Tuesday, 4 May 2010

Politics, what is it good for ?

Now as a Health Service employee, I'm informed that Purdah applies at present.
Now there's a fascinating concept.
No-one in the Health Service is supposed to make any comments that might influence voters.
Surely this is the one time that we should be able to speak up to tell the voters what the hell is going on and what needs to be changed.
Three sodding debates later and all we know is that Gordo's not great on the TV but at least knows what his policies are (You may disagree with him..and I do, but at least you know what you're gonna get).
As for the Teflon brothers, I have absolutely no idea what the hell they're offering apart from "change". Mealy mouthed half soundbites with a load of fluff and no substance. Really depressing. Apart from Clegg scrapping Trident, which ain't as daft as it sounds, I haven't heard anything of substance at all.
Cameron will fund all cancer drugs...Oh will he. And has he costed that. Has he hell as like, because if he had, he'd now be crapping himself.

So, Trident.
A good idea if you've got cash, but since we seem intent on being the world's Policeman it may be a better idea to spend those billions on conventional arms, because at present we're spending nearly as much blowing up Afghans as we are on the NHS..and we're paying for Trident too. We might as well decide to use one or the other.
I mean why not just nuke the Afghan-Pakistan border.

Back to the NHS.
Hmm.
Once again they're all saying they'll cut no front line services.
And they'll maintain and improve all the access
And they'll ensure lower waiting times, including Gordon's 2 week wait promise (A policy which many units are stating has actually worsened pick up times)
Let's be honest here there are some pretty fundamental problems to address

1) The NHS is bust
2) We have a gazillion managers, which are needed to deliver all the pointless bloody stats and outcomes the Govt has implemented
3) If you sack them, you'll need to stop measuring all this bloody pointless stuff.
4) Drugs are too expensive to fund everybody irresepctive of price
5) NICE is hamstrung by pressure groups and then politicians, every time it's brave enough to try to ration a drug
6) We can't promise access to healthcare like we can to Tesco, or you'll go bust.....oh, we are.
7) You really don't need to see your own GP on a Saturday or a Sunday, Dave.
8) If it's that important make employers allow staff time off to see the GP, like they get for the Dentist, the gasman, hospital appointments or a million other things.
9) Oh, and we already have local out of hours GP services they can contact 24/7.
10 ) I can't help the fact that they're crap because they're now managed by non-GPs, and staffed by cheap Germans.
11) Your idea Gordon, not ours
12) I don't include NHS Direct, because that's total crap.
13) Private companies exist to make profit....they will therefore never be more cost effective than a well run nationalised service......note the well run bit.
14) And a final bit of wisdom for the morons at the DOH............If you have a system whereby hospitals make money out of being full to the rafters with patients, whether they need to be there or not.........you will find admission rates go up. Tough concept to handle I know.
15) Hospitals are not full because GPs send patients to them, they're full because a HOSPITAL Doctor decides to admit them...a hospital Dr, following protocols written by hospital Doctors with input from management, accountants and risk assessors
Penny dropping yet Gordon, Dave, Nick...
No I thought not.
We're screwed.

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