The problem is a lack of training or career progression. The purchase of rank in the Army in the Goode Olde Dayz made about as much sense. (View Post)

Indeed It’s not like firing a chancellor is ending their career, sending them into hell like penury etc. The biggest problem is that if she goes, the markets will see that as the loss of any financia… (View Post)

a NoSQL DB might be better… In any event, trying to hard specify the data structure for the whole NHS gets you back to Mega Projects. Which always fail. And often die from requirements growing like K… (View Post)

Over a hundred years ago, OR professionals noted that organisations run at 99% of capacity had - poor productivity - poor worker retention - poor quality - workers start “soldiering” - just doing the… (View Post)

The NHS has (partially) digitised a lot of areas. The problem is incompatible systems and mix of digital with paper. Most GPs are digitised, IIRC The sane approach is a gradual building of bridges be… (View Post)