Opinion – NHS will clamp down on ‘rip off’ agency fees – Telegraph – John Gelmini

Having read the Daily Telegraph article, brought to us by Dr Alf, and watched the head of the NHS, Simon Stevens on the Andrew Marr show, I am unimpressed and underwhelmed.

To begin with, the NHS is useless at manpower planning and rostering, which is why over the weekends there are never enough nurses and doctors and during the early parts of a given week there are too many.

Instead of smoothing the peaks and troughs with more flexible working, better contracts and annualisation, the NHS uses agencies and then claims it is being “ripped-off”.

Secondly, the NHS does nothing to manage malingerers in GP’s surgeries, usually whining pensioners and others with hypochondriac tendencies who could deal with their own minor problems but who instead clutter up the 101 non emergency phone lines and then go to A&E when they cannot get a GP appointment.

This spike in demand made worse by people “larging-it up” in nightclubs, getting high on “recreational drugs” and fighting in the street then adds to the demand for extra doctors and nurses which these agencies fill.

Thirdly, the NHS does a poor job of educating people into not drinking on an empty stomach, eating properly, getting some exercise and losing weight.

It always focuses on the supply-end, the number of doctors and nurses but never the demand end which creates the need for more supply in the first place.

Fourthly, it is a bit rich for the NHS to complain about “being ripped-off” by agencies when its own blunders cause 20% of the entire NHS budget to be spent on payoffs to sacked staff, lawyers, gagging orders and the like.

Fifthly, the NHS has far too many layers of management and is the first to pay-off someone on Monday and then rehire them, sometimes as soon as next Monday as highly paid interims working for agencies and personal service companies.

Of course, interims who could help reform the NHS who have non NHS experience are excluded because they lack the “essential” NHS experience.

John Gelmini

Opinion: What is Milibandism? | Politics | The Observer – John Gelmini

Ed Milliband MP speaking at the Labour Party c...

Ed Milliband MP speaking at the Labour Party conference. (Photo credit: Wikipedia)

Dr Alf should perhaps have struggled less in his efforts to understand what David Cameron and now Miliband are about.

The Observer is a left-wing newspaper and it wants to sell Miliband as the “Coming Man”,someone who is surrounded by bright new thinkers who will together with him make a difference to the lives of ordinary people.

The reality is quite different.

The political class as a whole in the UK do not have the answers to the most pressing problems of the day and are not in charge anyway.

The power lies in Buckingham Palace and at Waddesdon Manor near Aylesbury where Lord Rothschild lives and controls the real capital of the UK, the Square Mile. It was probably on his nod that Tony Blair became Prime Minister and on his orders that Cameron, Brown, Miliband and Clegg became leaders of their respective parties and probably on his suggestion that nothing has been done or will be done to deal with the bankers and those behind them who were the eminence grise behind the so-called Financial Crisis.

The politicians to a man are intellectual lightweights who neither know nor care about modern problems and certainly do not understand their effects on the lives of ordinary people.

Voting for Miliband will change nothing except the name of the man occupying Number 10 Downing Street.
Policy and decisions will continue to be made in the shadows and the Government will still deliver poor value per taxpayer pound(we are 17th in the world) with a complete mismatch between levels of taxation and what that money should buy which cannot be explained away by cock-ups, waste and mistakes alone.
In any business where this happened the Finance Director would be sacked and the police brought in along with forensic accountants to track down the money and bring the culprits to justice.

With the Government,as is the case with the EU where no-one will sign off the accounts as” kosher”, nothing will be done and the possible arrival of Miliband as Prime Minister in 2015 will change nothing.

John Gelmini

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