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Emeritus Prof Christopher May

The view from the frontline of the Darzi report & Labour's response.

As the 'secret consultant' points out:
'We cannot expect the NHS to improve population health on its own.... the reduction in productivity is not due to staff working less hard, rather our time is increasingly spent trying to mitigate failings elsewhere'!

Its pretty clear that prevention & resolving social shortcomings around nutrition and lifestyle 'choices' are the key to helping the NHS.

#health

theguardian.com/society/2024/s

The view from the frontline of the Darzi report & Labour's response.

As the 'secret consultant' points out:
'We cannot expect the NHS to improve population health on its own.... the reduction in productivity is not due to staff working less hard, rather our time is increasingly spent trying to mitigate failings elsewhere'!

Emeritus Prof Christopher May

For those of you who might be wondering how exactly we got to the water crisis we are currently experiencing, Nils Pratley (Guardian) offers a quick guide to how the dots joined up to deliver us dysfunctional privatised water & sewage utilities.

Many of us will remember these details all too well, but for my younger followers (good morning), it offers some useful context.

#water #privatisation #investment

theguardian.com/business/artic

For those of you who might be wondering how exactly we got to the water crisis we are currently experiencing, Nils Pratley (Guardian) offers a quick guide to how the dots joined up to deliver us dysfunctional privatised water & sewage utilities.

Many of us will remember these details all too well, but for my younger followers (good morning), it offers some useful context.

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BashStKid

@ChrisMayLA6 All good synoptic points.

Maybe what’s missing is the malicious change in responsibilities when the National Rivers Auth & the Pollution Inspectorate were combined into the Environment Agency *and* their legal powers were curtailed in the Act.

But the main thrust - the utter stupidity of expecting merchant banks to not securitise and debt-load govt-backed assets - is spot on. Chuck Ofwat on the fire next to Ofgem.

JuneSim63

@ChrisMayLA6 The big takeaway for me from this article is that the worst excesses were instituted in the 2000s under Labour governments, who appeared to do nothing to restrict the water companies.

Epistatacadam

@ChrisMayLA6 to answer his final question in the article, ofwat must ban any bonuses or dividends in any company where debt exceeds 20% of its capital assets, ( not the stock market price!)
If that causes share prices to fall such is the risk of gambling in stocks and shares.

Emeritus Prof Christopher May

After the increasing trouble in Book Festival sponsorship, Tom Gauld looks to their future.... and its not a pretty sight

Perhaps sponsorship is not so bad?

#books2024

@bookstodon

Emeritus Prof Christopher May

David Osland (at the other place) offers a wonderfully concise critique of the utilisation of the private sector to deliver public goods....

'We're told pensions are 'unsustainable', the Post Office is 'unsustainable' & now that the NHS is 'unsustainable'. They were all entirely sustainable before the private sector starting looting the public sector'!

Yup, that's about it....

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andyhyde

@ChrisMayLA6
If pensions, the Post Office, water and the NHS are all 'unsustainable' why is the private sector so keen to add then to their portfolios.

Peter Brown

@ChrisMayLA6 all the indicators of civilisation are apparently unsustainable, so perhaps we need to go back to the stone age

Emeritus Prof Christopher May

Wes Streeting's position, it seems (as told to the FT) wants the NHS to utilise private healthcare while it straightens itself out, so that in the long run it won't have to...

I mean its cute that he thinks that's possible; 'my ambition... to make the NHS so good that no one feels forced to go private'!

However, misunderstands how the private sector cherry picks medical treatments to ensure that the NHS never gets the easy to do stuff; so never 'gets better' just challenged

#NHS #healthcare

πŸŽƒ πŸ‘» rent as % of income πŸ‘» πŸŽƒ

@ChrisMayLA6 The same approach worked rather well during the Blair/Brown years.

Using private entities in the short term to clear the backlog was however accompanied by significant NHS investment to in the longer term to remove the reliance on private support. Streeting wants that outcome but hasn't committed to the spending to get there yet β€” which is a legit area of concern β€” but I've not seen anyone serious argue that using private capacity to reduce the backlog won't work.

AntJBro

@ChrisMayLA6 and next week we’ll get another message from his sponsors!

Emeritus Prof Christopher May

A year or so back I treated myself to an original of a @tomgauld cartoon, and each time I look at it (above my desk) it still makes me smile.... so I thought I'd share it with you all. Enjoy!

#writers
@bookstodon
#writersofmastodon

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natriumchloride

@ChrisMayLA6 @tomgauld @bookstodon wow hahaha i also sort of treat daydreaming or just thinking about my art like mental work i do behind the scenes xd when you put a slice of pizza in the microwave you need to wait 3mins for it to get warm & it's the same with art kinda .. sometimes you have to "do nothing" & wait for your ideas to cook

acm

@ChrisMayLA6 never heard the word "pottering" before -- love it!

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