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RedRob72

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Posts posted by RedRob72


  1. Folk wont pay, the vast majority of missed appointments from my experience are people who lead chaotic lifestyles, they dont have the money to pay for missed appointments.


    You pay a reasonable flat fee up front. (benefits taken into consideration) If you just simply 'miss' the appointment your fee is retained. Yes there would be a cost to administer this, but payment could be taken at the same time as agreeing the date and time of your appt, just as with any other booking system. It would recover costs that we aren't recouping at the moment plus it might encourage/incentivise patients to comply with how the referral system works for them?
  2. How about charging for missed appointments (without prior cancellation)? Wonder how much does it cost in admin, clinical prep, organisation of medical records plus the impact on waiting lists when 'Did Not Attends' are simply re-referred back into the system?

  3. "In ma Da's hoose there's hunners o' big hooses: un still there's nae an empty bog when yer touching cloth."
    (King James Bible - Weegie edition)

    Very good, yon lass above has an uncanny look of one of our neighbours, I had to do a double take, and thought jeez wtf is she doing on P&B? Even weirder that she kinda pulls that face too!![emoji47]
  4. The attack on the Bataclan Theatre is apparently on the list of terrorist incidents deliberately under reported by the European press!?[emoji47] The guy is f*ckin mental, along with those presumably advising him on what's going on in the world.
    The twitter ramblings were a bit of an amusing novelty to begin with, before his appointment, but surely he can't believe this is the proper way to conduct himself as the President?

  5. Surely a 'wait and see' policy would have been the most prudent policy as regards Trump?  
    State visits are not compulsory and it's almost unprecedented to grant one for a new president.  As for US policy towards the UK, it's not going to do us any favours if we woo Trump and then he's impeached or loses the next election - both are surely distinct possibilities.  In any case economic discussions at government level do not require a state visit. 
    It's simply worrying decision making, much like the attempt to circumnavigate Parliament.  

    Perhaps in response to Obama's view that the UK would be at the back of the Queue on leaving the EU. Maybe the Gov saw an opportunity to nudge in near the front, after Trumps unexpected victory back in Nov?

    If Trump carries out his promise to concentrate his efforts on American generated business and production, the competition and jockeying for position in a shrinking US import market may become increasingly important?
  6. I agree that Bercow has been out of turn in his comments but Trump should never have been invited to a state visit in the first place.
    Ultimately this falls on Theresa May's lap.

    Whether we like it or not he's got a four year term. After already opting to leave the EU, do we then push away and disengage with another very important strategic economic partner because we don't like the guy at the helm. Again TM (as with the EU) is between a rock and a hard place.


  7. But my point still stands; if you're personally spending £x on health, it's still £x whether it's all from taxation or from various sources. Unless you're advocating different tiers of health provision dependent on how you as an individual choose to fund your combination of funding streams - now that's a different argument.

    Yes, as an individual it may be cheaper, so long as you stay in good health and avoid any accidents. However on a population level, spreading risk is cheaper.


    A two tier system already exists for those who can afford private healthcare cover or are lucky enough to have their employer provide it as part of the renumeration package. The Social insurance model deployed across much of Europe is paid for through a separate pay deduction according to means/income and subsidised accordingly. Surveys continually suggest that people (who are able)would be be prepared to pay a little more to protect the NHS, why don't we test that commitment?

    The screams of backdoor privatisation won't help us find a solution and are counter productive.
  8. But does it really matter if you're spending £x / year on health insurance or being taxed £x / year into the health budget? You're still £x down.
    If you want an insurance system, then how do you want it to run? Can the insurance companies exclude pre-existing conditions? Can they refuse to renew your cover? Can they increase your premium if you develop a new and interesting disease? Because if they can't, then the premiums will be extortionate and if they can, then just pray it doesn't happen to you.
    On the other hand, a population based model, where the risk is spread across everyone, I think is fairest. Yes, you could do this through 'insurance' but it's just as easy to lop it off as taxation.

    The NHS is a fantastic service, free at the point of entry and equitable access for all, pressure of increasing demand continues year on year however and shows no sign of abating. A careful combination of funding streams would surely give us more flexibility to respond to a burgeoning list of healthcare needs? Seems to work well enough with other developed countries.
  9. C'mon Rob we're talking about Scotland and England in that analogy (fine ye ken).
    So the cousin next door is England and has 9x the population you (Scotland) has.
    Who will make the decision as to how the wages are distributed ?
     
     

    Sorry my answer doesn't meet your expectations Willie, but the crux of it, is that your view is borne from a separatist standpoint, mine isn't. We are the UK as a whole.
  10. But any Scottish Government whether it be Tory, Labour or SNP will have one hand tied behind their back.
    Do you agree?
    Rather more a family who stick all their wages into a pot at the end of the month, then split it up according to the needs of each member of the household.
    The problem with that is your cousin next door has a family 9 times bigger than your family so logic says his family will make the decision how the wages are distributed.
    And you've got tae like it or lump it.
    Do you agree?

    Sorry I don't agree with that comparison Willie, my family live in the same house, it has many rooms.
  11. Commentary on the news tonight, stating again how much lower our % spend of GDP on Healthcare is than Germany and France for example. The difference being that around 97% of our spend comes from the public purse, whereas private insurance covers a much higher % of healthcare provision in neighbouring countries of a similar size (population and economy). We either change the model or stop using this as a misleading comparison.


  12. Aye, the European Central Bank can seem a bit harsh sometimes but they have to think of all the members of the family.

    Agreed WB, why not help where we can to raise living standards across the continent, to the benefit of all Europeans, surely there's a longer term pay off? sadly June 23rd last year changed any possibility of that.
  13. Rob, that's no the point I was trying tae make.
    ANY Scottish government will have one hand tied behind its back.
    Do you agree?
    I cannae mind who it was but someone on P&B made an excellent analogy.
    You hand your neighbour your wages at the end of the month and he decides how much you get back tae live on.
    Is that acceptable to you?
     
     

    No offence Willie, but that's your view as a separatist, I don't see it that way at all.
    Rather more a family who stick all their wages into a pot at the end of the month, then split it up according to the needs of each member of the household. This may change from one 'month' to the next, but the key is to try and make sure there's always enough in the pot as a contingency. It's not a perfect system, but generally it works ok.
  14. I ken that Rob.
    It's the c**ts on here that take great delight when anything disparaging is written about the Scottish economy or NHS or Education etc.
    These buggers dinnae acknowledge that the Scottish Government has tae govern with one hand tied behind it's back.
    And it's only through independence that the hand will be untied.
    Fine they (and you) ken it.
     

    As a Unionist they don't speak for me Willie, but of course accept what they do well in equal measure! No problem.
  15. I'm not convinced Rob knows what 'insular' means.


    Myopic, parochial, narrow minded, provincial, inward looking, petty, intolerant, take your pick Gordon? It seems a perfectly apt description of the more anti-British spit and bile you can read between these pages.
    Some never pass up the opportunity to knock the UK.
  16. Since overtaken by France

    The World Bank still has the UK listed at 5 (2017) with the BoE adjusting growth outlook up to 2% for 2017, only just last Friday.

    The FT however reported that the French economy grew by just 0.2% in the final quarter of 2016.

    Hard to know who to believe eh?
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