NHS Management was very keen to ensure GPs and their staff would be working full hours on Xmas Eve…

February 3rd, 2014

From: England Communications (NHS ENGLAND)

Sent: 24 December 2013 11:13

But I’m told:-

To: all staff

Subject: Message to all NHS England Staff – Christmas Eve and New Year’s Eve cover arrangements

Importance: High

Dear all,

The Christmas and New Year period is an extremely busy one for the NHS and NHS England remains open for business during this time of year to provide support to the rest of the health service.

Whilst many of you will be taking a well deserved break for some or all of the festive period, it is important that NHS England is able to respond to issues including urgent calls or emails, during normal working hours. Please can everyone therefore ensure that appropriate arrangements are in place across all Area, Regional and the National Support Centre teams to manage such requirements.

Where cover arrangements are in place and there will be no negative impact upon delivering our normal operations, on both Christmas Eve and New Year’s Eve, it has been agreed that staff can be released early to make their way home from 2.00pm onwards, where appropriate to the work of the team concerned. Approved early release of staff, in these circumstances, will not require the use of flexi-time, time off in lieu or annual leave entitlement.

Line managers are therefore asked to apply appropriate discretion and to ensure sufficient cover arrangements for the remainder of these two working days.

Happy Christmas and a Happy New Year.
NHS England Internal Communications Team

Who’d have guessed.

Main NHS website compromised nastily

February 3rd, 2014


When this sort of thing happens, as it could to anyone, what really distinguishes an orgnaisation is how its management and its engineers respond.

Everyone is at pains to point out that the system allowing patients – anyone in England that is – to find what they need, and to comment on their GPs and other medical services has nothing to do with the storage of their medical notes.

Still Midnight minus 5

January 15th, 2014

“A climate of inaction. In a comprehensive report released in September 2013, the Intergovernmental Panel on Climate Change strengthened its unequivocal and alarming findings about climate change, stressing these conclusions:

It’s documented. Evidence of warming of the climate system is unequivocal. Since the 1950s, many of the observed changes are unprecedented, over times periods ranging from decades to millennia. The atmosphere and ocean have warmed, sea level has risen, and the amounts of heat-trapping gases have increased.
It’s us. Human activities have been the dominant cause of the observed warming since the mid-20th century.
It hasn’t stopped. Each of the last three decades has been successively warmer at the Earth’s surface than any preceding decade since 1850. In the Northern Hemisphere, 1983 to 2012 was probably the warmest 30-year period of the last 1,400 years.
Sea level is rising. The rate of sea level rise since the mid-1800s has been larger than the average rate during the previous 2,000 years.
Ice cover is shrinking. Over the last two decades, the Greenland and Antarctic ice sheets have been losing mass, glaciers have continued to retreat almost worldwide, and Arctic sea ice and Northern Hemisphere spring snow cover have continued to decrease in extent.
The ocean is more acidic. The ocean has absorbed about 30 percent of the carbon dioxide we have emitted into the atmosphere, making the ocean significantly more acidic and threatening ocean life.
Carbon dioxide is up. From analyzing air trapped in ice, we know the amount of carbon dioxide is 40 percent higher now than in the 1800s, due mainly to fossil fuel burning. The ice record shows that atmospheric carbon dioxide levels are now the highest in at least the last 800,000 years.
Dramatic emission reductions are needed. Limiting climate change to tolerable levels will require substantial and sustained global emissions reductions.
Climate change will be here for centuries. Most aspects of climate change will persist for many centuries even if emissions of carbon dioxide are stopped. Adaptation to inevitable climate change will be necessary. Like mitigation, adaptation deserves urgent attention.”


Good came from the Daily Mail?

January 14th, 2014

Dr Elin Lowri damns the Mail with faint praise actually, not praise. Good stuff, as are her other writings on that blog. Go, read.

The Mail is a hideous chancre corroding the brains of those who read it, and likely those who write for it. Avoid it. If you do see something quoted from it, just assume it is false to fact, and produced and spread by people who hate you, whoever and whatever you are. You might be wrong one day, but statistically it’ll be invisible.

Some doctors are women. Get over it.

January 13th, 2014

Prof Meirion Thomas gets told off by his College

Parkrun in Australia

January 4th, 2014

It was entertaining to go along to a hot 0700 run in QLD as a change from the cold wet 0900 ones in the UK around now. The ethos and mood is the same. Louisa ran her first one and enjoyed it. Photos on Flickr.

A blog: Daily Mail Reporter

December 7th, 2013

As in reporting on the hideous hate-filled rag bearing slight face-similarity to a newspaper.
Medicine: if you read it in the Daily Mail, it is probably wrong. If it is right and presented as news, it probably isn’t news to your doctor. And do check the arithmetic, the statistics and conclusion are probably wrong.

Lucky chap

November 27th, 2013


Rescue from sunk ship.

We know how to run cascades of information

November 26th, 2013

And it isn’t the way the Department of Health does it in the NHS.

I suspect this is an indication of the ingrained habit of DoH and NHS administration, that people have to be used to do repetitive things, and it was out of date last century.

In each area:-
Set up a list of doctors and one of each other set of people of interet.
(You can do this by advertising the existence of the list and letting people sign up to it, but this may lead to you realising many people don’t pay any attention, and some may fail at it, so by all means make that list. Then tell off one admin. person to keep it up to date.

At each subsequent layer – there may not need to be more than one, but whatever – hold a list of lists.

Now, each alert goes out to a listserver – one address. That list goes notionally to other listservers, and is echoed to the lists in the lists of lists.

The time from the desk of the PA to the Chiefe Medical Officer to my inbox should be around 11 minutes with this, and nobody gets in the way.

(Watch the movie “Wargames” – “We’ve got to get the humans out of the loop!”)

At present people are used at each level to badly perform the tasks easily done well by computers.

And that as well as daft and ineffective is one of the things to do that seems to me evil.

(Watch the movie “The Matrix” to get a feel for why).

The Bicton Blister

November 25th, 2013

See you out there.