Tag Archives: NHS Digital

The foundation of a blame game

It was the Independent that gave the headline ‘Tens of thousands of operations cancelled because of staff shortages and faulty equipment, NHS figures show‘ by Vincent Wood about 13 minutes ago, and the by-line gives us ‘Labour blames ‘Tory cutbacks running our NHS into the ground’‘ did anyone catch that? Did anyone catch the issues that were given over the last 5 years, not eventual new issues bu the Conservatives, but the destructive path of Labour? “The Labour party bungled the option to get part of the technological solution implemented that could have helped the NHS (perhaps you remember the loss of roughly £11.2 billion in NHS IT restructuring)” did you think that a loss of £11.2 billion is easy to wipe away? That loss hit out into every corner of the NHS, £11.2 billion in IT, in Systems never delivered and the need to do something, so as Labour make some claim as we see printed: “The simple truth is under the Tories, patients wait longer and longer for vital care. This general election is about the future of the NHS and ensuring quality care for all. Labour will fully fund our NHS, recruit the doctors and nurses we need and safeguard our NHS from a Trump deal sell off that could cost the NHS £500 million a week” my question becomes: ‘Will any Labour MP connected to the initial NHS spending disaster be removed from politics?‘ it is a fair demand, is it not? And as I see “The figures were compiled by the Labour party, is based on responses from 82 per cent of hospital trusts” I wonder what else they wrote up and connected down, now we cannot keep on bringing up the £11.2 billion, but it had to come from somewhere, did it not?

And how did we get to “staff vacancies continue to put the health service under strain, with the NHS reporting last year it was short of 100,000 staff including 10,000 doctors and 35,000 nurses“, shall we take a look at the state of things in 1997 – 2010? Then we also need to look into the state of things from 2010-2019. Shall we take a look on the changes required in 1997-2010 and the impact of the Economic meltdown? Now the second part is not on the heads of labour, but there was a definite impact, it is so easy for Labour to make a definite push to ignore that and in the years when it mattered Labour squandered £11.2 billion, that is a whole boatload of systems and thousands of nurses and doctors. Interesting how they ignore that part of the equation.

So as Labour hides behind “the statistics obtained via a Freedom of Information (FOI) request” shall we ask to include the amount they squandered? And whilst were at it, let’s take a look at the squandered part compared to that nutshell trust charity requiring ‘the amount needed to repair faulty equipment across the service provider at £6bn‘ let’s see what is left when we compare one to the other, it seems that Labour is all about forgetting one element in this equation.

The article (at https://www.independent.co.uk/news/uk/politics/nhs-operations-cancelled-tens-of-thousands-official-figures-tories-damage-labour-a9183636.html) has a few more idle hands in all this and I am not stating that the Tories are entirely innocent here, but the joke that is regarded to be Labour’s shadow health secretary seemingly decided to ignore the heart ship that £11.2 billion squandered had on the services of the NHS, in addition the loaded debt on the government corporate credit card did not help any, in that regard the Tories are not innocent, i am not claiming that, but the ignoranus that is Labour better get their part right, because the people should be aware of that £11.2 billion fuck up called Labour IT plan, and the issues from there were widespread because that amount had to come from somewhere. And when we start looking at the surplus that the Labour party should have created but did not we will get to an amount that is a lot less representative of what actually should be the consequence of the NHS, amounts and numbers of staff that has been too low for almost 2 decades. When we look a NHS Digital we get that (at https://files.digital.nhs.uk/publicationimport/pub00xxx/pub00912/nhs-staf-over-1996-2006-rep1.pdf) we might think that a good job was achieved with “The number of staff in the NHS has grown every year to 2005 with a small fall in 2006. The workforce is now 27% larger than in 1996“, yet how many SHOULD have been added? When we look at ‘Total staff employed 1,338,000‘ this includes ‘professionally qualified clinical staff 675,000‘ is that not a low number? Remember the earlier ‘the NHS reporting last year it was short of 100,000 staff including 10,000 doctors and 35,000 nurses‘ how come that this number is so divergent from the initial numbers that at the end of Labour was given? How many positions got fired? Yes, there is something wrong and a place like the NHS is dependent of what the government has available and that part is also missing from the equation, so when we start drilling down the numbers Labour comes off as insincere and the usual yokes that they are. All yellow, icky and not really to any point are they?

Oh, and the numbers also calls into question that training places are lacking in a few corners and degrees, so as we are looking at that part too, how did Labour address that in their term? It is important, not because it stops Tories being responsible, it does not, but it does show a systemic problem in the matter and that goes beyond the political element here, there was a shortage for funds and the so called British professional medical degrees should have made a larger and louder complaint in all; this, perhaps it was done, perhaps it was not, but the article does not give light to any of this and it relates to a direct quote that Vincent Wood relies on. And it all related back to the failings that Labour introduced in their term from 1997-2010, so this issue is a lot larger than anyone realises and leave it to the Labour party to add their own failures onto the Tories back, it merely makes no sense to do so, the numbers are out there and it is time to hit Labour with the long term damage that they pushed onto at least half a dozen directions, or did you think that tapping the £11.2 billion NHS vein was the only bloodletting they allowed for? I also believe that certain questions need to be asked towards British Medical Association chair Dr Chaand Nagpaul. He was a topic of investigation in my article ‘As a Puppet‘ in May 2017 (at https://lawlordtobe.com/2017/05/18/as-a-puppet/) when I also had a go at the Labour manifesto, I also wrote at that point: 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)“, so not only is the claim debatable, yet I wonder what the numbers then and now represent, yes a 2017 number in this day and age will show a total lack of change towards today, is that the case? From my point of view Dr. Chand Nagpaul has a few explanations to make and I get it, he is watching his own turf and what he’s in value, there is nothing wrong with that, but how much has he achieved in spreading the love of budget? And all this is also linked to the January 2017 article 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/)“, so how much money was forked out by NHS chiefs on how to save money and how much did they safe in the end?

There are a few issues that are open all over the NHS and the Labour party, but in case you were not aware, I am happy to inform you.

Have a great Monday! #Justsaying

 

 

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Where to focus?

This is an issue on the best of days, we are overwhelmed with information, real news, fake news and of course the Direct marketing waves that hit our internet eyes nearly 24:7. The internet is no longer some child, it is a grown adult and adults tend to lack a certain sense of humour, well the adult eyes of the beholder that is. Yet, what matters to us? When we move beyond the job that feeds you, the partner that … you and the family that gives you (usually) strength. When these things are dealt with, what matters next?

The fearful will look at North Korea, on how they are a threat and when we look at the Washington Post, a very respectable paper we see (at https://www.washingtonpost.com/opinions/the-north-korean-nuclear-threat-is-very-real-time-to-start-treating-it-that-way/2017/05/18/d60cbeec-39a4-11e7-8854-21f359183e8c_story.html) on how the threat is real. Even as we saw two failed launches, and in addition, we have yet to see anything from North Korea to get any missile that far (reaching the US), that an opinion piece states: “Stephen Rademaker, a principal with the Podesta Group, was an assistant secretary of state responsible for arms control and nonproliferation from 2002 to 2006“, so here we see the message, yet the core truth is: “The Podesta Group is a lobbying and public affairs firm based in Washington, D.C.. It was founded in 1988 by brothers John Podesta and Tony Podesta, it can be found at 1001 G Street, NW Suite 1000 W Washington, DC 20001“. Basically it is a marketing firm working a very niche market. Don’t get me wrong. I am not ‘attacking’ them, I would accept a position in such a firm any day of the week. Whether we call them marketeers, government strategy councillors or even diplomatic assistants, they are professionals and I do love working with professionals, especially in an environment I am not fully comprehensive of. You see, when you are out of your waters, most people tend to get to be a little apprehensive. Not me, it invigorates me, whether it is working as a document carrier for Faisal bin Abdullah, or Salman bin Abdulaziz Al Saud, doing work for google (which has been one of the most mentally intoxicating and invigorating environments ever) or merely finding new data solutions, working through data and solving the puzzle I see. So is North Korea a real threat or a perceived one? The safe bet is too see them as a real threat as they have access to Uraninite. You see, the world tends to be a little more complex than that. Having the stuff is not enough, getting the delivery method working correctly is an entirely different matter. It can be by having people from Pyongyang masked as South Koreans attending international universities in science and engineering would be a first, which is not that far a stretch. I literally (by accident) I told this Korean student “Does your family still have that bar in Pyongyang?“, he turned pale and said ‘How did you know that?‘, which was not the response I was going for, but OK, such is life, full of surprises. So as you ponder this, wonder on how China has little or no worry. If North Korea ever actually launches a missile towards America, do you think that the President of the USA would not instantly retaliate (especially the current one), what happens to places like Shenyang (in China), also consider whatever hits the water will make fishing no longer an option for decades, Japan learned that the hard way, so there you have it. In addition, we have seen the North Korea military look at systems like they were magical and those were computers the current European generation laughs at. That can be corroborated by the press as they were on a North Korean press tour a little over a year ago. The ‘minders‘ of those groups had NEVER seen a smart phone. I think that North Korea talks a lot, but for now has no real byte. Now the last part of that the Podesta group is a professional organisation. So was it merely an opinion piece or was the article their business, business they charge for? I will leave you with that thought.

The older American would look at the danger of pensions, which we also see in the Washington Post (athttps://www.washingtonpost.com/news/powerpost/wp/2017/05/18/trumps-budget-calls-for-hits-on-federal-employee-retirement-programs), the article ‘Trump’s budget calls for hits on federal employee retirement programs‘ describes on how it impacts. The article is a really good read and gives me the feeling that US retirement plans are an awful mess, with the additional danger that they seem to be running dry slightly too soon, which is what you get with a 20 trillion-dollar debt I reckon. The quote “A preliminary budget document released in March called for a domestic discretionary budget decrease of $54 billion, with an equal increase for defense, homeland security and veterans. Nineteen 19 small agencies would be eliminated, along with their workforces“, the additional “Increasing the FERS employee contribution would result in the average federal employee losing nearly $5,000 per year in take home pay, that’s per year after the phase-in is finished, he estimated. “Phasing this outrageous pension cut in over several years does not make it any more palatable. If this change is made, federal employees will no longer have a secure retirement. Period.”” is even more food for thought. The one equaliser in American business has for the longest time been that those people had a secure retirement, when this is off the table the one part of quiet governmental officials was that there was a long term benefit, with that off the table the environment in government positions will change. Now, we might think that this is not a bad thing, but it will result in chaos, and when we have seen and known that the American infrastructure has no real way to deal with chaos in its ranks, we will see different whirly waves of discontent, a few will leave marks on everyone. So when we read “The budget proposal President Trump plans to unveil Tuesday would give to federal employees with one hand, while taking away with five others” is an interesting one and I reckon that when the full paper is released this coming Tuesday, the US national papers will give it high visibility, because the United States federal civil service has a total of around 3 million people, which is 1% of the US population, making it decently important to cater to them. Perhaps those trying to sell the change might have been better off talking to the Podesta group first?

For me, the news was not in a newspaper. It was found in Digital health article. It re-iterated the issue of ‘urgent change‘ I voiced in my blog yesterday. In there I showed the NHS digital part regarding the endgadget quote “NHS digital had notified staff on patches” which would have diminished the Cyber attack gives us two sides. One, would there have been diminished damage, because that would suffice as evidence. Yet in Digital health we see: “a small team of developers is recommending the health service reduce its reliance on Microsoft“, which is overall not a bad idea, yet the NHS is too big to just make a shift in policy like that. I would be in favour of a shift towards something a lot safer like Linux, but that requires expertise. Another option is to rely on an android option where the NHS is all about apps, equally optional, but it will require massive amounts of resources on programmers, testers, upgraders and cyber monitoring. All these options require a drastic shift in IT operations. When we accept that in too many places there is no minding the NHS IT store (by not patching) the dangers will increase. As I quoted: “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“, which is what we see right here in the article. Now consider the quote: “To demonstrate that there is a licence-free alternative, GP Marcus Baw and technologist Rob Dyke have adapted the open source Linux-based Ubuntu operating system specifically for the NHS. They call it NHSbuntu“. So why not just use the foundation called Ubuntu? I cannot judge the intent (noble or not), but consider that technologist Rob Dyke has to pay for rent and so much, where is his interest? Do not get me wrong, we should not just dismiss any idea that might work, yet will it? You see any IT environment needs oversight and maintenance. The NHS is in no position to make such drastic changes as it is short on basic needs (nurses and doctors), I do agree that the IT needs to be addressed, yet two Labour governments wasted the IT budget of close to 10 years, lets leave it alone until we can actually address solutions. In this, one additional quote from Beta News. they give us “The report reveals that 12.8 percent of non-Microsoft programs were un-patched in the first quarter of this year“. If patching is so important, and it is, why give voice to 12.8% of additional risk? As stated, I am no Microsoft fan, but it does work in the current NHS environment and if we believe NHS Digital and the trusts do actually patch their stuff, the danger would have been a lot lower. As the evidence is at present, this issue would have been addressed by mere policy and replacing those not adhering to it might be the cheapest and best solution. In all this IT News gives us one more part, the fact that Microsoft is actually releasing a patch for operating systems that are no longer supported is also evidence. I do not see it as merely “to protect the company’s customer ecosystem“, which is a decent answer if you believe that. You see they could have merely told the customers to freely upgrade to Windows 10. I believe that, as they state it “to protect users against NSA-derived ransomware“. I believe that someone has evidence on a Microsoft-NSA cooperation in the beginning of the data snooping age and somehow the makers of the Ransomware (less and less likely to be North Korean) got access to the information needed. I reckon that anyone upgrading will be removing the digital evidence on their computers of that event. If you doubt me, consider the quote in that same article “Current versions of WannaCrypt use two exploits leaked by the ShadowBrokers hackers, who gained access to systems at The Equation Group, which is linked to the United States NSA, last year“, if that is true, how did North Korea get this? If they are good enough to be allegedly part of the NSA (source: Kaspersky), how come that the bulk of the cyber intelligence world has no knowledge of North Korea being such a threat against a player like that? It does not matter how it got out. Whether it was a disgruntled ex-employee. Some hacker that got sucked and suckered by a honey trap, there are enough options nowadays. The reality is that somehow the intel got out. It is being addressed and fixed. It does not make the issue go away, it merely tells us that remaining up to date and properly patched was the way to go. Urgently addressing does apply to systems being reasonable up to date, which does mean that there are costs, pushing yourself away from Microsoft (not the worst idea) comes with a cost, one that the NHS cannot afford, no matter how ambitious it seems and they got plenty of that, especially with non working systems. So, lets not make that error twice!

So when you wonder where you need to focus, I am merely suggesting that when your private house is in order, consider playing a video game or watch a nice blu-ray. It seems to me that a balanced life is the most important thing you can arrange for yourself, let the circus play its game and decide not to watch every show they offer, in the end it could just be merely Direct Marketing.

Get what you actually need, not what others state you need!

 

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