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Simon McGarr

As a general rule, the state should over-supply services. There should be slack in the system almost all the time. Relaxed GPs with lots of time to talk to their patients. So many teachers that the main trouble is finding rooms for them all.

Not only does this see a better quality of service mostly, but it also cushions the system in the event of an unexpected shock.

If you have just enough professionals to deliver at 100%, you don’t have enough professionals.

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Mark Dennehy

@Tupp_ed But that's not financially efficient so we won't be able to deliver value for our shareholders!

Alice Dubiel πŸ”¬πŸ’‰πŸ¦ πŸ˜·πŸŒ¬

@Tupp_ed Not having adequate slack in a services or social system means running on crisis management which feeds on the myth of individual consciousness. One result is no adequate evaluation. Without evaluation and analysis of statistics, patterns, trends, planning strategies depend increasingly on biases, whimsy and desperation instead of best practices or even common sense. Capitalism and militarism exploit crisis management.
#evaluation #bestpractices

MarjorieR

@Tupp_ed this is currently most evident in the UKs national health service. We have, for many years, tried to run this at near 100% capacity, both in terms of staff time and beds and equipment. This when demand is clearly seasonal. Basic queuing theory shows that when you push anywhere near 100% you end up with a permanent queue, which is what we see. Add in unexpected crises, like COVID, and the queues explode and staff end up totally exhausted and many quit, which makes it worse.

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