BuzzJack
Entertainment Discussion

Welcome Guest ( Log In | Register | Help )

Latest Site News
2 Pages V  < 1 2  
Reply to this topicStart new topic
> Cabinet reshuffle tomorrow
Track this topic - Email this topic - Print this topic - Download this topic - Subscribe to this forum
vidcapper
post Jan 9 2018, 10:52 AM
Post #21
Paul Hyett
*******
Group: Banned
Posts: 25,346
Member No.: 364
Joined: 4-April 06
   No Gallery Pics
 


Is there any Tory MP anyone here doesn't mind? tongue.gif
Go to the top of the page
 
+Quote Post
Soy Adrián
post Jan 9 2018, 12:11 PM
Post #22
I'm so lonely, I paid a hobo to spoon with me
******
Group: Members
Posts: 12,908
Member No.: 10,596
Joined: 6-February 10
 


Justine Greening is generally tolerable, ironically.
Go to the top of the page
 
+Quote Post
Suedehead2
post Jan 9 2018, 12:26 PM
Post #23
BuzzJack Legend
*******
Group: Veteran
Posts: 36,579
Member No.: 3,272
Joined: 13-April 07
   No Gallery Pics
 


QUOTE(Soy Adrián @ Jan 9 2018, 12:11 PM) *
Justine Greening is generally tolerable, ironically.

Why do you think she was sacked? laugh.gif

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.
Go to the top of the page
 
+Quote Post
Silas
post Jan 9 2018, 06:57 PM
Post #24
Queen of Soon
********
Group: Moderator
Posts: 74,015
Member No.: 3,474
Joined: 24-May 07
 


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.
Go to the top of the page
 
+Quote Post


2 Pages V  < 1 2
Reply to this topicStart new topic

1 User(s) are reading this topic (1 Guests and 0 Anonymous Users)
0 Members:


 

Lo-Fi Version Time is now: 28th March 2024 - 01:00 PM