Member Since: 22nd Apr 1999
26th Jun 2015
to misquote an unremembered source
'i'd have Tony Blair and he'd be dead.'
26th Jun 2015
I've been quoted - I feel I've made it now!
And my quote doesn't give away the fact that I'm actually 'reet comun'.
17th Jun 2015
In the wise words of..
"With great power comes great responsibility."
15th Jun 2015
The FIFA head of comms also went for a bad joke. The difference was his was actually funny to most (just not his employer).
I would however be suprised if a women had said something like 'the problem with men is they never show emotion when I question them about their work practices I don't know if they take it in' whether anyone would have taken any notice. I fear this is not about gender equality but the profile of professionally offended, whom I'm afraid the media seem to concentrate on.
3rd Jun 2015
Lots of people I know have gone on about the Tories privatising the NHS using emotive words such as 'destroying' as if after these changes (which don't actually seem to be part of Tory policy anyway) there will be no care available to anyone.
They completely fail to see that the point of the NHS is to give care free at the point of usage to all UK citizens, at no point in this mission statement, as it would be called now, does it say this needs to be done as a state run monopoly. If care is still available and free it doesn't matter who or what provides it as long as it is of sufficient quality and gives the tax payer value for money.
3rd Jun 2015
Staff cost issues
There are many easy wins in terms of staff costs in the NHS. I worked as an interim in the NHS for a time, the rates they paid were comparatively high - the reason? They refused to take on accountants who didn't have NHS experience already, restricting the numbers of workers available and therefore driving up rates. Whilst sector experience can be useful experiences from other sectors are valuable to bring cross fertilitisation of good practice, and do they need that good practice!
For medical staff there are bank systems in hospitals to allow them to work additional hours. Whilst there are various benefits to this system it is at its most basic level just a very expensive way of allowing people to work overtime. It also gets managers out of the habit of adequately managing staffing levels as the easy fix of bank staff is always there.
As for consultants - I've ranted about this before here - they should not be allowed to practice privately, they should certainly not be allowed to practice privately using NHS resources. There are perverse incentives in place which reward poor performance by transferring patients that should have been seen within their NHS work onto their private lists to reduce waiting lists.
21st May 2015
Whilst a large amount of the authorised contractors may display some profiteering in their prices you have to remember that there is a huge admin cost to being on these sorts of lists. Every job will have masses of paper work to go along with quotes. Every quote they give they know they are probably on a list of at least 3 so probable to win only 1 in 3 of these jobs so they need to make up the admin costs on the 2 they didn't win.
Its rare for a local tradesman to go for one of these jobs as they need the certainty of work and would rather be using their trade skills rather than being caught up with the admin. That leaves the bigger organisations quoting who have to cover HQ costs as well - bumping up the price still further.
It would benefit almost everyone if micro businesses had an easier way of accessing local & national government contracts, there would certainly be more value for the tax payer money.
20th May 2015
We (or to be picky some 25% of those registered to vote) have elected ourselves what you might argue is the government we deserve.
Like it or not the people have spoken - they don't agree with your views. This doesn't mean the people are wrong, it means you are. There has been an awful lot of unpleasantness produced by those with left-wing views since the election showing that they really do view the electorate with contempt. The majority of the population now fully understands the failings of the champagne socialist.
You can say whatever you like about the tories agenda but they have been up front and honest about what they want the UK to be like in the long term. The cloaked marxism that underlies the labour policies gives flawed policies based on a failed ideaology.
20th May 2015
I find the quality of service is massively variable dependent upon surgery. At my GP's I can ring up at 8am and be seen that day. My MiL is a doctors receptionist at another local surgery and regularly tells of her frustration of not being able to give people appointments until 2 or 3 weeks after they ring.
The NHS is general is suffering from many years of populist policticians saying 'let the doctors run the hospital' - a nice sound bite until you realise that a) if they are running hospitals they aren't seeing patients b) they have no training or experience in running hospitals so aren't very good at it. As someone who has worked in NHS finance I can also honestly say that they way in which some consultants do private medical work as well as NHS work is at best bad value for the NHS and at worst somewhere between unethical and criminal.
18th May 2015
Advice to clients
The first question to someone buying a business is always 'how are you going to exit?', why have you not thought this through already, this is an integral part of a business plan.