People with community-acquired pneumonia, their families and carers Guideline development process NICE worked with Public Health England to develop this guidance. Your responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence available. When exercising their judgement, professionals and practitioners are expected to take this guideline fully into account, alongside the individual needs, preferences and values of their patients or the people using their service. It is not mandatory to apply the recommendations, and the guideline does not override the responsibility to make decisions appropriate to the circumstances of the individual, in consultation with them and their families and carers or guardian. All problems adverse events related to a medicine or medical device used for treatment or in a procedure should be reported to the Medicines and Healthcare products Regulatory Agency using the Yellow Card Scheme. Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it.
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This loco was one of the fourth batch of seven NGG16s no. It carries the works number At this time it carried plates that erroneously carried the number "E" instead of the correct "NG". The correct plates were later fitted. In the operation of the Port Shepstone branch was transferred to the Alfred County Railway who initially used as the shunter at Port Shepstone before it was withdrawn from front line service due to worn tyres.
The Alfred County Railway overhauled the locomotive in South Africa, including conversion to oil firing. The overhaul was completed by and it made an appearance on a Ffestiniog Travel special before shipping it to the UK.
At this time it was painted in a dark green livery. It subsequently suffered superheater problems which were resolved in the summer of after which the locomotive was returned to traffic as a reliable unit.
The boiler ticket on ran out in the spring of , leaving only one NGG16 serviceable When it had problems with fly cranks the rear bogie of was substituted. During its overhaul the original boiler and oil firing were retained. An interesting boiler repair required was to the base of the dome. Similar repair have also been required to the boilers of Merddin Emrys and Earl of Merioneth ; all three boilers had been built by Hunslet in Parts were returned to Dinas, where it was re-assembled, in May It was repainted with in a new red livery.
It returned to service in July The modifications included new bearings made from Vesconite, a self lubricating hard wearing plastic material. To that end the boiler was sent away to Locomotive Maintenance Services in Loughborough for overhaul so that it could be ready for fitting as soon as possible after the removal of the previous boiler. The boiler was expected to be ready for its hydraulic test in February On 23rd January , following 2 years of work and considerable investment, the refurbished boiler was steamed for the first time since it was fitted to Garratt now in Australia in South Africa.
The boiler will be fitted to following the imminent expiration of its boiler ticket. The old boiler will be stripped of fittings and lifted from the frames. This will then allow the rest of the loco to be thoroughly inspected, and any repairs can be made as needed.
The refurbished boiler of No. The overhaul may include a repaint. Garratts and Kalaharis of the Welsh Highland Railway.
Pneumonia (community-acquired): antimicrobial prescribing
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