor they can't stalk themselves fast enough since everybody can't travel internationally like they used to like the people who could afford to travel internationally now are using their traveling money for fun stuff around here like side-by-side the snowmobiles and dirt bikes so they've been buying them up like crazy same thing with campers and RVs you did so good today you did so good you're ready to go home though yeah that's the best part we can go trucking for the day and we can go at home go home and sleep in our own bed what do you think it's a good idea you know you want to go see Chevy yeah you miss Chevy wiener and Frank Brett's gonna be working this evening yes you won't be there but I got a couple of errands to run tonight yet then gotta get a few things done and then it's back to bed we got to be here early tomorrow morning we're going to canora again told you this already right we're picking up some culverts there and we're bringing them all the way to Winkler Manitoba we got to get this all done in one day it's quite a big round trip so we got to get going from here relatively early all these mounts because this case around this GoPro is attached now it's all one piece mounting it is just a little bit different than my old ones so changing mounts is just a little different sometimes I forget and remember we don't want to forget anything I want a good sleep tonight though I really do I've been going a bit a little bit later than I'd like to recently just gonna make sure my interior lights are off in my truck here they've been sticking lately staying on good off and I want my battery to be dead first thing in the morning had a ruined morning check my tail lights make sure my park lights are off too good good okay we haven't forgotten anything let's go home before we forget anything else my shades haha I remembered to leave my truck shades in the truck and the pickup shades in the pickup I'm getting better getting better yeah I'd like to get a I need to get my eight hours every night or any of you like this as well if I don't get my eight hours of sleep I just it's hard for me to function but if I can get my eight hours possibly 10 if I can oh man I'm just was vibrating with energy the whole day start to finish yeah my you I saw you staring at me I saw you you see I was right over there I know you were I was looking straight at you I know you were fire what's wrong with you what's the good word commander they want to know I want to know we all wanted what comes next what comes next is I'm gonna bite your face if you don't get out of my face that's what comes next see these teeth you see them I have like three left don't underestimate them they are dangerous weapons I shake with fear he's a good boy yeah he's a good boy you know ever since he got down here he's been doing all right managing the whole fleet from right here all I gotta do is pet his head and your best friend just don't touch his don't touch his growth because then he'll hate you so it's a it's a very fine line so yeah we're back at home thanks for watching today it was part two of of the day we didn't get any filming you know Monday I was sort of off well I did get some filming in but I figured that the day didn't really it didn't really flow very well wasn't enough footage so I went overboard today and film too much so it's sort of made up for that would turn it into two vlogs it was a lot of fun it's great to be able to have diesel with me some days it really sort of makes the time go by faster for me and he's like a stress relief or he's almost like a service animal he takes away all the anxiety you know if you're having a you struggle with anxiety a little bit I don't usually but sometimes you know I have this anxiety problem always worried about stuff but if diesel's there all you got to do like I've told you before you just like put your hand on them like this like this guy has the same effect they all do most dogs do you just hand on that and it just sucks all the anxiety right out of you and you just feel better right and then they go outside and they they poop it out outside so they take it all from you and it goes right back into the ground where it belongs that's the whole purpose of dogs on this planet isn't it so there's the wiener there's the Chevy there's the commander where's the weasel sir a weasel back there diesel you're not diesel diesel there is cake in your break man I had a hard day at work hard day man thanks for being there with me diesel you did great he can't come with me every day oh well he could but I think it's it's fair to leave him at home some days especially when Brett's gonna be home most of the day he can be here with his family with his brothers and we'll run around in the yard and get his exercise in every now and then nice to have him there with me too so thanks for watching today everybody let me know down below what you'd like to see more of in my videos sometimes I need some help coming up with ideas I'd love to know what you would like to know what you'd like to see let me know down below in the comment section there and I'll see what I can do and we'll talk to you tomorrow there'll be a new vlog up in the evening usually I upload around or I release it around 4 30 to 5 p.m. I found that that's when the majority of you are online that's in central time so usually by the time you get home from work there should be a vlog ready for you and if not you just bug me on facebook or somewhere and say hey trigger dash where's the video and this is where I released from right here and that's where I play 18 not 18 wheels of steel that's the old game this is where I play American truck simulator it's my I need to get a better steering it works it works what don't judge me sometimes on the weekend I didn't get enough trucking in on during the week so I do more trucking on on on here I have a problem


Brainerd police officers were sent on a wild chase yesterday through downtown Brainerd that ended in a foot pursuit. At about three in the afternoon, officers spotted 28-year-old Devon Magersky driving with a canceled driver's license. Magersky noticed the police car behind him and sped through an active work zone down South 6th Street. He then drove through several yards before entering the Crowland County fairgrounds where he crashed through a fence that hit a police car. Finally, Magersky ran on foot through a swampy wooded area and that's where police were able to apprehend him. We're very, very fortunate and very, very thankful that no one got hurt. His driving was extremely dangerous. Probably some of the worst I've ever seen with an in-town police pursuit and we're very, very lucky that no one got hurt as a result of this. This has to be one of the worst ones that we've had in town where his driving was so dangerous. Magersky is facing charges for fleeing from a police officer and first degree DWI. If you enjoyed this segment of Lakeland News, please consider making a tax-deductible contribution to Lakeland PBS.


An unknown gunman have again attacked Orgy Police Division headquarters in Oweri, shooting sporadically after allegedly setting the area ablaze. The situation falls residents of the area and passes by to scamper for safety. In a statement, the police public relations officer in the state, Balah El-Kana, said, a team of policemen, led by the commissioner of police, Abu Tuyaru, repelled the hoodlums. He said five suspects had been arrested in connection with the crimes, while efforts were on to apprehend others still at large with their arms.


Everybody Matt here for late in sports car drip in three boxes of 2020 21 Domino's optic basketball hobby. These are for Harper B Good luck Harper. Here we go. Let's see some big hits Only five more boxes in queue After this so if you want something grab it up, I'll get a rip for you. There's Scotty Lewis raided rookie Kauai Leonard elite dominators silver insert. There's Josh giddy raided rookie and And Derek Rose silver Herbert Jones LeBron James light it up insert. Yeah I mean, I get the apps aren't perfect, but man to do that three weeks in a row during the games It's kind of weird. There's Kareem Abdul-Jabbar three card pack there. There's Joshua Primo and Orange 299 Donovan Mitchell Tray Murphy 75 years rookie silver insert your apps working There's Jalen Johnson raided rookie and black velocity to 39 Bobby Portis Scotty Barnes raided rookie Kenyon Martin, Jr. Silver. There's Aaron Wiggins and TJ Warren That is gold to 10 Nice gold Raining threes Paul George There's Cade Cunningham raided rookie nice one Harper and Evan Mobley the rookies silver rookie insert There you go. Nice pack grimes. There's the sun move Moment Powell and pink velocity to 79 Kristaps Porzingas. That's Jalen Johnson raided rookie silver Santiago Dama raided rookie and to 99 retro series Otto Adrian Dantley Dirk and Dwayne CJ McCollum silver Greg Brown and Bulleter, I'm sorry red to 99 LeBron James and Zion Williamson all stars Nice red insert. There you go. Harper James book night Tim Duncan All right my bold prediction Zion wins wins MVP this year Keita Michael Porter, Jr. Two more boxes. All right, I would say we're probably full for the day now just got a Few more orders in or a couple more orders one of them's Seven boxes of tops chrome hobby. So that'll probably take us to the end of the day If I can rip more awesome, if not, I mean just if you place an order at this point Just place it knowing that there's a chance that might not rip until Personals with force tomorrow It's Jason Preston James Harden. They were on sharp Joel M. B. Silver. It's Jeremiah Robinson Earl and nice That is raided rookie Santi Aldama, and I'm sorry. I do not know the name of this parallel. I have not ripped Much basketball this year you go raided rookie. I Don't remember the name of that parallel Photon is that right? Josh Christopher and lime green to 149 Rudy Gobert. It is photon. Yeah, thank you Jalen Suggs raided rookie Damian Lillard Moses Moody Merovic Brandon Boston and raided rookie blue to 59 Herbert Jones Scary Trent, Jr. So I'll probably say over the next hour and 12 minutes that we're full about 15 times This is raided rookie Otto Scottie Lewis. Oh Harper or Steph, but by full. I mean probably We're probably full at this point, but again if I can rip anymore, I'll be happy to but if not then any Any more orders I would push to tomorrow with forest tomorrow Evening chair butler raided rookie and orange to 199 Lonnie Walker I do have group breaks going tomorrow during the day on the LSE baseball channel. I'm going live at 10 a.m. Eastern There's Evan Mobley raided rookie nice Mobley and Evan Mobley raided rookie silver nice one Harper Avion Mitchell Chris Paul Luca Garza raided rookie Trey Shingoon and Miles McBride and Luca silver last box for you Harper Finish strong So again, I'll be going live tomorrow at 10 a.m. Eastern on the LSE baseball channel I have a couple five boxers of archives baseball couple 22 Bowman jumbo four box pick your teams There's a Jalen Suggs raided rookie Jason Tatum 75 years silver insert They'll be doing a couple tops chrome baseball hobby and jumbo four box random team styles museum and tier one six box mixer Moses Moody Kyrie Then an iMac prism actually two different iMac prism hobby and quick pitch five box mixers random team style to close out the day There's a little Lamello Jeremiah Robinson Earl and magic and bird all stars silver nice one Yeah, I noticed that Tony. Hopefully we have another one of those up soon. There's Josh Christopher raided rookie mellow Silver wise camp Luca raining threes. There's Luca Garza raided rookie Shingoon. This is lime green to 149 Darius Garland Sean Holmes silver. There's Miles McBride Raining threes James Harden Red to 99 Yeah, Tony's been chasing some posie in museum or not tier one. Which one was it? There's Brandon Boston Desmond Bain raining threes RJ, there's bones Highland chair Butler This is red Carl Anthony towns to 99. It's Trey man raided rookie silver There's Evan Mobley raided rookie This is raided rookie silver auto Jared Butler Silver raided rookie autos are so nice Ray Allen baby on Mitchell. There's Anthony Davis orange to 199 Jason Preston Malcolm Brogdon silver they were on sharp James Harden on the back that'll do it for your break. Thanks Harper appreciate it. We'll get these right out to you