vikingTON Posted August 5, 2023 Share Posted August 5, 2023 8 hours ago, TONTROOPER said: Be advised....... I've concluded VT is an ALBA man/boy/whatever. A conclusion that is predictably wrong, you havering mess. -2 Quote Link to comment Share on other sites More sharing options...
TONTROOPER Posted August 5, 2023 Share Posted August 5, 2023 13 hours ago, TONTROOPER said: Be advised....... I've concluded VT is an ALBA man/boy/whatever. havering mess. 0 Quote Link to comment Share on other sites More sharing options...
Moomintroll Posted August 5, 2023 Share Posted August 5, 2023 1 hour ago, TONTROOPER said: Thankfully I have had him on ignore for yonks, I take it he is blaming fat nurses for everything again. -1 Quote Link to comment Share on other sites More sharing options...
HibeeJibee Posted October 15, 2023 Share Posted October 15, 2023 On 20/12/2022 at 18:48, coprolite said: 9 hours is pretty good. My father in law had a stroke and cut his head while falling because of it and the ambulance arrived about 24 hours later. After he got out of ICU he spent about 3 days in a corridor before contracting Covid and going back in. Well done Drakeford. If you'd wondered why NHS Wales has routinely reported above-average A&E performance, despite anecdotal evidence and previous winter pressure seeming worse there, it appears we have the answer... grandiosely cooking the books. Over last decade 23% of missed waiting times got excluded as "exempt"... 45,000 in first half of 2023 alone. "Exempt" list become so wide it includes: Patients who need more input from the emergency team Patients who need test results Patients who need plaster-casts Patients who need input by occupational therapy or physiotherapy NHS Wales: Thousands of hours missing from A&E figures - BBC News Wales was the only UK nation to do it this way. Wales' health minister has repeatedly claimed A&E waiting times in Wales have "bettered English performance". But once the missing data is taken into account, it suggests the performance in Wales is worse. Waits for planned care in Wales have compared poorly with England, but published data has so far given the impression Wales is doing far better at reducing A&E waits compared to England. Last week, the Welsh government claimed again that Wales had outperformed England for nine of the last 12 months. But when data from the RCEM is included, it suggests the performance in Wales is worse. A&E waits were one of the few areas where they appeared to be comparing favourably to England. The health minister has repeatedly pointed to emergency departments "outperforming" hospitals in England, despite repeated concerns from the Royal College that something was awry. Typically, requests for data from health boards will show everyone does things slightly differently and comparisons become tricky. Yet the FOI requests returned to the RCEM show every health board has done the same. For more than a decade, none of them has included these clinical exceptions in their total figures. 1 Quote Link to comment Share on other sites More sharing options...
HibeeJibee Posted October 22, 2023 Share Posted October 22, 2023 On 16/10/2023 at 00:40, HibeeJibee said: If you'd wondered why NHS Wales has routinely reported above-average A&E performance, despite anecdotal evidence and previous winter pressure seeming worse there, it appears we have the answer... grandiosely cooking the books. Over last decade 23% of missed waiting times got excluded as "exempt"... 45,000 in first half of 2023 alone. October 22nd: Welsh NHS: Ambulance service declares extraordinary incident - BBC News The Welsh Ambulance Service has declared an "extraordinary incident" because of a delays in handing over patients at hospitals. It has asked people only call 999 if their emergencies are "life or limb threatening". The post on X, formerly known as Twitter, said the issues were at sites across Wales, but specifically in the Swansea Bay health board area. It said people could get non-urgent medical advice by dialling 111. 0 Quote Link to comment Share on other sites More sharing options...
HibeeJibee Posted January 7 Share Posted January 7 Calls to merge health boards as winter pressure hits NHS - BBC News Scottish councils are the biggest units of municipal government in Europe and the nationwide police + fire mergers have been a riproaring success in public's eyes - so naturally Scottish Labour now want to merge 14 health boards into just 3 on the lines of Scottish Water's predecessors. No doubt 'efficiency' is envisaged, and granted 14 may not be optimal... but do we honestly think a North (Aberdeen-based) authority wouldn't inevitably mean degraded provision in Highlands and Dundee? an East (Edinburgh-based) authority to such in Fife and Borders? a West in D&G? 0 Quote Link to comment Share on other sites More sharing options...
parsforlife Posted January 7 Share Posted January 7 1 hour ago, HibeeJibee said: Calls to merge health boards as winter pressure hits NHS - BBC News Scottish councils are the biggest units of municipal government in Europe and the nationwide police + fire mergers have been a riproaring success in public's eyes - so naturally Scottish Labour now want to merge 14 health boards into just 3 on the lines of Scottish Water's predecessors. No doubt 'efficiency' is envisaged, and granted 14 may not be optimal... but do we honestly think a North (Aberdeen-based) authority wouldn't inevitably mean degraded provision in Highlands and Dundee? an East (Edinburgh-based) authority to such in Fife and Borders? a West in D&G? Would be delighted for a more Edinburgh based authority to take charge of fife, fucking pathetic needing to use nhs Lothian for many services but needing to result in petty squabbles over whose responsibility it is. 0 Quote Link to comment Share on other sites More sharing options...
scottsdad Posted January 7 Share Posted January 7 1 hour ago, HibeeJibee said: Calls to merge health boards as winter pressure hits NHS - BBC News Scottish councils are the biggest units of municipal government in Europe and the nationwide police + fire mergers have been a riproaring success in public's eyes - so naturally Scottish Labour now want to merge 14 health boards into just 3 on the lines of Scottish Water's predecessors. No doubt 'efficiency' is envisaged, and granted 14 may not be optimal... but do we honestly think a North (Aberdeen-based) authority wouldn't inevitably mean degraded provision in Highlands and Dundee? an East (Edinburgh-based) authority to such in Fife and Borders? a West in D&G? Well, centralisation was a rip roaring success with the police... 0 Quote Link to comment Share on other sites More sharing options...
Leith Green Posted January 8 Share Posted January 8 10 hours ago, parsforlife said: Would be delighted for a more Edinburgh based authority to take charge of fife, fucking pathetic needing to use nhs Lothian for many services but needing to result in petty squabbles over whose responsibility it is. Isnt the issue there that certain services are in a "centre for excellence" within a main hospital near large populations? My mate lives in northern Fife, and his heart issues (and ultimately heart transplant) were performed in Glasgow - as they have the expertise and equipment. Thats a bit different from Labours batshit proposal to centralise services into 3 (i think) Health Boards. 1 Quote Link to comment Share on other sites More sharing options...
Billy Jean King Posted January 8 Share Posted January 8 15 hours ago, HibeeJibee said: Calls to merge health boards as winter pressure hits NHS - BBC News Scottish councils are the biggest units of municipal government in Europe and the nationwide police + fire mergers have been a riproaring success in public's eyes - so naturally Scottish Labour now want to merge 14 health boards into just 3 on the lines of Scottish Water's predecessors. No doubt 'efficiency' is envisaged, and granted 14 may not be optimal... but do we honestly think a North (Aberdeen-based) authority wouldn't inevitably mean degraded provision in Highlands and Dundee? an East (Edinburgh-based) authority to such in Fife and Borders? a West in D&G? That was the old regions, well down the UK pecking order these days never mind Europe. The old Strathclyde did indeed hold that title back in the day. 0 Quote Link to comment Share on other sites More sharing options...
HibeeJibee Posted January 8 Share Posted January 8 (edited) 1 hour ago, Billy Jean King said: That was the old regions, well down the UK pecking order these days never mind Europe. The old Strathclyde did indeed hold that title back in the day. That was averaging 'highest' level IIRC; averaging the 'principal' level - which in Scotland is the only level as we now only have unitary authorities - they still are. Much of England has multi-tiered local government (along lines of regions/districts model we had until 1990s). FEC_43_1_2019_RaeAHamiltonRFauldsA.pdf (strath.ac.uk) The average population of Scottish Councils in 2019 is about 170,000, far higher than elsewhere across Europe and – critically - also much higher than the 96,000 average population of the previous 54 District structure. Scotland is one of the most centralised countries in Europe; a claim which is perhaps in part a reflection of what some have seen as a return ‘to the pattern of their predecessors in centralising power’. Q&A – New Municipalism Scotland (ballotbox.scot) It isn’t therefore widely known that the UK, and our next door neighbour Ireland, have by far the largest “local” councils anywhere in Europe. With almost five and a half million folk spread across 32 of them, the average population of a Scottish council is nearly 170,000. Outside of the UK and Ireland, the next largest councils are in Denmark, where they are approximately 59,000 people on average. That’s one-third the size of Scotland’s – and this in a country with a roughly similar population to ours, covering a land area about half the size. https://committees.parliament.uk/writtenevidence/67819 Scottish Local Authorities, are on average, the largest in Europe, with one third of the Scottish devolved budget they are the largest employer in the country and the largest provider of public services. Reclaiming Local Democracy – Scottish Left Review Why did devolution stop at Holyrood? Scotland has the largest council units in Europe with the weakest community tier of government in Europe. Local government in Scotland is, in large parts of the country, not local, and it is administration – the executive arm of central government – rather than decision-making self-governance. There are only 32 councils with a total of 1223 councillors for the whole country; community councils are, by and large, toothless, powerless and even more poorly supported than local authorities; distances – particularly in rural council areas – can be prohibitive. Highland Council, for example, covers an area as big as Belgium, with the population of Belfast, all represented by one council; towns like Kirkcaldy, East Kilbride, Cumbernauld or St Andrews are without their own governance structures. Nowhere else in Europe is such a state of play remotely imaginable. 20160216 (cosla.gov.uk) Given the large size of Scottish Councils, indeed the largest on average in Europe (with a large contingent of experienced workforce, Scottish unique models (Single Outcome Agreements, CPPs, local benchmarking, recent experience of three successive waves of major local government reform since 1973) provide opportunities to consider whether Scottish LG role in international development could become equivalent to that of our counterparts in Northern Europe and Scandinavia. Edited January 8 by HibeeJibee 0 Quote Link to comment Share on other sites More sharing options...
vikingTON Posted January 8 Share Posted January 8 Erm yes, if only we had more councils like Clackmannanshire and Inverclyde, all appointing their own stack of chief executives, HR executives and other duplications of bullshit admin roles on lucrative salaries and pay-off clauses. 2 Quote Link to comment Share on other sites More sharing options...
HibeeJibee Posted January 8 Share Posted January 8 (edited) 6 hours ago, Leith Green said: Isnt the issue there that certain services are in a "centre for excellence" within a main hospital near large populations? My mate lives in northern Fife, and his heart issues (and ultimately heart transplant) were performed in Glasgow - as they have the expertise and equipment. Thats a bit different from Labours batshit proposal to centralise services into 3 (i think) Health Boards. Concentration of healthcare specialisms is natural: you wouldn't put a tropical diseases unit in Shetland. There are already some nationwide specialist 'boards' e.g. ambulances, blood and even the Golden Jubilee in Clydebank IIRC. Healthcare centralisation is different: merge 14 boards into just 3 based in the big cities and that urbanised core is bound to shun rural services and reduce provincials... "why do they need more than 1 of those across Fife?"... "why can't those patients just travel into Glasgow?"... "our biggest unit for that is in now Aberdeen and it could be expanded - do we want to still treat people in Inverness and Stirling, or both Dundee and Perth"?... etc. etc. Edited January 8 by HibeeJibee 0 Quote Link to comment Share on other sites More sharing options...
coprolite Posted January 8 Share Posted January 8 4 hours ago, HibeeJibee said: Concentration of healthcare specialisms is natural: you wouldn't put a tropical diseases unit in Shetland. There are already some nationwide specialist 'boards' e.g. ambulances, blood and even the Golden Jubilee in Clydebank IIRC. Healthcare centralisation is different: merge 14 boards into just 3 based in the big cities and that urbanised core is bound to shun rural services and reduce provincials... "why do they need more than 1 of those across Fife?"... "why can't those patients just travel into Glasgow?"... "our biggest unit for that is in now Aberdeen and it could be expanded - do we want to still treat people in Inverness and Stirling, or both Dundee and Perth"?... etc. etc. Devil’s advocate: if there’s higher capacity and Lower cost in a centralised (probably city) location then why shouldn’t that be exploited to increase the overall capacity and efficiency of the system. In theory? 0 Quote Link to comment Share on other sites More sharing options...
sophia Posted January 8 Share Posted January 8 15 minutes ago, coprolite said: Devil’s advocate: if there’s higher capacity and Lower cost in a centralised (probably city) location then why shouldn’t that be exploited to increase the overall capacity and efficiency of the system. In theory? There's no reason why it shouldn't be considered 21 hours ago, scottsdad said: Well, centralisation was a rip roaring success with the police... It's widely accepted that the police change saved a fortune and would've saved even more but for the refusal of Westminster to waive vat. What are your reasons for doubting the wisdom of the change? -1 Quote Link to comment Share on other sites More sharing options...
scottsdad Posted January 8 Share Posted January 8 3 minutes ago, sophia said: It's widely accepted that the police change saved a fortune and would've saved even more but for the refusal of Westminster to waive vat. What are your reasons for doubting the wisdom of the change? I know a lot of police officers. I am yet to meet one who was there pre-centralisation who thinks it worked. Standards dropped across the board. 1 Quote Link to comment Share on other sites More sharing options...
Left Back Posted January 8 Share Posted January 8 13 minutes ago, scottsdad said: I know a lot of police officers. I am yet to meet one who was there pre-centralisation who thinks it worked. Standards dropped across the board. Standards stopped counting in most walks of life a long time ago. The spreadsheet monkeys that count the beans determine success or failure these days. 1 Quote Link to comment Share on other sites More sharing options...
Inanimate Carbon Rod Posted January 8 Share Posted January 8 1 hour ago, sophia said: There's no reason why it shouldn't be considered It's widely accepted that the police change saved a fortune and would've saved even more but for the refusal of Westminster to waive vat. What are your reasons for doubting the wisdom of the change? Lol 0 Quote Link to comment Share on other sites More sharing options...
Cyclizine Posted January 8 Share Posted January 8 6 hours ago, HibeeJibee said: Concentration of healthcare specialisms is natural: you wouldn't put a tropical diseases unit in Shetland. There are already some nationwide specialist 'boards' e.g. ambulances, blood and even the Golden Jubilee in Clydebank IIRC. Healthcare centralisation is different: merge 14 boards into just 3 based in the big cities and that urbanised core is bound to shun rural services and reduce provincials... "why do they need more than 1 of those across Fife?"... "why can't those patients just travel into Glasgow?"... "our biggest unit for that is in now Aberdeen and it could be expanded - do we want to still treat people in Inverness and Stirling, or both Dundee and Perth"?... etc. etc. Although we still have the fourteen territorial health boards, to a degree we already have NHS North, West and East. Pragmatically, it makes a lot of sense to concentrate specialist services in certain centres and to provide a general service elsewhere. The difficulty is providing equity of access to those services to the whole population. This starts to become very political, very quickly and requires hard decisions that are universally unpopular, even If they make services safer and more effective. In particular, I think of the continuing saga that is Dr Gray's Hospital in Elgin, which is 65 miles from Aberdeen, in the same health board, yet 35 miles from Inverness, but it is a different health board. When women in labour have to go from Forres to Aberdeen, something is going wrong. 1 Quote Link to comment Share on other sites More sharing options...
Left Back Posted January 8 Share Posted January 8 10 minutes ago, Inanimate Carbon Rod said: Lol Chief bean counter said it saved £200m a year so it must be a roaring success. https://www.scotland.police.uk/what-s-happening/news/2023/november/new-chief-sets-out-her-vision-for-policing/#:~:text=Chief Constable Farrell urged government,year compared to legacy arrangements. 0 Quote Link to comment Share on other sites More sharing options...
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