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Barrykearley

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  • Gold FFM

Agree 100%.  I have many friends/family in the NHS, and they all say the same.  Inefficiency and inertia are the enemies.

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British Fart to Florida, Nude to New York, Dunce to Denmark, Numpty to Newfoundland.  And Shitfaced Silly Sod to Sweden.

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Last years budget was £140bn. That's £140,000,000,000 which is quite a lot, more than 1/8th of a trillion pounds! They're also one of the top ten largest employers on the planet with 1,200,000 staff which is 1 out of 25 of all the people working in the UK.

It's not the money or staff, as above it's the waste and inefficiency that causes the NHS problems. 

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Boris just tested positive!

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Possibly save your life. Check out this website.
http://everyman-campaign.org/

 

Distributor for 'Every Male' grooming products. (Discounts for any TLF members hairier than I am!)

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  • Gold FFM

I don’t won’t to get into deep political debate about central funding however if after a prolonged period of de-investment into an institute, times likes these can highlight failings ? 

then we are in my particular corner of care sector we are dependant on local authorities paying a realistic funding for the person to be care by our charity 

we closed a number places in the north as funding didn’t allow us to be financial viable and we were running at loss which as charity was putting other places at risk 

I agree more efficiency is always good thing but that can be also applied to many industries or organisations 

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Does it matter🤣

3 minutes ago, Kimbers said:

Am I invisible....hello? Is this thing on? tap tap tap...................

😉

 

hindsight: the science that is never wrong

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44 minutes ago, Kimbers said:

Am I invisible....hello? Is this thing on? tap tap tap...................

😉

If you're expecting a big reaction to your "Boris tested positive" post, I think most people's reaction is either:

  • Meh.
  • Good. Hope it dies.
  • Really? I thought Covid-19 only infected humans.
  • Lazy lying bastard - bet it hasn't got it and is just using it as an excuse to do bugger all.
  • Interesting how one of the least vital people in the country manage to get tested while our emergency workers are abandoned.
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My brother works in a petrol station/convenience shop so remains working. He said it’s amazing the number of people who still walk in to buy a single can of energy drink or just lottery scratch cards! It’s crazy, one of his co-workers has already quit because she couldn’t cope with the morons.

some people will never get the message, no matter how clear, putting others at increased risk. I agree that shop workers keeping the country fed and fuelled (on minimum wage) despite the current personal risk, deserve HUGE respect, and hopefully will be far more appreciated when this all ends.

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  • Gold FFM
6 minutes ago, Hello Paul said:

If you're expecting a big reaction to your "Boris tested positive" post, I think most people's reaction is either:

  • Meh.
  • Good. Hope it dies.
  • Really? I thought Covid-19 only infected humans.
  • Lazy lying bastard - bet it hasn't got it and is just using it as an excuse to do bugger all.
  • Interesting how one of the least vital people in the country manage to get tested while our emergency workers are abandoned.

Completely over the top comments - ridiculous. 

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32 minutes ago, Hello Paul said:

If you're expecting a big reaction to your "Boris tested positive" post, I think most people's reaction is either:

  • Meh.
  • Good. Hope it dies.
  • Really? I thought Covid-19 only infected humans.
  • Lazy lying bastard - bet it hasn't got it and is just using it as an excuse to do bugger all.
  • Interesting how one of the least vital people in the country manage to get tested while our emergency workers are abandoned.

hate is corrosive 

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Have I stumbled into a forum full of Daily Mail-reading tories? Why would anyone possibly not hate Johnson? He basically had two things to do in this crisis:
Isolate people (herd immunity - remember that?)
Provide the NHS with what they need (ventilators from the EU, anyone?)
He's failed on both counts. Does nobody here realise he is killing people? I think a little hate in his direction is the least we can do.

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  • Gold FFM
1 hour ago, Cdm2018 said:

if after a prolonged period of de-investment into an institute,

Is it though? Or is it that the inefficiency and waste has increased and so consumed a higher proportion of the budget which then means cut backs to services and an even tougher job for the front line staff?

It very much depends on where you are coming from. Most people just say "chronic underfunding" and "lack of investment" without having a real clue about how the money is spent and whether it is spent well.

 

The King's Fund is an independent charitable organisation, so I am much likely to believe them than politicians or newspapers. they say that "Budgets rose by 1.4 per cent each year on average (adjusting for inflation) in the 10 years between 2009/10 to 2018/19, compared to the 3.7 per cent average rises since the NHS was established." 

That is not bad given that the period since the NHS was established has covered quite some years were inflation was running rampant and so this will have an impact on the figures, probably quite a significant one, for those years when inflation was very high.

They also went on to say that "In July 2018, the Prime Minister announced a new five-year funding deal that would see NHS funding rise by £33.9 billion in cash terms (ie, not adjusted for inflation) by 2023/24 compared to 2018/19, a rate of increase that is closer to, but still lower than, the long term average".

None of this, not the chart below, seems to correlate with your perception, which is a populist fuelled by socialist/left wing political parties and commentators I would suggest. I would actually say that in real terms, the budget has been increased, however the ability of the NHS to "cope" with the increased demand, has not increased at the same level. A subtle difference.

There is little "learning" for example across acute care.  Doctors and Surgeons have huge ego's and the not invented here syndrome is rife. It's not just the NHS managers who waste money and resources. For instance, an A&E department that is quite rightly considered to be the number 1 performing in the country, you would expect, would be inundated with requests from other A&E departments to learn, to adopt procedures and practices, to drive their performance to the same level. The reality though is that largely never happens, as the A&E consultants in the worse performing A&E department would assume they know better, and that the better department was using processes that were "not invented here".  And so, rather than having every A&E department operating at the same "high" level, you get hundreds of A&E fiefdoms all doing their owns, thinking they are THE BEST, without checking the evidence to see if that was really the case. So across the NHS you then a massively more expensive cost for a lower outcome/performance.

image.png.3a600f541d78b9505e129ee0cad2f3bd.png

 

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Alcohol. Sex. Tobacco. Drugs. Chocolate.  Meh! NOTHING in this world is as addictive as an Evora +0. It's not for babies!    

The first guy to ride a bull for fun, was a true hero. The second man to follow him was truly nuts!   

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  • Gold FFM
1 hour ago, PaulCP said:

Anybody heard from @Kimbers recently?

Saw him in a film just before the lock-out. Well, his muddy footprints, not actually him....

Alcohol. Sex. Tobacco. Drugs. Chocolate.  Meh! NOTHING in this world is as addictive as an Evora +0. It's not for babies!    

The first guy to ride a bull for fun, was a true hero. The second man to follow him was truly nuts!   

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  • Gold FFM

The telegraph has broader sheets and is made from better quality paper.

Alcohol. Sex. Tobacco. Drugs. Chocolate.  Meh! NOTHING in this world is as addictive as an Evora +0. It's not for babies!    

The first guy to ride a bull for fun, was a true hero. The second man to follow him was truly nuts!   

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  • Gold FFM
1 hour ago, Hello Paul said:

Have I stumbled into a forum full of Daily Mail-reading tories? Why would anyone possibly not hate Johnson? He basically had two things to do in this crisis:
Isolate people (herd immunity - remember that?)
Provide the NHS with what they need (ventilators from the EU, anyone?)
He's failed on both counts. Does nobody here realise he is killing people? I think a little hate in his direction is the least we can do.

Hmmmm . There’s so many things wrong with the above it’s difficult to even make a start. 

Hate is an all consuming and destructive thing which achieves nothing and proves just as much. I’d suggest looking into your soul and giving yourself a good slap 

2 minutes ago, C8RKH said:

The telegraph has broader sheets and is made from better quality paper.

More isn’t always better. The softness of the mail on ones starfish is almost Andrex quilted 

Only here once

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