I don't think that true. The widespread failures that we see in outsourcing companies are not just in the NHS. We seem them in prisons, PFI, schools, probation services, disability benefit asses… (View Post)

NHS England are the national and regional bodies, not the 250 odd local Trusts. I have no idea how that will impact their work, which is around commissioning national services and quality control. (View Post)

Thanks for everybody's thoughts on the header. I would agree that a Parliamentary system does have a certain protection via leadership challenge or VONC, but on the other hand it is possible und… (View Post)

Usually it's the first, but as a general rule with hiring freezes etc it is the most talented and able people that leave. This is because they have skills in demand elsewhere, while the duffers … (View Post)

No. It seems that the near universal Canadian reaction is against Trump rather than towards him. Never has Anschluss seemed less likely. (View Post)