Random Irritations

[Lord Tyrion]

Certain people arguing over who argues most is proving a point somewhat ?

 

[Deleted member 15344]

Plenty of challengers i'll give you that but they'll never be better than you Phillip.

Coming from you that’s an honour ??

is this your entry Stu not good enough clearly ???

he is holding back somewhat

 

[theoneandonly]

I thought @weewullie made an exceptionally valid point before it was removed.

Very much enforcing the point he was making.

 

[theoneandonly]

Plenty of challengers i'll give you that but they'll never be better than you Phillip.

I'd say LP's lovechild , swango1982 gives it a good go.?

 

[Dando]

…I have no issue with the salary, it’s what should be paid to get someone in to try and lead understanding and sorting when a specific critical aspect of the service is ‘no longer fit for purpose’. Alternatively you just let the whole edifice collapse. On which I will desist from commenting.

So your happy for that money to be taken from front line services to pay for a job that probably isn’t really needed

 

[Deleted member 1740]

is this your entry Stu not good enough clearly ???

I realised my ability early on, i'm just a voyeur?

 

[Slime]

The too narrow ‘condenser pipe‘ from our central heating, being external, freezes up in very cold weather and as a result our CH does not fire up. And this morning guess what…

Will sort out as part of ongoing building project…but this morning…?

Isn't that just part of your 'Lived Experience' ?

 

[Dando]

I realised my ability early on, i'm just a voyeur?

Phil is like yoda and you’re his padawan learner

 

[Deleted member 21784]

So your happy for that money to be taken from front line services to pay for a job that probably isn’t really needed

basically defines half of middle management jobs across every company

 

[Dando]

basically defines half of middle management jobs across every company

That’s not what I asked but you crack on petal!

How many operations does that salary pay for?

 

[Deleted member 21784]

That’s not what I asked but you crack on petal!

How many operations does that 155k pay for?

115k a year was the figure

1. Hernias (abdominal) – £1,190 to £4,360.
2. Hip replacement (very major hip procedures for non-trauma) – £1,342 to £10,741.
3. Knee replacement - £5,591 to £8,325.
4. Gall bladder removal (major open bladder procedures or reconstruction) - £3,601 to £5,160.
5. Tonsilectomies - £982 to £1,100 (treated as a day case).

this was 2018 apparently (https://www.getsurrey.co.uk/news/surrey-news/how-much-costs-nhs-perform-14462706)

so if you average it at £2000 per op

57.5 ops a year

or just over one a week

in the scheme of things its small fry

however... on your point, middle management of the NHS seems to be massive part of the problem of the costs

but again back to what I said nearly every single major company has middle management that could be squeezed out to save money without cutting services to front line

 

[Dando]

115k a year was the figure

1. Hernias (abdominal) – £1,190 to £4,360.
2. Hip replacement (very major hip procedures for non-trauma) – £1,342 to £10,741.
3. Knee replacement - £5,591 to £8,325.
4. Gall bladder removal (major open bladder procedures or reconstruction) - £3,601 to £5,160.
5. Tonsilectomies - £982 to £1,100 (treated as a day case).

this was 2018 apparently (https://www.getsurrey.co.uk/news/surrey-news/how-much-costs-nhs-perform-14462706)

so if you average it at £2000 per op

57.5 ops a year

or just over one a week

in the scheme of things its small fry

however... on your point, middle management of the NHS seems to be massive part of the problem of the costs

but again back to what I said nearly every single major company has middle management that could be squeezed out to save money without cutting services to front line

nhs middle Management is a massive issue and if they’re anything like the ones at my firm you might as well employ a 2 yr old

 

[Deleted member 21784]

nhs middle Management is a massive issue and if they’re anything like the ones at my firm you might as well employ a 2 yr old

Still remember on tfl we had a manager come in on a contract to look for areas to save money

He stated we could do the cuts needed without a single front line job going . Cutting middle management

He was paid off to leave

 

[Swinglowandslow]

…I have no issue with the salary, it’s what should be paid to get someone in to try and lead understanding and sorting when a specific critical aspect of the service is ‘no longer fit for purpose’. Alternatively you just let the whole edifice collapse. On which I will desist from commenting.

Blimey, H, you really do think there is a money tree. Throughout your posts you call on the Government, one way or another, to throw money at something or someone for every problem.

How is it needed for such a salary to be paid to someone( and others ,under him, if he’s a Director of…..) for problems which amount to existing people and departments not doing their jobs right.?
There must already be hierarchies within those areas where there are problems, and they could and should sort it.
Creating this job and that job at hundred K a time is just the sort of behaviour that is shafting the NHS, where the tail seems to wag the dog.
When I read reports such as top class surgeons being hauled over the coals by some pen pushing manager who wouldn’t know anything at all to help that surgeons patient recover or live, then I get so bloody angry.
The managers are there to facilitate the clinicians:how dare they behave as if it’s the other way round.

And you support another adding to their ranks,!

 

[Dando]

 

[Deleted member 21784]

View attachment 45621

to be fair.. still looks delicious

now I wanted a gingerbread (man / women etc)

damn you

 

[PNWokingham]

Blimey, H, you really do think there is a money tree. Throughout your posts you call on the Government, one way or another, to throw money at something or someone for every problem.

How is it needed for such a salary to be paid to someone( and others ,under him, if he’s a Director of…..) for problems which amount to existing people and departments not doing their jobs right.?
There must already be hierarchies within those areas where there are problems, and they could and should sort it.
Creating this job and that job at hundred K a time is just the sort of behaviour that is shafting the NHS, where the tail seems to wag the dog.
When I read reports such as top class surgeons being hauled over the coals by some pen pushing manager who wouldn’t know anything at all to help that surgeons patient got recover or live, then I get so bloody angry.
The managers are there to facilitate the clinicians:how dare they behave as if it’s the other way round.

And you support another adding to their ranks,!

Spot on. The NHS either needs massive change to prioritise front line, totally revamp NHS England, how they source drugs, how they train and recruit nurses etc etc, or we need to change to a similar model to France, Holland, Australia etc, all who deliver much better universal services in a different way

 

[Wilson]

The standard of driving during the last couple of days has been atrocious, I hope it's a combination of the train strikes and people getting away for Christmas, otherwise my daughter might have to start walking to Gymnastics.

 

[upsidedown]

Spot on. The NHS either needs massive change to prioritise front line, totally revamp NHS England, how they source drugs, how they train and recruit nurses etc etc, or we need to change to a similar model to France, Holland, Australia etc, all who deliver much better universal services in a different way

I could copy and paste an email my wife sent to my brother detailing what went wrong with the NHS, but is far too political alas.
Suffice to say as one who trained as a nurse on the wards rising to be a Matron for some 20 years she is saddened by the state of it now

 

[Dando]

to be fair.. still looks delicious

now I wanted a gingerbread (man / women etc)

damn you

Soon a ginger will moan about them!