Reg mainly! And poor Howard has been dragged into it from time to time. The Risk Register episode demonstrated that for me. A perfectly normal tool to assess and manage risks (and is, in fact, our friend!) was blown out of any semblance of reality and made to appear like a conspiracy to conceal. And that was because of ignorance of the facts and a burning desire to throw a spanner in the works of change. Best way to do that, as we all know, is through instilling fear in the masses.
Keith Sansum1
- Location: london
- Registered: 25 Aug 2010
- Posts: 23,942
BERN;
Either you are not reading posts, or choose not, whitchever is does you no justice.
and
There is no doubt you want change within the N.H.S. and your own personal experiences may well be clouding the present view on health reform.
that said, every poster on here(including reg) has said there is a need to reform the N.H.S. getting it right is important to us all, and we all have our ideas and experiences of the N.H.S. and with that all have views on it.
all posters i believe have a passion to see a better health service
ALL POSTS ARE MY OWN PERSONAL VIEWS
howard mcsweeney1- Location: Dover
- Registered: 12 Mar 2008
- Posts: 62,352
the devil is in the detail as it always is, sarah gave a good rundown on what the aims and objectives of the bill were but summed up by saying that it will not be possible to see how it would affect patient care until the bill was passed.
Keith Sansum1- Location: london
- Registered: 25 Aug 2010
- Posts: 23,942
there lies the problem howard
we all want reform
but some of dont want to go down a blind alley
we have seen these error of judgements before
ALL POSTS ARE MY OWN PERSONAL VIEWS
Guest 698- Registered: 28 May 2010
- Posts: 8,664
Keith your last sentence shows that you have prejudged the issue. In the previous sentence you show that you don't know the facts about the proposed reforms (if you did it wouldn't be a blind alley); anyone not approaching the issue with an open mind must be part of the problem. Take away the ideological prism, look at the full facts with the balanced viewpoint you claim is so important, and become part of the solution.
I'm an optimist. But I'm an optimist who takes my raincoat - Harold Wilson
Sound advice.
Guest 671- Registered: 4 May 2008
- Posts: 2,095
The NHS clearly needs reform; it is in a deplorable state.
I do not know how to make this happen; I do not understand all the reforms that this government is trying to implement.
What I do know, is that many experts, who will not just have to work with them but will also have to implement and manage them, are very much against them.
Time and time again, "listen to the experts" has been quoted.
So in this case, are the experts wrong?
"My New Year's Resolution, is to try and emulate Marek's level of chilled out, thoughtfulness and humour towards other forumites and not lose my decorum"
howard mcsweeney1- Location: Dover
- Registered: 12 Mar 2008
- Posts: 62,352
disagree peter, keith rightly refers to a blind alley which means that thinking people cannot support the reforms.
both sides of the argument i.e. the coalition and the medical coves are unable to put a case for or against, they just tell us that they know best.
I disagree - as Sarah has said, it is almost impossible to evaluate the total effect until the practice is up and running. There are windows built in, as far as I can see, to enable tweaks and reviews. Any good business has those features. The NHS is Too Too huge to be able to properly assess the impact of everything on everything else - best guesses and professional estimates running alongside risk assessments (and registers) and effective project plans are the best that can be done - and that applies to all businesses and large organisations!
Guest 671- Registered: 4 May 2008
- Posts: 2,095
Bern.
I know we can't live in the past and the future of the NHS has to change but when you refer to the NHS as a business I cannot help but to remind people of why the NHS was formed.
Extract taken from NHS Choice's Website,
http://www.nhs.uk/Livewell/NHS60/Pages/BirthoftheNHS.aspx
The birth of the NHS.
"Bevan fought passionately for the NHS. In parliament on February 9 1948 he urged ministers and doctors to "take pride in the fact that, despite our financial and economic anxieties, we are still able to do the most civilised thing in the world: put the welfare of the sick in front of every other consideration".
"My New Year's Resolution, is to try and emulate Marek's level of chilled out, thoughtfulness and humour towards other forumites and not lose my decorum"
Guest 698- Registered: 28 May 2010
- Posts: 8,664
So Bevan must have been right then.
I'm an optimist. But I'm an optimist who takes my raincoat - Harold Wilson
In order to fund the NHS - free at the point of delivery as it should be - it needs to be managed. Perhaps to call it a business sends the wrong message, but a business has to attend to the profit and loss side to make sure it does not run at a loss (the debt the NHS is currently wading through). Profit is not a dirty word: charities have to try to run at a profit in order to maintain the services they deliver and plough back enough to do some good. No-one shouts about charities being a bad thing because of that. Culturally we have to try not to shy away from words like profit and loss, or we will not be able to manage our services to the benefit of the community, which, after all is what most of us want.
Guest 671- Registered: 4 May 2008
- Posts: 2,095
Bern.
I don't disagree with any of your post and I do not think profit is a dirty word.
My worry is the direction to which these reforms are taking.
If these reforms are designed to make a profit to offer a better service first, then they will be good reforms.
If they are designed to make a profit for the companies with the service coming second in line, then they will be bad reforms.
My other concern is that many NHS professionals are against these reforms; surely they must be better qualified than us or others outside of the NHS?
As you said previously only time will tell.
"My New Year's Resolution, is to try and emulate Marek's level of chilled out, thoughtfulness and humour towards other forumites and not lose my decorum"
Keith Sansum1- Location: london
- Registered: 25 Aug 2010
- Posts: 23,942
garyc/howard
that is the problem
wait and see is hardly the best way to hope they get it right
its to important for that
ALL POSTS ARE MY OWN PERSONAL VIEWS
We have been waiting and seeing for too long already with too little action. That is why we are where we are.
Guest 716- Registered: 9 Jun 2011
- Posts: 4,010
Lansley prepares for a two day hearing starting today into his refusal to publish the `Risk Register` at the Information Rights Tribunal .It appears one of the many weaknesses in the Bill is the is the protection of children in danger of Physical abuse.
The Lords have 77 amendments to the Bill.
46 Charities representing millions of elderly and disabled have signed a letter to Lansley warning him of their concerns.
Elderly and Disabled people to lobby MP`s tomorrow.
Yes, we do such a good job protecting children at the moment...........
Guest 655- Registered: 13 Mar 2008
- Posts: 10,247
You are wicked Bern, a bit more subtle than me.
howard mcsweeney1- Location: Dover
- Registered: 12 Mar 2008
- Posts: 62,352
not very impressive that children are likely to be even more open to abuse than they are now.
Guest 655- Registered: 13 Mar 2008
- Posts: 10,247
utter rubbish Howard.