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 Cabinet reshuffle tomorrow |
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 9th January 2018, 10:52 AM
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#21
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 Paul Hyett
Joined: 4 April 2006
Posts: 25,346 User: 364 
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Is there any Tory MP anyone here doesn't mind?
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9th January 2018, 12:11 PM
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#22
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 I'm so lonely, I paid a hobo to spoon with me
Joined: 6 February 2010
Posts: 12,908 User: 10,596
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Justine Greening is generally tolerable, ironically.
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9th January 2018, 12:26 PM
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#23
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 BuzzJack Legend
Joined: 13 April 2007
Posts: 36,673 User: 3,272
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QUOTE(Soy Adrián @ Jan 9 2018, 12:11 PM)  Justine Greening is generally tolerable, ironically. Why do you think she was sacked?  I've got a lot of respect for Sarah Wollaston. In many ways she sums up so much of what was wrong with Cameron. She was selected in an open primary. The stated intention of the process was to get more people into parliament who were not typical politicians. By being just that, and demonstrating a degree of independence, she has made sure that there have been no more open primaries. |
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9th January 2018, 06:57 PM
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#24
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 Queen of Soon
Joined: 24 May 2007
Posts: 74,082 User: 3,474
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QUOTE(Suedehead2 @ Jan 8 2018, 10:39 PM) That's going too far down the typical government "one size fits all" path. It makes perfect sense to group specialists together in one hospital in Manchester or Liverpool, but it makes less sense in Cumbria. Works just fine for NHS Highland, NHS Tayside, NHS Dumfries & Galloway and NHS Borders. NHS Highland is the largest NHS Trust in the UK. 12,500 sq mi of the Highlands and Argyll & Bute with the major specialisms at Raigmore in Inverness. Three other rural hospitals have A&E services and Maternity wards and general surgery. Specialist care requires going to Inverness, although I imagine they probably send folk from down Oban way to Glasgow. NHS Highland covers an area with 70% of the population of Cumbria, more challenging terrain and 6 times the area. They also provide some specialists to the three island health boards who all send people to hospitals on the mainland. NHS Tayside is probably the best like-for-like comparison for Cumbria with about 85-90% of it's population over about 1.2times it's landmass. Everything is centred on Ninewells in Dundee. PRI in Perth is the only other A&E. It covers Glenshee, Pitlochry and the bottom of Caingorms national park. Cumbria already sends people for specialist care to Newcastle and Manchester. But there's no reasonable justification for why Cumbria is split into multiple trusts. It's not 'one-size-fits-all' at all to look at England and say "there's too many trusts here" and join them up. Scotland has 14 trusts. Some cover a single local authority area (D&G, Borders, Fife, 3 Island Groups). The remainder cover multiple areas either because it makes sense from a resourcing point of view or because the LA's are small and in a close area (e.g. north Lanarkshire, City of Glasgow et al that form GG&Clyde). Joining up healthcare in the major cities into a single trust saves resources and allows for operational efficiency. Creating larger regional health trusts where the population is lower connects all levels of NHS services feeding into the regional major hospital. Let's not pretend here that if you need serious care in Cumbria you're sent anywhere other than Carlisle or Lancaster. It already happens, it just needs the back end and management to be reorganised. |
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