The Scots NHS is performing better than England in the key measurements. Current A@E performance England 82 per cent , current Scottish performance 93 per cent. Most fundamental is sustainability. English Trusts are mired in debt, Scottish Boards have comparatively minor issues.
It is inevitably a complex picture and the focus on A&E to the exclusion of almost everything else is misleading.
Also the measure should be how good the treatment is - not how quick.
The 4 hour measure is a reasonable predictor of other aspects of care, such as standardised hospital mortality.
Incidentally, my Trust has had no cases of C Diff or MRSA for over six months. That is also a pretty good predictor.
Would you agree, as a clinician, that the arbitrary 4 hour target can have a negative impact on other aspects of care?
It seems to me - watching from afar - that it's something the politicians and managers want to talk about, so the priorities on the grind are skewed towards meeting the target rather than prioritisation by absolute clinical need.
There is risk of that, or to continue my canary in a coalmine analogy, giving the canary oxygen does not help the miners!
The Scots NHS is performing better than England in the key measurements. Current A@E performance England 82 per cent , current Scottish performance 93 per cent. Most fundamental is sustainability. English Trusts are mired in debt, Scottish Boards have comparatively minor issues.
It is inevitably a complex picture and the focus on A&E to the exclusion of almost everything else is misleading.
Also the measure should be how good the treatment is - not how quick.
The 4 hour measure is a reasonable predictor of other aspects of care, such as standardised hospital mortality.
Incidentally, my Trust has had no cases of C Diff or MRSA for over six months. That is also a pretty good predictor.
Is it? That's interesting because my perception is that the 4 hour target had been largely plucked out of the air by a politician in the last Labour government based more on what could be aimed for and what people would accept. If I am wrong in that it would be interesting to see the evidence.
The success of the NHS generally, and your trust in particular, in overcoming MRSA type superbugs which at one point were going to kill us all seems to me one of the bigger successes of the NHS in recent years. And much underplayed.
It is strongly correlated, for example in this very large Australian study:
I suspect that it is correlation rather than causation, with both measures being different ways of measuring the strain on a system. The 4 hr target is the canary in a coalmine.
Many students do things they regret whilst drunk. I just find the focus on the homeless or poor distasteful. Putting a penis in a pigs head is one thing, taunting a vulnerable individual down on their luck is just lower than low.
Given the family link, is he a Cambridge University Nat Tory?
@MrHarryCole: Here we go: Alec Shelbrooke: "I will put my name to any document. John Bercow has brought the Speaker's office into disrepute."
Are they going to unveil anyone who isn't a headbanging Eurosceptic?
You were totally wrong about Bercow, and David Herdson absolutely right.
A period of silence from you on the subject of the Speaker would be appropriate.
I'm very happy to be in the same camp as JackW on this one.
It was outrageous for the government to offer a state visit to Donald Trump without consulting with any of the potentially interested parties on whose behalf it was issuing the invitation. Outrageous and inept.
A partisan post from now, sadly, a partisan poster. And it is affecting your judgement.
You should have the good grace and humility to admit you were wrong, and also reassess your objectivity.
If nothing else it will end up costing you a lot of money, as well as respect.
I am genuinely bewildered by the Eurosceptic meltdown about John Bercow. As it happens, his decision is one I would not have taken. But it seems to command majority support in the House of Commons. Never has the phrase "suck it up losers" seemed more apt.
Except there aren't any losers, because absolutely no one that we know of has ever wanted Trump to be invited to address Parliament in the first place. I suppose there is an outside chance that he had got wind of a conspiracy to make such an invitation and thought he would get his retaliation in first, but I highly doubt it because it would be utterly insane to want Trump to do this. The reality is that Bercow is a fantasist, and this is him being John Hampden (or Walter Mitty facing the firing squad).
Or perhaps he just felt he wanted to make it known that we our parliament unlike our government was not going to cravenly roll over in front of this vulgarian's inappropriate behaviour. Quite an effective hit to nothing and a gesture that will be noted and appreciated by most of our allies and one which should stand us in good stead for our future relationships
Many students do things they regret whilst drunk. I just find the focus on the homeless or poor distasteful. Putting a penis in a pigs head is one thing, taunting a vulnerable individual down on their luck is just lower than low.
Given the family link, is he a Cambridge University Nat Tory?
I always put Tara Palmer-Tomkinson and AA Gill in the same sort of bracket, so it's a bit sad they've both died within a few weeks of each other. Obviously there's the Sunday Times connection.
Really? One was a brilliant, witty writer, one of the very best. The other had a ghost column written by someone else.
I find the fascination with clothes horses such as TPT really strange.
I didn't mean the same bracket in terms of talent.
I just don't know what she did. She was very pretty, sexy, clearly knew how to have a very good time, overindulged in drugs, damaged her health and died all too early. I have no desire to speak ill of the dead at all but she was a star at the sort of parties I (and 99% of the population) am never going to be invited to. Other than that, I don't know why she was famous.
You have to go back a couple of decades to appreciate the media fascination with ‘IT’ girls. They were, as Evelyn Waugh once described those of another era, ‘the bright young things’, famous for being famous and in the case of TPT, terribly well connected.
Clive Lewis has published his resignation letter, complete with the authentic spelling mistakes you'd expect from someone tipped as a future Labour leader:
Didn't the BBC sack him for being a crap journalist?
Nooooo...its was because the BBC are a load of racists*.
* According to Clive.
Not sure the BBC did sack him, did they?
Sorry you are right. They didn't promote him because he was crap, and he said it was because he was black
Maybe Regional BBC News try to reflect their audience. My regional news is BBC London and they seem to do that pretty well, intentionally or not.
EastEnders, on the other hand, is the most racist programme on tv in terms of accurately reflecting the local population
Definite BAME under-representation there.
Yes I find that quite incredible. The lack of offence taken by the people who wanted (the far more accurate) Midsomer Murders producer hung, drawn and quartered is bewildering.
No BAME in our village of 1000 people in the Home Counties.
We once had a black person but he did have a hyphenated name.
Hypenated names now usually just mean born out of wedlock. It long since ceased to be a posh thing.
Tara Palmer-Tomkinson RIP
Camilla Parker-Bowles
Richard Plunkett-Ernle-Erle-Drax
These days you have to look at the number of middle names (three in total is optimal, with more than that being vulgar).
For instance I am Charles [mother's Irish family surname] (son of) [father's first name] [father's family name]
Mr. Quidder, ah. Thanks, although that's a long wait. Probably harms rather than hinders the Speaker as it gives what I'd guess is a relatively small opposition (ahem) time to try and increase its strength.
Many students do things they regret whilst drunk. I just find the focus on the homeless or poor distasteful. Putting a penis in a pigs head is one thing, taunting a vulnerable individual down on their luck is just lower than low.
Given the family link, is he a Cambridge University Nat Tory?
I was looking for an "n". That will do.
This one is definitely a Tory as he is a Cllr: He said Diane Abbott looked like an Ape!
The Scots NHS is performing better than England in the key measurements. Current A@E performance England 82 per cent , current Scottish performance 93 per cent. Most fundamental is sustainability. English Trusts are mired in debt, Scottish Boards have comparatively minor issues.
It is inevitably a complex picture and the focus on A&E to the exclusion of almost everything else is misleading.
Also the measure should be how good the treatment is - not how quick.
The 4 hour measure is a reasonable predictor of other aspects of care, such as standardised hospital mortality.
Incidentally, my Trust has had no cases of C Diff or MRSA for over six months. That is also a pretty good predictor.
Would you agree, as a clinician, that the arbitrary 4 hour target can have a negative impact on other aspects of care?
It seems to me - watching from afar - that it's something the politicians and managers want to talk about, so the priorities on the ground are skewed towards meeting the target rather than prioritisation by absolute clinical need.
There is risk of that, or to continue my canary in a coalmine analogy, giving the canary oxygen does not help the miners!
LOL, in my 'almost midnight' state I have a vision of a small bird wearing an O2 mask
Unfortunately these things are rather complicated in the real world, and involve a lot of people. One can only hope that things continue to work out for the best on the ground, as things get discussed at higher levels about the future.
The Scots NHS is performing better than England in the key measurements. Current A@E performance England 82 per cent , current Scottish performance 93 per cent. Most fundamental is sustainability. English Trusts are mired in debt, Scottish Boards have comparatively minor issues.
It is inevitably a complex picture and the focus on A&E to the exclusion of almost everything else is misleading.
Also the measure should be how good the treatment is - not how quick.
The 4 hour measure is a reasonable predictor of other aspects of care, such as standardised hospital mortality.
Incidentally, my Trust has had no cases of C Diff or MRSA for over six months. That is also a pretty good predictor.
Is it? That's interesting because my perception is that the 4 hour target had been largely plucked out of the air by a politician in the last Labour government based more on what could be aimed for and what people would accept. If I am wrong in that it would be interesting to see the evidence.
The success of the NHS generally, and your trust in particular, in overcoming MRSA type superbugs which at one point were going to kill us all seems to me one of the bigger successes of the NHS in recent years. And much underplayed.
Preventable hospital-acquired infections are one of the most important metrics in my view
I always put Tara Palmer-Tomkinson and AA Gill in the same sort of bracket, so it's a bit sad they've both died within a few weeks of each other. Obviously there's the Sunday Times connection.
Really? One was a brilliant, witty writer, one of the very best. The other had a ghost column written by someone else.
I find the fascination with clothes horses such as TPT really strange.
I didn't mean the same bracket in terms of talent.
I just don't know what she did. She was very pretty, sexy, clearly knew how to have a very good time, overindulged in drugs, damaged her health and died all too early. I have no desire to speak ill of the dead at all but she was a star at the sort of parties I (and 99% of the population) am never going to be invited to. Other than that, I don't know why she was famous.
My Mum once asked Paris Hilton's Dad what she did. He was not happy...
I always put Tara Palmer-Tomkinson and AA Gill in the same sort of bracket, so it's a bit sad they've both died within a few weeks of each other. Obviously there's the Sunday Times connection.
Really? One was a brilliant, witty writer, one of the very best. The other had a ghost column written by someone else.
I find the fascination with clothes horses such as TPT really strange.
I didn't mean the same bracket in terms of talent.
I just don't know what she did. She was very pretty, sexy, clearly knew how to have a very good time, overindulged in drugs, damaged her health and died all too early. I have no desire to speak ill of the dead at all but she was a star at the sort of parties I (and 99% of the population) am never going to be invited to. Other than that, I don't know why she was famous.
My Mum once asked Paris Hilton's Dad what she did. He was not happy...
I always put Tara Palmer-Tomkinson and AA Gill in the same sort of bracket, so it's a bit sad they've both died within a few weeks of each other. Obviously there's the Sunday Times connection.
Really? One was a brilliant, witty writer, one of the very best. The other had a ghost column written by someone else.
I find the fascination with clothes horses such as TPT really strange.
I didn't mean the same bracket in terms of talent.
I just don't know what she did. She was very pretty, sexy, clearly knew how to have a very good time, overindulged in drugs, damaged her health and died all too early. I have no desire to speak ill of the dead at all but she was a star at the sort of parties I (and 99% of the population) am never going to be invited to. Other than that, I don't know why she was famous.
My Mum once asked Paris Hilton's Dad what she did. He was not happy...
I always put Tara Palmer-Tomkinson and AA Gill in the same sort of bracket, so it's a bit sad they've both died within a few weeks of each other. Obviously there's the Sunday Times connection.
Really? One was a brilliant, witty writer, one of the very best. The other had a ghost column written by someone else.
I find the fascination with clothes horses such as TPT really strange.
I didn't mean the same bracket in terms of talent.
I just don't know what she did. She was very pretty, sexy, clearly knew how to have a very good time, overindulged in drugs, damaged her health and died all too early. I have no desire to speak ill of the dead at all but she was a star at the sort of parties I (and 99% of the population) am never going to be invited to. Other than that, I don't know why she was famous.
She originally found fame by being photographed kissing Prince Charles (old family friends). At the time she came to prominence, the press wanted posh totty 'it girls'. Right person, right time.
Th Telegraph has spent the last 10 months relentlessly trying to prove that Europe without Britain is going to Hell in a handcart. Quite why when it was the UK's choice-we weren't expelled-is hard to fathom. Something in the right wing psyche means anything other than their way must be the wrong way.
Reading some of the character assassinations of Barack Obama and even his wife on right wing sites even though he's retired is something to behold
Clive Lewis has published his resignation letter, complete with the authentic spelling mistakes you'd expect from someone tipped as a future Labour leader:
Didn't the BBC sack him for being a crap journalist?
Nooooo...its was because the BBC are a load of racists*.
* According to Clive.
Not sure the BBC did sack him, did they?
Sorry you are right. They didn't promote him because he was crap, and he said it was because he was black
Maybe Regional BBC News try to reflect their audience. My regional news is BBC London and they seem to do that pretty well, intentionally or not.
EastEnders, on the other hand, is the most racist programme on tv in terms of accurately reflecting the local population
Definite BAME under-representation there.
Yes I find that quite incredible. The lack of offence taken by the people who wanted (the far more accurate) Midsomer Murders producer hung, drawn and quartered is bewildering.
No BAME in our village of 1000 people in the Home Counties.
We once had a black person but he did have a hyphenated name.
Hypenated names now usually just mean born out of wedlock. It long since ceased to be a posh thing.
Tara Palmer-Tomkinson RIP
Camilla Parker-Bowles
Richard Plunkett-Ernle-Erle-Drax
These days you have to look at the number of middle names (three in total is optimal, with more than that being vulgar).
For instance I am Charles [mother's Irish family surname] (son of) [father's first name] [father's family name]
The Anstuther-Gough-Calthorpes own quite a bit of land in this part of the world.
This outrage over Bercow. Is this where we are supposed to suggest people are clambering on the outrage bus and virtue signalling? Let the lefties know!
It's hard to argue with his spokesman's statement: “It is sad that trying to have a productive conversation about instilling a strong work ethic in the next generation of Americans so quickly devolves into the usual name-calling partisan hysteria."
But it's a dumb idea on the face of it. From someone who endorsed Ted Cruz.
@MrHarryCole: Here we go: Alec Shelbrooke: "I will put my name to any document. John Bercow has brought the Speaker's office into disrepute."
Are they going to unveil anyone who isn't a headbanging Eurosceptic?
You were totally wrong about Bercow, and David Herdson absolutely right.
A period of silence from you on the subject of the Speaker would be appropriate.
I'm very happy to be in the same camp as JackW on this one.
It was outrageous for the government to offer a state visit to Donald Trump without consulting with any of the potentially interested parties on whose behalf it was issuing the invitation. Outrageous and inept.
A partisan post from now, sadly, a partisan poster. And it is affecting your judgement.
You should have the good grace and humility to admit you were wrong, and also reassess your objectivity.
If nothing else it will end up costing you a lot of money, as well as respect.
I am genuinely bewildered by the Eurosceptic meltdown about John Bercow. As it happens, his decision is one I would not have taken. But it seems to command majority support in the House of Commons. Never has the phrase "suck it up losers" seemed more apt.
Majority support is not enough for someone meant to represent the whole house - especially when the support is so partisan.
There are two positions, both partisan. It would be perverse to choose the position of the minority.
Did he have to have a public position on the matter?
No, he did not. The man is a narcissistic muppet with small man syndrome.
It's hard to argue with his spokesman's statement: “It is sad that trying to have a productive conversation about instilling a strong work ethic in the next generation of Americans so quickly devolves into the usual name-calling partisan hysteria."
But it's a dumb idea on the face of it. From someone who endorsed Ted Cruz.
It is a dumb idea, but anyone who endorses Ted Cruz cannot be the sharpest knife in the drawer.
Th Telegraph has spent the last 10 months relentlessly trying to prove that Europe without Britain is going to Hell in a handcart. Quite why when it was the UK's choice-we weren't expelled-is hard to fathom. Something in the right wing psyche means anything other than their way must be the wrong way.
Reading some of the character assassinations of Barack Obama and even his wife on right wing sites even though he's retired is something to behold
Quite! And there is no evidence the centre is collapsing in France. Le Pen has remained relatively stable in the polls whilst her rivals have ebbed and flowed. The Telegraph has gone seriously downhill in the last year or so.
The Scots NHS is performing better than England in the key measurements. Current A@E performance England 82 per cent , current Scottish performance 93 per cent. Most fundamental is sustainability. English Trusts are mired in debt, Scottish Boards have comparatively minor issues.
Because Scotland has £1700 more per head to spend thanks to Barnett?
The partisanship is being brought by the government - so leave that shit out! Bercow criticised Trump and correctly. He is a hero.
There are middle grounds. Criticising Trump is not what upsets many - it was the manner of criticism. Which he knows he did the wrong way, since he apologised to the Lord Speaker. Several examples have been given how he could have been critical of Trump while reflecting the will of the house, more or less, without being unreasonable.
Even some of our
I think this is a red herring. The question is not whether the criticism of Trump was correct or reasonable (for which a case can undoubtedly be made) but whether it was correct or appropriate for the Speaker to make a unilateral declaration in respect of these matters which has the effect of undermining the foreign policy of the government of the day and in respect of which he failed to consult the other interested parties.
Put shortly, it wasn't. It was an abuse of his position and however much one agrees with the views expressed that position does not change. He has undermined himself. I suspect he will survive but he is damaged by this and, far more important, so is the Office that he holds.
I would like to see Trump barracked by parliament, like a particularly bad tempered PMQs, but surely either the PM had no intention of Trump addressing parliament, in which case no problem, or she exceeded her authority by suggesting it before discussing with the speaker.
This state visit is going to be popcorn time...
I have not seen any evidence that an address to Parliament was even discussed before Bercow's outburst. A state visit does not necessarily include such an event. Lord Fowler was pretty clear the question had not even arisen.
IIRC correctly, on the basis of past state visits, the invitation for the visit comes first, then the various events are scheduled (or not as the case may be). It isn't a package holiday,
The partisanship is being brought by the government - so leave that shit out! Bercow criticised Trump and correctly. He is a hero.
There are middle grounds. Criticising Trump is not what upsets many - it was the manner of criticism. Which he knows he did the wrong way, since he apologised to the Lord Speaker. Several examples have been given how he could have been critical of Trump while reflecting the will of the house, more or less, without being unreasonable.
Even some of our
I think this is a red herring. The question is not whether the criticism of Trump was correct or reasonable (for which a case can undoubtedly be made) but whether it was correct or appropriate for the Speaker to make a unilateral declaration in respect of these matters which has the effect of undermining the foreign policy of the government of the day and in respect of which he failed to consult the other interested parties.
Put shortly, it wasn't. It was an abuse of his position and however much one agrees with the views expressed that position does not change. He has undermined himself. I suspect he will survive but he is damaged by this and, far more important, so is the Office that he holds.
I would like to see Trump barracked by parliament, like a particularly bad tempered PMQs, but surely either the PM had no intention of Trump addressing parliament, in which case no problem, or she exceeded her authority by suggesting it before discussing with the speaker.
This state visit is going to be popcorn time...
I have not seen any evidence that an address to Parliament was even discussed before Bercow's outburst. A state visit does not necessarily include such an event. Lord Fowler was pretty clear the question had not even arisen.
IIRC correctly, on the basis of past state visits, the invitation for the visit comes first, then the various events are scheduled (or not as the case may be). It isn't a package holiday,
I wonder if he'll get an invitaion to address the Scottish Parliament ?
Comments
For instance I am Charles [mother's Irish family surname] (son of) [father's first name] [father's family name]
Anyway, must be off.
"There are two positions, both partisan. It would be perverse to choose the position of the minority."
Sorry, didn't you choose Remain?
You're entitled to choose what you will, and now that the deed is done, I hope we will see the usual even-tempered Mr Antifrank back.
"Batten down the hatches."
http://www.telegraph.co.uk/business/2017/02/08/madame-frexit-looms-large-french-political-centre-disintegrates/
http://www.telegraph.co.uk/news/2017/02/09/diane-abbott-tells-brexit-minister-f-attempts-kiss-commons-bar/
Unfortunately these things are rather complicated in the real world, and involve a lot of people. One can only hope that things continue to work out for the best on the ground, as things get discussed at higher levels about the future.
https://twitter.com/ed_miliband/status/829760433661833216
https://en.wikipedia.org/wiki/1_Night_in_Paris
Jon Trickett axed as Labour campaigns co-ordinator. What does that say about expectations for the by-elections coming in Copeland and Stoke?
Reading some of the character assassinations of Barack Obama and even his wife on right wing sites even though he's retired is something to behold
Sad about Tara. She always struck me as a hell of a lot of fun and very likeable. RIP.
http://www.huffingtonpost.com/2013/12/18/jack-kingston-school-lunch_n_4467711.html
Rep. Jack Kingston Proposes That Poor Students Sweep Floors In Exchange For Lunch
(Meanwhile I note that Ed is calling for an inquiry - okay, revisiting one)
But it's a dumb idea on the face of it. From someone who endorsed Ted Cruz.
The 300,000 that keep coming every year are overwhelmingly coming to England as well.
That is bound to have a specific impact on England. More resources need to be given to it.
http://www.telegraph.co.uk/news/2017/02/09/raf-typhoons-scrambled-intercept-russian-bombers-near-shetland/