The Greatest Tunnel Ever! Essay -- Personal Narrative, essay about mys

The day had that perfect quality you always associate with childhood memories. I was eight, maybe nine, at the time of this particular memory, a small, ponytailed, freckled child with dirty legs and dirtier arms and face, full of energy and hope all children possess when looking forward to playing with other children. The sun shone through marshmallow-like clouds, and although it was only early afternoon, the tar road had started to bubble under my feet. The ponies tethered at the side of the road nickered at me in hope of an apple, but I was in too much of a hurry to oblige. Johnny, my equally dirty playmate, met me at the end of their driveway, his grin gaping where his big brother, Eddie, had accidentally knocked out his front teeth with a nine iron. "Let's check out those tunnels Eddie built last night," he demanded. The thought held no appeal for me whatsoever, but rather than show my reluctance and chance losing my only playmate, I pasted on a big grin of my own and followed him. We climbed the sloping lawn to the barn's entrance, where the doors, which were a color somewhere between grey and brown, stretched, from my viewpoint, to heaven. Johnny pulled on one door with all the strength in his puny body, but it refused to budge until I added my strength to his. Slowly, ever so slowly, it groaned a horrid sounding groan while begrudgingly swinging enough for us to squeeze through, scratching both stomachs and backsides in the process. The smell of the barn struck us a terrible blow after the air of the summer outside. The stench of horse-flesh and manure filled the air, accompanied by the smells of overly-sweet straw and pungent leather harnesses. The stenches filled our noses and pe... ...ever built!" Johnny cried. I was amazed to see his flushed face devoid of any sign of illness or relief, but full of some fanatical form of worship for the maze which had nearly killed us. "Let's go through again before supper," he demanded. "I can't," I replied, pulling stray wisps of straw from my hair. "I have to be home early today." "Well, okay, I guess," he sulked, "but tomorrow for sure. Come on, I'll race you down!" And he was off in a flash toward the ladder. I let him win, just for good measure. The sun was overly bright to my contracted pupils, but I didn't notice. I was trying to think of a reason not to go through that particular version of hell again, but a reason wouldn't come, and I knew that when tomorrow got here, that's exactly where I'd be. Maybe Johnny would even let me go first. The Greatest Tunnel Ever! Essay -- Personal Narrative, essay about mys The day had that perfect quality you always associate with childhood memories. I was eight, maybe nine, at the time of this particular memory, a small, ponytailed, freckled child with dirty legs and dirtier arms and face, full of energy and hope all children possess when looking forward to playing with other children. The sun shone through marshmallow-like clouds, and although it was only early afternoon, the tar road had started to bubble under my feet. The ponies tethered at the side of the road nickered at me in hope of an apple, but I was in too much of a hurry to oblige. Johnny, my equally dirty playmate, met me at the end of their driveway, his grin gaping where his big brother, Eddie, had accidentally knocked out his front teeth with a nine iron. "Let's check out those tunnels Eddie built last night," he demanded. The thought held no appeal for me whatsoever, but rather than show my reluctance and chance losing my only playmate, I pasted on a big grin of my own and followed him. We climbed the sloping lawn to the barn's entrance, where the doors, which were a color somewhere between grey and brown, stretched, from my viewpoint, to heaven. Johnny pulled on one door with all the strength in his puny body, but it refused to budge until I added my strength to his. Slowly, ever so slowly, it groaned a horrid sounding groan while begrudgingly swinging enough for us to squeeze through, scratching both stomachs and backsides in the process. The smell of the barn struck us a terrible blow after the air of the summer outside. The stench of horse-flesh and manure filled the air, accompanied by the smells of overly-sweet straw and pungent leather harnesses. The stenches filled our noses and pe... ...ever built!" Johnny cried. I was amazed to see his flushed face devoid of any sign of illness or relief, but full of some fanatical form of worship for the maze which had nearly killed us. "Let's go through again before supper," he demanded. "I can't," I replied, pulling stray wisps of straw from my hair. "I have to be home early today." "Well, okay, I guess," he sulked, "but tomorrow for sure. Come on, I'll race you down!" And he was off in a flash toward the ladder. I let him win, just for good measure. The sun was overly bright to my contracted pupils, but I didn't notice. I was trying to think of a reason not to go through that particular version of hell again, but a reason wouldn't come, and I knew that when tomorrow got here, that's exactly where I'd be. Maybe Johnny would even let me go first.

Great expectations Essay

Explain how a key scene from the play â€Å"Blood Brothers† by Willy Russell, might be staged and explain the role of the chosen character in this part of the play This essay is about Blood Brothers by Willy Russell, I will be going to describe the play which includes setting, appearance, characterisation, the role of the characters and stage directions. I hope to achieve an understanding about the Musical and the purpose of the story. Willy Russell is well known as the writer of plays and films such as Educating Rita, Shirley Valentine, Our Day Out, and the musical Blood Brothers. His work has attracted huge and appreciative audiences all over the world. Willy spent the whole of 1982 turning the small scale production of Blood Brothers into a full scale musical. The musical was first played at the Liverpool playhouse in 1983 and was a huge success. Set in a bleak Liverpool, the story centers on a single mother of many. Mrs. Johnston, who makes a decision that is to have far reaching consequences, when she finds out that the next child she is expecting, which will itself leave her on the verge of poverty, has a twin. Her decision will affect many lives, as she allows one twin to be raised by her childless employer Mrs. Lyons as her own Willy Russell uses a dark, dingy theme for Mickey’s estate, making life feel duller and boring for everyone. But, he contrasts it with a nicer theme for where Edward lives. I think this is to show the different lives the brothers lead and how close, lives could be the other way round for each of them. For Mickey’s soliloquy, I would have Mickey sat down on the step outside his battered front door. He will be annoyed with his head on his hands. I can imagine him with a toy car or a muddy stick messing about. He will read his soliloquy with a great boredom to his voice while Edward walks on to the stage. The backdrop will be a long row of houses with symmetrical doors, all battered and raw iron gates which are rusty. Also I can see Edward going up to Mickey and sitting in front of him, this is where he will introduce his first line. I picture both characters to look completely different in clothes wear. For instance I think Mickey would be wearing plain grey pants, a plain off coloured white t-shirt, and black shoes. Mickey needs to look plain and like he doesn’t wear expensive clothes. He needs to look filthy, especially since he has just came from the park. The audience should feel guilt as such because his mum can’t afford expensive clothes. On the other hand Edward needs to come across smart and well dressed. For instance he should wear black pants, a clean bright white shirt and a tie, although we don’t want Edward to come across snobby. I think the audience will sympathize and like both boys because they are bored, and are still very young. The role of the Brothers in the musical has a great sense of purpose for example the irony, e. g. they end up meeting and being friends, they call themselves â€Å"blood brothers† and they have a close â€Å"brotherly† relationship. Also to bring the play Humor although there is poverty and a baby being given away, to establish conflict and a plot. Also to make the audience curious about the story line. The character I am going to focus on is Mickey because he has a rougher background and more interesting story behind him. At the end of Mickey’s soliloquy the stage directions say, â€Å"Bored and Petulant, Mickey sits and shoots an imaginary Sammy. Edward, also aged â€Å"seven† appears. He is bright and forthcoming. † I would have Mickey looking bored, but I think he should be mocking Sammy with jealousy. The next set of stage directions are involving Edward with his sweets. Mickey asks for one and Edward allows him to take one. Mickey will be careful and suspicious because he has taken notice that Sammy is deceitful, and it’s rare you actually get given a sweet. Mickey will then examine the sweet before he actually puts it in his mouth. Towards the end of the scene, I will have directions of Mickey putting his arm around Edward, as they start to bond with each other. When Sammy enters the scene, Mickey will actually be a little scared of him although he is kind of an idol towards him. I will have Mickey trying to get the gun of Sammy, and when he fails he should join in the â€Å"fantasy shoot out† with Sammy. I think there are several most important lines in these scenes firstly, at the beginning when Mickey says, â€Å"Gis a Sweet, And Edward says â€Å"alright†. I think when Edward agrees to give Mickey a sweet this is the first sign of bonding between the two boys. I think this is the key line of the boys becoming such good friends later in the book. Also at the end of the scene when Mickey is standing up for Edward, when Sammy calls him. The whole book is about the irony that the brothers have bonded so well. I think the reasons for these are that they have become â€Å"best friends† when they first meet. The expressions used will make the audience understand the play more between the brothers. For instance, when Mickey reads his soliloquy, he will have a sound of jealousy to his voice; this is so the audience knows he is jealous of Sammy. There are parts in his soliloquy which should stand out with his voice; these are the last lines of each paragraph, â€Å"But I’m not I’m nearly eight†, â€Å"Even though I’m nearly eight†. These lines should be read with anger so we know he is annoyed that he is only seven. The last line of his soliloquy, â€Å"But I will by the time I’m eight†, should be read with delight so that he has not got long to wait now. The section where Mickey tells Edward â€Å"The â€Å"F† word† they should have there hand over there mouths, with laughter in there eyes because they find the word funny. On page 19, when Sammy enters, Mickey is going to look a little frightened, and when he gives Sammy the sweet he will role his eyes up as if he gets his own way. I don’t think there should be any props because; we want the audience to be fully focused on the brothers because it is a key scene in the story. Maybe Sammy can have a toy gun, Mickey can have a toy car, and Edward will have a bag of sweets. I will have dramatic, intense music as they declare themselves blood brothers and when they read the pledge because, this is the biggest, most ironic scene in the play. This scene in Blood Brothers is a very important part of the play. The boy’s first meet at the age of seven and bond extremely well, also they declare themselves â€Å"Blood Brothers† which is funny and ironic because they actually are, Blood Brothers. Also the two different characteristics they both possess play hugely. The scene shows that lives could have been completely differently for each other, for example, Mickey could have been called Edward, and the other way round. It also shows how society is, this links with the themes Willy Russell uses. Additionally this story line creates a massive comedy, with funny lines, being unaware of there factual relationship which they both have. Each boy represents society in contradictory ways; Mickey represents the working-class of society, while on the other hand Edward represents the upper-class. Towards the end of the scene it gets a little more serious, Mrs. Johnstone enters. Mickey tells his Mum that they are Brothers. Mrs. Johnstone is shocked until he mentions that they are â€Å"Blood Brother†. She can’t let anyone know what she has done because she has kind of sold her baby.

Mental Health Of College Students - 1017 Words

Mental Health of College Students The mental health of college students has declined in the last several decades. As some students enter college, their lives drastically changes. They go through many different difficulties in trying to live a college life without realizing what it can do for them. Everyone comes to college with an expectation of doing well in classes and enjoying what college has to offer. As the pressures builds for some people, their state of mind alters in a negative direction, where help from counseling services are needed. Nationally, 22% of collegians are seeking therapy or counseling each year (Marano 2015). That would be approximately 14,000 students at The Ohio State University, which is considered significantly†¦show more content†¦Julie Posselt found that students who reported that their classes were competitive had 70% chance of screening positive for anxiety and perceived competitiveness increased by 40% for depression (Marano 2015). That feeling of inadequacy can reduce your mo od lead to certain disorders. Competing with a student can lead to drastic downfalls in your health. The more we compete, the more we need to compete, much like developing a tolerance to a drug. Competition between classmates creates envy for winners, disrespect for losers, and hostility towards everyone. With an overactive HPA axis and the increased amounts of cortisol from the adrenal glands. Once a student starts to see another student as competition, they start to develop a different perspective and feel negative emotions. Personal story; I was a good student in high school. When I came to OSU, I was surrounded by a bunch of smart people and professors who seemed intimidating. I started to feel insecure about myself and compared myself to other people. I felt stressed day after day. I worried so much about other students that I began to do poorly in some of my classes. College is about bringing together smart people from each school and seeing what they can offer together. But I did not grasp that concept unt il later on. A little competition is good, but a prolonged competition can lead to anxiety and depression. There are many ways to reduce the effects of competition.

Nokia Business Interests vs German Pressures - 1807 Words

Nokia: Business Interests vs German Pressures Nokia is the largest mobile handset maker in the world with a 40% market share. The mobile handset industry is marked by declining prices and depressed margins making companies look at low-cost production options. Nokia, to be more competitive, is relocating its German plant to Romania where the wages are 10 times lower. This abrupt announcement however stirs a wave of resentment with employees, trade unions, politicians and business leaders who condemned Nokias move. Nokia is also accused of being insensitive to German culture and greedy for misusing state subsidies. However, Nokia while refusing to alter its decision says that in a repeat scenario, the company would follow exactly the same†¦show more content†¦Ã¯  ¶ Shift production to low-cost locations. Have certain locations supply specific markets o Finland, Germany, Hungary plants supply Europe, Middle East, Africa. o Brazil and Mexico plants supply North and South America. o China, India, S. Korea plants supply China and Asia-Pacific. ï  ¶ Increased competition due to globalization, people can sell anywhere. ï  ¶ Take advantage of a country’ resources (cheap labor, human intellect, lower taxes etc.) ï  ¶ Take advantage of a country’s less strict labor laws (ex. child labor) Q2.1: was the German backlash against Nokia justified? No country would prefer a MNC like Nokia to close its plant and hence affecting 2300 workers and their families. a) Job less count to grow up , b)the overall economic development of the region to get affected. In this particular scenario it was obvious for German backlash as the operating plant is a profit making unit and not a sick unit. It was justified more because the Nokia authority had failed to explain clearly the reason for the closure of the plant to the employees Nokia’s refusal to enter at any kind of discussion with the German authorities to find a mid way to continue the operations. Nokia’s decision is not only unjustified but also unethical. Nokia in our opinion should have involved the labor unions that its employees are represented by as well as German authorities. Nokia could have saved its face and avoided making enemies in Europe byShow MoreRelatedEssay on Asia and Huge Subsidies Nokia676 Words   |  3 PagesNokia: Business Interests Vs German Press ures: What are the trends in the mobile handset industry? Several years ago, the handset industry had healthy margins, but since 2001 the situation changed. Problems such as cost pressure, weak profitability and ongoing consolidation began to appear. The growth was getting slower. The U.S. and Europe markets were saturated. What to do then? 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Aristotle’s Nicomachean Ethics Essay example - 1128 Words

In Book 1 of Aristotle’s Nicomachean Ethics, he argues that happiness is the best good, and the goal of an individual and of those leading and governing society. Here, happiness is understood as both living well and doing well, rather than the convention sense of happiness as an emotion. According to Aristotle, happiness is achieved though actions involving reason and in accord with virtue, or the best of the virtues of there are more than one. In this paper, I will provide a brief overview of the work and its author, then proceed to provide an overview of the ideas expressed and the argumentation supporting them, before finally performing an analysis and critique of the ideas expressed. Aristotle (384-322 B.C.), son of a physician to the†¦show more content†¦In Book 1, he defines the best and most sought after human good as happiness. After discussing and reinforcing his concept of happiness as the most desired and best good, and the goal of a human life, the discussion segues into an examination of virtue and the rest of the work. Throughout this Book 1, the discussion digresses multiple times to explore the method by which the topic will be examined. Realising that concepts such as happiness are subjective, he establishes in the third Chapter that the fruits of the discussion will be satisfactory so long as it holds true universally. He also considers in Chapter four whether the discussion should originate from the principles, or from our experiences, and suggests that we should being from things known and immediate to us, which seems to be a logical choice as the discussions as a whole focus on what a man should do in order to act according to virtue in order to become good and attain happiness. In addition, the sixth Chapter is devoted to criticism of the theory of Forms. Since good can exist in so many different ways, but are undoubtedly good, Aristotle argues that there is no common idea governing it. He also denies the existence of separate Forms that are merely mimicked by what we perceive, since a thi ng and the Thing Itself has the sameShow MoreRelatedEssay on The Contradictions in Aristotles Nicomachean Ethics778 Words   |  4 PagesNext on my list, I would put art. It allows an inner, more down-to-earth part of me to be expressed that cannot be done in words. All these things are actions and they define who I am. Without them I dont know what I would do. In Aristotles Nicomachean Ethics there is emphasis on the importance of action. From action of life, friendship, and happiness (which are voluntary actions), to action of reason (which is a rational faculty of the mind), we could not exist without action. 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Research Proposal on Risk Management in Construction Projects

Question: Discuss about the Research Proposal on Risk Management in Construction Projects. Answer: Nature of the study In the time of continuous change, the agenda of risk management for the forward thinking companies is becoming important due to customers demands and market globalization. Risk can be the cause of cost overrun and delay in the schedule of many projects. In the project management, the effectiveness of high risk is becoming an important issue. So, there is the need of effective risk management in any project. In order to make the risk management efficient and effective, all the parties and departments should understand the responsibilities related to risk, risk preferences, risk event conditions, and capabilities to manage the risk (Anumba, Egbu Carrillo, 2005). There are different parties who are involved in the construction project and they face various kinds of uncertain factors. These factors can be gathered under the various category of risk. Risk or uncertainty can be described as the situation in which the actual result for the particular activity or event is likely to diverge from the forecast or estimated value (Mills, 2001). There are various definitions of risk. The risk management can be defined as the formal process for systematically analyzing, identifying, and responding to the risk during the project to achieve the acceptable or best degree of risk control or elimination. Risk management is one of the nine knowledge areas provided by the project management institute. Risk management is the systematic way to reduce the impact of risk in the construction project (Alali Pinto, 2009). The advantage of risk management process are identify, effective use of resources and analyze the risk, improvement in the construction project management. Further, construction project can be extremely complex and full of uncertainty. Risk or uncertainty in the construction project can be the damaging factor. Thus, risk analysis and management can be the main feature in the construction project management to deal efficiently with the unexpected and uncertain events to achieve the desired result and success in the projec t (Wang, Dulaim Aguria, 2004). The objective of this research is to present framework of risk management in the construction projects. The result survey will clarify the current estimated risk and construction circumstances in the construction industry. The data and information will be gathered from the published articles and statistics, and individual questionnaire and interviews. Along with this, the gathered data will be used to compare with the previous published surveys. The aim of this comparison is to analyze the current trends in the construction risk management. By this, a basic knowledge of current trends and attitudes will be gathered. After that, the report will focus on some cases to improve the understanding related to construction and risk management (Jamil, Mufti Khan, 2008). Problem discussion: Problem statement The lack of risk management and risk analysis is the cause of failure of the project plan in the construction company. The lack of risk management can trouble the project and affect the three variable i.e. cost, time and scope. Significance In this research, there are stakeholders in the company included in the construction projects. Those stakeholders are main contractors, sub-contractors, project managers and suppliers who undertake the construction projects. This study will be very useful and interesting in the construction industry as it will provide the importance of risk management planning into the construction project. This study will try to disclose the best practices which can be applied in the risk management. The research will provide the information to the stakeholders regarding: Identification and analysis of the issues because of inadequate and insufficient risk management, Provide understanding related to inadequate risk management and the problems in the construction projects related to insufficient risk management, Prevention from the risk and uncertainties of construction projects, and The set of recommendations to recover the failure of projects due to uncertainties (Seddon, 2003). Detail of proposed research: Purpose The aim of the research on the risk management will be designed to identify and analyze the hazards of the uncertainties and risk in the construction projects and to provide he plans to manage the risks associated in the project. It will also provide the way to develop the strategies to manage the risk. The purpose of this research is to identify the reason of failure of construction projects and he best practices to apply the risk management (Park, 2010). Construction projects are unique in nature and more complex. They take extended period of time and include wide range of resources such as finance, people, material, facilities and intellectual property. In most of the situations, projects have the set and defined objectives which provide the clear vision and specification in their goals (Jalonen, 2012). Research topic The topic for this research is the risk management in the construction project to eliminate or reduce the uncertainties in the project. Research scope The construction projects are unique in nature and complex also. It is well known that they take much time in the completion and include many resources such as finance, people, cost and materials. In many cases, projects have some goals and visions for the future. But there are many uncertainties associated with every project. Risk management is the helpful tool for the project managers to set the priorities, allocate the resources and implement the process and actions to minimize the risk in the project. The knowledge of risk management is helpful in achieving the project related goals. Risk management provides the better way for doing business and good results by providing knowledge, confidence and insight for better and effective decision-making. Along with this, it also supports efficient decision making in terms of planning and design processes to avoid and minimize the risk and uncertainties and to identify the opportunities in the market (Schieg, 2006). The understanding of ri sk management provides better planning to deal with the uncertainties and risks and their negative impacts on the projects as it encourages for better allocation of resources in the project, and for taking the right decision related to better allocation of risk among the parties who are involved in the construction project activity. These all are the lead to increase the certainty for future success and minimize the overall risk exposure (Wang, Dulaimi Aguria, 2004). If the risk management is ignored in the construction organization then there will be the risk of: Reduction or loss of profit, Increased cost, Worst disposal of business or liquidation, and Damage of reputation or brand in the market. So, it is clear that the proper and clear analysis of risk in the construction industry is important to successful completion of construction project. Research objectives The objective of this research is to provide the better understanding of managing and analyzing the risk which can improve the construction project with the quality and overall success (Liu Han, 2014). To be successful in achieving this, the following research question will be investigated: How can the aim of the risk management be described, How can the strategy related to risk management be described, and How can the impact of risk management bemeasured. Methodology The key source of input data for this research will be gathered from the various literatures and by the questionnaire survey to the group of qualified people in the construction industry. The data will be collected from the construction industry by the questionnaire survey which will be done by the means the statistical analysis to find out the appropriate result. Although the attitude or perception of the construction companies towards the uncertainties and risk are well known and there is little information available regarding the use of risk management as the systematic tool with the company. To analyze the skills in the risk management, the questionnaire survey including comprehensive multiple choice questions. After that, the questionnaire will be distributed into the construction organizations operating in the market. It will be ensured that all the respondents must have completely understood the design of questionnaire. Along with this, an interview will be conducted with each respondent to give details about the main goals of the survey. The goal of the survey is to identify the various types of risk and the important management actions to control the risk in the construction industry (Mojtahedi, Mousavi Makui, 2010). Further, the questionnaire will be divided into three sections. In the first part, the information of the company will be gathered such as type of Construction Company, and culture of the company etc. in the second section, the significance of the various risks will be analyzed. The third section will be related to the practical actions to reduce the impact of the risk. The complete answers will be gathered by faxes or emails. The answers will be divided into two sections i.e. risk significance and risk allocation. The selected respondents are the experts in the field of construction having at least 10 years of experience in this field. This survey will be done in the large construction organizations having the main aim of the public sector projects. Total sixty questionnaires will be sent to the respondents and it is assumed that in total, 55 responses will be returned with the response rate of 92%. From the returned responses, 44 could be used for the analysis References Alali, B. Pinto, A. (2009). Project, systems and risk management processes interactions: Management of Engineering Technology. 2(6).pp.1377,1386. Anumba, J. C., Egbu, C. Carrillo, P. (2005). Knowledge Management in Construction. US: Blackwell Publishing Ltd Jalonen, H. (2012). The uncertainty of innovation: A systematic review of the literature: Journal of Management Research. 4(1). 147 Jamil, M., Mufti, N. H., Khan, A.H. (2008). Risk Identification for Construction Projects: Advancing Integrating Construction Education. pp. 4-5 Liu, T., Han, D. P. (2014). Study on risk management of manufacturing industrys RD project: Key Engineering Materials. 584. 298302 Mills, A. (2001). A systematic approach to risk management for construction: Structural Survey. pp. 245-252 Mojtahedi, S. M. H., Mousavi, S. M., Makui, A. (2010). Project risk identification and assessment simultaneously using multi-attribute group decision making technique: Safety Science. 48(4). 499507 Park, Y. H. (2010). A study of risk management and performance measures on new product development: Asian Journal on Quality. 11(1). 3948 Schieg, M. (2006). Risk Management in Construction Project Management: Journal of Business Economics and Management. VII (2). 77-83. Seddon, J. (2003). Freedom from command and control: A better way to make the work, work. , Buckingham: Vanguard Eduacation. Wang, S., Dulaimi, M. Aguria, Y. (2004). Risk management framework for construction projects in developing countries: Construction Management and Economics. 22(3). 237-252 Wang, S.Q ., Dulaim, M.F. Aguria, M.Y. (2004). Risk management framework for construction projects in developing countries: Construction Management and Economics. 22. pp. 237-252

NHS and Other Clinical Commissioning Groups †MyAssignmenthelp.com

Question: Discuss about the NHS and Other Clinical Commissioning Groups. Answer: Introduction: Since the NHS was founded in 1948, the nation has stayed resolute in the commitment of universal healthcare, irrespective of an individuals age, health and ethnicity, social status or the ability to pay and providing high quality of care for all. Such values remained unchanged within our health service but however, the world has changed. It is, therefore, important the NHS adapt in order to be able to take advantage of the opportunities that science and technology offer patients, carers and those who deliver services to them (NHS England, 2014). I totally agree that the world has evolved over time and it is not the same as it was 70 years ago when NHS was being founded. In as much as NHS has done a lot to ensure there is universal healthcare, I believe that adapting to the new technology would improve healthcare globally. The Government white paper, Equity and Excellence: Liberating the NHS was brought out as part of the Government plans for transforming the NHS and it includes proposition to give everyone more say over their care and treatment with more chances to make informed choices, as a means of gaining better health outcomes (Department of Health) (DoH, 2010). I believe that the government should take the initiative of making sure that each and every individual is able to access medical care even though they are not financially able. The government's vision is for patients and clinicians to attain decisions about treatment together, with a common understanding of the condition, the variations available, and the risks and benefits of each of those (Coulter and Collins, 2011), where no decision about me without me is the norm. I totally agree with the government ways of decision making such as coming up either a common understanding on the variations available, conditions and risks and benefits for all the citizens as it is for the good of all. Patients and the general public do not always have an awareness of services available to them. The patient public involvement invigorates community engagement to improve health. It is my understanding that in most case, community participation is quite a hustle when it comes to ensuring good medical healthcare for all. This is because the public always have different opinions about everything and coming to a common understanding might be stressing. NHS England and Clinical Commissioning groups have a significant role in ensuring that health providers make individuals personal participation in their health and care a realism ((NHS England, 2017). Yes, I do believe that it is the duty of the NHS and other clinical commissioning groups to ensure that the patients are being involved when it comes to their medical care for example through the consent forms and such. Ensuring people get involved in their care and treatment is backed by support for them to be able to manage their own health and wellbeing on a daily basis. They should be able to determine how much they get involved and make those decisions pertinent to their care and be able to choose and have control over the services they receive within the NHS. The above statement is true as people should learn to be responsible for their own choices especially when it comes to health. They should take the initiative of finding out what kinds of healthy lifestyle they should lead in their day to day life. References Coulter, A. and Collins, A., 2011.Making shared decision-making a reality: no decision about me, without me. King's Fund. England, N.H.S., 2017. Five year forward view. NHS England, 2014.