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If you’re going to be up, All Night Long, why not relax, and converse into the night on the day’s events in PB NightHawks.
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Context, context.
Thank you.
Diane Abbott: Jim Murphy’s mansion-tax boast is a cynical attempt to buy Scottish votes
http://www.theguardian.com/commentisfree/2015/jan/06/mansion-tax-london-jim-murphy-scotland-labour
You could text the very reassuring Jeremy Hunt for an answer?
http://www.bbc.co.uk/news/health-30696279
Grant Shapps answers planted questions from Tory activists on LBC
http://blogs.spectator.co.uk/coffeehouse/2015/01/grant-shapps-faces-planted-questions-on-lbc-before-coming-up-against-a-real-voter/
This is often the worst week of the year, but not always a good bounceback.
In my parents area the local A and E was downgraded to an Urgent Care Centre, but this to me also sounds like the location to go with a serious illness (when it is not appropriate for some I think) and does not capture the more routine accidents it also deals with. I wonder whether this Urgent Care Centre label is utilised as a PR exercise to make a downgrade not seem as serious, but I find it confusing. You then get minor injury units too. Perhaps we just have Emergency Units and Minor Injury Units?
Of course none of these changes will deal with bed management challenges in hospitals, GP accessibility and a general rise in demand which it seems are also three issues to be dealt with.
CON 297
LAB 278
LD 35
SNP 15
PC 5
GRN 1
UKIP 1
NI 18
10 organisations listed below affecting 13 hospitals have called stage 4 in last 2 days as far as i know
Gloucestershire Royal Hospital
Cheltenham General Hospital
Scarborough Hospital
Croydon University Hospital
Royal Stoke in Staffordshire
Norfolk and Norwich Hospital
Peterborough City Hospital
St Peter's Hospital, Surrey
Ashford Hospital, Surrey
Bolton NHS Foundation Trust
This is also completely unprecedented as far as i am aware.
Are you aware of this ever happening to this extent before foxinsoxuk?
Two problems solved. GPs earn their corn and A&E less crowded.
We are ranked 23rd in the EU for the number of doctors per head of population - and 37% of them were trained abroad - it's a scandal of the last Labour government and the Tory one before it that this deficiency hasn't been tackled.
You are still in denial that there is a crisis i see.
Poor Mr Cameron.
www.telegraph.co.uk/news/uknews/crime/6918327/Police-compile-list-of-most-ridiculous-time-wasting-999-calls.html
I applaud your thinking processes but you can't beat Darwin.
Carry on waving your shroud!
Add to that the A&E marginal tariff and commissioners have a cheap option compared to a proper out of hrs service.
The fact more GPs are retiring early due to primary care pressures and the ramped up performance measures and you have the perfect storm for a crisis.
In Chesterfield the Acute Trust has had a 14% reduction in real Turnover since 2010 but has circa 40% extra patients visiting.
Where has the NHS money actually gone is both Primary Care and Secondary Care is getting less? Mr Lansley perhaps you could explain!!!
4 hours to treatment is probably the wrong target.
I'd rather see a shorter target to a triage. At that point you'd be directed either to an ER or to a co-located GP function for primary care. Clearly would take time and money to introduce the co-location although it already happens in some hospitals.
Longer term, we need to shift DGHs towards acute only and centres of excellence and then to have many more -smaller and more local - hospitals for chronic recovery (possibly co-located with social care facilities)
Anecdote - my wife went to NHS 'drop in' y'day afternoon - she waited 20 minutes to see a GP and was prescribed anti bios. Doctor at the Drop-in said she could ask her GP to perform 'procedure' if need it.
She then went to our GP today at 9am, after her appointment requested by phone at 4pm y'day.
The GP suggested as the required 'treatment' isn't done at their practice as not sterile enough, she should go to A&E if wanted procedure done....
Impressive I thought - until the GP solution - absolutely not an A&E but yet that's where she's told to go to get a small medical intervention done?
Early retirement rates are at an all time high from NHS As new pension kicks in April 2015 and the pay freeze continuesexpect a further acceleration in next few months
Those were really Nazi engineered bred cows.
Good Will Hunting in my pants
But to be honest, I have seen plenty of similar crises in the NHS over the years. I believe that the crisis started in 1948. The nature of the crisis fluctuates over time, but it never really goes away.
When I qualified in 1988 I would often start the Medical take with no medical beds, and a large part of the Housemans job was bed management and co-ordinating services.
Actually (and none of the parties will admit it in Election season) there is real cross party consensus about the NHS. Call it LibLabConKipSnp if you like!
They agree on the causes of the crisis (and it is a multifactoral perfect storm) and even on most of the solutions (the Better Care Together fund devised by Lamb and Hunt is in reality siphoning off NHS funds to maintain council services).
The things that are not mentioned are "rationing" and "co-payment" both of which are viable ways to manage demand.
Then again, our whole benefits system, originally intended to be no more than a safety net against REAL poverty, is now the ultimate disincentive machine
I take it you are in my line of work?
Of all the posters on here I'd have thought you'd be the first and best one to step forward and refine James' ideas. With the nudge of a professional at the sharp end of the emergency services there's a constructive suggestion brewing here.
But instead you are sarcastic. Yay. Go You.
3. No one would have expected them to say anything else I guess. I'm sure they can still play the tax the rich card along with the rest of the rest of the team.
2. That's some very limited ground for the Tories to need the conversation to focus on in order to win, seems a challenge. Looking at how low a priority defence is to voters, it's no wonder it's been allowed to become such a basket case. I am surprised weldare is listed so low. The NHS will continue to weaken the Tories, no matter how badly Labour do with it.
1. Has been expected for awhile I gather. With the party gutted in a few months, I doubt he'll mind any personal slight now.
9. We can hope. Not sure who will be able to turn the situation most to their advantage though. Probably the SNP, as their aims are simpler to achieve. I am interested in seeing how well the LDs might recover when Labour start cutting as well, perhaps with the aid of the SNP.
7. I doubt anything need be said that has not already on this one!. If only the economic backdrop were helping the Tories, maybe they would have more of a chance.
'Of course and yet it took 10 years to become a problem.'
Increase the population by 4 million and cut GP'S working hours,not that complicated.
http://business.financialpost.com/2015/01/05/oil-price-falls-below-50/?__lsa=1fdf-1549
"Oil falls below $50 as global glut worsens; traders see $40 before week end"
By the way that was yesterday and today oil has fallen another 2$ to bellow 48$ per barrel.
There might be some panic selling going on, but until the gap between supply and demand closes the price will still keep on falling.
Good news for consumers, bad news for London real estate.
http://newstonoone.blogspot.co.uk/2015/01/bedtime-stories-extending-my-thoughts.html
Ok, in fairness, I'm sure it won't be nice, but nice for other people to get something at least short term decent for a bit.
I'd be impressed if any party was really serious about tackling our drinking culture.
The Better Care Fund has robbed £3.8bn from NHS and I have had a council chief executive brag that they call it the pot hole fund because they can spend it on that if they want.
GE2015 BCF will explode the Govt claim of real terms increases out of the water (another prediction)
I wasn't totally convinced - this seemd to be a staff-oriented argument ("put everyone in one room, simpler for us") rather than a patient-oriented one. But I could see we couldn't really force the system onto reluctant staff.
"...they struggled to do a prior "Is he just drunk or..." assessment.
What??!?!
Breathalyser??
Essentially every category that wealthy oilmen spend their money on.
But cheap cars and cheap air flights are the future now with cheap oil.
Two days of drinking and I was pushed over by a bouncer and landed head first on the corner of the metal on a Land Rover light
27 stitches in my head, 3 in my knee.. only partly my fault but wouldn't have happened if I hadn't been drunk
I can imagine a few jokes already like the new Tory poster will be "Oh, Mr. Cameron has been a very naughty boy" or if it's a negative ad "Would you go out with someone looking like Ed?".
It's sad. It's very sad.
The consensus between the parties on the NHS is much closer than either side would have you believe. The BCT fund is pretty much what Labour was proposing in 2010, and Andy Burnham pledged to work with the new CCG structures.
On the whole I prefer Norman Lambs cool rational approach to the feverish barrages from both Tories and Labour. I would like to see him stay on as Health Minister.
We've had a few days recently, where there have been no ambulances available to attend RTCs, which is quite scary, especially when we're on minimum crewing too.
It's going to get a lot worse before it gets better, beyond doubt.
'What happened to the South East mansion riots. Not heard a thing from it today.'
No need when the job is being done by Labour's London mayoral candidates.
'It’s depressing to hear Labour candidates (today Abbott, Lammy and Jowell in the Standard and then Abbott again on Radio 4) for Mayor of London wading into the “debate” and playing the Tory tune about the Mansion Tax being a “tax on London”
Voting patters are mostly explained by a few factors like age, education, background, wealth, social environment, and family tradition.
With her story as described above she would either have veered far to the left or far to the right , but her job has probably made the difference towards UKIP.
It also projects Nick Palmer to win!!!
Alan Milburn et al hang your heads in shame
I can't think of other that would have shown a CON majority in the past but not one now.
We could bring in prohibition? That sounds like winner.
@Sun_Politics: YouGov/Sun poll tonight - Tories and Labour tied, Lib Dems still in fifth: CON 33%, LAB 33%, LD 7%, UKIP 13%, GRN 8%
06/01/2015 22:22
Wednesday's Daily Mail: "A&E crisis worst for ten years" pic.twitter.com/5F3ZmmcZ8k #BBCPapers #tomorrowspaperstoday via @suttonnick