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candw

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26502 posts
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#1
19/12/2017 at 11:04

a £3,100,000,000 aircraft carrier that is leaking and will soon be ready to accept helicopters - yes, like ones than land on the road after bad traffic accidents - and later will accept borrowed American aircraft which are experiencing problems and are incredibly over budget and which we will buy when they're ready.

It is the season of good will, so I'm also not mentioning those for whom an initial "bit of a hit" is well worth the return of sovereignty to our shores. Some of those are, of course, rich fuckers who will be able too weather a bit of a hit, but I fear far more are xenophobic turkeys bravely shouting, "Bring the fucker on!"

And please don't mention the shortage of nurses and the extra £billions needed to patch that problem.

Happy Christmas!

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exiled CITY AFC

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#2
19/12/2017 at 16:41

So in the spirit of giving - I won't mention the biblical levels of waste and daily care failings that our cult NHS continues to suffer from nor the idea that quelle surprise: the best run parts of said system are also economically solvent. I will not mention that the chief health advisor to the Labour Party has had to jump before being pushed having run his health trust to the principals of the Viv Nicholson school of financial probity. A leaking seal on a brand new warship or leaving a pair of forceps inside a pensioner from whom we removed the wrong kidney anyway?

Meanwhile the RAF are getting about the business of cutting their cloth to the new budget they have been given but labour councilsup and down the land are eating themselves from within to place momentum approved candidates who will no doubt run deficit budgets 'to prove a point' but screw the consequences. Here in Manchester our outgoing Mayor was de-selected not for his impeccable lefty credentials (gay, labour councillor for decades championing many right-on causes), but for the crime of having a cleaning business that employees people.

Still the money tree in France is getting a shake as Emanuel Macron is doing a thatcher and preparing to sell off €10bn of state holdings. Who will provide our energy then?

Bottom of the G20 for productivity still but never mind we can borrow / cut our way to higher productivity apparently...

Two choices both shit...

Where will it end?  

Let it never be said that I was silent when they needed me - William Wilberforce 

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candw

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#3
19/12/2017 at 21:23

Quote Quote by exiled CITY AFC on 19/12/2017 at 16:41
So in the spirit of giving - I won't mention the biblical levels of waste and daily care failings that our cult NHS continues to suffer from nor the idea that quelle surprise: the best run parts of said system are also economically solvent. I will not mention that the chief health advisor to the Labour Party has had to jump before being pushed having run his health trust to the principals of the Viv Nicholson school of financial probity. A leaking seal on a brand new warship or leaving a pair of forceps inside a pensioner from whom we removed the wrong kidney anyway?

So only one of them can be bad? Who knew?

Meanwhile the RAF are getting about the business of cutting their cloth to the new budget they have been given but labour councilsup and down the land are eating themselves from within to place momentum approved candidates who will no doubt run deficit budgets 'to prove a point' but screw the consequences. Here in Manchester our outgoing Mayor was de-selected not for his impeccable lefty credentials (gay, labour councillor for decades championing many right-on causes), but for the crime of having a cleaning business that employees people.

The RAF are being shafted by the same fuckers as are screwing the NHS.

Still the money tree in France is getting a shake as Emanuel Macron is doing a thatcher and preparing to sell off €10bn of state holdings. Who will provide our energy then?

Some people never learn, eh? Good job their productivity is much better than ours.

Bottom of the G20 for productivity still but never mind we can borrow / cut our way to higher productivity apparently...

Two choices both shit...

Where will it end?

Maybe with the cutting edge PriSec upping its game? Who knows?
 

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exiled CITY AFC

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#4
20/12/2017 at 01:14

Can you tell me how on Earth anyone the the NHS is screwing itself.

More money than ever yet STILL more money is needed when will it end?

Never mind the money tree what about the bottomless pit.  

Let it never be said that I was silent when they needed me - William Wilberforce 

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candw

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#5
20/12/2017 at 07:50

You seem to ignore ward closures, lack of community care, abandoned surgeries, unfilled vacancies while numbers of those needing help increase daily. It makes you opinions less valid.

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exiled CITY AFC

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#6
20/12/2017 at 14:25

Productivity problem that most heath professionals are utterly incompetent to solve.

My annual medical - cancelled ten minutes out. Re-arranged for two weeks later. I arrived on time they were late, three blood pressure machines tried before he found one that was working, then needed to get fresh batteries. This meant the following appointment was cancelled like mine the time before.

Simple simple basic shit that any 'professional' would be ashamed of but of course when I pointed that out it was 'cuts'.

Note the budget is going UP so not sure what these 'cuts' are but hey ho.

The cult is morally bankrupt now and blind to its waste.  

Let it never be said that I was silent when they needed me - William Wilberforce 

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candw

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#7
20/12/2017 at 21:31

Note the budget is going UP so not sure what these 'cuts' are but hey ho.

Come on, dude, you're brighter than that. You close your eyes to shut wards, more elderly annually, shifting of money from one place to another to mask 'new initiatives' that are cuts to one area to boost another, with no new real money.

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exiled CITY AFC

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#8
21/12/2017 at 12:48

What you fail to grasp is that healthcare as architected right now is designed to optimise the flow of health education to health professionals. It is set up on historic teaching hospital lines in order for each department to be able to teach its subject like a school. Unfortunately patients don't suffer from radiology, or surgery, or lying in bed; they suffer from mostly (90% of them anyway) single conditions that require a whole suite of services to be experienced in order to prevent / cure / manage the condition. As a result of this total Mis-match patients have to try to make their way through the system with its untold delays, barriers, beaucracy, and wastes in order to be made well. My wife and I recently negotiated a couple of months of this for mere minutes of anything of any value. For most beds in the system they are mere storage shelves whilst another part of the system gets its act together. Now we have taken X-rays off film and made them instantly available for viewing you would expect to remove the waiting room where you used to wait for your films right? Similarly when taking out delays in access to surgery you wouldn't want to waste people's time by leaving the beds there would you? Indeed it would better to transfer those beds to social care or adapted homes for the growing number of aged people who need them right?

So while you rail against stuff you hardly understand just consider that if you knew what you were doing and anything about productivity you would precisely be moving money from the non-value-adding waste areas to those that do. Next you would be starting to break apart the old academic departments and start to organise along a patients axis in perhaps the twenty conditions that make up almost 100% of the UK health needs.

There is 5% new money as well but what let facts get in the way of emotions.

Having done that you could start to make each patient pathway as efficient as our friends in Indian who have used that to create 10X the productivity at less than a quarter of the costs.

Let it never be said that I was silent when they needed me - William Wilberforce 

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essexgull

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#9
21/12/2017 at 16:55

Fair points but who is going to take the job to change it. No one wants that job.


ESSEX GULL  

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exiled CITY AFC

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#10
22/12/2017 at 00:22

Well if no one does it will go the way of BL / BR and pretty much everything else with British or National before its second name and be shamed into re-inventing itself by foreign organisations that get to a superior operating philosophy beforehand.

Governments for the last twenty years have been asking the respective heads of the system and their management teams to get on with it but unfortunately they seem as stuck in the current paradigm as our mutual friend on here...

The last resort seems to be dropping BIG fucking HINTS about the direction of travel by where they put the money.

Maybe the job is made harder by an ignorant and complicit joe public (who all complain privately but profess undying love publicly). It's time people stopped kicking this end to end political football and start having an adult debate about whether we want an affordable high quality and efficient care system or not.  

Let it never be said that I was silent when they needed me - William Wilberforce 

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candw

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#11
22/12/2017 at 07:55

So you don't see the government of the last seven and a half years as steering the NHS in the direction it wants, which is to privatise it? The present problems are all because those working in the NHS are incompetent and badly organised? You do Jeremy Hunt's grinning destruction of the NHS a disservice, I'm afraid. The big push came in 2012, but Walk in Centre downgrading was a bit earlier.

Austerity, the tool that keeps on giving, as Brexit will. And you ain't seen nothing yet. Wait until we have to staff it with Brits!

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exiled CITY AFC

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#12
22/12/2017 at 14:53

No.

What part of the systemic issues I laid out don't you get?

What stops it changing is its total politicisation by the UK electorate and both mainstream parties, each of whom have no clue how to improve it.  

Let it never be said that I was silent when they needed me - William Wilberforce 

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candw

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#13
22/12/2017 at 17:34

Ain't that shit, eh? The only person in the country that knows what to do is no closer to being able to do it than I am.

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