The NHS

out-sourcing cleaning and laundry gave us c-difficile and needless deaths. thatcher...
The all-out war on nurses and doctors gave us death by lack of staff. thatcher...
the naked propaganda by the daily hate mail and murdoch turned the victim of ideology into the culprit, lovingly adopted by the thatcher mafia and demonstrated so gleefully on this thread...follows the usual far-right pattern, everyone knows a tramp who lives in a mansion, everyone knows someone who died because some left-wing idle bastard didn't do what he was over-paid to do, all bosses are saints, all workers are thieves, no such thing as white-collar crime, just market forces blah blah fuckin' blah.
When the govnt is determined to sell-off/give away public-owned assets, energy, health, water, telecoms health depts, the service deteriorates the cost multiplies the pensions evaporate the t's and c's for employees are then reduced to the minimum wage that requires topping up, by the tax payer( not the share-holders of course, their pay-off is bullet-proof thanks to the "watch-dog" ) . Despite everything, the americans will make it worse, far worse, the british public are being lied to on a scale never seen before, despite the lies of the last 3 years, and they take some beating
Yep, we're dealing with evil people !
 
Ditto Karen, ditto.

And by the way, were you press-ganged into working for the NHS, or is it like conscription / military service?

It's not that I am ungrateful to the people who work in the NHS. What bugs me is the hard-done-by martyrdom many of you seem obsessed with, when in fact you voluntarily signed up for it. Did you not expect to have to treat ill people?
Come back to me when you stop being a twat,it's ungrateful idiots like you who get my back up
 
It does make sense, and one area where there is improvement is in accountability. I often see and hear that the NHS is overstaffed with managers, but I deal with them and their expertise in health sectors and their expertise in business planning is vital if we are to make the most of what we have. In any organisation people are resistant to change, I studied it years ago and cant remember the name of the theory behind it, but I digress, I believe it is the job of the innovators to show those who are resistant to change why change will be good for them. I have attended meetings where people are very protective of their own particular part of the system, but when the change is explained I have seen them change their minds and accept that the proposal has merits. As Keynes said, if the facts change I change my mind and that is becoming more and more a normal way of thinking inside the NHS. It knows it has to evolve or it runs the risk of becoming an outdated dinosaur of an organisation.
For some people any change is criticised. It used to be that a "Change master" had roughly three months to get people to buy into their change but I am probably out of date now.
In fact some people are just like rags referring to history and traditional values and even entitlements. If such people are at high levels within any organisation then they are obviously part of the problem not its solution.

I think the nhs recognises that change and innovation are part of its requirements by having Professor's who effectively challenge yesteryears text books with efforts to discover more but against that are as you say the dinosaurs who are unfortunately set in their inefficient, historical, by the unwritten book, ways.
 
out-sourcing cleaning and laundry gave us c-difficile and needless deaths. thatcher...
The all-out war on nurses and doctors gave us death by lack of staff. thatcher...
the naked propaganda by the daily hate mail and murdoch turned the victim of ideology into the culprit, lovingly adopted by the thatcher mafia and demonstrated so gleefully on this thread...follows the usual far-right pattern, everyone knows a tramp who lives in a mansion, everyone knows someone who died because some left-wing idle bastard didn't do what he was over-paid to do, all bosses are saints, all workers are thieves, no such thing as white-collar crime, just market forces blah blah fuckin' blah.
When the govnt is determined to sell-off/give away public-owned assets, energy, health, water, telecoms health depts, the service deteriorates the cost multiplies the pensions evaporate the t's and c's for employees are then reduced to the minimum wage that requires topping up, by the tax payer( not the share-holders of course, their pay-off is bullet-proof thanks to the "watch-dog" ) . Despite everything, the americans will make it worse, far worse, the british public are being lied to on a scale never seen before, despite the lies of the last 3 years, and they take some beating
The demonisation of Thatcher re the NHS is complete twaddle. During her time as PM, spending on the NHS doubled in cash terms. Taking high inflation into account the real increase was 40%, representing the longest sustained increase in funding since foundation.
 
The demonisation of Thatcher re the NHS is complete twaddle. During her time as PM, spending on the NHS doubled in cash terms. Taking high inflation into account the real increase was 40%, representing the longest sustained increase in funding since foundation.
She spent it in all the wrong places,adding several more layers of management meaning patients didn't see a lot of it,you can never just take the figure and assume it was spent wisely
 
For some people any change is criticised. It used to be that a "Change master" had roughly three months to get people to buy into their change but I am probably out of date now.
In fact some people are just like rags referring to history and traditional values and even entitlements. If such people are at high levels within any organisation then they are obviously part of the problem not its solution.

I think the nhs recognises that change and innovation are part of its requirements by having Professor's who effectively challenge yesteryears text books with efforts to discover more but against that are as you say the dinosaurs who are unfortunately set in their inefficient, historical, by the unwritten book, ways.
Big pharma see cures as a danger to profits,
Defending profits is all they know, pretending they are some kind of noble pioneers held back by luddite lefties and their support for social justice,.;straight from the hatemail headline conveyor belt. Warped ..
 
She spent it in all the wrong places,adding several more layers of management meaning patients didn't see a lot of it,you can never just take the figure and assume it was spent wisely
You have a point., but it was NHS Exec who did all the detail. Thatcher said she wanted more professional managers rather than old style administrators.

I worked for the NHS for a while and what struck me, as an outsider was:
1. The departments that shouted the loudest got the most money.
2. Clinical heads had far too much influence and used it to get salary increases for themselves, rather than poorly paid staff. See 'merit awards'.
3. Management was chaotic. Nothing was systematized, they reinvented the wheel daily. (As a regular patient now at two hospitals, not much has changed !)

I invented an appraisal system to counteract item 1 above. Chief exec loved it, clinical heads wanted me strung up!
 
You have a point., but it was NHS Exec who did all the detail. Thatcher said she wanted more professional managers rather than old style administrators.

I worked for the NHS for a while and what struck me, as an outsider was:
1. The departments that shouted the loudest got the most money.
2. Clinical heads had far too much influence and used it to get salary increases for themselves, rather than poorly paid staff. See 'merit awards'.
3. Management was chaotic. Nothing was systematized, they reinvented the wheel daily. (As a regular patient now at two hospitals, not much has changed !)

I invented an appraisal system to counteract item 1 above. Chief exec loved it, clinical heads wanted me strung up!
It was a real mess,i don't think Ken Clarke helped much or am i thinking of the wrong Health minister?
 
It was a real mess,i don't think Ken Clarke helped much or am i thinking of the wrong Health minister?
Don't ask me, Karen, I'm old and feeble minded, cant remember what day it is. Actually, I think it was Clarke, but don't quote me.
 
out-sourcing cleaning and laundry gave us c-difficile and needless deaths. thatcher...
The all-out war on nurses and doctors gave us death by lack of staff. thatcher...
the naked propaganda by the daily hate mail and murdoch turned the victim of ideology into the culprit, lovingly adopted by the thatcher mafia and demonstrated so gleefully on this thread...follows the usual far-right pattern, everyone knows a tramp who lives in a mansion, everyone knows someone who died because some left-wing idle bastard didn't do what he was over-paid to do, all bosses are saints, all workers are thieves, no such thing as white-collar crime, just market forces blah blah fuckin' blah.
When the govnt is determined to sell-off/give away public-owned assets, energy, health, water, telecoms health depts, the service deteriorates the cost multiplies the pensions evaporate the t's and c's for employees are then reduced to the minimum wage that requires topping up, by the tax payer( not the share-holders of course, their pay-off is bullet-proof thanks to the "watch-dog" ) . Despite everything, the americans will make it worse, far worse, the british public are being lied to on a scale never seen before, despite the lies of the last 3 years, and they take some beating

Bang on Buzzer
 

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