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[Gaffers]

Oh, nd I forgot to add.  Iam not against medical professionals getting paid more, quite the opposite in fact.  However, I think nurses deserve it more than doctors

But I do loath wrapping up"we should be paid more" with "patient safety"

It grips my sh!!

[05omegav6]

Yes, they have a set number of beds, but there aren't enough staff (particularily doctors) at weekends to treat the patients in those beds.

That's shit rostering/poor resource management. If the NHS is supposed to be 24 hours then make it 24 hours

Have half the staff working nights, Shift N, and half working days, Shift D each shift should be split in half... N and N2, D1 and D2 respectively... Shift x1 start at 0500 or 1700, and Shift x2 starts at 0700 or 1900.

Everyone does 12 hour shifts and works four on/four off. If the shifts are too long, then simply split the staff into twelve rather than eight... and go three on/three off eight hour shifts... say... 0400/1200/2000 and 0600/1400/2200...

Actually the latter scenario is good because you could pay everyone in any given role the same rate regardless because they could do early/middle/late/3 off...

That's the 24/7 NHS sorted, what's next

[Andy B]

....  However, I think nurses deserve it more than doctors
 .......

As my daughter is doing a nursing degree at UCLAN I couldn't agree more! 

[biggriffin]

Yes, they have a set number of beds, but there aren't enough staff (particularily doctors) at weekends to treat the patients in those beds.

That's shit rostering/poor resource management. If the NHS is supposed to be 24 hours then make it 24 hours

Have half the staff working nights, Shift N, and half working days, Shift D each shift should be split in half... N and N2, D1 and D2 respectively... Shift x1 start at 0500 or 1700, and Shift x2 starts at 0700 or 1900.

Everyone does 12 hour shifts and works four on/four off. If the shifts are too long, then simply split the staff into twelve rather than eight... and go three on/three off eight hour shifts... say... 0400/1200/2000 and 0600/1400/2200...

Actually the latter scenario is good because you could pay everyone in any given role the same rate regardless because they could do early/middle/late/3 off...

That's the 24/7 NHS sorted, what's next

Well put sir, but you are dealing with the last union dinosaur left in Britain, it hates change,

Sir Digby Jones did a series of programmes at hospitals to try to make them work more efficient, it worked, the had a better thro-put, and saved money and were less stressed, bet you can't guess what happened afterwards?
 NHS needs a shake up from the top down, and the biggest problem is it's used as a political pawn by all the parties, that change it under every consecutive health minister, who is trying to make a name for hi. Self,  The nhs is just plodding along, consuming millions of pounds, and doesn't like change  due to the unions.
It's a dinosaur, look what happened to all the other dinosaur industry's run by unions.
 Another example " NHS buys paracetamol at £1.00 you can buy them for 25p at Tesco.
The NHS is the largest purchasers of drugs worldwide, yet it overpays for all of them, can't see a large supermarket chain being dictated to by its suppliers, or staff.

[aaronjb]

It grips my sh!!

And by the sound of it, that's probably like trying to hold on to porridge...


(Couldn't resist, this discussion is far too serious)

[biggriffin]

It grips my sh!!

And by the sound of it, that's probably like trying to hold on to porridge...


(Couldn't resist, this discussion is far too serious)

Occasionally OOF does do serious.

[Gaffers]

It grips my sh!!

And by the sound of it, that's probably like trying to hold on to porridge...


(Couldn't resist, this discussion is far too serious)

 

[Terbs]

This post just appeared on my Facebook. Not sure of the role of the poster, but I found it quite amusing under the present situation ..........

Quote.....
'I think it's high time we proposed a new employment contract for MP's with the following amendments:

1. We need our parliament to be a 24/7 service, so propose to extend the working hours from 7am until 10pm Monday through Saturday, with overtime/subsidised meals and transport only available outside of those hours.

2. In addition to point 1, MP's expenses beyond the basic requirements of their constituency office (i.e office stationery supplies) will no longer be available, but this will be offset by the extended hours required to work so not really a pay cut... Hell, let's say we increase their basic hourly rate by 1% and say they're getting a pay rise

3. In order to make this a truely accessible 24/7 service, MP's should be available to their constituents no matter what time, day or night by making their phone numbers available to constituents who need them in emergencies. It's for the safety of their constituents, and our priority at all times will be the safety of our constituents (even if an overworked MP means they're not able to help their constituents safely). The closing of parliament during the summer will unfortunately have to end in order for us to achieve this 24/7 service, but it is for the good of the people.

I figure we just impose this amended employment contract on them, even if they threaten to strike or resign. We can use these to our advantage by saying they're just greedy and don't really care about their constituency's at all. And the bonus is, if they do resign, we can just employ new MP's under the new contract. So, whether the MP's want it or not, we get our 24/7 parliament even if it ends up being an even shitter version of the current one.

I figure we only need 30% of the population to agree and we can call that a majority!'

...Unquote

[05omegav6]

My six shift three on three three off idea can be applied to any role... If you can do shopping 24/7 why not anything else

[Nick W]

Why are we limiting the contract changes to just doctors? As a 24 hour business that cannot accurately predict its busy periods, surely there is a desperate need for the middle and senior managers, business consultants and all the other self-abusers that large bureaucracies 'need' to be available all the time? Put every employee on a four-on-four off, rotating 24hour shift pattern, and disallow any overtime payment over 60minutes that hadn't been authorised at least a week in advance.


A serious proposal to do this would soon see so many toys thrown out that the whole country would look like a bomb had gone off in Toys R Us.

[Andy B]

....
Put every employee on a four-on-four off, rotating 24hour shift pattern,  .....

Yuk!! I've never worked it, but everyone I know that has, has hated it.

[Nick W]

....
Put every employee on a four-on-four off, rotating 24hour shift pattern,  .....

Yuk!! I've never worked it, but everyone I know that has, has hated it.

QED

[05omegav6]

....
Put every employee on a four-on-four off, rotating 24hour shift pattern,  .....

Yuk!! I've never worked it, but everyone I know that has, has hated it.

QED

Hammer... nail... head

[Shackeng]

1. Ref 24/7, my wife was taken into A&E on NY Day, Friday, well looked after but kept in overnight for obs. Ward was defo understaffed, wife spent the night helping a distressed patient in the next bed! Prescribed tablets next day at 9.00 AM to be discharged that day. At 5.00PM still had not got tabs and was discharged, so she unnecessarily occupied an emergency bed for at least 7 hours. I had to drive in to collect the tablets the next day, and still had to wait 2 hours for them! Fortunately one of my golfing partners is Chairman of the Hospital Trust, so he was very grateful for my input.
2. My wife has recently been - reluctantly - prescribed tabs, that my GP tells me cost £198 per month for 28 tablets, I can buy 150 of the same tablets from Greece for 40 Euros! Go figure. I have written to my MP with these figures and await her reply with interest.

[Kevin Wood]

2. My wife has recently been - reluctantly - prescribed tabs, that my GP tells me cost £198 per month for 28 tablets, I can buy 150 of the same tablets from Greece for 40 Euros! Go figure. I have written to my MP with these figures and await her reply with interest.

Why the NHS isn't exercising its' considerable buying power and instead chooses to be shafted I'll never know. Need to get  someone with some nouse running it, IMHO.