The ambulance service is becoming a huge problem for Tories – politicalbetting.com
Health Sec Steve Barclay confronted by angry member of public over beleaguered ambulance service: “Twelve years. You’ve done bugger all about it”. pic.twitter.com/9O5x1yUcU2
But I do wonder whether taking some money from Health for social services might not unclog things a bit and be a better use of money looking at things from a system view
If a bit of money transferred to social care reduces bed blocking so patients can be transferred out of ambulances quickly, then perhaps response times could get better
Not just ambulances, police as well. Following Olivia's murder this week:-
Emily Spurrell, the Merseyside police and crime commissioner, called for greater resources from central government if police are to curb the current crime spree.
When I had meningitis in 2016, the ambulancemen coming to pick me up had, that day, previously done jobs in Swaffham, Thetford, King's Lynn and then Cambourne (Cambridge).
IMO that's an indication of a service with problems, given the distances involved.
When I broke my arm in the very northwest of Scotland (Cape Wrath) the year before, a doctor saw me quickly, despite having to drive a large distance to reach me. But the nearest A&E was sic hours away in Inverness, and rather than get an ambulance, my dad and sister drove up from the Midlands to pick me and my car up.
To a rough approximation, the UK isn't a rich it would like to be.
Given the increased demands of pensioner numbers, that makes the rest of the country poorer, and the only question is how to distribute the pain. Public services have had roughly as much fat trimmed as is possible.
Good thing we haven't done anything else to reduce our wealth generating potential.
The one thing we can be certain of about Truss is that she is a bold gambler. It is why she stands on the threshold of Downing Street. For all the risks, an early general election may be the only way open to her to turn her weak mandate into a strong one.
Not just ambulances, police as well. Following Olivia's murder this week:-
Emily Spurrell, the Merseyside police and crime commissioner, called for greater resources from central government if police are to curb the current crime spree.
Maybe these issues will come up in tonight's hustings.
The governments policy of we can't afford pay rises and don't believe in interfering on energy markets so are doing tax cuts, strikes and widespread service collapse instead is err, very brave.
I've not seen much comment (specifically) on the continuing rice in natural gas prices. Up to £6.44 per therm today which is frightening compared with where it was pre the Ukraine conflict.
This seems to this observer to be what we should be concerned about rather than oil which seems to be settling in the $90 - $100 per barrel range at least for now.
Speaking of ambulances, paramedic is now a graduate profession. Who knew?
How to become a paramedic There are two routes to become a paramedic—in service development from technician or application to an East Midlands university offering a HCPC-approved Paramedic Science programme through UCAS.
The in-service route typically requires individuals to have employment as a Student Technician and Qualified Ambulance Technician before completing further education as a Paramedic Apprentice. This route is often referred to as ‘earn while you learn’.
Speaking of ambulances, paramedic is now a graduate profession. Who knew?
How to become a paramedic There are two routes to become a paramedic—in service development from technician or application to an East Midlands university offering a HCPC-approved Paramedic Science programme through UCAS.
The in-service route typically requires individuals to have employment as a Student Technician and Qualified Ambulance Technician before completing further education as a Paramedic Apprentice. This route is often referred to as ‘earn while you learn’.
In the big cities at least perhaps you could have quite different types of ambulance driver from glorified taxi driver through to mobile ER doctor types.
The one thing we can be certain of about Truss is that she is a bold gambler. It is why she stands on the threshold of Downing Street. For all the risks, an early general election may be the only way open to her to turn her weak mandate into a strong one.
Truss will just blame previous administrations and pretend she had nothing to do with it. There seem to be enough low information thick voters to believe this guff .
Part of the reason it is happening is the hospitals are full of bed blockers who cannot be released because the social care system is in total and utter crisis.
For family reasons I am now on the frontline of dealing with the care worker crisis and it is a bloody disgrace.
Both main parties have failed on this one for years and years.
I've just had a phone call from my mum. My new born-grand-niece is in hospital with sepsis. The ambulance people were apparently superb; 111 called an ambulance; they were blue-lighted to hospital, and a crash team were waiting for her. They are hoping she will be released in a few days.
Truss will just blame previous administrations and pretend she had nothing to do with it. There seem to be enough low information thick voters to believe this guff .
I mean, we're as bad as Italy used to be - we had the long years of the Coalition followed by the Cameron Majority, the May Majority, the May Minority, the Johnson Minority, the Johnson Majority and now the Truss Majority so this would be our sixth Government in seven years.
There are some people (I'm told) who don't change their socks that frequently.
Speaking of ambulances, paramedic is now a graduate profession. Who knew?
How to become a paramedic There are two routes to become a paramedic—in service development from technician or application to an East Midlands university offering a HCPC-approved Paramedic Science programme through UCAS.
The in-service route typically requires individuals to have employment as a Student Technician and Qualified Ambulance Technician before completing further education as a Paramedic Apprentice. This route is often referred to as ‘earn while you learn’.
In the big cities at least perhaps you could have quite different types of ambulance driver from glorified taxi driver through to mobile ER doctor types.
We sort of do, with traditional ambulances operating alongside cars, bikes and air ambulances, augmented by local volunteer doctors.
Health is devolved -- so the obvious question is are things different in Scotland and Wales?
In Wales, the answer is no. There have been a number of well publicised incidents of patients waiting many hours for an ambulance.
My guess is it is probably a consequence of the difficulty of seeing a GP, so people go to A&E, so ambulances can't decant patients and they are stuck waiting outside A&E.
I've not seen much comment (specifically) on the continuing rice in natural gas prices. Up to £6.44 per therm today which is frightening compared with where it was pre the Ukraine conflict.
This seems to this observer to be what we should be concerned about rather than oil which seems to be settling in the $90 - $100 per barrel range at least for now.
How many kWh in a therm again? Google convert has a US and a UK therm, neither of which makes sense to me at £6.44 per therm (presumably wholesale?)
Truss will just blame previous administrations and pretend she had nothing to do with it. There seem to be enough low information thick voters to believe this guff .
I mean, we're as bad as Italy used to be - we had the long years of the Coalition followed by the Cameron Majority, the May Majority, the May Minority, the Johnson Minority, the Johnson Majority and now the Truss Majority so this would be our sixth Government in seven years.
All we need now is for the Europeans to impose a technocratic government on us and the transformation will be complete.
Speaking of ambulances, paramedic is now a graduate profession. Who knew?
How to become a paramedic There are two routes to become a paramedic—in service development from technician or application to an East Midlands university offering a HCPC-approved Paramedic Science programme through UCAS.
The in-service route typically requires individuals to have employment as a Student Technician and Qualified Ambulance Technician before completing further education as a Paramedic Apprentice. This route is often referred to as ‘earn while you learn’.
In the big cities at least perhaps you could have quite different types of ambulance driver from glorified taxi driver through to mobile ER doctor types.
We sort of do, with traditional ambulances operating alongside cars, bikes and air ambulances, augmented by local volunteer doctors.
But then why do the glorified taxi drivers need a degree? And why volunteer doctors, pay them! Same with air ambulances, they should be paid for by govt not charities.
I've just had a phone call from my mum. My new born-grand-niece is in hospital with sepsis. The ambulance people were apparently superb; 111 called an ambulance; they were blue-lighted to hospital, and a crash team were waiting for her. They are hoping she will be released in a few days.
I've not seen much comment (specifically) on the continuing rice in natural gas prices. Up to £6.44 per therm today which is frightening compared with where it was pre the Ukraine conflict.
This seems to this observer to be what we should be concerned about rather than oil which seems to be settling in the $90 - $100 per barrel range at least for now.
How many kWh in a therm again? Google convert has a US and a UK therm, neither of which makes sense to me at £6.44 per therm (presumably wholesale?)
There seem to be 29.3 kilowatt hours in a therm so that would come out to 22p per kilowatt hour.
FPT. My Grandfather was a native Irish speaker. No one could remember him ever speaking it in England, mind. When the dementia kicked in he spoke nothing else. You could talk to him in English, and be understood, but he'd reply in Irish.
I've just had a phone call from my mum. My new born-grand-niece is in hospital with sepsis. The ambulance people were apparently superb; 111 called an ambulance; they were blue-lighted to hospital, and a crash team were waiting for her. They are hoping she will be released in a few days.
I'm a bit borken.
I am so sorry to hear this and hope you and your family will receive good news soon
The ambulance service is becoming a huge problem for Tories – politicalbetting.com
Health Sec Steve Barclay confronted by angry member of public over beleaguered ambulance service: “Twelve years. You’ve done bugger all about it”. pic.twitter.com/9O5x1yUcU2
I've not seen much comment (specifically) on the continuing rice in natural gas prices. Up to £6.44 per therm today which is frightening compared with where it was pre the Ukraine conflict.
This seems to this observer to be what we should be concerned about rather than oil which seems to be settling in the $90 - $100 per barrel range at least for now.
How many kWh in a therm again? Google convert has a US and a UK therm, neither of which makes sense to me at £6.44 per therm (presumably wholesale?)
There seem to be 29.3 kilowatt hours in a therm so that would come out to 22p per kilowatt hour.
Cheers, that makes (scary) sense. Google convert says 1 British thermal unit = 0.000293071 kWh (!)
Health is devolved -- so the obvious question is are things different in Scotland and Wales?
In Wales, the answer is no. There have been a number of well publicised incidents of patients waiting many hours for an ambulance.
My guess is it is probably a consequence of the difficulty of seeing a GP, so people go to A&E, so ambulances can't decant patients and they are stuck waiting outside A&E.
North Wales is every bit as bad as anywhere in the UK
Health is devolved -- so the obvious question is are things different in Scotland and Wales?
In Wales, the answer is no. There have been a number of well publicised incidents of patients waiting many hours for an ambulance.
My guess is it is probably a consequence of the difficulty of seeing a GP, so people go to A&E, so ambulances can't decant patients and they are stuck waiting outside A&E.
Particularly out of hours and/or when it’s relatively urgent. There’s simply no middle ground between booking a GP days in advance and turning up to A&E.
Always seemed to me that a well equipped 24 hour travelling doctor with common prescription medicines and basic equipment on hand could divert a lot of people away from A&E.
Either that, or make A&E a true hub where everyone goes and there is ample primary care, GPs, nurses, pharmacists etc all on hand in the one place.
But I know healthcare is a lot more complicated than that am I am probably proposing things that have been tried and failed multiple times.
The ambulance service is becoming a huge problem for Tories – politicalbetting.com
Health Sec Steve Barclay confronted by angry member of public over beleaguered ambulance service: “Twelve years. You’ve done bugger all about it”. pic.twitter.com/9O5x1yUcU2
Past form suggests we'll soon find out the man is a lifelong Labour activist.
If you watch the clip you'll soon find out the man was a woman.
If the woman turns out to be a lifelong Labour activist will that diminish the issue with the ambulance service? Or her point that the Tories have had 12 years to sort it out?
There are two major issues here that need resolving.
The first is the problems with A&E which mean we have ambulances waiting for hours with patients inside who can't even get in through the door of the hospital. This is clearly a major issue, perhaps the main issue and has got much worse more recently. .
But the other one is the fact that so many A&E departments at local hospitals (where there still are local hospitals) have shut. In Newark and Grantham both A&E departments have been downgraded or shut completely. Ambulances cannot take you there if you have any serious conditions (heart attacks, strokes, anything to do with the digestive system) or if you are a minor. They are also shut at night. Instead they have to take the patient to Queens at Nottingham or Kingsmill at Sutton in Ashfield (for Newark), or Boston or Lincoln for Grantham. These are trips of at least half an hour even under blue light conditions. That means even if the patient is immediately offloaded into A&E the ambulances are at least an hour in the round trips. Often more.
The NHS trusts say this centralisation is a good thing because it allows a concentration of specialisation but that doesn't take into account the extra ambulance resources that are needed to make this work. And in fact at both Newark and Grantham the number of ambulances have reduced not increased.
The system is broken and someone needs to look at it and, in the short term at least, reverse the closures of so many A&Es.
"Getting things done", "Getting on with the job"; are I think are the most annoying phrases in politics.
Actual achievement seems quite dissociated from these phrases.
At one point I believe Gordon Brown said, "I'm getting on with the job of getting on with the job."
A feather then in my cap, but of course a rancid puddle around my ankles with the Brown legacy.
There's a whole lexicon of political weasel words that sound impressive whilst guaranteeing no actual change for the better. 'Tough on', 'tackling', 'take action on' are some of the most irritating.
The ambulance service is becoming a huge problem for Tories – politicalbetting.com
Health Sec Steve Barclay confronted by angry member of public over beleaguered ambulance service: “Twelve years. You’ve done bugger all about it”. pic.twitter.com/9O5x1yUcU2
The ambulance service is becoming a huge problem for Tories – politicalbetting.com
Health Sec Steve Barclay confronted by angry member of public over beleaguered ambulance service: “Twelve years. You’ve done bugger all about it”. pic.twitter.com/9O5x1yUcU2
Past form suggests we'll soon find out the man is a lifelong Labour activist.
If you watch the clip you'll soon find out the man was a woman.
If the woman turns out to be a lifelong Labour activist will that diminish the issue with the ambulance service? Or her point that the Tories have had 12 years to sort it out?
The ambulance service is becoming a huge problem for Tories – politicalbetting.com
Health Sec Steve Barclay confronted by angry member of public over beleaguered ambulance service: “Twelve years. You’ve done bugger all about it”. pic.twitter.com/9O5x1yUcU2
"Getting things done", "Getting on with the job"; are I think are the most annoying phrases in politics.
Actual achievement seems quite dissociated from these phrases.
At one point I believe Gordon Brown said, "I'm getting on with the job of getting on with the job."
A feather then in my cap, but of course a rancid puddle around my ankles with the Brown legacy.
There's a whole lexicon of political weasel words that sound impressive whilst guaranteeing no actual change for the better. 'Tough on', 'tackling', 'take action on' are some of the most irritating.
The GP service doesn’t work. It’s effective closure during lockdowns (and reduced service even to this day) has increased reliance on over-stretched A&E resources, including ambulance teams.
If you started from scratch to figure out a primary care system that doesn’t just gatekeep but works to deliver preventative health measures, you would not come up with the current GP system.
The ambulance service is becoming a huge problem for Tories – politicalbetting.com
Health Sec Steve Barclay confronted by angry member of public over beleaguered ambulance service: “Twelve years. You’ve done bugger all about it”. pic.twitter.com/9O5x1yUcU2
Past form suggests we'll soon find out the man is a lifelong Labour activist.
If you watch the clip you'll soon find out the man was a woman.
If the woman turns out to be a lifelong Labour activist will that diminish the issue with the ambulance service? Or her point that the Tories have had 12 years to sort it out?
"Getting things done", "Getting on with the job"; are I think are the most annoying phrases in politics.
Actual achievement seems quite dissociated from these phrases.
At one point I believe Gordon Brown said, "I'm getting on with the job of getting on with the job."
A feather then in my cap, but of course a rancid puddle around my ankles with the Brown legacy.
There's a whole lexicon of political weasel words that sound impressive whilst guaranteeing no actual change for the better. 'Tough on', 'tackling', 'take action on' are some of the most irritating.
Boris went through umpteen relaunches to “get a grip” but never really showed any interest in doing so.
The ambulance service is becoming a huge problem for Tories – politicalbetting.com
Health Sec Steve Barclay confronted by angry member of public over beleaguered ambulance service: “Twelve years. You’ve done bugger all about it”. pic.twitter.com/9O5x1yUcU2
The ambulance service is becoming a huge problem for Tories – politicalbetting.com
Health Sec Steve Barclay confronted by angry member of public over beleaguered ambulance service: “Twelve years. You’ve done bugger all about it”. pic.twitter.com/9O5x1yUcU2
The GP service doesn’t work. It’s effective closure during lockdowns (and reduced service even to this day) has increased reliance on over-stretched A&E resources, including ambulance teams.
If you started from scratch to figure out a primary care system that doesn’t just gatekeep but works to deliver preventative health measures, you would not come up with the current GP system.
Is that the view from New York? Some GP services are fine, thanks. I had an issue earlier this year. E-consult followed by phone call followed by examination. Same day. Resolved. Happy. GPs did not effectively close during lockdowns, you just couldn’t physically attend without appointments.
Let me start by saying that I agree that 2024 should be a good year for the Republicans. And that a candidate with Trumpian views, but who isn't Trump (like DeSantis) would likely do extremely well.
But it is worth remembering that in 2020, Trump meaningfully underperformed his Senatorial candidates, trailing them (on average) by just under 4%.
That's pretty huge.
This time around, Trump endorsed candidates are really struggling in the polls compared to candidates who are more... independent.
Pennsylvania should at least be close. Ohio - with a partisan lean of R+15 - really shouldn't.
Georgia and Arizona should be win backs for the Republicans. And we shouldn't even be talking about incumbent Republican Senators like Johnson potentially being in trouble.
By contrast, Republican incumbents in - for example South Carolina - are running 32 point leads in the polls, against the 12 point lead that Trump got there in 2020.
It's very hard to see evidence that Trump's endorsement adds to the electability of a candidate; and there's plenty of evidence to the contrary.
And while one can point to Wyoming to talk about the Trump's popularity with the base, one also has to acknowledge Georgia, where Brian Kemp (a Republican enemy of Trump every bit as much in the ex-President's spotlight) saw off a Trump endorsed challenger by a 2:1 margin.
The GP service doesn’t work. It’s effective closure during lockdowns (and reduced service even to this day) has increased reliance on over-stretched A&E resources, including ambulance teams.
If you started from scratch to figure out a primary care system that doesn’t just gatekeep but works to deliver preventative health measures, you would not come up with the current GP system.
Is that the view from New York? Some GP services are fine, thanks. I had an issue earlier this year. E-consult followed by phone call followed by examination. Same day. Resolved. Happy. GPs did not effectively close during lockdowns, you just couldn’t physically attend without appointments.
Of course some are “fine”.
The question is why have there been strains - continuing strains - on A&E. The NHS is riddled with issues of course, but on this particular issue we must look at the top of the funnel.
The GP service doesn’t work. It’s effective closure during lockdowns (and reduced service even to this day) has increased reliance on over-stretched A&E resources, including ambulance teams.
If you started from scratch to figure out a primary care system that doesn’t just gatekeep but works to deliver preventative health measures, you would not come up with the current GP system.
I think it may be quicker if instead of noting problem areas we start listing things the government is responsible for and that work well.
The ambulance service is becoming a huge problem for Tories – politicalbetting.com
Health Sec Steve Barclay confronted by angry member of public over beleaguered ambulance service: “Twelve years. You’ve done bugger all about it”. pic.twitter.com/9O5x1yUcU2
Past form suggests we'll soon find out the man is a lifelong Labour activist.
If you watch the clip you'll soon find out the man was a woman.
If the woman turns out to be a lifelong Labour activist will that diminish the issue with the ambulance service? Or her point that the Tories have had 12 years to sort it out?
Yes.
No it wouldn't it.
The '12 years' remark sounds like a bit of a tell to me. Most common or garden members of the public wouldn't be that precise about the Tories' time in power, but it is a very important point for opponents to stress.
The ambulance service is becoming a huge problem for Tories – politicalbetting.com
Health Sec Steve Barclay confronted by angry member of public over beleaguered ambulance service: “Twelve years. You’ve done bugger all about it”. pic.twitter.com/9O5x1yUcU2
Past form suggests we'll soon find out the man is a lifelong Labour activist.
If you watch the clip you'll soon find out the man was a woman.
If the woman turns out to be a lifelong Labour activist will that diminish the issue with the ambulance service? Or her point that the Tories have had 12 years to sort it out?
Yes.
No it wouldn't it.
The '12 years' remark sounds like a bit of a tell to me. Most common or garden members of the public wouldn't be that precise about the Tories' time in power, but it is a very important point for opponents to stress.
From which weird recess of your brain comes the urge to discredit a critic of probably the shittest government in modern history?
"Getting things done", "Getting on with the job"; are I think are the most annoying phrases in politics.
Actual achievement seems quite dissociated from these phrases.
At one point I believe Gordon Brown said, "I'm getting on with the job of getting on with the job."
A feather then in my cap, but of course a rancid puddle around my ankles with the Brown legacy.
There's a whole lexicon of political weasel words that sound impressive whilst guaranteeing no actual change for the better. 'Tough on', 'tackling', 'take action on' are some of the most irritating.
Boris went through umpteen relaunches to “get a grip” but never really showed any interest in doing so.
The GP service doesn’t work. It’s effective closure during lockdowns (and reduced service even to this day) has increased reliance on over-stretched A&E resources, including ambulance teams.
If you started from scratch to figure out a primary care system that doesn’t just gatekeep but works to deliver preventative health measures, you would not come up with the current GP system.
The gp system hasnt worked for several years I was with my old gp from 87...in that time I saw appointments stretch from a couple of days to get to 3 weeks in the future. I gave up and on the rare occasion I need to see someone I go straight to A&E. Now I have moved home I am not even going to bother registering with a gp I can never use
The ambulance service is becoming a huge problem for Tories – politicalbetting.com
Health Sec Steve Barclay confronted by angry member of public over beleaguered ambulance service: “Twelve years. You’ve done bugger all about it”. pic.twitter.com/9O5x1yUcU2
Past form suggests we'll soon find out the man is a lifelong Labour activist.
If you watch the clip you'll soon find out the man was a woman.
If the woman turns out to be a lifelong Labour activist will that diminish the issue with the ambulance service? Or her point that the Tories have had 12 years to sort it out?
Yes.
No it wouldn't it.
The '12 years' remark sounds like a bit of a tell to me. Most common or garden members of the public wouldn't be that precise about the Tories' time in power, but it is a very important point for opponents to stress.
From which weird recess of your brain comes the urge to discredit a critic of probably the shittest government in modern history?
What has Gordon Brown got to do with ambulances today?
The ambulance service is becoming a huge problem for Tories – politicalbetting.com
Health Sec Steve Barclay confronted by angry member of public over beleaguered ambulance service: “Twelve years. You’ve done bugger all about it”. pic.twitter.com/9O5x1yUcU2
Past form suggests we'll soon find out the man is a lifelong Labour activist.
If you watch the clip you'll soon find out the man was a woman.
If the woman turns out to be a lifelong Labour activist will that diminish the issue with the ambulance service? Or her point that the Tories have had 12 years to sort it out?
Yes.
No it wouldn't it.
The '12 years' remark sounds like a bit of a tell to me. Most common or garden members of the public wouldn't be that precise about the Tories' time in power, but it is a very important point for opponents to stress.
From which weird recess of your brain comes the urge to discredit a critic of probably the shittest government in modern history?
I have no particular desire to do anything of the kind, I just say what I think.
This is just what happens when a party has been in power for a long time.
Time for a spell in Opposition for the Tories.
There's a related question about whether an opposition can be out of power for too long. Maybe Labour in 1992 would have done a better job than Labour did in 1997.
The GP service doesn’t work. It’s effective closure during lockdowns (and reduced service even to this day) has increased reliance on over-stretched A&E resources, including ambulance teams.
If you started from scratch to figure out a primary care system that doesn’t just gatekeep but works to deliver preventative health measures, you would not come up with the current GP system.
Is that the view from New York? Some GP services are fine, thanks. I had an issue earlier this year. E-consult followed by phone call followed by examination. Same day. Resolved. Happy. GPs did not effectively close during lockdowns, you just couldn’t physically attend without appointments.
Of course some are “fine”.
The question is why have there been strains - continuing strains - on A&E. The NHS is riddled with issues of course, but on this particular issue we must look at the top of the funnel.
Primary strain on A and E is the inability to empty patients out to social care. If an ambulance is waiting with a patient for 8 hours to unload, it’s not A and E that’s the issue, it’s the main hospital bed occupancy.
The ambulance service is becoming a huge problem for Tories – politicalbetting.com
Health Sec Steve Barclay confronted by angry member of public over beleaguered ambulance service: “Twelve years. You’ve done bugger all about it”. pic.twitter.com/9O5x1yUcU2
Past form suggests we'll soon find out the man is a lifelong Labour activist.
If you watch the clip you'll soon find out the man was a woman.
If the woman turns out to be a lifelong Labour activist will that diminish the issue with the ambulance service? Or her point that the Tories have had 12 years to sort it out?
Yes.
No it wouldn't it.
The '12 years' remark sounds like a bit of a tell to me. Most common or garden members of the public wouldn't be that precise about the Tories' time in power, but it is a very important point for opponents to stress.
From which weird recess of your brain comes the urge to discredit a critic of probably the shittest government in modern history?
I have no particular desire to do anything of the kind, I just say what I think.
The ambulance service is becoming a huge problem for Tories – politicalbetting.com
Health Sec Steve Barclay confronted by angry member of public over beleaguered ambulance service: “Twelve years. You’ve done bugger all about it”. pic.twitter.com/9O5x1yUcU2
Past form suggests we'll soon find out the man is a lifelong Labour activist.
If you watch the clip you'll soon find out the man was a woman.
If the woman turns out to be a lifelong Labour activist will that diminish the issue with the ambulance service? Or her point that the Tories have had 12 years to sort it out?
Yes.
No it wouldn't it.
The '12 years' remark sounds like a bit of a tell to me. Most common or garden members of the public wouldn't be that precise about the Tories' time in power, but it is a very important point for opponents to stress.
Well, haven't the Tories been in office for 12 years, Tory Boy?
I would add that Rishi’s £10 charge for GP no-shows is a great example of his total lack of acumen.
You can see how he got there…it kind of makes sense…on Planet Vulcan.
What it shows, I think, is that Rishi does not explain it properly, and maybe that is because he has not thought it through or because there is no "lessons learned" review of past performances. Rishi's idea is that if 15 million no-shows cancel in advance, that will free up 15 million appointments for patients who now can't get them.
Trouble is that often medics overbook, like airlines, so missed appointments just mean the next patient is called in a few minutes earlier than would otherwise be the case.
I'm sure everyone's Swedish is up to this but a very good poll for the Sweden Democrats and a clear advantage for the centre-right coalition.
OTOH, another "rolling pollster", SIFO, in its daily offering, has the centre-left narrowly ahead.
It’s that all it’s going to be for England and Wales then once Davey and Starmer introduces PR - a choice of centre left or centre right governments for ever and ever, never again a Truss v Sunak party election to produce a right wing UK Prime Minister?
If we had PR in 2015 UKIP and the Tories combined would have got 50% of the vote
I’m sorry you don’t understand.
Dave and George and their governments were almost as far from this Blukip rubbish as Starmer and his shadow government are, that’s the point I’m making - yet you are claiming every bit of them and their party membership at that time sitting in government with Farage rather than Libdems and Starmer Labour, under PR? 😂
How can I give an example to you? Like this. Remember Boris Great Purge of Talented Tory Moderates 2019 - Hammond only defied whip once in his life and thrown out his party - under PR they would have danced a conga out the party with party hats on, off to government for the rest of their political careers, the rubbish blukip rump they left behind (that indeed has proved itself most utter rubbish in government) welcome to its political wilderness. Yes. That explains the change that is coming to British politics.
The GP service doesn’t work. It’s effective closure during lockdowns (and reduced service even to this day) has increased reliance on over-stretched A&E resources, including ambulance teams.
If you started from scratch to figure out a primary care system that doesn’t just gatekeep but works to deliver preventative health measures, you would not come up with the current GP system.
Is that the view from New York? Some GP services are fine, thanks. I had an issue earlier this year. E-consult followed by phone call followed by examination. Same day. Resolved. Happy. GPs did not effectively close during lockdowns, you just couldn’t physically attend without appointments.
Of course some are “fine”.
The question is why have there been strains - continuing strains - on A&E. The NHS is riddled with issues of course, but on this particular issue we must look at the top of the funnel.
Primary strain on A and E is the inability to empty patients out to social care. If an ambulance is waiting with a patient for 8 hours to unload, it’s not A and E that’s the issue, it’s the main hospital bed occupancy.
That’s true, but it’s not “new”, as far as I know (albeit slowly getting worse).
"Brexit partly to blame as Eurostar Kent stops to remain closed for at least two years.
"Ashford International and Ebbsfleet Eurostar services may not resume until 2025 and the operator said the delay had been affected by a tougher post-Brexit border environment and the expected launch of the EU’s Entry Exit System."
One of the most striking polls in 2016 primary campaign matched up John Kasich and Donald Trump against Hillary Clinton in Pennsylvania. Kasich was winning by 18 points, Trump, if I recall correctly, by 4. That wouldn't be a surprise to those who knew Kasich's electoral history: https://en.wikipedia.org/wiki/John_Kasich#Electoral_history
Kasich probably did get a boost from being from a neighboring state, Ohio. He is, of course, out of politics, now.
But I think that example is more evidence that, if the Republicans nominate a rational candidate, they will have a better chance than if they nominate Trump, or a Trumpian.
In general, Republicans do best if they nominate people from working class backgrounds, like Eisenhower and Nixon.
The GP service doesn’t work. It’s effective closure during lockdowns (and reduced service even to this day) has increased reliance on over-stretched A&E resources, including ambulance teams.
If you started from scratch to figure out a primary care system that doesn’t just gatekeep but works to deliver preventative health measures, you would not come up with the current GP system.
I think it's just patchy. My GP surgery is splendid - book appointments any time, take as long as you need within reason, get called in for preventive medical jabs, four GPs, one keener than the next. I went in with a had a minor problem a few months ago; the GP discussed it at some length, then rang me at 8 that evening; "I've been thinking about what you raised, and I wonder if we should try..." The catchment area is not uniformly posh - there'd an ex-council estate, ASB, and so on. We're just lucky.
Conversely, a friend has a GP who still operates the "call between 8 and 830 or get lost" appointment system, is always hurried, and has missed at least one significant issue.
So I don't think it's a rubbish system - it just has some rubbish practitioners, and it tends to be those who get in the papers.
The ambulance service is becoming a huge problem for Tories – politicalbetting.com
Health Sec Steve Barclay confronted by angry member of public over beleaguered ambulance service: “Twelve years. You’ve done bugger all about it”. pic.twitter.com/9O5x1yUcU2
Past form suggests we'll soon find out the man is a lifelong Labour activist.
If you watch the clip you'll soon find out the man was a woman.
If the woman turns out to be a lifelong Labour activist will that diminish the issue with the ambulance service? Or her point that the Tories have had 12 years to sort it out?
Yes.
No it wouldn't it.
The '12 years' remark sounds like a bit of a tell to me. Most common or garden members of the public wouldn't be that precise about the Tories' time in power, but it is a very important point for opponents to stress.
Well, haven't the Tories been in office for 12 years, Tory Boy?
Yes. I wasn't commenting on the accuracy of the observation.
Never mind any of this shit, i've just had to evict the biggest spider ive ever seen. Fucking thing might as well have been Shelob. Nothing gets that big without committing atrocities. If it gets back in....... Pray for me tonight peebee.
One of the most striking polls in 2016 primary campaign matched up John Kasich and Donald Trump against Hillary Clinton in Pennsylvania. Kasich was winning by 18 points, Trump, if I recall correctly, by 4. That wouldn't be a surprise to those who knew Kasich's electoral history: https://en.wikipedia.org/wiki/John_Kasich#Electoral_history
Kasich probably did get a boost from being from a neighboring state, Ohio. He is, of course, out of politics, now.
But I think that example is more evidence that, if the Republicans nominate a rational candidate, they will have a better chance than if they nominate Trump, or a Trumpian.
In general, Republicans do best if they nominate people from working class backgrounds, like Eisenhower and Nixon.
The GP service doesn’t work. It’s effective closure during lockdowns (and reduced service even to this day) has increased reliance on over-stretched A&E resources, including ambulance teams.
If you started from scratch to figure out a primary care system that doesn’t just gatekeep but works to deliver preventative health measures, you would not come up with the current GP system.
Is that the view from New York? Some GP services are fine, thanks. I had an issue earlier this year. E-consult followed by phone call followed by examination. Same day. Resolved. Happy. GPs did not effectively close during lockdowns, you just couldn’t physically attend without appointments.
Of course some are “fine”.
The question is why have there been strains - continuing strains - on A&E. The NHS is riddled with issues of course, but on this particular issue we must look at the top of the funnel.
Primary strain on A and E is the inability to empty patients out to social care. If an ambulance is waiting with a patient for 8 hours to unload, it’s not A and E that’s the issue, it’s the main hospital bed occupancy.
That’s true, but it’s not “new”, as far as I know (albeit slowly getting worse).
It’s currently amplified by covid, including covid incidentals.
Never mind any of this shit, i've just had to evict the biggest spider ive ever seen. Fucking thing might as well have been Shelob. Nothing gets that big without committing atrocities. If it gets back in....... Pray for me tonight peebee.
Please post early tomorrow, so that we know you’ve made it through the night…
One of the most striking polls in 2016 primary campaign matched up John Kasich and Donald Trump against Hillary Clinton in Pennsylvania. Kasich was winning by 18 points, Trump, if I recall correctly, by 4. That wouldn't be a surprise to those who knew Kasich's electoral history: https://en.wikipedia.org/wiki/John_Kasich#Electoral_history
Kasich probably did get a boost from being from a neighboring state, Ohio. He is, of course, out of politics, now.
But I think that example is more evidence that, if the Republicans nominate a rational candidate, they will have a better chance than if they nominate Trump, or a Trumpian.
In general, Republicans do best if they nominate people from working class backgrounds, like Eisenhower and Nixon.
Reagan won twice from a blue collar background too. However that is not always the case. For example George W Bush won twice from an upper class background and Trump himself was the son of a multi millionaire. Bob Dole's background was pretty ordinary and he lost in 1996
The ambulance service is becoming a huge problem for Tories – politicalbetting.com
Health Sec Steve Barclay confronted by angry member of public over beleaguered ambulance service: “Twelve years. You’ve done bugger all about it”. pic.twitter.com/9O5x1yUcU2
Past form suggests we'll soon find out the man is a lifelong Labour activist.
If you watch the clip you'll soon find out the man was a woman.
If the woman turns out to be a lifelong Labour activist will that diminish the issue with the ambulance service? Or her point that the Tories have had 12 years to sort it out?
Yes.
No it wouldn't it.
The '12 years' remark sounds like a bit of a tell to me. Most common or garden members of the public wouldn't be that precise about the Tories' time in power, but it is a very important point for opponents to stress.
Well, haven't the Tories been in office for 12 years, Tory Boy?
And labour have been in power in Wales longer and the same issues are manifest throughout Wales
Never mind any of this shit, i've just had to evict the biggest spider ive ever seen. Fucking thing might as well have been Shelob. Nothing gets that big without committing atrocities. If it gets back in....... Pray for me tonight peebee.
You havn’t gone and upset it 🫢
Don’t answer the doorbell. I did once in the middle of Emmerdale. Sat on the mat was the snail I had thrown over the back fence the week before. I picked it up and it shouted WHAT DID YOU DO THAT FOR!
I'm sure everyone's Swedish is up to this but a very good poll for the Sweden Democrats and a clear advantage for the centre-right coalition.
OTOH, another "rolling pollster", SIFO, in its daily offering, has the centre-left narrowly ahead.
It’s that all it’s going to be for England and Wales then once Davey and Starmer introduces PR - a choice of centre left or centre right governments for ever and ever, never again a Truss v Sunak party election to produce a right wing UK Prime Minister?
If we had PR in 2015 UKIP and the Tories combined would have got 50% of the vote
I’m sorry you don’t understand.
Dave and George and their governments were almost as far from this Blukip rubbish as Starmer and his shadow government are, that’s the point I’m making - yet you are claiming every bit of them and their party membership at that time sitting in government with Farage rather than Libdems and Starmer Labour, under PR? 😂
How can I give an example to you? Like this. Remember Boris Great Purge of Talented Tory Moderates 2019 - Hammond only defied whip once in his life and thrown out his party - under PR they would have danced a conga out the party with party hats on, off to government for the rest of their political careers, the rubbish blukip rump they left behind (that indeed has proved itself most utter rubbish in government) welcome to its political wilderness. Yes. That explains the change that is coming to British politics.
Cameron's Tories and the LDs combined were on 45% in 2015, that did not have the numbers to continue in government with PR.
The Tories and UKIP on about 50% combined however did have the numbers for a majority government under PR. Unless you are suggesting Cameron would have formed a Merkel style grand coalition with Ed Miliband's Labour?
Never mind any of this shit, i've just had to evict the biggest spider ive ever seen. Fucking thing might as well have been Shelob. Nothing gets that big without committing atrocities. If it gets back in....... Pray for me tonight peebee.
Please post early tomorrow, so that we know you’ve made it through the night…
I've got my bravest teddy on first watch. Veteran of the 'funny looking gross insect' incident
Comments
Betfair next prime minister
1.07 Liz Truss 93%
14 Rishi Sunak 7%
Next Conservative leader
1.07 Liz Truss 93%
14.5 Rishi Sunak 7%
New @IpsosUK polling today asked if the public trust the following to reduce the cost of living
Trust / do no trust
Starmer 39% / 51%
Sunak 36% / 55%
Johnson 35% / 62%
Truss 28% / 61%
Emily Spurrell, the Merseyside police and crime commissioner, called for greater resources from central government if police are to curb the current crime spree.
“We are still 456 officers short of where we were in 2010, and that’s a big resource for somewhere like Merseyside,” she said. We could use some of those officers to help tackle some of these issues that we’re facing.”
https://www.theguardian.com/uk-news/2022/aug/23/its-crazy-and-it-needs-to-stop-shock-and-anger-in-liverpool-after-week-of-violence
Maybe these issues will come up in tonight's hustings.
IMO that's an indication of a service with problems, given the distances involved.
When I broke my arm in the very northwest of Scotland (Cape Wrath) the year before, a doctor saw me quickly, despite having to drive a large distance to reach me. But the nearest A&E was sic hours away in Inverness, and rather than get an ambulance, my dad and sister drove up from the Midlands to pick me and my car up.
But it's a good idea if the drivers can actually fit in the blooming things:
https://www.theguardian.com/society/2022/jun/18/ambulance-staff-unable-to-drive-new-vehicles-because-of-height-and-body-shape
I also wonder if they are hoping and praying that things are not as bad, hence "spin"
Given the increased demands of pensioner numbers, that makes the rest of the country poorer, and the only question is how to distribute the pain. Public services have had roughly as much fat trimmed as is possible.
Good thing we haven't done anything else to reduce our wealth generating potential.
https://www.theguardian.com/commentisfree/2022/aug/25/liz-truss-wins-election-tory-prime-minister
This seems to this observer to be what we should be concerned about rather than oil which seems to be settling in the $90 - $100 per barrel range at least for now.
How to become a paramedic
There are two routes to become a paramedic—in service development from technician or application to an East Midlands university offering a HCPC-approved Paramedic Science programme through UCAS.
The in-service route typically requires individuals to have employment as a Student Technician and Qualified Ambulance Technician before completing further education as a Paramedic Apprentice. This route is often referred to as ‘earn while you learn’.
However, aspiring paramedics can apply to undertake a BSc (Hons) in Paramedic Science at a wide range of universities across the UK via UCAS and can apply to EMAS upon graduation from university.
https://www.emas.nhs.uk/join-the-team/ambulance-service-roles/paramedic/
She made a lot of noise to let you know she was [that’s enough -ed.]
For family reasons I am now on the frontline of dealing with the care worker crisis and it is a bloody disgrace.
Both main parties have failed on this one for years and years.
I've just had a phone call from my mum. My new born-grand-niece is in hospital with sepsis. The ambulance people were apparently superb; 111 called an ambulance; they were blue-lighted to hospital, and a crash team were waiting for her. They are hoping she will be released in a few days.
I'm a bit borken.
There are some people (I'm told) who don't change their socks that frequently.
The only thing people are concerned about right now is boat migrants. And woke.
@Leon says so, so it must be true.
In Wales, the answer is no. There have been a number of well publicised incidents of patients waiting many hours for an ambulance.
My guess is it is probably a consequence of the difficulty of seeing a GP, so people go to A&E, so ambulances can't decant patients and they are stuck waiting outside A&E.
Actual achievement seems quite dissociated from these phrases.
My Grandfather was a native Irish speaker.
No one could remember him ever speaking it in England, mind.
When the dementia kicked in he spoke nothing else. You could talk to him in English, and be understood, but he'd reply in Irish.
“Markets bet UK interest rates will hit 4% by May“
https://www.ft.com/content/d5a5031e-1a55-45ac-8569-eef807f528b8
Always seemed to me that a well equipped 24 hour travelling doctor with common prescription medicines and basic equipment on hand could divert a lot of people away from A&E.
Either that, or make A&E a true hub where everyone goes and there is ample primary care, GPs, nurses, pharmacists etc all on hand in the one place.
But I know healthcare is a lot more complicated than that am I am probably proposing things that have been tried and failed multiple times.
If the woman turns out to be a lifelong Labour activist will that diminish the issue with the ambulance service? Or her point that the Tories have had 12 years to sort it out?
The first is the problems with A&E which mean we have ambulances waiting for hours with patients inside who can't even get in through the door of the hospital. This is clearly a major issue, perhaps the main issue and has got much worse more recently. .
But the other one is the fact that so many A&E departments at local hospitals (where there still are local hospitals) have shut. In Newark and Grantham both A&E departments have been downgraded or shut completely. Ambulances cannot take you there if you have any serious conditions (heart attacks, strokes, anything to do with the digestive system) or if you are a minor. They are also shut at night. Instead they have to take the patient to Queens at Nottingham or Kingsmill at Sutton in Ashfield (for Newark), or Boston or Lincoln for Grantham. These are trips of at least half an hour even under blue light conditions. That means even if the patient is immediately offloaded into A&E the ambulances are at least an hour in the round trips. Often more.
The NHS trusts say this centralisation is a good thing because it allows a concentration of specialisation but that doesn't take into account the extra ambulance resources that are needed to make this work. And in fact at both Newark and Grantham the number of ambulances have reduced not increased.
The system is broken and someone needs to look at it and, in the short term at least, reverse the closures of so many A&Es.
It’s effective closure during lockdowns (and reduced service even to this day) has increased reliance on over-stretched A&E resources, including ambulance teams.
If you started from scratch to figure out a primary care system that doesn’t just gatekeep but works to deliver preventative health measures, you would not come up with the current GP system.
You can see how he got there…it kind of makes sense…on Planet Vulcan.
GPs did not effectively close during lockdowns, you just couldn’t physically attend without appointments.
@dyedwoolie and @MISTY are bulls on Trump 2024.
Let me start by saying that I agree that 2024 should be a good year for the Republicans. And that a candidate with Trumpian views, but who isn't Trump (like DeSantis) would likely do extremely well.
But it is worth remembering that in 2020, Trump meaningfully underperformed his Senatorial candidates, trailing them (on average) by just under 4%.
That's pretty huge.
This time around, Trump endorsed candidates are really struggling in the polls compared to candidates who are more... independent.
Pennsylvania should at least be close. Ohio - with a partisan lean of R+15 - really shouldn't.
Georgia and Arizona should be win backs for the Republicans. And we shouldn't even be talking about incumbent Republican Senators like Johnson potentially being in trouble.
By contrast, Republican incumbents in - for example South Carolina - are running 32 point leads in the polls, against the 12 point lead that Trump got there in 2020.
It's very hard to see evidence that Trump's endorsement adds to the electability of a candidate; and there's plenty of evidence to the contrary.
And while one can point to Wyoming to talk about the Trump's popularity with the base, one also has to acknowledge Georgia, where Brian Kemp (a Republican enemy of Trump every bit as much in the ex-President's spotlight) saw off a Trump endorsed challenger by a 2:1 margin.
Not Ukraine
https://twitter.com/raphousetv2/status/1562171302672183297?s=21&t=tmoRzl1m_DbHDzyHQrF_Zg
The question is why have there been strains - continuing strains - on A&E.
The NHS is riddled with issues of course, but on this particular issue we must look at the top of the funnel.
Time for a spell in Opposition for the Tories.
Trouble is that often medics overbook, like airlines, so missed appointments just mean the next patient is called in a few minutes earlier than would otherwise be the case.
Dave and George and their governments were almost as far from this Blukip rubbish as Starmer and his shadow government are, that’s the point I’m making - yet you are claiming every bit of them and their party membership at that time sitting in government with Farage rather than Libdems and Starmer Labour, under PR? 😂
How can I give an example to you? Like this. Remember Boris Great Purge of Talented Tory Moderates 2019 - Hammond only defied whip once in his life and thrown out his party - under PR they would have danced a conga out the party with party hats on, off to government for the rest of their political careers, the rubbish blukip rump they left behind (that indeed has proved itself most utter rubbish in government) welcome to its political wilderness. Yes. That explains the change that is coming to British politics.
https://twitter.com/OstapYarysh/status/1562839264559190017
Enjoy.
"Brexit partly to blame as Eurostar Kent stops to remain closed for at least two years.
"Ashford International and Ebbsfleet Eurostar services may not resume until 2025 and the operator said the delay had been affected by a tougher post-Brexit border environment and the expected launch of the EU’s Entry Exit System."
Kasich probably did get a boost from being from a neighboring state, Ohio. He is, of course, out of politics, now.
But I think that example is more evidence that, if the Republicans nominate a rational candidate, they will have a better chance than if they nominate Trump, or a Trumpian.
In general, Republicans do best if they nominate people from working class backgrounds, like Eisenhower and Nixon.
(Incidentally, speaking of electoral records, you shouldn't assume Crist will lose to DeSantis. Crist has won more elections than he's lost: https://en.wikipedia.org/wiki/Charlie_Crist#Electoral_history )
LOL.
Good luck Tories in marginal seats.
Suggest you dust down your CV writing skills.
Conversely, a friend has a GP who still operates the "call between 8 and 830 or get lost" appointment system, is always hurried, and has missed at least one significant issue.
So I don't think it's a rubbish system - it just has some rubbish practitioners, and it tends to be those who get in the papers.
If it gets back in.......
Pray for me tonight peebee.
I’ve put a little cash on Crist, FWIW.
Don’t answer the doorbell. I did once in the middle of Emmerdale. Sat on the mat was the snail I had thrown over the back fence the week before. I picked it up and it shouted WHAT DID YOU DO THAT FOR!
The Tories and UKIP on about 50% combined however did have the numbers for a majority government under PR. Unless you are suggesting Cameron would have formed a Merkel style grand coalition with Ed Miliband's Labour?