nickc

  • nickc replied to the topic 2019 General Election in the forum Chat Forum 15 hours ago

    or a disconnected mix of public and private which will also probably be bureaucratic and inflexible, neither with a great incentive to change.

    No, in order to make the service I describe profitable, we cannot be disconnected, we were incentivised to make sure everyone and their dog knew about it. Same with the incentive to change, what it needs…[Read more]

  • nickc replied to the topic 2019 General Election in the forum Chat Forum 16 hours ago

    requirement for profit over the contract in any way helps improve services.

    Because there is a limited pot of funds and in the public sector, you rightly can’t take the sort of risks that private companies can. If the community service that I describe hadn’t worked, then the risk is wholly within the private sector and the public purse remains…[Read more]

  • nickc replied to the topic 2019 General Election in the forum Chat Forum 16 hours ago

    Having private insurance doesn’t incentivise people either

    Not wholly no, but having more education and intervention alongside an investment into your own health does seem to; as the Dutch, Germans and Spanish have discovered. There isn’t just the NHS and the US model, and TBH there are things that the US models does hugely better than we do, t…[Read more]

  • nickc replied to the topic 2019 General Election in the forum Chat Forum 16 hours ago

    Wouldn’t it be nice to have a healthcare system set up in such a way to encourage people to be healthy?

    yes agree 100%, it does however involve hugely more education, intervention and personal cost than in surveys; most UK citizens are willing to bear. It’s taken 30 or more years to move to these systems in Europe, they are only just seeing the b…[Read more]

  • nickc replied to the topic 2019 General Election in the forum Chat Forum 16 hours ago

    getting their hands on just the functions they can transform to create private profits, without having to go near those areas that will only ever be a financial black hole.

    One, In order to provide services to the NHS you need to registered as a Provider or an Integrator, to get registered, you have to be a wholly UK owned business. No provider…[Read more]

  • nickc replied to the topic 2019 General Election in the forum Chat Forum 17 hours ago

    But what I am worried about is the gradual reduction and erosion of NHS services and the more widespread adoption of insurance-based provision.

    Like it as not, we are starting to see the healthcare explosion that Japan has. We have an increasing elderly population that over most of their lifetimes have not had enough intervention, have had mostly…[Read more]

  • nickc replied to the topic 2019 General Election in the forum Chat Forum 17 hours ago

    How was your scheme funded?

    From the public purse, like your GP is.

    The CCG used the money that’s there, incentivised innovation, and risk, and have better local outcomes. In exactly the same way that they do with GP services.

  • nickc replied to the topic 2019 General Election in the forum Chat Forum 17 hours ago

    Also.

    Of the US healthcare corps I’ve spoken to (and I’m willing to bet it’s more than most on here have) have ZERO interest to replicate the healthcare system as it currently operates in the states. Why? Folk in the US aren’t stupid’ that’s why. They look at the European model, and they see a system that works, costs hugely less than theirs and…[Read more]

  • nickc replied to the topic 2019 General Election in the forum Chat Forum 17 hours ago

    Huge chunks of NHS service delivery have been sold off, that has been the major contributor to inefficiency in the past 10 years, not the fabled army of bureaucracy.

    OK, as some-one who works in the Healthcare sector, let’s have a look at one example of delivery in the private sector and how that’s effected efficiency . In 2106 I was part of a…[Read more]

  • nickc replied to the topic Jeremy Corbyn in the forum Chat Forum 2 days ago

    The fresnel lens in the right eye of his glasses suggests so.

    These lenses are mostly fitted to correct double vision, which is mostly (not exclusively) muscle related. Seems to be a more likely explanation

  • nickc replied to the topic Back to coil in the forum Bike Forum 2 days ago

    What’s the advantage of a progressive coil spring over an air shock?

    Sounds like it could be the best of both worlds? The sensitivity and fit and forget-ness of a coil, and the “ramp-up” of an air to give that bottomless feel.

  • For the full STW miser effect you need to

    Offer to smear it over other people’s bums for the price of postage?

  • Holy escalation Batman! There’s no need for the Ombudsman or the CCG just yet!

    All you need to do is write to the Practice, either email or letter, it doesn’t matter, They may have a complaint email set up, if not, just phone the reception team (leave it until past 10) and they’ll be happy to give you the details.  There will be information…[Read more]

  • Used pants. Not kidding! #japan

    Saw them on the subway (also in vending machine) bought some (didn’t fit though)

    Theres some weird shit in Japan, used schoolgirl pants (what the box said) wasn’t that high up on the weird list TBH

  • Entered my smart season travel card details into a competition to get a full refund on a months travel… I only went and won! Result, and just before Xmas, still have to use Norther Rail though, so not all its cracked up to be

  • nickc replied to the topic The Game Changers…. in the forum Chat Forum 3 days ago

     We are essentially nature’s apex omnivores

    That would probably be bears tbh. Polar bears, for instance can eat seal liver at a quantity that would kill most other animals, including us. I will say also that an entirely meat diet will kill you eventually (but will make you blind and deaf beforehand) a solely plant based diet won’t.

  • nickc replied to the topic Worth 20 minutes of your time… in the forum Chat Forum 5 days ago

    really interesting wee film, thanks for posting

  • nickc replied to the topic 2019 General Election in the forum Chat Forum 5 days ago

    Shocking

    While I don’t want to annoy dazh and rone too much,  but a large part of the blame for that rests with the Labour party

    <span style=”font-size: 0.8rem;”>No, brexit a legitimate, if misguided, attempt to protest against an establishment</span>

    Brexit was always, always  going to be owned and directed by the Right. If you weren’t s…[Read more]

  • nickc replied to the topic What does it take in the forum Chat Forum 5 days ago

    I would imagine it takes a hugely authoritarian govt selecting kids that show an aptitude for dance, gymnastics  and ballet from an early age, and controlling every aspect of their lives from that moment forward with the end product being (by the looks of it) popular Cultural Propaganda.

    I’ve a friend in a dance (ballet) company and the workload…[Read more]

  • 2-3 years ago some legislation made it through the commons that amongst many things gave a PSCO the right…

    You assume, incorrectly, that this was an oversight.

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