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dflynch,
That analysis of NHS management empires rather reminds one of the 'Monty Python NHS sketch'.
The one about the machine that goes 'ping'. Leased back from the company it was sold it to, and that way it appeared under the monthly current budget and not the capital account.
As for 'trapped wind', this can be quite painful if it occurs higher up, in the stomach region, especially if it exacerbates 'reflux'-related pain.
If it occurs much lower down in the plumbing it makes Trump's name seem quite appropriate, at least in the realms of juvenile schoolboy humour.
Back on thread!
Without going into the detail of how - I did have the opportunity to speak to someone from the DoH who claimed responsibility for specifying the 4-hour limit. In response to the question how was the limit set - I learnt the figure was just “plucked out of the air.” The saving grace from the responder was the statement was that they wished it had never been set, as it was clearly a mistake! Abolishing the 4-hour limit and returning to a triage system based on clinical priorities is the way ahead.
With regard to financing, the NHS does not need further funding. Instead high costs, with no clinical value, should be removed. This is code for “there are too many little, but costly “empires” within the service that provide no additional value to the clinical service that the NHS is required to deliver. These empires are mostly unproductive talking shops that allow “senior” management to pontificate in the “health-care economy” bubble that they have created and fiercely protect. Cost savings in culling these unnecessary empires and other duplicated organisations within the NHS, together with ridding the service of its “over-managed” burden, would release funds that could be better utilised on the famous “NHS front-line” and medical research.
With regard to TRMR is there a captive audience amongst people waiting for NHS attention - particularly “trapped wind” sufferers?
at the moment theres forced sellers(like shaggy)many are in funds,,the funds need to balance the books,,so they sell a % of shares that otherwise they wouldnt,,I am sure theres many out there sitting on cash earning 0.75% waiting to buy back in,,