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SavoyTruffle Flag 11 Apr 20 12.33am Send a Private Message to SavoyTruffle Add SavoyTruffle as a friend

Originally posted by SavoyTruffle

Avg U.K. manager to worker ratio is 1:6 for the private sector. In the NHS it’s closer to 1:30. If anything the NHS is functioning well beyond its remit in value for money...

 

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Teddy Eagle Flag 11 Apr 20 1.14am Send a Private Message to Teddy Eagle Add Teddy Eagle as a friend

Originally posted by SavoyTruffle

Avg U.K. manager to worker ratio is 1:6 for private companies. In the NHS it’s closer to 1:30. If anything the NHS is functioning well beyond its remit in value for money...

And 46% of NHS staff are not clinically qualified. How many more managers should they employ?

 

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Stirlingsays Flag 11 Apr 20 1.22am Send a Private Message to Stirlingsays Holmesdale Online Elite Member Add Stirlingsays as a friend

Originally posted by Rudi Hedman

Very true. I’ll concede that it’s expected or predictable that those who understand the lockdown use deaths now whereas those who support no lockdown really have to use a ‘‘we’ll see’’ stance because none of the countries can be compared to us. It takes a few days for it to sink home. We all know the English channel and northern sea puts a distance between us and our neighbours that those in schengen don’t have.

Even after the comparisons are done, I wonder if cultural or behavioural differences are taken into account. Probably not. I’ll not use accurate stereotypes here but we know Germans are more obedient, law abiding and government advice following than Britons. They like and respond to rules. And Swedes are more socially aware and value society and others more than Britons.

Unless we see the old bill meaning business, we, well enough of a minority of us, carry on doing what we wanna do. Herd immunity will probably spread it faster in the U.K. than other European countries if that’s the way we go.

All because of a diet eating flying vermin. Why can’t they just require an unnecessary gluten or lactose free diet instead?

Sociology departments are going to be dining out on this period of history for years to come.

The world after kung flu will look and be different to the world before it.....For how long, we can't say...probably until the next undercooked bat.

 


'Who are you and how did you get in here? I'm a locksmith. And, I'm a locksmith.' (Leslie Nielsen)

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cryrst Flag The garden of England 11 Apr 20 5.59am Send a Private Message to cryrst Add cryrst as a friend

Originally posted by Teddy Eagle

And 46% of NHS staff are not clinically qualified. How many more managers should they employ?

But probably more qualified in compensation law as it's all the blame game. As the last 5 pages on this post proves. No such thing as an accident and prior to this if you dont get seen within x hours in AE "I want some money". The claim game is rife across the board in all walks. Greed.

 

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cryrst Flag The garden of England 11 Apr 20 6.06am Send a Private Message to cryrst Add cryrst as a friend

Originally posted by SavoyTruffle

We haven’t even hit post lockdown deaths yet, average days from contracting the virus to death is 25 days. The deaths today likely were contracted before we went into lockdown, so as much as I’m sure the government would appreciate you shifting the blame for them at this stage the general public were following the governments guidelines.

Many get it and die within days as well. How can blame be shifted as it was a fact. People didnt use the advice given. I did and have. Did you and yours, did danh and his,did croydon proud. If you did was it that hard to do it. You havent got C19 so clearly the advice was good advice. Freely given and freely taken. Dont forget about the 'liberty' being taken away in many releases. Maybe the government wanted to do the lockdown earlier but lawyers for you would have had a field day.

 

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stayloa Flag Beckenham 11 Apr 20 6.21am Send a Private Message to stayloa Add stayloa as a friend

Originally posted by Teddy Eagle

And 46% of NHS staff are not clinically qualified. How many more managers should they employ?

I'm not sure you really understand how a hospital works. The 46% aren't all managers for starters - not by a long shot. Then have a think about all the services required to keep a hospital running - from procurement to appointments, cleaning to maintenance. 46% may seem high (and I haven't verified that figure, just taking it on face value), but those roles free up clinicians time to focus on delivering care instead of getting caught up with mangagerial tasks etc.

ICT infrastructure is a good example where a large number of non-clinical people can support rostering systems, payroll systems, ward-based/bedside computers to make the clinicians more efficient.

I'm not saying the ratio you've listed is what we should aspire to, just that it's not as simple.

I personally thing nationwide procurement, centralised hubs for various back office services etc would be a good thing but we won't see that any time soon.

 

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cryrst Flag The garden of England 11 Apr 20 6.44am Send a Private Message to cryrst Add cryrst as a friend

Originally posted by stayloa

I'm not sure you really understand how a hospital works. The 46% aren't all managers for starters - not by a long shot. Then have a think about all the services required to keep a hospital running - from procurement to appointments, cleaning to maintenance. 46% may seem high (and I haven't verified that figure, just taking it on face value), but those roles free up clinicians time to focus on delivering care instead of getting caught up with mangagerial tasks etc.

ICT infrastructure is a good example where a large number of non-clinical people can support rostering systems, payroll systems, ward-based/bedside computers to make the clinicians more efficient.

I'm not saying the ratio you've listed is what we should aspire to, just that it's not as simple.

I personally thing nationwide procurement, centralised hubs for various back office services etc would be a good thing but we won't see that any time soon.

You are correct in the types of roles from the ground up but out of that 46% many are managers protecting managers. It's not unusual for state industries to be like this.

 

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Badger11 Flag Beckenham 11 Apr 20 7.36am Send a Private Message to Badger11 Add Badger11 as a friend

Originally posted by stayloa

I'm not sure you really understand how a hospital works. The 46% aren't all managers for starters - not by a long shot. Then have a think about all the services required to keep a hospital running - from procurement to appointments, cleaning to maintenance. 46% may seem high (and I haven't verified that figure, just taking it on face value), but those roles free up clinicians time to focus on delivering care instead of getting caught up with mangagerial tasks etc.

ICT infrastructure is a good example where a large number of non-clinical people can support rostering systems, payroll systems, ward-based/bedside computers to make the clinicians more efficient.

I'm not saying the ratio you've listed is what we should aspire to, just that it's not as simple.

I personally thing nationwide procurement, centralised hubs for various back office services etc would be a good thing but we won't see that any time soon.

Agreed.

Back in the last 1990's I helped major corporates across Europe do this close all their small back offices with spare capacity and centralised into one location. Those who say it's difficult bear in mind this was multiple languages and legal and financial systems and yet we did it.

The NHS and local councils should be doing this it's not hard. There should be one back office for all the London boroughs based say in Canary Wharf same applies to the NHS. There are front line jobs where people are physically meeting the public but there are many roles which are not. Even the front line roles will have parts of their job which can be centralised so they just focus on the face to face stuff.

As I say the Corporate world did this about 20 years ago I assume some parts of the public sector hasn't because of the unions.

The NHS also should have a central procurement process there will be exceptions but most hospital equipment is standard so the NHS should bulk buy and maximise discounts.

We just need some one with a bit of common sense the problem is that every time someone says this the unions attack them "NHS under threat doctors and nurses to be sacked blah blah"

As a patient I don't give a stuff where the admin is done as long as it is done well.

 


One more point

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cryrst Flag The garden of England 11 Apr 20 8.08am Send a Private Message to cryrst Add cryrst as a friend

In South Korea some patients are testing positive for a second time. Not unusual to get a bug twice but time will tell if immunity is strong enough to fight it off. If not then the only hope is a vaccine or treatment drug. This is the real test on if herd immunity is even going to work.

 

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Rudi Hedman Flag Caterham 11 Apr 20 8.40am Send a Private Message to Rudi Hedman Add Rudi Hedman as a friend

Originally posted by cryrst

In South Korea some patients are testing positive for a second time. Not unusual to get a bug twice but time will tell if immunity is strong enough to fight it off. If not then the only hope is a vaccine or treatment drug. This is the real test on if herd immunity is even going to work.

It might be the virus stays in the body longer and the tests aren’t picking it up.

[Link]

 


COYP

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Midlands Eagle Flag 11 Apr 20 8.50am Send a Private Message to Midlands Eagle Add Midlands Eagle as a friend

Originally posted by Spiderman


I agree the borders should have been closed earlier, however we would still obviously be duty bound to allow British Citizens to return.

Is it proven that the death rate would not have been so high if we had not gone down the "herd immunity" route? Serious question

Greece locked down earlier than us and so far have only suffered 81 deaths helped by having a much stricter lockdown than us.

My friends on Kefalonia told me a couple of weeks ago that the island had been in lockdown for a few weeks and had it's first Coronavirus case a couple of days before I spoke to her saying that it was a recently arrived Swede that brought the infection in

 

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cryrst Flag The garden of England 11 Apr 20 9.23am Send a Private Message to cryrst Add cryrst as a friend

Originally posted by Midlands Eagle

Greece locked down earlier than us and so far have only suffered 81 deaths helped by having a much stricter lockdown than us.

My friends on Kefalonia told me a couple of weeks ago that the island had been in lockdown for a few weeks and had it's first Coronavirus case a couple of days before I spoke to her saying that it was a recently arrived Swede that brought the infection in


Locking down is ok in countries where the public adhere to it and havent been told they can do what they want anytime.

 

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