Re: Wealth re-distribution : Wed Jan 09, 2019 1:35 pm  

I thought this made rather interesting reading. https://www.counterpunch.org/2019/01/09 ... e-correct/

I thought this made rather interesting reading. https://www.counterpunch.org/2019/01/09 ... e-correct/

Re: Wealth re-distribution : Wed Jan 09, 2019 2:24 pm  

Commie propaganda.

Re: Wealth re-distribution : Thu Jan 10, 2019 12:33 pm  

Miro wrote: I thought this made rather interesting reading. https://www.counterpunch.org/2019/01/09 ... e-correct/ Interesting piece, Tax planning in large corporations goes into the initial structure and into subsequent planning around acquisitions especially in any PE environment. It makes common sense, raise taxes when times are good lower them when you want to to encourage investment - Maynard-Keynes knew that in the 1930's. The key to any form of taxation system to work is it has to be seen to be equitable - increasing NI to invest in the health service would be acceptable to most. The problem with the last increase is that Labour simply used 50% of the additional revenue to increase existing salaries significantly. If the government said we are putting up NI 1% and this will be invested in more hospitals/equipment additional clinical staff, better software and operational waste was going be reduced by 5% a year happy days.

Miro wrote: I thought this made rather interesting reading. https://www.counterpunch.org/2019/01/09 ... e-correct/ Interesting piece, Tax planning in large corporations goes into the initial structure and into subsequent planning around acquisitions especially in any PE environment. It makes common sense, raise taxes when times are good lower them when you want to to encourage investment - Maynard-Keynes knew that in the 1930's. The key to any form of taxation system to work is it has to be seen to be equitable - increasing NI to invest in the health service would be acceptable to most. The problem with the last increase is that Labour simply used 50% of the additional revenue to increase existing salaries significantly. If the government said we are putting up NI 1% and this will be invested in more hospitals/equipment additional clinical staff, better software and operational waste was going be reduced by 5% a year happy days.

[Bullseye]

Re: Wealth re-distribution : Thu Jan 10, 2019 3:24 pm  

The biggest positive impact you could have on the NHS would be to fill all the existing vacancies for frontline patient facing posts and then recruit additional staff for the most under pressure services (this is all of them but some are in a more dire state than others).

The difficulty you have at the moment with filling these vacancies is that they require staff that are trained to a high standard. They’re not only nurses but specialists too like radiographers, OTs, physios etc. Then there’s the medics. There’s a real shortage of trained pharmacists, doctors consultants, psychologists etc. If one leaves it’s a huge challenge to recruit someone else. The kind of people that want these jobs are pretty special. They take years to train. They need to be paid better and as country we need to make training for these roles much easier so they aren’t dissuaded by student loans, ridiculously long hours, physical or verbal abuse. The removal of busaries has had a massive effect on nurse recruitment. If we want a decent NHS then we have to be prepared to pay for it. I’ve worked in it for a while and the past 8 years have seen huge cuts. My trust has cut over £3m from its budget in the past 3 years. This has had a big knock on effect on patients. The experienced staff are retiring and their posts are remaining vacant.

There simply aren’t any more efficiency services left.

Re: Wealth re-distribution : Thu Jan 10, 2019 3:38 pm  

Bullseye wrote:

The biggest positive impact you could have on the NHS would be to fill all the existing vacancies for frontline patient facing posts and then recruit additional staff for the most under pressure services (this is all of them but some are in a more dire state than others).

The difficulty you have at the moment with filling these vacancies is that they require staff that are trained to a high standard. They’re not only nurses but specialists too like radiographers, OTs, physios etc. Then there’s the medics. There’s a real shortage of trained pharmacists, doctors consultants, psychologists etc. If one leaves it’s a huge challenge to recruit someone else. The kind of people that want these jobs are pretty special. They take years to train. They need to be paid better and as country we need to make training for these roles much easier so they aren’t dissuaded by student loans, ridiculously long hours, physical or verbal abuse. The removal of busaries has had a massive effect on nurse recruitment. If we want a decent NHS then we have to be prepared to pay for it. I’ve worked in it for a while and the past 8 years have seen huge cuts. My trust has cut over £3m from its budget in the past 3 years. This has had a big knock on effect on patients. The experienced staff are retiring and their posts are remaining vacant.

There simply aren’t any more efficiency services left.

One fairly simple solution, although the training takes time, would be to make every medical degree/ training course free, thereby encouraging a greater take-up from students who "dont really know what they want to do" and then of course, reward the personnel properly once they have qualified.

I konw it will blow the minds of some but, perhaps schools and colleges should be trying to guide youngsters into careesr where there are greater opportunities / vaccancies.
We live in a free world (nearly) and it's great that kids have a choice of what thet want to pursue after leaving but, where there are gaping holes in the workforce, there should be some additional "help" for those willing to train.

[Bullseye]

Re: Wealth re-distribution : Thu Jan 10, 2019 3:57 pm  

wrencat1873 wrote:

One fairly simple solution, although the training takes time, would be to make every medical degree/ training course free, thereby encouraging a greater take-up from students who "dont really know what they want to do" and then of course, reward the personnel properly once they have qualified.

I konw it will blow the minds of some but, perhaps schools and colleges should be trying to guide youngsters into careesr where there are greater opportunities / vaccancies.
We live in a free world (nearly) and it's great that kids have a choice of what thet want to pursue after leaving but, where there are gaping holes in the workforce, there should be some additional "help" for those willing to train.

Until the early 90s they were free – there were 100% maintenance grants for students – not loans, and certainly not tuition fees. I would say the needs are so great that this should be brought back for those qualifications that are needed for the vacancies we need to fill.

With the reduction in applicants we’ve seen over the past couple of years this is a dire situation that needs remedying. It won’t be helped if EU citizens decide to go home too.

Re: Wealth re-distribution : Thu Jan 10, 2019 5:43 pm  

Bullseye wrote: With the reduction in applicants we’ve seen over the past couple of years this is a dire situation that needs remedying. It won’t be helped if EU citizens decide to go home too. The NHS has been hit by a double whammy. One is the conservatives not properly funding the NHS, the other is the drop in EU applicants for vacant posts following the Brexit vote. https://www.google.co.uk/amp/s/www.bbc. ... h-40248366

Bullseye wrote: With the reduction in applicants we’ve seen over the past couple of years this is a dire situation that needs remedying. It won’t be helped if EU citizens decide to go home too. The NHS has been hit by a double whammy. One is the conservatives not properly funding the NHS, the other is the drop in EU applicants for vacant posts following the Brexit vote. https://www.google.co.uk/amp/s/www.bbc. ... h-40248366

Re: Wealth re-distribution : Thu Jan 10, 2019 6:08 pm  

Bullseye wrote:

The biggest positive impact you could have on the NHS would be to fill all the existing vacancies for frontline patient facing posts and then recruit additional staff for the most under pressure services (this is all of them but some are in a more dire state than others).

The difficulty you have at the moment with filling these vacancies is that they require staff that are trained to a high standard. They’re not only nurses but specialists too like radiographers, OTs, physios etc. Then there’s the medics. There’s a real shortage of trained pharmacists, doctors consultants, psychologists etc. If one leaves it’s a huge challenge to recruit someone else. The kind of people that want these jobs are pretty special. They take years to train. They need to be paid better and as country we need to make training for these roles much easier so they aren’t dissuaded by student loans, ridiculously long hours, physical or verbal abuse. The removal of busaries has had a massive effect on nurse recruitment. If we want a decent NHS then we have to be prepared to pay for it. I’ve worked in it for a while and the past 8 years have seen huge cuts. My trust has cut over £3m from its budget in the past 3 years. This has had a big knock on effect on patients. The experienced staff are retiring and their posts are remaining vacant.

There simply aren’t any more efficiency services left.

Are you seriously suggesting that the NHS is as lean as can be or just your NHS trust?

One of the biggest gains the NHS can get is to stop the abuse of its services by its patients - whether its patients not turning up for appointments or patients turning up at A&E when that is not appropriate.

Re: Wealth re-distribution : Thu Jan 10, 2019 7:59 pm  

Sal Paradise wrote: Are you seriously suggesting that the NHS is as lean as can be or just your NHS trust? One of the biggest gains the NHS can get is to stop the abuse of its services by its patients - whether its patients not turning up for appointments or patients turning up at A&E when that is not appropriate. The NHS is the most efficient health system going https://www.google.co.uk/amp/s/www.bbc. ... h-40608253

Sal Paradise wrote: Are you seriously suggesting that the NHS is as lean as can be or just your NHS trust? One of the biggest gains the NHS can get is to stop the abuse of its services by its patients - whether its patients not turning up for appointments or patients turning up at A&E when that is not appropriate. The NHS is the most efficient health system going https://www.google.co.uk/amp/s/www.bbc. ... h-40608253

Re: Wealth re-distribution : Thu Jan 10, 2019 9:44 pm  

Sir Kevin Sinfield wrote: The NHS is the most efficient health system going https://www.google.co.uk/amp/s/www.bbc. ... h-40608253 Does that mean there is no waste in the NHS which could be eliminated which was the question?

Sir Kevin Sinfield wrote: The NHS is the most efficient health system going https://www.google.co.uk/amp/s/www.bbc. ... h-40608253 Does that mean there is no waste in the NHS which could be eliminated which was the question?