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    #18, Reg, in #7 I was not referring to the medical profession, but the general population. But why should the medical elite dictate how the 'health service' (there's a double oxymoron for you) is run? Surely we the customers should have a greater voice than those who earn £100k+ a year from it? Every one of us has a vested interest in the NHS being run effectively, unless we are employed in it, in which case the reverse might be true.

    Poor management and Spanish practices are the scourge of the NHS. An example: Yesterday I had to deliver my wife to the minor injuries unit at Buckland as she had gashed her leg badly on the iRoning board. Being Saturday afternoon I thought I'd pop the car in a 15 minute drop off space but it was obvious that it would be a while before she was seen. So I nipped out and moved the car into the street. In doing so I passed a young hospital employee dressed in his whites (kitchen? Male nurse?) leaning on a wall in the car park, right beside the no smoking sign, enjoying a fag break. When I got back inside I told Kathryn about it and we agreed that it was shocking to see hospital staff so openly flouting the rules. It was about an hour before she was treated, and as we walked out the same employee was there again having another fag break on hospital grounds. To me that's gross misconduct. Why do managers tolerate it? Because they can get away with being lazy and they are worried that if the reforms go through they might actually have to perform.

    The opposition of the health service unions to the reforms is nothing more than a turkey/Christmas issue.

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