Monday, 28 June 2010

Team England

Oh my God.
We keep being told that our Premier League is the best in the world
We can take that with a huge pinch of salt, but even if it's true, one thing's for sure..it ain't because of all the English players in it.
Are Liverpool Steve Gerrard....not this year
Are Chelsea Lampard, a stronger argument but I think Drogba may have a stronger case
Wazza dragged United through a season on his own, and look what that did to him.
Thereafter...no-one.
Feeble.
Blame Capello ?. I don't think so. Could he have found any better players in this so called "Golden generation". I'd have left Carrick at home and taken Parker. I'd have left Wright-Phillips and taken Johnson, but essentially what we took was what we had.
Overpaid and not hungry enough
David James can stand tall. Ashley Cole at least did his job. The rest useless. Rooney was I assume still unfit, Gerrard was simply ineffective, and Lampard even worse.
MOM match one. Can't think of one (? Glen Johnson ?)
MOM match two. Definitely no-one
MOM Match three. Milner ?
MOM match four David James
Horrendous.
So when will it dawn on the bozos at Lancater Gate that we need to produce and regularly play home grown players. That means play 8 Englishmen in Premier and Europe, week in week out.
We see teams like Korea and Japan, even Switzerland, playing reasonable football, well above their alleged (by English sportswriters) abilities.
The reason, they're a team, technically proficient, and not up their own individual arses.
Blackpool would have put on a better show last night, because they'd have gone out and died for the team, and they'd have wanted it more
Capello is a decent man and will probably resign. It will be a shame, but we can put the best coaching staff in the world with this bunch of prima-donnas and achieve nothing.
Most of our players are technically not good enough......., and the few good players are either burnt out, or unable to raise themselves for the good of the team.
Could you imagine ever seeing Terry Butcher, Stuart Pearce or Tony Adamsa (Let's face it, none of them great footballers) going out and playing like that.
Nuff said.

Saturday, 5 June 2010

Honeymoon over

A long month in politics.
So our coalition Health Minister wanabees have sat down and decided they need to do something different.
So, first scrap plans for revalidation. Something that has been needed for ages and the proposed system sorta made sense..well obviously not to them, or the BMA either it would seem, (who couldn't sort out their own breakfast.)
They still think they can manage to save money without cutting services, which demonstrates that they haven't understood anything at all about the massive waste involved in delivering unnecessary super shiny 24/7 access.
GP contracts will be changed to ensure that they have to undertake 95% of the current commissioning work done by PCT's. This will be made to happen by cutting the money in the current contract and only paying it back if the commissioning is done.
Exactly during what time in our 7:30am to 6:30pm, already full, working day do they think we'll be doing all this managing ?
They have at least realised that Darzi's solution to GP access, world poverty, sorting out nuclear fusion and discovering free energy was a total load of misinformed cost ineffective bollocks..
a description that pretty effectively covers 70% of DOH policy for the past ten years.
As usual we can expect them to totally avoid any dialogue with those of us who over 20 years have developed an understanding of what works and what doesn't.
Choose and Book will be great when it allows choice !!
A central patient record will be a good idea if we had any confidence it was secure or would actually work 95% of the time...and if someone could deliver it for the quoted cost, not eighty times the quoted cost.
Can we give everybody cancer drugs for everything..no we obviously can't.
Why are we concentrating on pouring ever increasing billions into expensive treatments for diabetes, vascular and respiraory disease, when we should be spending similar massive amounts in stopping the diseases developing in the first place, by doing Public Health properly.
Prediction.
If this direction of travel continues, within 5-10 years, primary care will be like a supermarket, staffed by salaried Drs with no incentive to improve or develop patient care, continuity will have disappeared, quality will be no better and it will certainly cost a whole lot more.
My generation will have retired, or like the Elves of Midle Earth, we'll have caught the last few boats to the USA/Australia whilst they still need to import experienced cost effective Primary Care Physicians
I'll be back...for the time being.