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ckn

Member Since 19 Apr 2004
Offline Last Active Today, 03:15 AM
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#3268137 The NHS Debate (Merged threads)

Posted by ckn on 05 February 2016 - 04:09 PM

They may well be cutting the money on pharmacy spending, that doesn't mean the NHS budget has been cut if that money has been shifted to other parts of the NHS. Where is that £170m going? To fund stuff like hand transplants? Or to buy Tory donors more kittens to kick?

My town doesn't need 5 pharmacies within spitting distance of each other. There's not 5 McDonald's or 5 Kwik Fits in the same area.

Or do you think the different departments have the NHS should have exactly the same proportion of funding they always have?

You do know what an "efficiency saving" is, don't you?

Paragraph 1:  Yes, it is a cut.  The DoH is reducing the budget by this amount as an "efficiency saving".  What part of reducing the money they're paying don't you get?  Also, the deficits that are being covered are being transferred into loans that the trusts have to pay back, it's certainly not going to help with that.

 

Paragraphs 2 and 3:  The NHS is transferring significant clinical responsibilities to pharmacists, including diagnostic stuff that used to be the remit of the GPs and then NHS Direct.  The coalition government, with the same people in charge, in their wisdom disposed of NHS Direct and replaced it with 111 meaning a source of clinician-led diagnosis disappeared, the load from that then transferred to GPs and A&E, precisely the places from which NHS Direct was set up to help alleviate pressure.  Pharmacists have had lots of effort put into helping them deal with this added clinical load, for which they're getting no extra funding, including many charities helping them.  They're also getting access to the summary care record system to allow them to tailor advice to the patient's clinical records and reduce the chances of critical error.  NOW, the government are cutting that as well, pharmacists are expected to do with substantially less money AND deliver far more diagnostic services; the government have admitted that 1000-3000 pharmacies will disappear because of the funding cuts meaning it'll be the big chains left where you'll have to discuss your intimate clinical details with someone who is simply there as a pharmaceutical sales assistant.  Boots makes no money from giving advice, they make money from shifting produce and churning through prescriptions, there's nothing in it for them to comply with the government's appeals for them to do more diagnostic advice, especially when the income per-patient is being cut quite substantially for prescriptions.

 

Paragraph 4: You really don't get why very few people like you and you provoke intense reactions from many people, do you?  I know what efficiency savings are, I've been given my cost improvement plan for 2016/17 for my sizeable NHS service, I'm expected to make decent sized cuts in my budget while also being given a rather silly large growth target.  So, being asked to cut my service while also grow it.  That's the sort of idiot thinking that died in private practice in the 1980s.  You can grow your service with a static budget with good management or you can cut your budget with static growth, again with good management, but both growing and cutting your service at the same time is brain-dead idiocy, especially in an organisation that's been pared to the bone over the last five years.  Remember, this is my first NHS gig, I cut my teeth in the hardest nosed city professional services environments and none of those companies would ever think that the idiot thinking from the government would be sustainable in anything other than an exceptionally difficult single year.




#3268086 Uninteresting Trivial Facts

Posted by ckn on 05 February 2016 - 02:38 PM

The People's Front of Christianity met the Christian People's Front today. Splitters


#3266929 EU Referendum

Posted by ckn on 03 February 2016 - 04:41 PM

I'll be voting to stay in, Europe is a diverse and wonderful place.

 

I hope my children grow up with the vision and ambition to make the most of the free movement they will enjoy, enabling them to work in some of the most magnificient cities in the world instead of settling to stay put and whinge about how hard done to they are.  Hopefully they will take advantage of something I've failed to do.

I've spent a good bit of my career project managing across Europe, with a lot of time especially spent in Munich, The Hague and Madrid.  It's only when you're there and you find everyone in business going out of their way to speak English and making you feel welcome that you find out how hostile London, and the UK generally, can be to anyone foreign.  I remember one Spanish guy coming to our London offices, his English wasn't great but he was trying his best yet he was treated like an utter imbecile by more than a few, not once was I treated that badly when I was in any of the European countries. 

 

I did one two year project delivering a major integration project on behalf of a London company to six eastern European countries, I had the great luxury of occasional trips to Bucharest, Budapest, Bratislava, Prague, Moscow and Warsaw and I thoroughly loved it despite having no clue about any of their languages.

 

We're far better off being in Europe as a meeting of peers rather than standing outside like the snobbish old-money Lord sniffing down his nose at the upstart new-money oiks.




#3266514 Random internet link of the day

Posted by ckn on 02 February 2016 - 09:39 PM

The best Gumtree car advert... ever

 

:D




#3266497 Jeremy Corbyn & the Labour Party

Posted by ckn on 02 February 2016 - 08:58 PM

Labour in Scotland: "Vote for us and we'll raise your taxes!"

 

I can see WHY they'd say that but surely Labour have realised that the great British public will not vote for tax rises when they're feeling the pinch, maybe in good times.  Especially when the plans with the rebate for the lower paid just seeming quite confused, especially the extra staff and admin that would be needed to administer it plus the inevitable mistakes and relying on the poorest and most vulnerable to claim the money back themselves.

 

It sounds like they had a quick meeting in the pub, something sounded right after about six pints each and they went with it without thinking it through sober.




#3265048 Rumania and Georgia

Posted by ckn on 31 January 2016 - 02:00 PM

Oh look!! 2 countries are disappointed at the dark side. This presents an opportunity for the greatest game of all to swoop in and lure them to the bright side.

All we need to do is show them a few clips of our great game and they'll be instantly hooked. We'll give them the opportunity to play in the 4 Nations and the World Cup.

Good times!!! Whoop whoop

FFS... make it difficult for me will you?  One post and out.




#3264792 Jeremy Corbyn & the Labour Party

Posted by ckn on 31 January 2016 - 01:00 AM

What ever people think of Jeremy Corbyn the Tory media certainly have a huge fear of him, otherwise why the constant verbal and written attacks against him.

I think the target is more the vociferous opponents of Corbyn within Labour, it's like rattling a cage of a yippy little dog, the more you rattle their cage the more they bark away.  It's causing lasting, and probably permanent, damage to the Labour Party as a while because even if Corbyn stepped down today the repercussions would go on for at least the rest of this Parliament.  At a time when there's plenty of gaps to target the Tories, force divisions, especially on the EU, and repeatedly remind them they're on a wafer thin majority, the Labour MPs are attacking each other.  The Tories are even beating on their natural supporters with the recent pension attacks on those earning at the lower end of the 40% tax bracket yet Labour can't even lay a glove on them over it because they're so interested in their own civil war.




#3264487 The NHS Debate (Merged threads)

Posted by ckn on 30 January 2016 - 02:37 PM

Your concern would be believable rather than spinelessly hypocritical if you don't support and vote for the party who pledged even less money to sort the NHS out. We know.

Almost as bad as Cameron point-blank lying about what they'd do if they won the election.  There's been plenty of cuts already renamed as "efficiency savings", the latest of these is the £170m cut for pharmacy funding.  It's a cut, they're cutting the money they're spending.  Cameron lied.




#3262940 Mitchell pearce

Posted by ckn on 27 January 2016 - 01:18 PM

If David Cameron can still be Prime MInister after what he did to that dead pig, someone being a drunken idiot should just get a good bollocking and told not to be so stupid or next time he'll be forced to play domestic Aussie union for life.




#3262898 Jeremy Corbyn & the Labour Party

Posted by ckn on 27 January 2016 - 11:50 AM

You really should try staying off the sauce so early in the morning John.

 

Conservatives not screwing upon the country?

 

National Debt doubled.

Bedroom Tax policy in disarray.

Civil Legal Aid cuts challenged.

Pensions Tax raid.

Universal Credit delays.

NHS 111 failure.

Corporation Tax scandal.

Trade Union Bill failure.

Tax Credits debacle.

Tory Party bullying scandal.

 

And that's all before Camoron fails to negotiate a deal in Europe and the Tory Party falls apart over the referendum.

To be absolutely fair, I've scored out the ones above that wouldn't have changed if Labour had won in 2015 going by the strict reading of the manifesto and the policy statements of the Shadow Cabinet in the run up to the election.  In fact, some could be worse..  If you're going to target the government, do it on things that can't be challenged.




#3262658 diets

Posted by ckn on 26 January 2016 - 08:04 PM

I think it was the attracting teenage girls bit!

 

I hope this is some kind of typo or else you'll end up on that 'what annoys me' thread! Muscle doesn't turn to fat!! Where's Bob8 when you need him?

OK, my muscle atrophied through underuse and my extra unused calorie intake turned into fat.  That better? ;)  I was trying to save some words...




#3262007 Obituary Thread 2016

Posted by ckn on 25 January 2016 - 03:23 PM

Come on... the rules are more than clear about the nature of this thread.  They get enforced regardless of who has died.




#3261988 Jeremy Corbyn & the Labour Party

Posted by ckn on 25 January 2016 - 02:25 PM

Absolutely. And it's defining the whole Labour party (in the public's eyes) as the Jeremy Corbyn party, which it's not and undermining all the quality work put in at local level by the parties constituency MPs, councillors and activists. 

The problem is that you look at who is clamouring to replace him within the Labour Party, it's those who want to make Labour the UK equivalent of the US Democrats, i.e. the party of the 10%.  The very same people with regressive policies that would make Maggie Thatcher blush.  The same people who promised to out-Tory the Tories on cutting benefits.  The same people who promised £6bn less than the Tories.  You have the devil of Corbyn's leadership or the deep blue sea of the centre-right.




#3261887 Refugee humanitarian disaster

Posted by ckn on 25 January 2016 - 10:50 AM

I admit I am one eyed in certain things. However, the way you blame Islam for everything is absurd. The US Senate has over 50% of its members who are Jewish. Maybe coincidence maybe not, but the USA has been happy to cause Problems in many Muslim lands and has been happy to back and Support the Jewish Nation of Israel and done Little to stop the attacks from Israel on Muslims. Muslim lands have often never had peace because the west has forever been trying to Strip them lands of assets. Islam has Major Problems and it Needs to Change but not all the worlds Problems are because of Islam. The politicians of the west are far more to blame for the Problems in Afghanistan, Syria, Libya, Iraq, Iran etc, than the Islam faith.

Tony Blair admitted that the invasion of Iraq in 2003 directly led to the creation if ISIS.  Alan Greenspan, former Federal Reserve Chairman, admitted the Iraq invasion was all about us controlling the oil.

 

Afghanistan was a minor boil on the bum of the Soviet Union so they invaded.  We (as in the west) went out of our way to radicalise and militarise the Taliban, they were our proxy for fighting the Soviets and received training and equipment from the very best stuff we had.  We even made it a religious war for them because we knew that that would help keep Pakistan at the forefront of the smuggling of equipment and training into Afghanistan.

 

If you look at most of the countries that have a major problem now with Islamic extremists you can usually find a western hand there somewhere that caused it.




#3261797 Refugee humanitarian disaster

Posted by ckn on 24 January 2016 - 10:40 PM

eh up...I spot oxymoron.


http://www.telegraph...-of-Calais.html

If they refuse to give their name or nationality to the court then that's contempt in any country.  One of the few things you can be sent to jail indefinitely for until you do at the judge says.