A Hard Look Beyond the 13,000 Needless NHS Deaths – John Gelmini 2/2


NHS BMW RRV (Photo credit: kenjonbro)

English: NHS logo

English: NHS logo (Photo credit: Wikipedia)

I want to clarify my earlier blog, entitled “A Hard Look Beyond the 13,000 Needless NHS Deaths“. In particular, I should like to address whether my response is colored by my activities in relation to http://www.transactionfocus.com and http://www.fitforprofit.co.uk

My response should be seen in the light of the fact that the NHS delivers some of the worst patient outcomes in Western Europe, the worst cancer survival rates and some of the worst overall death rates.

The NHS does not compare with German healthcare, French healthcare nor the Italian healthcare  and it has far too many managers.

The NHS also does not generally allow outsiders without NHS experience to work in it nor assist it and is therefore a closed shop, a cartel and a mediaeval fiefdom all rolled into one.

I know how it works intimately having tracked 25 of my late parents’ tenants through its processes until they were pronounced dead prior to me arranging their funerals.

Also having to involve my excellent local MP in getting my local NHS Trust to deal with my late mother’s cateracts and knee replacements in a timely and proper fashion and again with my late father when the trust attempted to send him home early before he could have enough physiotherapy to enable him to walk prior to my sister and I being able to care for him in a demented condition until his final demise in 2006.

I also attended a “resolution meeting ” with 6 people having complained to the Care Quality Commission about my late father’s treatment and the attempts made by the Trust involved to discharge him early so as to free up the bed.

My late father’s final discharge was made during a blizzard predicted a month before on a long-range Met Office weather forecast.

During the blizzard a line of 22 ambulances waited with their engines running whilst ambulancemen and paramedics argued and physically fought on the fire escapes with nurses who had been instructed to remove the “elderly and confused ” patients from the ward in question even though a letter from the Trust said that in anticipation of the blizzard relatives of elderly and confused patients should bring warm clothing for these patients to wear.

As the blizzard descended in its full fury, each ambulance was literally swallowed up by a swirling wall of snow rather like the scene in the film Dr Zhivago starring Omar Sharif where the Russian winter swallows up the forlorn figure in a sea of white.

At the resolution meeting I attended all 6 people I met denied that these events which I witnessed first hand had happened, denied knowing about the letter and all 6 claimed not to know about the long-range weather forecast for a blizzard even though it was in the newspapers, most television channels and in the news available on computers every day of the year.

13 years ago my younger brother was told by the NHS that his cancerous condition was terminal and that he had 2 years to live.

I researched and found 42 alternative cures one of which is used routinely in Germany and using one of them my brother is still alive today.

Other people can tell you more heartrending stories than this including the former newsreader Selina Scott who’s father was left to die on a hospital trolley.

So whilst people might imagine this sort of thing is a one-off, I know otherwise and increasingly the public thanks to the tireless work of the Daily Telegraph is beginning to see the NHS for what it is, a bloated, inefficiently run anachronism in need of urgent reform.

Therefore the idea that what I said in my post is colored by my activities in relation to http://www.transactionfocus.com and http://www.fitforprofit.co.uk is nonsense.

John Gelmini

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UK Charities, Watchdogs, Tax Avoidance, the Guardian and the Thin Edge

Protest Against Tax Avoidance . 21.09.2012

Protest Against Tax Avoidance . 21.09.2012 (Photo credit: wheelzwheeler)

Yesterday, I reblogged a good article from the Guardian entitled “Charity watchdog’s ‘astounding’ failure to detect tax avoidance“. I received a very robust response from John Gelmini challenging the Guardian article and citing biased reporting, avoiding a much wider problem in UK society. John provides some practical recommendations.

Personally, I endorse the broad thrust of John’s arguments although have no evidence to support some of the assertions. However, I feel that his comments are in the wider public interest and worthy of open debate.

Let me know what you think?

Charities, Watchdog, Tax Avoidance the Guardian Newspaper and the Thin Edge – John Gelmini

The Guardian is a “Lady that protests too much”, even though Dame Suzi Leather is typical of a number of fairly useless “quangocrats” who gets paid vast amounts of money for sitting on boards, appearing on Any Questions and talking nonsense.

Headhunters specializing in the sector such as Saxton Bamfylde,  Odgers and Penna PLC do their best to find the right candidates for these roles but in the end the same tired group of time servers appear on shortlists with the inevitable result that no-one with any commonsense or hard nosed business experience is ever appointed and those who are engaged in Charity scams are free to run rings round them.

The same applies to regulators, whereby powerful business people and the streetwise run rings round those they are supposed to be regulating.

The FSA, the former Governor of the Bank of England, the Care Quality Commission and Ofsted are the more obvious examples that spring to mind.

A casual reading of Private Eye will tell you that 67% of LLPs and so called charities are never investigated and never pay tax, and a look at the boards of most charities and quangos tells you that the main qualification is that you are a connected person, one of the “Great and the Good” rather than someone competent to do the job.

Out of 5000 registered charities listed with The Charity Commission barely 10% are remotely solvent and many, if they were in corporate life would be struck off.

If we turn to HMRC itself, we know from the antics of Dave Hartnett its former CEO that the rule for large companies is that tax is voluntary and that everyone else is in the cross hairs.

However they (HMRC) lack manpower and do not pay their investigators enough money so they rely on cuckolded husbands, scorned wives, jilted lovers, reward seekers who would sell their own grandmothers and the jealous to “shop people” through their “confidential helplines”.

I know from consultancy work on fraud risk prevention marketing that I did for an excellent security, risk management investigative analysis firm founded by ex murder and robbery squad detectives during 2002 that there are 269 ways to commit fraud with a mobile telephone and thousands of ways for a fraudster to appear to be one thing and yet be a very clever wolf in sheep’s clothing.

A lot of business-people see this fraud prevention activity including fraud risk process mapping as a cost which they are not willing to bear either a little or at all, reasoning that the risks are small and that “It is not something that will happen to us”.

West Associates produces a test battery which when completed puts people into 4 quadrants. One category is “Objective Analyticals”, which is usually composed of people who look at facts, figures, trends, people and data to arrive at conclusions, develop strategy and who have more than a passing understanding of human nature and what things motivate people.

They tend to see the world as it is and the potential of people to do good or ill for what it is which makes them better at engineering out the risk of fraud and mendacity by following a policy of “trust but verify” rather than taking everything at face value.

Charities and those who regulate them generally employ people who fall into the “Sympathetic Harmoniser” category of people who are kind, see the world through rose-tinted spectacles, always see the best in people,  lack commonsense and for fraudsters simply represent “easy marks” to be fleeced at will.

With Dame Suzi Leather and others like her the issue is slightly compounded by the fact that she sees the issue of fraud against taxpayers as something that will be dealt with by the Government and a matter that has very little to do with her.

Someone else,  probably a bone headed, swivel eyed member of the proletariat and a taxpayer will step into the breach and cough up!

In short, she is complacent, probably doesn’t care and has staff who are mentally incapable of matching wits with a fraudster let alone major “scamsters” who pulled off this particular caper.

She is not untypical in thinking this way because she is very much a creature of the Old Labour/New Labour regime and the Common Purpose /Guardianista faction that is still very much in evidence in Quangos, the NHS, regulatory bodies like the FSA, the Care Quality Commission , the Heritage Lottery Fund etc.


It is clear to anyone who makes international comparisons that the UK is doing very badly economically and has an un-competitive tax regime.

It is also clear that the UK has more offshore tax havens than any other country on the planet and our rich and powerful and foreigners have used these tax havens to launder money on an industrial scale, to the point where 92% of the wealth of this country is held offshore, 85% of the wealth of America is held offshore and others are catching up.

Most major UK companies, Glaxo Smith Kline, Unilever, Vodaphone, Arcadia PLC, Tesco PLC, Hanson Trust, Union International, Vestey Group, Virgin PLC etc are assiduous tax-avoiders just as much as Amazon, Apple, Microsoft, Google, E-Bay.

Yet from the Guardian we hear little or nothing about our home grown firms just a lot about Eric Schmidt of Google who just happens to be very close to David Cameron and his ministers.

Guardian Media Services Group is very coy about its tax affairs but a look at Private Eye can tell you that their tax structure is not dissimilar to that of Tesco PLC a company who they used to lambast for tax avoidance.

Our Lord’s words “Let he who is without sin cast the first stone” are clearly lost on the Tofu eating leader writers of the Guardian who are not very keen to look at the behavior of their own group.

–Charities and regulatory bodies to seek and appoint people with more commercial nous,more and better understanding of human nature
–The UK tax regime to be made more competitive to encourage money now held offshore to be brought back onshore
–The Guardian to put its own house in order before criticising others
–Charity fraudsters when caught to be very severely punished by the courts
–A fraud risk process mapping regime to be introduced to all charities to protect the charities and taxpayers

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