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 becky  over the moon 21 Apr 20 12.32pm |
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Originally posted by Wisbech Eagle
My knowledge of NHS procurement is sketchy at best but it does seem to me that a lot of it remains at local level with the trusts negotiating their own contracts and competing with one another. The idea that "salesmen" visit doctors and nurses to promote drugs and equipment has always felt uncomfortable to me, as a waste of everybody's time and money. Surely many things ought to be handled at a national level? The principal of subsidiarity applies just as much with the NHS as anywhere else. I understand the desire to introduce internal markets, to improve efficiency and reduce bureaucracy, but when this is a consequence questions need to be asked. We are effectively now in a war against the virus and time. The only time in my lifetime I witnessed the UK going onto a war footing was when we went to the Falklands. What I saw then amazed me. I happened to be living close to a major emergency army supply base near Tewkesbury and the amount of equipment that was moved from there, 24 hours a day for a week or two, was incredible. The warehouses there are enormous and seemingly stretch for miles . Surely one of the lessons from this must be we need a similar reserve facility for health care, with the stock rotated into actual use to avoid deterioration. It probably is, but those GP's are not going to give up those lovely 4 day/2 person breaks at exclusive, exotic resorts with half a day spent at a 'conference' on the latest drug that easily........
A stairway to Heaven and a Highway to Hell give some indication of expected traffic numbers |
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 Wisbech Eagle Truro Cornwall 21 Apr 20 12.44pm |
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Originally posted by becky
It probably is, but those GP's are not going to give up those lovely 4 day/2 person breaks at exclusive, exotic resorts with half a day spent at a 'conference' on the latest drug that easily........ If central contracts replace local ones and all information on drug efficacy is also centralised, then the companies would no longer offer them. Doctors need to be rewarded on performance by us, and not by companies on whether they prescribe their drugs or not.
For the avoidance of doubt any comments in response to a previous post are directed to its ideas and not at any, or all, posters personally. |
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cryrst  The garden of England 21 Apr 20 12.47pm |
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Originally posted by Wisbech Eagle
If central contracts replace local ones and all information on drug efficacy is also centralised, then the companies would no longer offer them. Doctors need to be rewarded on performance by us, and not by companies on whether they prescribe their drugs or not. They also need to stop thinking they're immune to change. Suggestions are made on how to get a better system and generally shouted down without a second thought. A bloody good job is done by all healthcare workers as proven now but we are all in this together.
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| Spiderman Horsham 21 Apr 20 12.59pm |
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Originally posted by AERO
Easy jet are not making it easy either After closing there helpline and numerous telephone calls and emails have finally received my cash refund They were determined just to offer vouchers as refund . Disney are not giving any cash refunds. They are offering a ticket extension until December or if you apply, they will consider extending it. So if you are not able/ want to travel to the US in the future you will have lost your ticket money, which are not cheap. Pretty poor show by the company that promotes being family friendly and the greatest place on earth
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| mezzer Main Stand, Block F, Row 20 seat 1... 21 Apr 20 1.41pm |
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Originally posted by Spiderman
Disney are not giving any cash refunds. They are offering a ticket extension until December or if you apply, they will consider extending it. So if you are not able/ want to travel to the US in the future you will have lost your ticket money, which are not cheap. Pretty poor show by the company that promotes being family friendly and the greatest place on earth Always thought they were a Mickey Mouse company
Living down here does have some advantages. At least you can see them cry. |
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| Stirlingsays 21 Apr 20 1.43pm |
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Originally posted by mezzer
Always thought they were a Mickey Mouse company
More Minnie Mouse now.
'Who are you and how did you get in here? I'm a locksmith. And, I'm a locksmith.' (Leslie Nielsen) |
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| Mapletree Croydon 21 Apr 20 1.45pm |
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Originally posted by mezzer
Always thought they were a Mickey Mouse company You'd be Goofy to trust them from now on
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croydon proud  Any european country i fancy! 21 Apr 20 2.02pm |
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Originally posted by Jimenez
Your actually dumber than I originally thought. Coming from you! Get yourself out an about jim, in nyc, walk about, socialise, meet new friends, give them a hug, the Don says you don"t have to stay in after all, it might do you good!
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| croydon proud Any european country i fancy! 21 Apr 20 2.04pm |
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Originally posted by Eustace H. Plimsoll
Of all the dumb luck... Well spotted H!
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| croydon proud Any european country i fancy! 21 Apr 20 2.09pm |
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Originally posted by Spiderman
I wonder how/where she got the information from? Posters on here usually need far more proof than this. Unless of course that is only when it is pro brexit or pro Tory Todays champion of the left Telegraph actually, it was in the original post, like i said to you before spider, open your ears and eyes!
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| croydon proud Any european country i fancy! 21 Apr 20 2.13pm |
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Originally posted by Spiderman
Apologies for this not very helpful. Lesson learned “don’t post after a few hours sleep due to bad back” Accepted mate, just got to your apology, and apologies for my reply!
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Teddy Eagle  21 Apr 20 3.07pm |
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Coronavirus deaths 41% higher than government's hospital-only figures - ONS
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