No surprise that support for junior doctors is eroding. They have been poorly led and badly advised. Just like the miners were.
What I don't understand is why the BMA approved of the deal a few months ago but now they have called 5-day strikes over it. What changed over the summer?
The BMA didn't approve it, they ballotted the affected doctors and 58% rejected it. The BMA JDC leadership resigned and new leaders with a mandate to continue industrial action were elected.
The leadership is not as radical as the membership. Next weeks strike is off, but this was because of inadequate time to prepare. The strike for 5 days from 5 Oct remains planned. That is a few days after imposition starts. It could be stopped if imposition was suspended and talks over the outstanding issues restarted.
What is the point of striking after imposition? You really think an agreed contract that is in place is going to be reversed after being imposed?
The government should take the same approach as Ronald Reagan to the Air Traffic Controllers.
Reversal?
Imposition starts on 1 October but the rollout is slow (and NHS HR departments hopelessly unprepared) and doesn't reach all grades of junior until next August.
The strike will be a disaster but imposition is a disaster too. It fails to address the real issues and will further demoralise and antagonise a truculent workforce with a major existing retention and recruitment problem. It is not a battle with a good outcome for anyone.
Except long-term the NHS patients who will have a seven day NHS in perpetuity long after this transitional dispute is history.
But a seven day service where every day is slightly better than the current weekend support but far worse than the other 5 days in the a week...
I highly doubt it. Evening out provision of service is far more efficient. It means that t he buildings and machinery the NHS spends billions of pounds on doesn't lie idle for the vast majority of the week while everyone crams into a tiny window. There are 168 hours a week and we spend billions on using 25% of it.
As a supporter of a public NHS, I am FULLY in support fo Jeremy Hunt. The Junior doctors are risking it all.
Incidentally, given Amazon a quick perusal and the bits and pieces don't seem too pricey (although I'd prefer to spend no money, a new console would obviously cost rather more). What I might do is see how things go, then possibly get them when the time for Christmas shopping arrives [I tend to do that early, and with a new novel possibly out in December I don't want to have to worry about that whilst also remembering to buy everyone a present].
Edited extra bit: I do apologise for blathering on about this, although fans and the like do seem a common problem.
Edited extra bit: do you mean a mini-vac or just the extensions on a normal vacuum cleaner? [Also, with the console opened u?]
I think 'expertly' would be asking too much. My hands are quite unsteady.
Open is better but you can do it closed as well and just aim it at the back and side vents, the job won't be as good though. I find the issue with compressed air is that it has the same problem as tesco value toilet paper.
No surprise that support for junior doctors is eroding. They have been poorly led and badly advised. Just like the miners were.
What I don't understand is why the BMA approved of the deal a few months ago but now they have called 5-day strikes over it. What changed over the summer?
The BMA didn't approve it, they ballotted the affected doctors and 58% rejected it. The BMA JDC leadership resigned and new leaders with a mandate to continue industrial action were elected.
The leadership is not as radical as the membership. Next weeks strike is off, but this was because of inadequate time to prepare. The strike for 5 days from 5 Oct remains planned. That is a few days after imposition starts. It could be stopped if imposition was suspended and talks over the outstanding issues restarted.
What is the point of striking after imposition? You really think an agreed contract that is in place is going to be reversed after being imposed?
The government should take the same approach as Ronald Reagan to the Air Traffic Controllers.
Reversal?
Imposition starts on 1 October but the rollout is slow (and NHS HR departments hopelessly unprepared) and doesn't reach all grades of junior until next August.
The strike will be a disaster but imposition is a disaster too. It fails to address the real issues and will further demoralise and antagonise a truculent workforce with a major existing retention and recruitment problem. It is not a battle with a good outcome for anyone.
Except long-term the NHS patients who will have a seven day NHS in perpetuity long after this transitional dispute is history.
But a seven day service where every day is slightly better than the current weekend support but far worse than the other 5 days in the a week...
I highly doubt it. Evening out provision of service is far more efficient. It means that t he buildings and machinery the NHS spends billions of pounds on doesn't lie idle for the vast majority of the week while everyone crams into a tiny window. There are 168 hours a week and we spend billions on using 25% of it.
As a supporter of a public NHS, I am FULLY in support fo Jeremy Hunt. The Junior doctors are risking it all.
There are a LOT of support staff who will also need 24/7 rotas. Could be expensive. Not saying hospitals shouldn’t be fully 24/7 operational, of course
On Youtube, though my computer crashed when I viewed. Bloody thing gets hot then crashes...oh deep joy.
Liar is really fast off the mark every time - I wonder what he does as a job? Media monitoring?
I don't think he's ever missed something juicy.
He's obviously got a handful of DVRs he keeps running on all the news channels and politics shows, and an HDMI hardware video decoder for ripping.
If he's not retired or a homeworker then he probably works in the media in some way. I imagine Guido's elves have a similar setup, would only cost a few hundred quid these days
I hope the South Park creators see the nonsense at London City Airport...I am sure they could make a fantastic episode based upon it.
Apparently the protest is because of "racist climate change". Hopefully they all get charged and convicted with whatever sticks this idiots in jail for a while.
I'd offer my expert knowledge in helpful return, but unless someone's having difficulty getting the rust out of their mail (put it in a barrel of sand and roll it around a bit, the chafing grains will rub off the rust and leave the rest intact) I don't have much practical advice, alas.
Mr. Jessop, I tend not to play long sessions, which I think/hope helps.
Mr. Sandpit, must admit, I have the technical aptitude of a potato. If/when I need a new device, I'll likely ask here for recommendations (I'll put it off as long as possible, mind).
The issue now with laptops is over speccing - they've got so much faster in recent years, that unless you're doing video editing or hardcore gaming a basic model is more than sufficient. Also, Windows 10 sucks like a Sunday Sport girl who got a big tip - pay £80 more to get W7 if you want to be productive using it for work, or get a MacBook. And order online - laptopshop, Amazon or direct from the maker.
I switched from Win7 to Win10 and don't have any problems with it.
I use the "Pro" version, so I don't know if that makes a difference.
You're one of the lucky ones. I've a customer PC on my bench now that upgraded to W10 a couple of months ago, then got stuck on a forced update and now is in an irreparable boot loop. Am having to copy all the documents off it, then wipe the disk, reinstall W7 and restore the docs. Will cost her half the price of a new laptop to get it all fixed, and it was top spec a year ago. MS have screwed this up very badly.
I've found W8/10 bloody awful - my W8 laptop has now decided that it'll try updating during the night - then hangs for 90mins, then comes back to life - EVERY NIGHT. And it's screwed up my AVG - I can't uninstall it/fix it now either so it download updates/fails/hangs my machine. I turned off the interweb connection on Aug 10.
I was in a computer workshop this morning (my iMac has a problem upgrading to El Capitan) and the technician there remarked that it was also known as Crapitan. I laughed; Apples answer to W10. No he said, Windows 10 is fine on a new machine; it’s upgrading which causes the problem. Which tallies with my Windows-using friends experience.
As soon as you upgrade you had to run sfc /scannow to check it worked properly,
No surprise that support for junior doctors is eroding. They have been poorly led and badly advised. Just like the miners were.
What I don't understand is why the BMA approved of the deal a few months ago but now they have called 5-day strikes over it. What changed over the summer?
The BMA didn't approve it, they ballotted the affected doctors and 58% rejected it. The BMA JDC leadership resigned and new leaders with a mandate to continue industrial action were elected.
The leadership is not as radical as the membership. Next weeks strike is off, but this was because of inadequate time to prepare. The strike for 5 days from 5 Oct remains planned. That is a few days after imposition starts. It could be stopped if imposition was suspended and talks over the outstanding issues restarted.
What is the point of striking after imposition? You really think an agreed contract that is in place is going to be reversed after being imposed?
The government should take the same approach as Ronald Reagan to the Air Traffic Controllers.
Reversal?
Imposition starts on 1 October but the rollout is slow (and NHS HR departments hopelessly unprepared) and doesn't reach all grades of junior until next August.
The strike will be a disaster but imposition is a disaster too. It fails to address the real issues and will further demoralise and antagonise a truculent workforce with a major existing retention and recruitment problem. It is not a battle with a good outcome for anyone.
Except long-term the NHS patients who will have a seven day NHS in perpetuity long after this transitional dispute is history.
But a seven day service where every day is slightly better than the current weekend support but far worse than the other 5 days in the a week...
I highly doubt it. Evening out provision of service is far more efficient. It means that t he buildings and machinery the NHS spends billions of pounds on doesn't lie idle for the vast majority of the week while everyone crams into a tiny window. There are 168 hours a week and we spend billions on using 25% of it.
As a supporter of a public NHS, I am FULLY in support fo Jeremy Hunt. The Junior doctors are risking it all.
Judging by that post nobody would guess you had money on Jeremy Hunt being Health Secretary on January 1st
No surprise that support for junior doctors is eroding. They have been poorly led and badly advised. Just like the miners were.
What is the point of striking after imposition? You really think an agreed contract that is in place is going to be reversed after being imposed?
The government should take the same approach as Ronald Reagan to the Air Traffic Controllers.
Reversal?
Imposition starts on 1 October but the rollout is slow (and NHS HR departments hopelessly unprepared) and doesn't reach all grades of junior until next August.
The strike will be a disaster but imposition is a disaster too. It fails to address the real issues and will further demoralise and antagonise a truculent workforce with a major existing retention and recruitment problem. It is not a battle with a good outcome for anyone.
Except long-term the NHS patients who will have a seven day NHS in perpetuity long after this transitional dispute is history.
But a seven day service where every day is slightly better than the current weekend support but far worse than the other 5 days in the a week...
I highly doubt it. Evening out provision of service is far more efficient. It means that t he buildings and machinery the NHS spends billions of pounds on doesn't lie idle for the vast majority of the week while everyone crams into a tiny window. There are 168 hours a week and we spend billions on using 25% of it.
As a supporter of a public NHS, I am FULLY in support fo Jeremy Hunt. The Junior doctors are risking it all.
There are a LOT of support staff who will also need 24/7 rotas. Could be expensive. Not saying hospitals shouldn’t be fully 24/7 operational, of course
The cost of support staff is cheap compared to the cost of expensive capital (MRI scanners, dialysis machines etc) sitting idle for 75% of the week. No reason they can't be used 16 hours a day, 7 days a week.
Imagine if an airline decided to only hire one crew of pilots and hosties for every plane they bought. The actual numbers are 6-8 crews per plane in the real world, they have the plane running 18-22 hours a day as it's not making any money sitting on the ground. Scheduled light maintainence is all done overnight.
More on topic would be an article in which a wife discovers that her husband has a secret fake career, secret house....and like nothing more than to have the decorators in.
Prior to the Chicken Coup,Jeremy Corbyn had a 50-50 gender split in his cabinet and it's time Labour took gender equality seriously.How can a system of elections by MPs to the Shad Cab meet this requirement? Have the PLP thrown the 50-50 split out of the window in their obsession to get Corbyn?
Prior to the Chicken Coup,Jeremy Corbyn had a 50-50 gender split in his cabinet and it's time Labour took gender equality seriously.How can a system of elections by MPs to the Shad Cab meet this requirement? Have the PLP thrown the 50-50 split out of the window in their obsession to get Corbyn?
Did Corbyn have a 50-50 split in senior positions?
I'm not looking for a cheap dig at Leavers. Cheap digs at Leavers throw themselves at my feet.
I am well aware of the issue of human rights and my points remain valid as per my responses to Charles. To answer your "what's the point?" question - there should be as much clarity as possible about these issues and if not here, where?
But that's cool we can all talk about what we want on here, such is the beauty of PB.
I hesitate - a bit - to wade into this argument. But it seems to me that there are two underlying issues here:-
(1) A clash between to views of human rights - the classical view which is, essentially, that they are restraints on the ability of the sovereign to do bad things to you e.g. to take away your liberty/property, stop you living your life as you saw fit. Essentially negative in the sense that they were things that government could not do to you leaving you with the freedom to live how you wanted. There is now at large a view of human rights which should more properly be entitled entitlements i.e. things which you should be entitled to have and which, necessarily, therefore impose obligations on others. That really should be decided in the political forum rather than the legal one and one of the concerns with the way the ECHR and the ECJ have developed is that these two approaches to human rights have got mixed up and people feel that the law is being used to get certain groups entitlements at the expense of others which that country, that demos, has decided democratically in a different way. That is a clash between democracy and law (and the confusion between rights and entitlements).
(2) The way that civil courts and civil lawyers approach the law, which is very different to the approach taken by common lawyers. This is not helped by the fact that often the judges are not what we would recognize as judges at all and have little practical experience of the law as practitioners.
Such very different approaches and views of the law and the rule of law and the role of law in a democratic polity do not necessarily mix well together, something which those who blithely thought that adopting conventions and passing human rights acts was a modern progressive thing to do without really thoroughly thinking through the implications failed to understand.
The cost of support staff is cheap compared to the cost of expensive capital (MRI scanners, dialysis machines etc) sitting idle for 75% of the week. No reason they can't be used 16 hours a day, 7 days a week.
Imagine if an airline decided to only hire one crew of pilots and hosties for every plane they bought. The actual numbers are 6-8 crews per plane in the real world, they have the plane running 18-22 hours a day as it's not making any money sitting on the ground. Scheduled light maintainence is all done overnight.
There was an idea to open up scan centres for MRI, CAT and X-RAY scans at one point, they could be shared by multiple hospitals and even dental surgeries and could be run on a 24/7 basis. I think the issues were IT related and how to deal with emergency care without endangering patient safety while transporting them etc... Still I think it could be revisited as it has the potential to save billions in capital costs.
More on topic would be an article in which a wife discovers that her husband has a secret fake career, secret house....and like nothing more than to have the decorators in.
Having a secret nest just a 10mins walk away is pretty cheeky. I wish I'd such talent for building a property empire like that - and a spare £35kpa for school fees. I will no longer scoff at the Magic Money Tree concept.
The full statement of Italy's trade minister in the Telegraph is the more free movement is restricted the more the EU will restrict access of UK goods to the EU, so if there is no free movement at all i.e. not even just controls, we may have a trade war
There will not be a trade war.
Provided there is not full, hard BREXIT and at least some free movement maintained, no
The full statement of Italy's trade minister in the Telegraph is the more free movement is restricted the more the EU will restrict access of UK goods to the EU, so if there is no free movement at all i.e. not even just controls, we may have a trade war
Time to send the navy to blockade Rotterdam then.
Im sure uncle Vladimir will be happy to give them two fronts to fight on as well.
Keith Vaz to be urged to stand down from home affairs committee
The BBC's Norman Smith said if Mr Vaz would not stand aside, committee members would give him 24 hours to "reflect on his position" before he faces a possible no confidence vote.
I switched from Win7 to Win10 and don't have any problems with it.
I use the "Pro" version, so I don't know if that makes a difference.
I am running Windows 10 on a couple of machines without a problem, but I have a major problem with one laptop
Updates are mandatory now (which I don't have a problem with) but the mandatory update failed on this machine. Now it tries to reinstall it, and reboots, and fails, every day.
I can't decline the install. I can't get the install to succeed.
At some point I will have to reimage it
I had exactly this problem with my Windows 10 machine, and I only managed to solve it by reinstalling Windows 10 from scratch. I've had no problems since then, though, and am quite happy with it now.
From the googling that I did then, it seems possible that the problem was caused by having a system partition, which, under certain circumstances, is too small to perform an update. The machine had been upgraded from Windows 7 which, I think, creates a 200 MB system partition; this partition had been retained when upgrading to Windows 10. When Windows 10 is installed fresh, it creates a 500 MB system partition.
The cost of support staff is cheap compared to the cost of expensive capital (MRI scanners, dialysis machines etc) sitting idle for 75% of the week. No reason they can't be used 16 hours a day, 7 days a week.
Imagine if an airline decided to only hire one crew of pilots and hosties for every plane they bought. The actual numbers are 6-8 crews per plane in the real world, they have the plane running 18-22 hours a day as it's not making any money sitting on the ground. Scheduled light maintainence is all done overnight.
Obviously I can't speak for everywhere but in this part of the world they are actually rather good at keeping that sort of kit running as much as possible. A chum of mine used to have his thrice weekly dialysis appointments at 06:15 so it would take as little out of his working day as possible. His unit also offered evening appointments. For myself I have been in a scanner at the local hospital before nine o'clock in the morning.
So there are certainly at least some pockets of the NHS which are pretty good at making the maximum use of expensive kit.
P.S. That said judging by the uniform the operator wore I am not sure if the MRI scanning has not been contracted out. The scanner was in the hospital but I got the feeling it was owned and operated by a private company. Unfortunately I wasn't in a position to make enquiries. It was jolly efficient either way.
The cost of support staff is cheap compared to the cost of expensive capital (MRI scanners, dialysis machines etc) sitting idle for 75% of the week. No reason they can't be used 16 hours a day, 7 days a week.
Imagine if an airline decided to only hire one crew of pilots and hosties for every plane they bought. The actual numbers are 6-8 crews per plane in the real world, they have the plane running 18-22 hours a day as it's not making any money sitting on the ground. Scheduled light maintainence is all done overnight.
There was an idea to open up scan centres for MRI, CAT and X-RAY scans at one point, they could be shared by multiple hospitals and even dental surgeries and could be run on a 24/7 basis. I think the issues were IT related and how to deal with emergency care without endangering patient safety while transporting them etc... Still I think it could be revisited as it has the potential to save billions in capital costs.
Quite agree, but we’ve (the nation) already spent the money on the kit, so increasing the number of operating staff will come out of extra money ...... Boris’s 350m perchance.
Never have seen why departments such as pharmacy (where I once worked) shouldn't run on a full seven day basis. When I did pharmacy on-call I was, very often, more than busy on a Sunday.
More on topic would be an article in which a wife discovers that her husband has a secret fake career, secret house....and like nothing more than to have the decorators in.
Having a secret nest just a 10mins walk away is pretty cheeky. I wish I'd such talent for building a property empire like that - and a spare £35kpa for school fees. I will no longer scoff at the Magic Money Tree concept.
Keith Vaz to be urged to stand down from home affairs committee
The BBC's Norman Smith said if Mr Vaz would not stand aside, committee members would give him 24 hours to "reflect on his position" before he faces a possible no confidence vote.
Extremely interesting article. A view from the left of the left's failures. Quite an honest and frank assessment of the left's travails and it even shows why the Tories have become the party of the "workers".
The idea of forgiveness may be noble but I can't see how you could repair a marriage after discovering your husband had been going with hookers the entire time you were married (30 years)
More on topic would be an article in which a wife discovers that her husband has a secret fake career, secret house....and like nothing more than to have the decorators in.
Having a secret nest just a 10mins walk away is pretty cheeky. I wish I'd such talent for building a property empire like that - and a spare £35kpa for school fees. I will no longer scoff at the Magic Money Tree concept.
I wonder why Keith Vaz hasn't sent his lovely children to comprehensive schools, perhaps his wife was convinced that 2 of the best independent day schools in Hertfordshire would develop their talents.
The cost of support staff is cheap compared to the cost of expensive capital (MRI scanners, dialysis machines etc) sitting idle for 75% of the week. No reason they can't be used 16 hours a day, 7 days a week.
Imagine if an airline decided to only hire one crew of pilots and hosties for every plane they bought. The actual numbers are 6-8 crews per plane in the real world, they have the plane running 18-22 hours a day as it's not making any money sitting on the ground. Scheduled light maintainence is all done overnight.
There was an idea to open up scan centres for MRI, CAT and X-RAY scans at one point, they could be shared by multiple hospitals and even dental surgeries and could be run on a 24/7 basis. I think the issues were IT related and how to deal with emergency care without endangering patient safety while transporting them etc... Still I think it could be revisited as it has the potential to save billions in capital costs.
They could be co-located with major trauma centres and large A&E wards to help mitigate the need for urgent cases to travel to use the equipment.
What it strikes me is missing is some innovative thinking on these things, we have several discussions on here that seem like better ways of doing things, but is anyone in the actually NHS doing a similar role? They appear to be good at surgical innovation, but much less so in organisational and managerial innovation, rather like the old nationalised utilities a couple of decades back.
Need more outsiders and those with experience of other medical systems elsewhere to get involved and drive efficiencies to avoid the NHS becoming one giant money pit. Fewer expensive machines better utilised would be a great starting point.
Have you got a PR disaster that needs help with....Here a Hug a Hitler PR Ltd, we can provide you with the perfect distraction story to ensure your own PR difficulties are overshadowed in the news cycle.
We are a full service company, we provide the story, the (dubious) supporting evidence and a spokesperson to address the media to ensure this story gets the maximum traction no matter what.
I switched from Win7 to Win10 and don't have any problems with it.
I use the "Pro" version, so I don't know if that makes a difference.
I am running Windows 10 on a couple of machines without a problem, but I have a major problem with one laptop
Updates are mandatory now (which I don't have a problem with) but the mandatory update failed on this machine. Now it tries to reinstall it, and reboots, and fails, every day.
I can't decline the install. I can't get the install to succeed.
At some point I will have to reimage it
I had exactly this problem with my Windows 10 machine, and I only managed to solve it by reinstalling Windows 10 from scratch. I've had no problems since then, though, and am quite happy with it now.
From the googling that I did then, it seems possible that the problem was caused by having a system partition, which, under certain circumstances, is too small to perform an update. The machine had been upgraded from Windows 7 which, I think, creates a 200 MB system partition; this partition had been retained when upgrading to Windows 10. When Windows 10 is installed fresh, it creates a 500 MB system partition.
The system partition size is a good call, that might have a lot to do with the problems. *Goes to do some more research*
The cost of support staff is cheap compared to the cost of expensive capital (MRI scanners, dialysis machines etc) sitting idle for 75% of the week. No reason they can't be used 16 hours a day, 7 days a week.
Imagine if an airline decided to only hire one crew of pilots and hosties for every plane they bought. The actual numbers are 6-8 crews per plane in the real world, they have the plane running 18-22 hours a day as it's not making any money sitting on the ground. Scheduled light maintainence is all done overnight.
There was an idea to open up scan centres for MRI, CAT and X-RAY scans at one point, they could be shared by multiple hospitals and even dental surgeries and could be run on a 24/7 basis. I think the issues were IT related and how to deal with emergency care without endangering patient safety while transporting them etc... Still I think it could be revisited as it has the potential to save billions in capital costs.
They could be co-located with major trauma centres and large A&E wards to help mitigate the need for urgent cases to travel to use the equipment.
What it strikes me is missing is some innovative thinking on these things, we have several discussions on here that seem like better ways of doing things, but is anyone in the actually NHS doing a similar role? They appear to be good at surgical innovation, but much less so in organisational and managerial innovation, rather like the old nationalised utilities a couple of decades back.
Need more outsiders and those with experience of other medical systems elsewhere to get involved and drive efficiencies to avoid the NHS becoming one giant money pit. Fewer expensive machines better utilised would be a great starting point.
Yes, that's not a bad idea. Have trauma centres which then distribute patients to the nearest hospital to their home or specialist centre if they need specialist care once they have been stabilised.
Basically the issue with all of this is that we turn 8 MRI machines in 8 hospitals with 16 crews into 2 scanners in one location with 8 crews. Cutting costs always means cutting jobs and then we'll get the BBC reporting "x days to save the NHS".
W10 screwed my machine when it auto updated to "anniversary" update. W10 was originally installed fresh on the machine and is pro version. It screwed all sorts of stuff like the maximum screen resolution it would output. Took me all day to fix.
What was most annoying until then W10 had worked absolutely perfectly. Not a single crash or any issues.
The cost of support staff is cheap compared to the cost of expensive capital (MRI scanners, dialysis machines etc) sitting idle for 75% of the week. No reason they can't be used 16 hours a day, 7 days a week.
Imagine if an airline decided to only hire one crew of pilots and hosties for every plane they bought. The actual numbers are 6-8 crews per plane in the real world, they have the plane running 18-22 hours a day as it's not making any money sitting on the ground. Scheduled light maintainence is all done overnight.
There was an idea to open up scan centres for MRI, CAT and X-RAY scans at one point, they could be shared by multiple hospitals and even dental surgeries and could be run on a 24/7 basis. I think the issues were IT related and how to deal with emergency care without endangering patient safety while transporting them etc... Still I think it could be revisited as it has the potential to save billions in capital costs.
They could be co-located with major trauma centres and large A&E wards to help mitigate the need for urgent cases to travel to use the equipment.
What it strikes me is missing is some innovative thinking on these things, we have several discussions on here that seem like better ways of doing things, but is anyone in the actually NHS doing a similar role? They appear to be good at surgical innovation, but much less so in organisational and managerial innovation, rather like the old nationalised utilities a couple of decades back.
Need more outsiders and those with experience of other medical systems elsewhere to get involved and drive efficiencies to avoid the NHS becoming one giant money pit. Fewer expensive machines better utilised would be a great starting point.
Yes, that's not a bad idea. Have trauma centres which then distribute patients to the nearest hospital to their home or specialist centre if they need specialist care once they have been stabilised.
Basically the issue with all of this is that we turn 8 MRI machines in 8 hospitals with 16 crews into 2 scanners in one location with 8 crews. Cutting costs always means cutting jobs and then we'll get the BBC reporting "x days to save the NHS".
But then you have to fight 8/16/32 MPs who have constituents saying that you've removed this function from our hospitals and we won't stand for it....
Not sure whether this has been posted - Ashcroft Voting Intentions from his poll Con : 40% Lab : 31% L_D : 7% SNP : 5% UKIP : 13% Grn : 3%
A Con lead of 9% inplies a swing from Lab across GB of 1.2% since May 2015. That would imply 12 Tory gains from Labour resulting in a Tory majority of 36. However, the Scottish crossbreaks show a Lab to Con swing of circa 8% - which means that the overall swing in England & Wales is just 0.45%. Without taking any account of first time incumbency , Labour would only lose 4 seats on such a swing.
Prior to the Chicken Coup,Jeremy Corbyn had a 50-50 gender split in his cabinet and it's time Labour took gender equality seriously.How can a system of elections by MPs to the Shad Cab meet this requirement? Have the PLP thrown the 50-50 split out of the window in their obsession to get Corbyn?
Did Corbyn have a 50-50 split in senior positions?
Hmm That poll shows Mississippi being competitive. I'll eat my hat if that one is withing 2 pts on election night.
Trump leads in Ohio and Iowa though and is close in the other blue states in the MidWest and in Pennsylvania and Colorado, however Hillary leads Texas by 1% and North Carolina is tied
Not sure whether this has been posted - Ashcroft Voting Intentions from his poll Con : 40% Lab : 31% L_D : 7% SNP : 5% UKIP : 13% Grn : 3%
A Con lead of 9% inplies a swing from Lab across GB of 1.2% since May 2015. That would imply 12 Tory gains from Labour resulting in a Tory majority of 36. However, the Scottish crossbreaks show a Lab to Con swing of circa 8% - which means that the overall swing in England & Wales is just 0.45%. Without taking any account of first time incumbency , Labour would only lose 4 seats on such a swing.
The polls are probably overestimating Labour again. Lazy Lefty students.......
Not sure whether this has been posted - Ashcroft Voting Intentions from his poll Con : 40% Lab : 31% L_D : 7% SNP : 5% UKIP : 13% Grn : 3%
A Con lead of 9% inplies a swing from Lab across GB of 1.2% since May 2015. That would imply 12 Tory gains from Labour resulting in a Tory majority of 36. However, the Scottish crossbreaks show a Lab to Con swing of circa 8% - which means that the overall swing in England & Wales is just 0.45%. Without taking any account of first time incumbency , Labour would only lose 4 seats on such a swing.
With Captain Corbyn at the helm of the titanic, using UNS across E&W is going to be total nonsense.
The Apple engineer who switched Macs to Intel processors was rejected from a job at the Genius Bar. JK Scheinberg, who was spent 21 years working for the tech giants, applied to work in an Apple Store after he retired.
The 54-year-old understandably thought he would be a good fit for the position - but he was turned down
Yo granddad you ain't got the skills to pay the bills...
Some of those Apple store managers are so up their own arse they would reject an anonymised application from a resurrected Steve Jobs.
In these sort of jobs it's how you look and who you know, not what you know. If you look over 35, you're dead.
Two decades ago myself and a few friends used to go around computer stores in London and show their salespeople to be utterly clueless idiots. We'd ask a technical question and get utterly invented answers, when we'd tell them the correct answer.
I've been known to do the same in Apple stores. If it isn't on some form of script, they bluster. It's almost as if they expect only to meet the religious, and they're not used to talking to non-believers.
But I've got my own problems with John Lewis atm. My third laptop in eighteen months is dying (*), this one after just ten weeks. Each time it's taken them two months to replace, despite claiming it would just be two weeks. And this is from a different manufacturer.
Grrrr ...
(*) Fan failure.
That's why Apple are awesome, I had a faulty macbook, booked a genius bar appointment, and they swappped it there and then for a new one.
That's the complete opposite experience my mate had with Apple, 3 weeks later still doesn't have machine back and his hard disk has been wiped to boot.
Not sure whether this has been posted - Ashcroft Voting Intentions from his poll Con : 40% Lab : 31% L_D : 7% SNP : 5% UKIP : 13% Grn : 3%
A Con lead of 9% inplies a swing from Lab across GB of 1.2% since May 2015. That would imply 12 Tory gains from Labour resulting in a Tory majority of 36. However, the Scottish crossbreaks show a Lab to Con swing of circa 8% - which means that the overall swing in England & Wales is just 0.45%. Without taking any account of first time incumbency , Labour would only lose 4 seats on such a swing.
It's not a full VI poll. as per ComRes, it's just a voter identifier.
As per ComRes, these raw figures generally favour Labour and disadvantage the Tories.
Not sure whether this has been posted - Ashcroft Voting Intentions from his poll Con : 40% Lab : 31% L_D : 7% SNP : 5% UKIP : 13% Grn : 3%
A Con lead of 9% inplies a swing from Lab across GB of 1.2% since May 2015. That would imply 12 Tory gains from Labour resulting in a Tory majority of 36. However, the Scottish crossbreaks show a Lab to Con swing of circa 8% - which means that the overall swing in England & Wales is just 0.45%. Without taking any account of first time incumbency , Labour would only lose 4 seats on such a swing.
It's not a full VI poll. as per ComRes, it's just a voter identifier.
As per ComRes, these raw figures generally favour Labour and disadvantage the Tories.
For somebody who is supposed to be a expert in psephology, not the first time Justin124 has managed to get this stuff wrong.
The Apple engineer who switched Macs to Intel processors was rejected from a job at the Genius Bar. JK Scheinberg, who was spent 21 years working for the tech giants, applied to work in an Apple Store after he retired.
The 54-year-old understandably thought he would be a good fit for the position - but he was turned down
Yo granddad you ain't got the skills to pay the bills...
Some of those Apple store managers are so up their own arse they would reject an anonymised application from a resurrected Steve Jobs.
In these sort of jobs it's how you look and who you know, not what you know. If you look over 35, you're dead.
Two decades ago myself and a few friends used to go around computer stores in London and show their salespeople to be utterly clueless idiots. We'd ask a technical question and get utterly invented answers, when we'd tell them the correct answer.
I've been known to do the same in Apple stores. If it isn't on some form of script, they bluster. It's almost as if they expect only to meet the religious, and they're not used to talking to non-believers.
But I've got my own problems with John Lewis atm. My third laptop in eighteen months is dying (*), this one after just ten weeks. Each time it's taken them two months to replace, despite claiming it would just be two weeks. And this is from a different manufacturer.
Grrrr ...
(*) Fan failure.
That's why Apple are awesome, I had a faulty macbook, booked a genius bar appointment, and they swappped it there and then for a new one.
Until they decide on spurious grounds you've opened or damaged your device and void the warranty.
And that's leaving aside their recent utter bogus bricking of phones in the Error 53 debacle, which they rapidly stepped back from.
My wife bought a brand new I phone. It had a button issue and we returned to the store a few months later. They opened it out the back of the store, returned and then refused to help stating the product had been previously opened and a non Apple part inserted.
Nothing of a kind had occurred because we took the phone from a sealed box.
We were then left with a phone that effectively didn't work properly and with a non Apple part! No way to really address the problem. Always been suspicious of those products ever since. I raised it on PB at the time.
Labour could be going backwards in yet another General Election.
I don't think their share will actually be much below 2015, but they will build up majorities in Hackney and Liverpool and have swings against them in seats like Derbyshire North East and Bishop Auckland.
Not sure whether this has been posted - Ashcroft Voting Intentions from his poll Con : 40% Lab : 31% L_D : 7% SNP : 5% UKIP : 13% Grn : 3%
A Con lead of 9% inplies a swing from Lab across GB of 1.2% since May 2015. That would imply 12 Tory gains from Labour resulting in a Tory majority of 36. However, the Scottish crossbreaks show a Lab to Con swing of circa 8% - which means that the overall swing in England & Wales is just 0.45%. Without taking any account of first time incumbency , Labour would only lose 4 seats on such a swing.
With Captain Corbyn at the helm of the titanic, using UNS across E&W is going to be total nonsense.
That's a ten year average. Rebase to the average for the 21st century and Islamic terrorism moves up to 4th most deadly.
The real question is about those lawnmowers: How many of these lawnmowers were undocumented immigrant Islamist jihadist toddler lawnmowers? That were really buses/beds in disguise? eh? eh?
Dominic Casciani Hello from Court Two of the Old Bailey. Mr Justice Holroyde has returned to court to sentence Anjem #Choudary & Mohammed Mizanur Rahman.
Judge: The evidence showed very clearly that each of you holds views that are strongly supportive of ISIS
Mr Justice Holroyde asks why Rahman lived on welfare benefits drawn from the liberal western democracy he opposed.
PB Brain Trust....does anybody have an suggestion for flight search website which take account / allow filtering for long layovers (possibly 2-3 days), without entering multi-flight search?
Not sure whether this has been posted - Ashcroft Voting Intentions from his poll Con : 40% Lab : 31% L_D : 7% SNP : 5% UKIP : 13% Grn : 3%
A Con lead of 9% inplies a swing from Lab across GB of 1.2% since May 2015. That would imply 12 Tory gains from Labour resulting in a Tory majority of 36. However, the Scottish crossbreaks show a Lab to Con swing of circa 8% - which means that the overall swing in England & Wales is just 0.45%. Without taking any account of first time incumbency , Labour would only lose 4 seats on such a swing.
It's not a full VI poll. as per ComRes, it's just a voter identifier.
As per ComRes, these raw figures generally favour Labour and disadvantage the Tories.
For somebody who is supposed to be a expert in psephology, not the first time Justin124 has managed to get this stuff wrong.
The best thing is when he claims he's not clutching at straws
Re NHS reforms...I never really got why the general of poly-clinics that Labour proposed were so controversial. They seemed like a sensible idea.
Does your proposal involve a change to the status quo of the NHS? Yes, or no?
Yes - it is controversial, and you are a destroyer of the NHS No - meh. More money please for doctors and nurses.
The Jerry Robinson show from a number of years ago showed that this attitude to be far too common (and that bean counter and doctors both think they run hospitals).
Looks like Michael Moore was right about Trump and the Rust Belt:
"The Post-SurveyMonkey results are consistent with many of those findings, but not in all cases. Trump’s support in the Midwest, where the electorates are generally older and whiter, appears stronger and offers the possibility of gains in places Democrats carried recently. He has small edges in two expected battlegrounds — Ohio and Iowa — and is close in Wisconsin, Pennsylvania and Michigan, each of which Democrats have won in six consecutive elections."
Not sure whether this has been posted - Ashcroft Voting Intentions from his poll Con : 40% Lab : 31% L_D : 7% SNP : 5% UKIP : 13% Grn : 3%
A Con lead of 9% inplies a swing from Lab across GB of 1.2% since May 2015. That would imply 12 Tory gains from Labour resulting in a Tory majority of 36. However, the Scottish crossbreaks show a Lab to Con swing of circa 8% - which means that the overall swing in England & Wales is just 0.45%. Without taking any account of first time incumbency , Labour would only lose 4 seats on such a swing.
It's not a full VI poll. as per ComRes, it's just a voter identifier.
As per ComRes, these raw figures generally favour Labour and disadvantage the Tories.
I am only passing on info from UK polling Report - Have not seen the data myself!
They could be co-located with major trauma centres and large A&E wards to help mitigate the need for urgent cases to travel to use the equipment.
What it strikes me is missing is some innovative thinking on these things, we have several discussions on here that seem like better ways of doing things, but is anyone in the actually NHS doing a similar role? They appear to be good at surgical innovation, but much less so in organisational and managerial innovation, rather like the old nationalised utilities a couple of decades back.
Need more outsiders and those with experience of other medical systems elsewhere to get involved and drive efficiencies to avoid the NHS becoming one giant money pit. Fewer expensive machines better utilised would be a great starting point.
Yes, that's not a bad idea. Have trauma centres which then distribute patients to the nearest hospital to their home or specialist centre if they need specialist care once they have been stabilised.
Basically the issue with all of this is that we turn 8 MRI machines in 8 hospitals with 16 crews into 2 scanners in one location with 8 crews. Cutting costs always means cutting jobs and then we'll get the BBC reporting "x days to save the NHS".
But then you have to fight 8/16/32 MPs who have constituents saying that you've removed this function from our hospitals and we won't stand for it....
Yup. I mentioned before a colleague in the Operations Research field who suggested ways of radically increasing throughput on the MRI systems at a local hospital. His thanks was an attempt by a senior staff at the hospital to get him binned from his research degree....
I had an MRI at a private hospital a little while ago. The machine is run 8am-7pm by a group of specialists (think it was 3 to spread the load of the long day) who do nothing but MRIs all day long. There was actually one lady on duty to do the scan. The machine was a top line new one, doing (as a default) hi res 3D. Was in and out in maybe 10 minutes.
I was apologised to, repeatedly, for the fact that since I had come in a 6pm, the consultant would have to see me the next day, since he need a couple of hours to look at the scan (and x -ray) and my medical records and do a diagnosis. So I came back the next morning....
The contrast agent stuff etc is being increasingly superseded by higher contrast capabilities in the machines. For the vast majority of MRIs, already, you require as much medical supervision as an X-ray.
The cost of support staff is cheap compared to the cost of expensive capital (MRI scanners, dialysis machines etc) sitting idle for 75% of the week. No reason they can't be used 16 hours a day, 7 days a week.
Imagine if an airline decided to only hire one crew of pilots and hosties for every plane they bought. The actual numbers are 6-8 crews per plane in the real world, they have the plane running 18-22 hours a day as it's not making any money sitting on the ground. Scheduled light maintainence is all done overnight.
Obviously I can't speak for everywhere but in this part of the world they are actually rather good at keeping that sort of kit running as much as possible. A chum of mine used to have his thrice weekly dialysis appointments at 06:15 so it would take as little out of his working day as possible. His unit also offered evening appointments. For myself I have been in a scanner at the local hospital before nine o'clock in the morning.
So there are certainly at least some pockets of the NHS which are pretty good at making the maximum use of expensive kit.
P.S. That said judging by the uniform the operator wore I am not sure if the MRI scanning has not been contracted out. The scanner was in the hospital but I got the feeling it was owned and operated by a private company. Unfortunately I wasn't in a position to make enquiries. It was jolly efficient either way.
In your area MRI is handled by Alliance Medical which is a really well run operation.
Not sure whether this has been posted - Ashcroft Voting Intentions from his poll Con : 40% Lab : 31% L_D : 7% SNP : 5% UKIP : 13% Grn : 3%
A Con lead of 9% inplies a swing from Lab across GB of 1.2% since May 2015. That would imply 12 Tory gains from Labour resulting in a Tory majority of 36. However, the Scottish crossbreaks show a Lab to Con swing of circa 8% - which means that the overall swing in England & Wales is just 0.45%. Without taking any account of first time incumbency , Labour would only lose 4 seats on such a swing.
The polls are probably overestimating Labour again. Lazy Lefty students.......
Not sure whether this has been posted - Ashcroft Voting Intentions from his poll Con : 40% Lab : 31% L_D : 7% SNP : 5% UKIP : 13% Grn : 3%
A Con lead of 9% inplies a swing from Lab across GB of 1.2% since May 2015. That would imply 12 Tory gains from Labour resulting in a Tory majority of 36. However, the Scottish crossbreaks show a Lab to Con swing of circa 8% - which means that the overall swing in England & Wales is just 0.45%. Without taking any account of first time incumbency , Labour would only lose 4 seats on such a swing.
The polls are probably overestimating Labour again. Lazy Lefty students.......
As in 2010 and 1983?
Do you really want to hang your ambitions on 1983?
Looks like Michael Moore was right about Trump and the Rust Belt:
"The Post-SurveyMonkey results are consistent with many of those findings, but not in all cases. Trump’s support in the Midwest, where the electorates are generally older and whiter, appears stronger and offers the possibility of gains in places Democrats carried recently. He has small edges in two expected battlegrounds — Ohio and Iowa — and is close in Wisconsin, Pennsylvania and Michigan, each of which Democrats have won in six consecutive elections."
Shock as party candidate who became the first ever republican to invite a Brit politican to his convention, UKIP leader Nigel Farage, is found to be doing well amongst the same demographic that UKIP does well with in the UK.
The cost of support staff is cheap compared to the cost of expensive capital (MRI scanners, dialysis machines etc) sitting idle for 75% of the week. No reason they can't be used 16 hours a day, 7 days a week.
Imagine if an airline decided to only hire one crew of pilots and hosties for every plane they bought. The actual numbers are 6-8 crews per plane in the real world, they have the plane running 18-22 hours a day as it's not making any money sitting on the ground. Scheduled light maintainence is all done overnight.
Obviously I can't speak for everywhere but in this part of the world they are actually rather good at keeping that sort of kit running as much as possible. A chum of mine used to have his thrice weekly dialysis appointments at 06:15 so it would take as little out of his working day as possible. His unit also offered evening appointments. For myself I have been in a scanner at the local hospital before nine o'clock in the morning.
So there are certainly at least some pockets of the NHS which are pretty good at making the maximum use of expensive kit.
P.S. That said judging by the uniform the operator wore I am not sure if the MRI scanning has not been contracted out. The scanner was in the hospital but I got the feeling it was owned and operated by a private company. Unfortunately I wasn't in a position to make enquiries. It was jolly efficient either way.
In your area MRI is handled by Alliance Medical which is a really well run operation.
Charles, do you think the large trauma centre idea is feasible?
Re NHS reforms...I never really got why the general of poly-clinics that Labour proposed were so controversial. They seemed like a sensible idea.
Does your proposal involve a change to the status quo of the NHS? Yes, or no?
Yes - it is controversial, and you are a destroyer of the NHS No - meh. More money please for doctors and nurses.
In the very early eighties ('81?) I remember as a child listening to a Radio 4 program with various people from the NHS explaining how the latest change introduced by the Evul Tories would destroy the NHS completely. All the surgeons would resign.
A splendidly Sir Buffton Tuffton, Very Senior Consultant, explained that "this American rubbish" was a terrible terrible idea.
The idea in question was micro-surgery - make smaller holes in the patients....
Apparently a real surgeon need chop a proper big hole to do stuff.....
OF course, today, doing many kinds of surgery as non-micro-surgery would be grounds for investigation on the basis of incompetence...
"They could be co-located with major trauma centres and large A&E wards to help mitigate the need for urgent cases to travel to use the equipment."
Have you ever been in a large hospital A & E at peak time? The Royal Sussex County Hospital on a Saturday night looks like something out Beirut in the civil war, but with added drunks. The idea of tipping another couple of hospital's worth of A & E patients into that mess (as was actually proposed a few years ago) is a recipe for disaster.
Then there is the issue of patient transport. Paramedics taking heart attack, stroke, trauma patients further to a centre of excellence requires more time. So unless you have more paramedic equipped ambulances patients are going to waiting longer for that vital first treatment that is now recognised as so important. So to maintain compatible outcomes there need to be more paramedics more ambulances. Quite apart from the fact that in the SE the population is growing so fast services are already under great strain. Just look at the queues of ambulances sitting outside A&E departments waiting to unload; ambulances want to get shot of their patients so they can get back for the next one whilst hospitals won't accept them because the four hour clock starts ticking when they do.
That is just the A&E part. Scanners, X-rays, Ultra-sound and so forth are also needed for non-urgent, non-trauma cases. If you concentrate them at just the trauma centres what happens to those cases. Tell some old girl she has to go fifteen miles on several buses to get a scan? That is an improvement? And when she, after probably a couple of hours, finally arrives at the centre the scanner is booked solid with emergency cases so she has to sit waiting until after the last bus has gone (happens about 18:00 in these parts).
Sorry, but the great trauma centre idea might work but only if significant investment is maintained in other parts of the system. Do it, perhaps, for clinical reasons, but don't do it to save money.
Comments
If he's not retired or a homeworker then he probably works in the media in some way. I imagine Guido's elves have a similar setup, would only cost a few hundred quid these days
I'd offer my expert knowledge in helpful return, but unless someone's having difficulty getting the rust out of their mail (put it in a barrel of sand and roll it around a bit, the chafing grains will rub off the rust and leave the rest intact) I don't have much practical advice, alas.
Vanilla Mail for you.
(CNN Poll - Trump +2 (so even pegging) http://edition.cnn.com/2016/09/06/_politics-zone-injection/trump-vs-clinton-presidential-polls-election-2016/index.html)
https://twitter.com/guardian/status/773109271718395904
Imagine if an airline decided to only hire one crew of pilots and hosties for every plane they bought. The actual numbers are 6-8 crews per plane in the real world, they have the plane running 18-22 hours a day as it's not making any money sitting on the ground. Scheduled light maintainence is all done overnight.
Have the PLP thrown the 50-50 split out of the window in their obsession to get Corbyn?
Did Corbyn have a 50-50 split in senior positions?
Well I think this Tory Gov't has alot of problems, but Hunt's line on the Junior Docs ain't one of them.
(1) A clash between to views of human rights - the classical view which is, essentially, that they are restraints on the ability of the sovereign to do bad things to you e.g. to take away your liberty/property, stop you living your life as you saw fit. Essentially negative in the sense that they were things that government could not do to you leaving you with the freedom to live how you wanted. There is now at large a view of human rights which should more properly be entitled entitlements i.e. things which you should be entitled to have and which, necessarily, therefore impose obligations on others. That really should be decided in the political forum rather than the legal one and one of the concerns with the way the ECHR and the ECJ have developed is that these two approaches to human rights have got mixed up and people feel that the law is being used to get certain groups entitlements at the expense of others which that country, that demos, has decided democratically in a different way. That is a clash between democracy and law (and the confusion between rights and entitlements).
(2) The way that civil courts and civil lawyers approach the law, which is very different to the approach taken by common lawyers. This is not helped by the fact that often the judges are not what we would recognize as judges at all and have little practical experience of the law as practitioners.
Such very different approaches and views of the law and the rule of law and the role of law in a democratic polity do not necessarily mix well together, something which those who blithely thought that adopting conventions and passing human rights acts was a modern progressive thing to do without really thoroughly thinking through the implications failed to understand.
Can I become a multi-millionaire through starting my own washing machine repair business ?
The BBC's Norman Smith said if Mr Vaz would not stand aside, committee members would give him 24 hours to "reflect on his position" before he faces a possible no confidence vote.
http://www.bbc.co.uk/news/uk-politics-37283328
From the googling that I did then, it seems possible that the problem was caused by having a system partition, which, under certain circumstances, is too small to perform an update. The machine had been upgraded from Windows 7 which, I think, creates a 200 MB system partition; this partition had been retained when upgrading to Windows 10. When Windows 10 is installed fresh, it creates a 500 MB system partition.
So there are certainly at least some pockets of the NHS which are pretty good at making the maximum use of expensive kit.
P.S. That said judging by the uniform the operator wore I am not sure if the MRI scanning has not been contracted out. The scanner was in the hospital but I got the feeling it was owned and operated by a private company. Unfortunately I wasn't in a position to make enquiries. It was jolly efficient either way.
Never have seen why departments such as pharmacy (where I once worked) shouldn't run on a full seven day basis. When I did pharmacy on-call I was, very often, more than busy on a Sunday.
Edited for clarity & spelling!
Extremely interesting article. A view from the left of the left's failures. Quite an honest and frank assessment of the left's travails and it even shows why the Tories have become the party of the "workers".
Well worth the 10 minutes or so to read it.
The idea of forgiveness may be noble but I can't see how you could repair a marriage after discovering your husband had been going with hookers the entire time you were married (30 years)
Whether that something else will help the labour party or make things worse for them is an entirely different debate.
Shows a tighter US election but Clinton/Trump being a dead heat in TEXAS is the headliner there.
What it strikes me is missing is some innovative thinking on these things, we have several discussions on here that seem like better ways of doing things, but is anyone in the actually NHS doing a similar role? They appear to be good at surgical innovation, but much less so in organisational and managerial innovation, rather like the old nationalised utilities a couple of decades back.
Need more outsiders and those with experience of other medical systems elsewhere to get involved and drive efficiencies to avoid the NHS becoming one giant money pit. Fewer expensive machines better utilised would be a great starting point.
"The state-by-state numbers are based on responses from more than 74,000 registered voters during the period of Aug. 9 to Sept. 1"
In other words most of it was during the HRC bounce and before Trump pulled back.
We are a full service company, we provide the story, the (dubious) supporting evidence and a spokesperson to address the media to ensure this story gets the maximum traction no matter what.
Basically the issue with all of this is that we turn 8 MRI machines in 8 hospitals with 16 crews into 2 scanners in one location with 8 crews. Cutting costs always means cutting jobs and then we'll get the BBC reporting "x days to save the NHS".
What was most annoying until then W10 had worked absolutely perfectly. Not a single crash or any issues.
Con : 40%
Lab : 31%
L_D : 7%
SNP : 5%
UKIP : 13%
Grn : 3%
A Con lead of 9% inplies a swing from Lab across GB of 1.2% since May 2015. That would imply 12 Tory gains from Labour resulting in a Tory majority of 36.
However, the Scottish crossbreaks show a Lab to Con swing of circa 8% - which means that the overall swing in England & Wales is just 0.45%. Without taking any account of first time incumbency , Labour would only lose 4 seats on such a swing.
https://www.youtube.com/watch?v=tyNI7wmjS6s
Labour could be going backwards in yet another General Election.
As per ComRes, these raw figures generally favour Labour and disadvantage the Tories.
Nothing of a kind had occurred because we took the phone from a sealed box.
We were then left with a phone that effectively didn't work properly and with a non Apple part! No way to really address the problem. Always been suspicious of those products ever since. I raised it on PB at the time.
@rosschawkins: I stupidly tweeted an embargoed statement. Many apologies.
Hello from Court Two of the Old Bailey. Mr Justice Holroyde has returned to court to sentence Anjem #Choudary & Mohammed Mizanur Rahman.
Judge: The evidence showed very clearly that each of you holds views that are strongly supportive of ISIS
Mr Justice Holroyde asks why Rahman lived on welfare benefits drawn from the liberal western democracy he opposed.
Anyway, time for exercise and then some classical history.
Yes - it is controversial, and you are a destroyer of the NHS
No - meh. More money please for doctors and nurses.
Choudary will spend most of all of his sentence in solitary confinement
*Touch wood*
https://twitter.com/PA/status/773124763719987200
"The Post-SurveyMonkey results are consistent with many of those findings, but not in all cases. Trump’s support in the Midwest, where the electorates are generally older and whiter, appears stronger and offers the possibility of gains in places Democrats carried recently. He has small edges in two expected battlegrounds — Ohio and Iowa — and is close in Wisconsin, Pennsylvania and Michigan, each of which Democrats have won in six consecutive elections."
https://www.washingtonpost.com/politics/a-new-50-state-poll-shows-exactly-why-clinton-holds-the-advantage-over-trump/2016/09/05/13458832-7152-11e6-9705-23e51a2f424d_story.html?hpid=hp_hp-top-table-main_no-name:homepage/story
I had an MRI at a private hospital a little while ago. The machine is run 8am-7pm by a group of specialists (think it was 3 to spread the load of the long day) who do nothing but MRIs all day long. There was actually one lady on duty to do the scan. The machine was a top line new one, doing (as a default) hi res 3D. Was in and out in maybe 10 minutes.
I was apologised to, repeatedly, for the fact that since I had come in a 6pm, the consultant would have to see me the next day, since he need a couple of hours to look at the scan (and x -ray) and my medical records and do a diagnosis. So I came back the next morning....
The contrast agent stuff etc is being increasingly superseded by higher contrast capabilities in the machines. For the vast majority of MRIs, already, you require as much medical supervision as an X-ray.
A splendidly Sir Buffton Tuffton, Very Senior Consultant, explained that "this American rubbish" was a terrible terrible idea.
The idea in question was micro-surgery - make smaller holes in the patients....
Apparently a real surgeon need chop a proper big hole to do stuff.....
OF course, today, doing many kinds of surgery as non-micro-surgery would be grounds for investigation on the basis of incompetence...
Have you ever been in a large hospital A & E at peak time? The Royal Sussex County Hospital on a Saturday night looks like something out Beirut in the civil war, but with added drunks. The idea of tipping another couple of hospital's worth of A & E patients into that mess (as was actually proposed a few years ago) is a recipe for disaster.
Then there is the issue of patient transport. Paramedics taking heart attack, stroke, trauma patients further to a centre of excellence requires more time. So unless you have more paramedic equipped ambulances patients are going to waiting longer for that vital first treatment that is now recognised as so important. So to maintain compatible outcomes there need to be more paramedics more ambulances. Quite apart from the fact that in the SE the population is growing so fast services are already under great strain. Just look at the queues of ambulances sitting outside A&E departments waiting to unload; ambulances want to get shot of their patients so they can get back for the next one whilst hospitals won't accept them because the four hour clock starts ticking when they do.
That is just the A&E part. Scanners, X-rays, Ultra-sound and so forth are also needed for non-urgent, non-trauma cases. If you concentrate them at just the trauma centres what happens to those cases. Tell some old girl she has to go fifteen miles on several buses to get a scan? That is an improvement? And when she, after probably a couple of hours, finally arrives at the centre the scanner is booked solid with emergency cases so she has to sit waiting until after the last bus has gone (happens about 18:00 in these parts).
Sorry, but the great trauma centre idea might work but only if significant investment is maintained in other parts of the system. Do it, perhaps, for clinical reasons, but don't do it to save money.