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Ben Bradley: Tory MP to apologise to Jeremy Corbyn for tweet about links to communist spies
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post Sat, 24 Feb 2018 - 16:41
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https://www.standard.co.uk/news/politics/be...s-a3774946.html

He will make a donation to a homeless charity and a food bank in his constituency, and meet the opposition leader's legal costs, the party said.

Defamation is a rich man's sport. Ask Katie Hopkins.
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post Sat, 24 Feb 2018 - 16:41
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The Rookie
post Tue, 27 Feb 2018 - 18:53
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QUOTE (notmeatloaf @ Tue, 27 Feb 2018 - 12:30) *

Thanks, not sure what effect having 3 banks (and 2 of the big 3) included in the ‘public secotr’ had, but an interesting read.


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ViroBono
post Tue, 27 Feb 2018 - 19:34
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QUOTE (notmeatloaf @ Tue, 27 Feb 2018 - 18:12) *
I guess the only point I can make is that I have worked for private sector employers - hospitality, hotels and supermarkets. And I now work for the NHS doing a role that is 60% manaement/40% clinical.

It is much harder to get staff in the NHS and retain them within one department. To be brutally honest it's because the NHS is really rubbish at "looking after" staff, in the same way you get in the private sector. That's even down to your manager saying thank you to you, ever. People go to work for more than the money but to feel "rewarded" overall, and in the NHS it seems to be very much "we're paying you, what more do you want".

I said in another thread I now have three payslips because I have got "promotions" into different roles, but they just pay you for the 22 hours you're meant to be doing that for, and the remainder stay in your "previous" job. That's just insanity because it's not how a job works and the jobs do not have a massive disparity in pay, think about 35% between them. In the private sector it would just be "Promotion yaaaaay congratulations you've done really well.".

FWIW as well I'm not complaining because I love my job, I love nursing and I love improving the systems we use. But I love it because of the patients, not because of the Trust. Relying on people loving their jobs even though they could get better pay and recognition in a second moving into the private sector (I have been offered the jobs, and turned them down) only gets you so far.


My experience of working alongside the NHS told me that there are too many managers and too few leaders.

Meanwhile, as far as Corbyn is concerned, I think it most unlikely that he provided any information of use to his StB contact. He was, at the time, too far down the food chain to know anything of interest. His unwise associations with terrorists and other unsavoury characters demonstrates a significant lack of awareness. The danger is that he thinks these associations are harmless, but his support for PIRA shows that he is easily manipulated by those with darker agendas. Indeed, I suspect that his current ‘leadership’ of the Heralds Of The Red Dawn* is largely controlled by others. His puppet masters include Ernst Stavro McDonnell and unelected creatures like Seamus Milne and Len McCluskey, who are driven by a desire for power.

Corbyn visited East Germany (accompanied by that towering intellect, Diane Abbott). It is inconceivable that the Stasi did not have a file on them, and I’d be surprised if they, as admirers of the paradise that was the GDR, were not approached. Corbyn’s use of defamation legislation to shut down comment is unusual, and perhaps an indicator that there are uncomfortable matters that have yet to come to light. The StB story has also deflected a certain amount of attention away from the revelations about sex pests with strong Party connections.


*I am indebted to P G Wodehouse, who parodied socialist idiots superbly in ‘The Inimitable Jeeves’.
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notmeatloaf
post Tue, 27 Feb 2018 - 22:41
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QUOTE (ViroBono @ Tue, 27 Feb 2018 - 19:34) *
My experience of working alongside the NHS told me that there are too many managers and too few leaders.

Again it's easy to parrot the Daily Mail as fact but any proper statistics will tell you that there are actually very few - about two thirds fewer - managers in the NHS than in other equivalent sized organisations.

https://www.kingsfund.org.uk/projects/healt...rs/nhs-managers

The idea that all NHS managers are superfluous and you can just shove some doctors and nurses into a building and let them crack on is of course ridiculous. As with my role a lot of the management is done by nurses/clinical staff who also have direct patient contact, no nurse in my hospital is too posh to wash. It also means like this week when it snows and people pile in to A&E you have additional resilience because people drop the admin work and get onto the front line.

The superfluous managers that are there exist because the systems, especially IT, behind the NHS are at least a decade out of date. Also consequently the systems were never set up for CCGs and payment by results, and so huge amounts of time and money is spent coding patient encounters to get money for them. That is a frusutration for those of us inside the system because, honestly, I would rather spend eight hours by bedsides than behind a desk trying to prop up creaking systems.
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ViroBono
post Wed, 28 Feb 2018 - 05:37
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QUOTE (notmeatloaf @ Tue, 27 Feb 2018 - 22:41) *
QUOTE (ViroBono @ Tue, 27 Feb 2018 - 19:34) *
My experience of working alongside the NHS told me that there are too many managers and too few leaders.

Again it's easy to parrot the Daily Mail as fact but any proper statistics will tell you that there are actually very few - about two thirds fewer - managers in the NHS than in other equivalent sized organisations.




I didn't make myself clear enough; I didn't mean that there are numerically too many managers, but rather that many of the managers that there are are not leaders. Not from the Daily Mail, but from experience - waste of resources, poor man-management, bullying badly dealt with and a perception amongst senior staff that they were doing well despite CQC saying the contrary.
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notmeatloaf
post Wed, 28 Feb 2018 - 11:18
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If the NHS consistently rates as one of the best value services in the world, and there are few managers, then they must be doing something right?

I have to say the NHS is the most challenging place I have managed because in the private sector if you are making profit then you are doing well.

In the NHS you are paid by results including bonuses and fines if you treat a patient quickly or slowly (more complicated than that but you get the idea). So there is massive pressure to save costs, make money, or else you won't be able to pay for the staff and equipment you need.

But that has to be balanced with patient safety, it is very easy to have avoidable serious injuries and deaths. It's happened on my watch and forget the days you will spend filling out reports, you will also need to speak to the family and admit if you had more resources then their Mum, Dad or whatever would still be here.

Combined with antiquated systems and the fact there is no budget for anything not totally critical to have - even thing you really need but can just about get by without need to be charity funded - mean you do end up attracting managers who are happy to bang their head against a wall and then when they're finished go bang their head against another wall.
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ViroBono
post Wed, 28 Feb 2018 - 14:03
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QUOTE (notmeatloaf @ Wed, 28 Feb 2018 - 11:18) *
If the NHS consistently rates as one of the best value services in the world, and there are few managers, then they must be doing something right?



There's no doubt that the NHS does some things really well, and I wouldn't like you to have the impression that I am anti-NHS; I am not. Having spent a number of years flying patients around the world, and worked overseas too, I have had the opportunity to see healthcare in other countries, and think that in general the NHS provides an exceptional service. But I think there are areas that could be improved, just as there are in the private sector, and my experience of working with some NHS managers really has been an exercise in frustration.

QUOTE
In the NHS you are paid by results including bonuses and fines if you treat a patient quickly or slowly (more complicated than that but you get the idea). So there is massive pressure to save costs, make money, or else you won't be able to pay for the staff and equipment you need.

But that has to be balanced with patient safety, it is very easy to have avoidable serious injuries and deaths. It's happened on my watch and forget the days you will spend filling out reports, you will also need to speak to the family and admit if you had more resources then their Mum, Dad or whatever would still be here.


I don't envy you that, or the unrealistic expectation many people have.

I think that what I was really trying to get at in my original post was that whilst some people are good at managing, that does not mean that they are good leaders.
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notmeatloaf
post Wed, 28 Feb 2018 - 15:08
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Also nothing personal, I just get frustrated when people (correctly) say the NHS has no money and someone else pipes up that there are loads of managers doing nothing.

Lots of unpaid overtime but few people doing nowt.
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ViroBono
post Wed, 28 Feb 2018 - 16:18
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QUOTE (notmeatloaf @ Wed, 28 Feb 2018 - 15:08) *
Also nothing personal, I just get frustrated when people (correctly) say the NHS has no money and someone else pipes up that there are loads of managers doing nothing.

Lots of unpaid overtime but few people doing nowt.



My own frustration is when people criticise the ambulance service, but do not seem to understand how much time is spent dealing with alcohol-related injuries and calls that do not really need an ambulance.

I am not sure what the answer is; it's as if the whole thing needs a reset.
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notmeatloaf
post Wed, 28 Feb 2018 - 18:36
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QUOTE (ViroBono @ Wed, 28 Feb 2018 - 16:18) *
QUOTE (notmeatloaf @ Wed, 28 Feb 2018 - 15:08) *
Also nothing personal, I just get frustrated when people (correctly) say the NHS has no money and someone else pipes up that there are loads of managers doing nothing.

Lots of unpaid overtime but few people doing nowt.



My own frustration is when people criticise the ambulance service, but do not seem to understand how much time is spent dealing with alcohol-related injuries and calls that do not really need an ambulance.

I am not sure what the answer is; it's as if the whole thing needs a reset.

For every alcohol call there are twenty for elderly people with fairly minor ailments that could be solved by a GP or pharmacist. Care homes are the worst in this regard.

Some of it is ignorance or confusion but some is bloody mindedness. We have patients insist on ambulances home. You try to explain that an ambulance will cost £200 when they can pay for a taxi themselves for £20 but they point blank refuse. Same as patients who refuse to leave a bed (frequent occurrence) and cancel someone else's operation.

We have a few nurses from Eastern Europe and they are amazed, say there if a patient refuses to leave you take them down to the main entrance and tell them they can stay there as long as they like.

99% are sensible, 1% treat it as if it's an all you can eat buffet and they need to scoff as much as possible.
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captain swoop
post Thu, 1 Mar 2018 - 21:25
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Rees-Mogg apologised today for wrongly claiming that Corbyn voted against the Good Friday agreement.
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