Junior Doctor's contracts petition
Discussion
dmsims said:
How does Jeremy plan to deliver the "7 day NHS" when weekend elective work is going to be withdrawn from the Consultant contract?
the 7 day NHS is not necessarily aobut weekend elective work ... this has been a tactic used to cover up the very real differences in service between weekdays and weekends for inpatients once they have been initially assessed and stabilised Sway said:
Fair shout. I will say the guys I'm referring to make black belts seem like novices, and are some of the very best in the World...
Slightly tongue in cheek, and I will leave it there, but the first step of the Kubler-Ross change curve is denial, followed by anger!
Is delusion of grandeur on the curve, or is it of the charts?Slightly tongue in cheek, and I will leave it there, but the first step of the Kubler-Ross change curve is denial, followed by anger!
As I've said, these guys are many levels above me in skill. It's not them stating how good they are, it's my peers and I, globally.
I'll drop a link here, and really will leave this thread - I don't know Seddon particularly well, but we've met a few times, and have mutual friends. There's a few books on Systems Thinking he's written that are well worth a read - if only to prove to yourself that it wouldn't work in the NHS, or health care in general.
https://www.google.co.uk/url?sa=t&source=web&a...
I'll drop a link here, and really will leave this thread - I don't know Seddon particularly well, but we've met a few times, and have mutual friends. There's a few books on Systems Thinking he's written that are well worth a read - if only to prove to yourself that it wouldn't work in the NHS, or health care in general.
https://www.google.co.uk/url?sa=t&source=web&a...
Sway said:
As I've said, these guys are many levels above me in skill. It's not them stating how good they are, it's my peers and I, globally.
I'll drop a link here, and really will leave this thread - I don't know Seddon particularly well, but we've met a few times, and have mutual friends. There's a few books on Systems Thinking he's written that are well worth a read - if only to prove to yourself that it wouldn't work in the NHS, or health care in general.
https://www.google.co.uk/url?sa=t&source=web&a...
So, you made an extraordinary claim, I've asked for any evidence, and I get a reply how some random people were above skill level of some other random people. And a link of someone who think's ministerial influence and obsession with targets is root of all evil. I'm having someone from Deloitte for lunch next Sunday, I'll ask them for their opinion on that text, to me; it reads like 'blue-sky thinking' finishing with 'told you so'. Unimpressed, to put it mildly.I'll drop a link here, and really will leave this thread - I don't know Seddon particularly well, but we've met a few times, and have mutual friends. There's a few books on Systems Thinking he's written that are well worth a read - if only to prove to yourself that it wouldn't work in the NHS, or health care in general.
https://www.google.co.uk/url?sa=t&source=web&a...
Sway said:
Targets for the wait between appointments are irrelevant, total lead time from first presentation to final discharge is what matters, yet no one in the NHS cares, measures or is held accountable for it.
Absolutely.When I slipped a disc I had to wait so long between letter, appointment, letter, scan, letter, appointment that the time remaining for a further letter then operation meant I had to have the scan again because otherwise it would've been over a year old and too far out of date to do the operation. The "solution" was to book a further scan and the operation together otherwise the consultant said if we waited on the second scan result, to see if I was still appropriate to operate, I'd have been stuck in a loop of endless out of date scans.
Currently I'm about 5 years into messing around with B12 injections, for what, as far as I can work out, should have been little more than a blood test, a series of injections, and then another appointment to increase the frequency of injections. I must have seen half a dozen GPs about it over the years. I could understand, if fine tuning B12 levels was important because of side affects or cost. But as far as I can work out there's no risk from the vitamin and it costs pennies.
Some things the NHS remarkably well, seemingly the more obviously urgent things. Others are astoundingly inefficient.
mph1977 said:
Lucas CAV said:
OT but do people in management really describe themselves as "black belts" in management or improvement?
"Black belts....." Really????
Yes, given it's the name of a qualification in one of the Quality Improvement methodologies ... "Black belts....." Really????
Do you get an actual black belt to wear?
Like a sort of Kung Fu David Brent?
Adam Ansel said:
Talksteer said:
Virtually all credible economic thinkers recognise that the state is the only credible supplier of .......... most transport.
LOL. Tell Maersk, Ryanair, Toyota etc etc.Your extremist leftie view is patently absurd.
You want a place where government gets out of the way of private industry the closest you're going to get to it is somewhere like Somalia, I hear healthcare there is wonderful.
Talksteer said:
And see how far your Toyota gets without a road, see how far Maersk would get without a port and who do you think regulates air transport and plans airports. All those companies are greatly facilitated by governments in the countries that they operate.
You want a place where government gets out of the way of private industry the closest you're going to get to it is somewhere like Somalia, I hear healthcare there is wonderful.
So the private sector couldn't build roads, ports, airports?You want a place where government gets out of the way of private industry the closest you're going to get to it is somewhere like Somalia, I hear healthcare there is wonderful.
That's good to know, thanks...
Talksteer said:
And see how far your Toyota gets without a road, see how far Maersk would get without a port and who do you think regulates air transport and plans airports. All those companies are greatly facilitated by governments in the countries that they operate.
You want a place where government gets out of the way of private industry the closest you're going to get to it is somewhere like Somalia, I hear healthcare there is wonderful.
Whilst the Government might regulate the environment for transport infrastructure (where it is placed, what routes it takes etc) I think you'll find that it's the private sector that actually builds the things. Whilst it's true that most of our roads were paid for by the Government, most of our railways were originally built with private sector money. You want a place where government gets out of the way of private industry the closest you're going to get to it is somewhere like Somalia, I hear healthcare there is wonderful.
andymadmak said:
Talksteer said:
And see how far your Toyota gets without a road, see how far Maersk would get without a port and who do you think regulates air transport and plans airports. All those companies are greatly facilitated by governments in the countries that they operate.
You want a place where government gets out of the way of private industry the closest you're going to get to it is somewhere like Somalia, I hear healthcare there is wonderful.
Whilst the Government might regulate the environment for transport infrastructure (where it is placed, what routes it takes etc) I think you'll find that it's the private sector that actually builds the things. Whilst it's true that most of our roads were paid for by the Government, most of our railways were originally built with private sector money. You want a place where government gets out of the way of private industry the closest you're going to get to it is somewhere like Somalia, I hear healthcare there is wonderful.
speedyman said:
andymadmak said:
Talksteer said:
And see how far your Toyota gets without a road, see how far Maersk would get without a port and who do you think regulates air transport and plans airports. All those companies are greatly facilitated by governments in the countries that they operate.
You want a place where government gets out of the way of private industry the closest you're going to get to it is somewhere like Somalia, I hear healthcare there is wonderful.
Whilst the Government might regulate the environment for transport infrastructure (where it is placed, what routes it takes etc) I think you'll find that it's the private sector that actually builds the things. Whilst it's true that most of our roads were paid for by the Government, most of our railways were originally built with private sector money. You want a place where government gets out of the way of private industry the closest you're going to get to it is somewhere like Somalia, I hear healthcare there is wonderful.
The gauge problem is an example of how Government should have regulated earlier to require standardisation, but it is not an argument for Government to build railways.
andymadmak said:
speedyman said:
andymadmak said:
Talksteer said:
And see how far your Toyota gets without a road, see how far Maersk would get without a port and who do you think regulates air transport and plans airports. All those companies are greatly facilitated by governments in the countries that they operate.
You want a place where government gets out of the way of private industry the closest you're going to get to it is somewhere like Somalia, I hear healthcare there is wonderful.
Whilst the Government might regulate the environment for transport infrastructure (where it is placed, what routes it takes etc) I think you'll find that it's the private sector that actually builds the things. Whilst it's true that most of our roads were paid for by the Government, most of our railways were originally built with private sector money. You want a place where government gets out of the way of private industry the closest you're going to get to it is somewhere like Somalia, I hear healthcare there is wonderful.
The gauge problem is an example of how Government should have regulated earlier to require standardisation, but it is not an argument for Government to build railways.
speedyman said:
and thats where private companies complain about red tape and regulation. Here's an example of private sector build which the contractor has ducked and dived for years to avoid fixing ALL the issues they were responsible for. http://www.cambridge-news.co.uk/Cambridgeshire-gui...
Regulation has a cost - we just need to ensure that we have the right regulation in the right areas - too many people call for regulation which often has no benefit but adds cost.Gassing Station | News, Politics & Economics | Top of Page | What's New | My Stuff