Have you been in a place where a person behind the screens is slowly shows his ability to give appeal? He is majestically moving his hands, not seen by anyone, hidden in shadow, yet the audience is delighted, the audience is watching a show of puppets, whether Muppet or Punch and Judy, the kids are in delight, at times, so are the parents. You see, the true master is not just about the posing or the dance of the puppets, as a master his voice give reign to banter, gossip in two layers, one that makes the children laugh and that makes the adults go: ‘Ha!’. The mark of of a savant. Yet, the bulk of them are not savants and in the political field there are at times a few people who are a lot less than savants and the media lets them, because the outrage created is what their circulation depends on. That was my view when I initially saw: ‘Doctors’ leaders accuse ministers of ‘callous disregard’ for the NHS’, a piece of work by the Health policy editor. We see a few things in the article and we all know that the NHS is in serious trouble. The part that stopped me was: “Norman Lamb, the Liberal Democrats’ health spokesman, said: “Instead of £350m a week for the NHS, under the Conservatives we’ve seen the health service being gradually run into the ground“, you see, leave it to a LibDem to be clueless on the best of days, but just in case (because I make mistakes too), there was the small decision by me to take a second look, for that just in case moment in my life. You see, I remember that number, for one, I have never had that much money in my wallet, but I remember the amount in different ways. You see, the busses, the mention, when was that exactly a promise? The Brexit team bus (fuelled by UKIP) states: “We send the EU £350 million a week, let’s fund our NHS instead“, it is a valid slogan and it is a wish, in addition, the Nigel Farage interview on some morning TV show gives us “I would much rather give it to the NHS“, that is wishful thinking, it was not a promise or commitment, that came from nearly EVERY anti-Brexiteer. Now, I have slapped Labour UK around on their manifesto. It states: “The people of Britain are rightly proud of the NHS and we will invest £12 billion over the next five years to keep it working for them“, so we get a little over £6 million a day, or slightly more than £200 million a month, so where does this £350 a week ‘pledge’ come from? The independent (at http://www.independent.co.uk/news/uk/politics/conservatives-must-make-manifesto-commitment-of-350m-a-week-for-the-nhs-say-doctors-a7739401.html) shows us: “Doctors, academics and public health officials have called on the Conservative Party to include in its general election manifesto a commitment to spend £350m a week on the NHS, in keeping with the notorious posters of the Vote Leave campaign“, which makes me wonder where the actual pledge comes from. So it seems that Dr Chand Nagpaul and Norman Lamb are both missing a few parts here (I am happy to be proven wrong), The conservatives pledge (2015 manifesto) was to increase £8 billion over 5 years, the increase goes nowhere near the 350 million some are muttering and this manifesto was BEFORE Brexit happened, so I am wondering what the article is based upon. If it was written with in mind the presentation of some think-tank, then this approach is a massive failure. So this health foundation think-tank is also moving in other not so clever directions. I could start that I had a solution (which only costed me 135 minutes to figure out and Google could get it from me for £15 million post taxation), yet they aren’t interested in a multi billion-pound revenue solution. And if this article is about spiralling pressures, well, we all agree and if the wasted £11.2 billion pounds on a previous IT project under previous labour, there might have been some space, yet the pressure would always have been there. As I wrote in previous blogs, the first thing that the NHS needs to do is change its mindset. That is an initial need on several levels. The ‘old’ way of doing things is no longer an option and it is weighing down as the cost of infrastructure is just increasing, that initial change is essential to survive. In my view (which might be flawed and incorrect) there seems to be an increasing wave of commissions in play and those groups are not free, there was a paper showing it and the reference is in my previous blog from January 15th 2017, where we see: “Coventry and Warwickshire NHS chiefs fork out £340,000 for advice on how to SAVE money” (at https://lawlordtobe.com/2017/01/15/the-views-we-question/), this time it is not about the money, well perhaps partially. It is about the 7 commissions in Warwickshire. How much to they cost? Now, this is not about their validity to exist, yet it seems to me that these trusts and commission groups might need trimming or reengineering. And that is just Warwickshire. This is what I am implying with the ‘rethinking‘ part. Yet, when, I ask again when did any of these think tanks go there in looking on changing the NHS and the costs they have? I am pretty sure that the media have not seen or reported on that issue for the longest of times. As I read now that they are looking to fill 80,000 positions, whilst I with three Uni degrees can’t get a job because I turned 55 is just obscene in several ways. And the entire ‘government must plug funding gap in healthcare spending between UK and other European countries‘, which is debatable right there as the Netherlands is twice the size of Ross-shire, with 16 million people in there, in addition we see Sweden which is almost twice the size of the UK, with 10 million people and 20% of that in the three largest cities. So here we already see three very different dimension of issues, making the ‘funding gap’ a bit of a question mark, in addition, as the UK is well over minus a trillion, the health care issue will be an issue and remain so unless some players start considering different paths, throwing money at it does not make it go away, you merely move the issue after which you end up having to solve two problems. So how does that solve anything? Well, I believe that we need to get the Universities involved and start brainstorming on how certain problems might be solved. You see, there is nothing like the unbiased view of a politically incorrect student to try and solve a puzzle, especially when political lobbyists are not allowed to ‘forge’ minds to become politically accepted minds. I think that turning the puzzle into a creativity challenge will get us potentially some options people forgot about. I found my solution whilst browsing a historical page on Scotland, of all the technological solutions, I found mine in a history book that predates that device that Graham Alexander Bell invented (read: telephone). How weird was that?
The puppet issue still remains. You see, the quote at the end: “Urgent action is needed, the thinktank says, because 900 people a day are quitting as social care workers, too few new recruits are joining the sector“, is an issue. I am not doubting the number as a total, yet when monthly a industry is drained by 18,000 workers, there are additional problems. When we in addition see a source claiming that NHS digital had notified staff on patches and we see news that Labour now wants to pump £37 bn in the NHS, we have several issues. For one, the unrealistic prompt for money that cannot be found in a realistic way and the fact that Labour gave out a manifesto promising the UK to get them a quarter of a trillion in deeper debt is a worry. The IT story is also linked to all this as it shows that there are additional infrastructure issues. If the endgadget quote is true “It seems this advisory fell on some deaf ears, which explains why only certain NHS Trusts were affected“, it clearly shows that the infrastructure needs an overhaul and there is a strong requirement to take a harsh look on where the money is going. The endgadget quote shows a STRUCTURAL failure of the NHS, and only an idiot will pump £37 billion in something that could be structurally unsound. That part has been ignored by the media on too large a scale. Oh and that is not limited to the UK, there is a European failure here (as well as a few other parts of the British empire, like Australia). So we need to consider that we have to give stronger illumination to the puppeteers, because, who exactly is part of the the Health Foundation think-tank? And as we illuminate the players in such think-tank, as the people have a right to know, we need to stop being puppets. We need to look at actual solutions, that is because I have seen a few ‘think tanks’ and ‘consultancy teams’ mentioned and even as we can agree that ‘£340,000 for advice‘ could be money well spend, it seems that over the last year there have been a few of these events and I am decently certain that these people do not work for free, so how much has been spend? I feel that I am massively underrating and could end up being equally massively underpaid with my £15,000,000 solution that would bring the project completionist a few billion.
It is also my personal belief that in many cases the person claiming ‘urgent action is needed‘ is also the person who wants the ‘victim’ to jump the shark so that they can coin in as large a way as possible. Yet I agree that the NHS needs acts that lead to solutions, here I differ in labelling the action as an act. The act of instigating change is not done in a few minutes and I do not want it to be wasteful, so people need to have their bullet point list ready (I actually hate those lists). Not a longwinded presentation, or is that ‘long wined and did possibly’? The NHS issue is in too critical a state, pretty much everyone agrees, yet the way how it is addressed and where the highest priority lies is another debate, in my mind (possibly a wrong deduction) is in the first, nurses, in the second infrastructure shifts and three the doctors. The infrastructure is important, not because doctors are not, but because the infrastructure has been showing to be a drain on the funds available. In that part we see that as issues are resolved more and more funds would become for both doctors (and GP’s) and upgrades. It is not that points two and three could not be instigated at the same time, yet in equal measure whatever infrastructure issues is resolved might actually give additional funds for more doctors and GP’s as well. It is merely a thought and there will be enough opposition, or better stated valid opposition to my priority list, it is just finding the path that is best walked. And in this case, I have the feeling that from the very beginning of the failed IT project that the NHS decision makers have been all about talking the walk and not getting any actual walking done, which would be a terminal disaster for any project, no matter how many billions you throw at it. It will merely be wasted coin.