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ckn last won the day on June 14

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About ckn

  • Birthday August 9

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  1. Some people wonder what I do in the NHS, page 9 of this PDF document gives a short story of one tiny little project we did that has massive patient benefits. This undoubtedly is the smallest and cheapest project we have done, by quite some way, but it has disproportionately massive benefits for a group of people that are never profitable for a private company to help. In short, my clinical systems team, my PMO, an excellent project manager, some trainers and some techies installed a clinical system into a homeless shelter. It's tied to a local GP practice for clinical governance, it's linked into every hospice in Essex, the prison system, every hospital in the country (except a few wilfully blind and obstructive ones), every district nurse, every mental health trust, and so on. Homeless people are the most ill-treated people by a system that refuses to acknowledge they even exist in many settings, yet a simple project like this that costs under £8000 all-in allows their medical needs to be far more easily treated. You can count on the fingers of one hand how many homeless shelters have this (or similar) cheap but life-saving system in England. I'm immensely proud of this project as I've been told specific examples of people helped already in its short time in production use in this shelter. For those with no soul that equate value solely to money, that installation cost has already been saved in NHS costs by the preventative actions alone. Unfortunately, work like this is becoming increasingly rare as it really is all about the money. "Show me the profit" is the mantra from on high, and unfortunately a homeless shelter rarely has any money. I'll share a story on Friday night about the drive to move away from realistic preventative work once the embargo ends... I'm off for a top up of my whisky and put away the computer before I send some emails that will kill my career stone dead.
  2. Back in the waiting room again. The magazine in front of me is "Calibre. The lifestyle magazine for the mature modern man." Full of things that would keep any modern Kipper happy such as: Defenders of our Isles: by land, sea and air they defended Ol'Blighty in WWII. Exhaust Pipe: Adam Jacob vents about the effects of gentrification on his beloved Notting Hill. Spanish Flyers: Bored of Beach Holiday? Then grab a gun and head to Spain. I may post a pic of the contents page later to prove I'm not exaggerating.
  3. The government quietly "forgets" its promise to fund more nursing course places in return for nurse bursaries being dropped. It's getting a bit tiring saying "we bloody well told you so" but I'll keep doing it.
  4. First minister of Scotland alters plans based on public opinion despite it going against what she really wants. Prime Minister of UK: screw you all, here's the DUP, I'm going nowhere.
  5. People do say there is one in every BMW
  6. No... and you well know that's not accurate. I would explain it again but it'd be ignored again.
  7. I read more on this and this is a two-fold reason: 1. It's profit share on the Crown Estate. A bloody silly way to fund the monarchy, they should get what they need rather than be given profits from what is effectively public land. If it's not public land and actually belongs to the Queen then the Inheritance Tax bill will be a nice boost to the Exchequer when she dies. 2. The overall percentage profit increase is to pay for the Buck House refurbishments. So, less of a scandal than I first thought, it's not a politician led increase in the block maintenance grant, just a reflection that commercial property owners are making a grand old profit these days on premium land and that profit sharing funding is bloody silly.
  8. The fantastic new Queen Elizabeth aircraft carrier (and she really does look fantastic) which left Rosyth yesterday for her first sea trials runs on Windows XP.
  9. From those who can't to those who don't bloody well need it.
  10. A copy of an email sent to all NHS staff from Jeremy Hunt. Read this in the context of NHS clinicians having to work dangerous and persistently long working weeks to maintain that standard he talks about. The man has a bloody cheek sending something like that out. A message to NHS staff: Jeremy Hunt, Secretary of State for Health When I was first made Health Secretary I said it was the biggest privilege of my life, and so it has proved. What I didn't realise then was that it would also become my biggest passion – working in health is not just a job but a vocation. The election period reinforced more acutely than ever the incredible work of the NHS, particularly the way staff dealt first with the global cyber-attack and then with horrendous terror attacks in Manchester and London. After the Manchester bombing I met nurses caring for bereaved families with incredible compassion, whilst in London I heard stories of doctors who cycled the length of the city at 2am just because they wanted to help. These stories speak to a wider truth – NHS staff do an amazing job, often in the most difficult of circumstances. And it is this which brings us all together: our great belief in the NHS, what it stands for and what we believe it can be. Your compassion, energy, dynamism and total dedication, day in, day out, are truly humbling. When I look at what the NHS has achieved in recent years, I think you can feel very proud. Despite the financial crash and ensuing period of constrained budgets, today's NHS has some of its highest ever satisfaction ratings, carries out 5,000 more operations a day, has lower MRSA rates than France, Germany or Spain, and sees its highest ever survival rates for cancer, heart attacks and stroke. One of the biggest expansions of mental health provision in Europe is underway right here, and there's been a transformation in attitudes towards patient safety in the wake of Mid-Staffs. These achievements simply wouldn't have been possible without you, our world-class doctors, nurses, paramedics and everyone else who works every day, across the country, to make the NHS the best it can be. I am proud that this country was the first to say that no one – rich or poor, young or old –should have to worry about affording good healthcare; indeed we have made this pledge central to how people right across the world define a civilised nation. Going forwards, we must continue to focus not just on equity but also on excellence. We need to continue our work on patient safety, continue the transformation of mental health, continue developing new models of care and continue to put as much energy into prevention as into cure. That's my mission – to support the NHS to become the safest, highest quality health system in the world. This is not to ignore the fact that difficult issues lie ahead: money is always going to be a pressure, for instance. But I am confident that, working together, we can unite the whole NHS to deliver the safest, highest quality care anywhere in the world. I would like to take the opportunity to thank you all for your hard work to make this vision a reality.
  11. Hunt deliberately withheld a critical clinical safety issue from Parliament and, more importantly, affected patients. (Telegraph). Anyone willing to step up to the plate and defend him on this one? What does he have to do to get sacked? Walk round children's critical care wards and pull out plugs while holding a press conference?
  12. The DUP will be back for more (Telegraph). He who sups with the devil should have a long spoon.
  13. Warnings given that the NHS is now in grave danger of another Mid Staffs scale incident. Nursing level staffing is just chaotic, it's now beyond rare that you'll find a normal hospital ward at anything over 2/3 of its nursing requirement due to shortages. Hospitals are getting to the point that clinically unregistered staff, such as Healthcare Assistants, are being pushed into doing more and more things that should be nursing duties because if they don't it won't get done. That's all down to their not being enough nurses. It's made worse by nurses typically working 3x12 hour shifts a week, plus up to an hour handover at either side of each shift, then being asked to come in on days off to do other shifts because there's no-one else available. 60+ hour weeks are not uncommon for most nurses, 70+ hour weeks are becoming not uncommon either. And that's to allow hospitals to still only run at critically understaffed status. Mention that to the government ministers in charge and you get "record funding", "highest quality healthcare", "we've invested heavily". I posted about this sort of attitude on the Grenfell Tower thread. Anyone care any more, or is the NHS just another thing to run into the ground for political ideological purposes?
  14. I read an interesting article this morning: The fish rots from the head down, which concentrates on CAA safety issues highlighted by an internal official report that are not just ignored but spun away when leaked. This just says it all about attitudes towards the safety of others in the UK at senior level. In the UK public sector, whistleblowers aren't just shot, they're shot publicly and then see their career die from blackballing. The article highlights a number of situations where very senior politicians and civil servants have ignored highly credible concerns about safety in one way or another leading to a catastrophic outcome. We still haven't learned as a country that it's those who vilify whistleblowers who should be sacked and blackballed when genuine safety issues are raised. The problem is a mixture of egocentricity and an unwillingness to hear a single criticism of their area of responsibility, regardless of truth or consequences. Then add a pinch of seasoning in the form of nepotism where incompetents found out at the highest level are just shuffled into other senior roles rather than there be any substantive remedy for that incompetence. This Grenfell thing is a perfect example. In 2009, there was a catastrophic fire, this took until 2013 to get to inquest outcome. That report highlighted some urgent safety items that needed to be done, including reviewing building regulations. Multiple housing ministers later, nothing got done. It was ignored, pushed back, delayed, ignored, ignored and overall treated like an inconvenience because it would inevitably have costs and impacts on the building industry, all with negative PR for the housing minister at the time. This whole thing is just one big ego damage avoidance exercise by government ministers and council officials who hope that if they stall enough that whoever is next in line for the job, maybe four years down the line given how long inquests and public inquiries take to complete, will take the brunt of actually having to do something about the underlying problem.