Sam Unkim 💙💙
19.7K posts

Sam Unkim 💙💙
@Sam_Arkim
NHS Buyer. Is that a problem ?
London Beigetreten Ocak 2011
541 Folgt280 Follower

@Sam_Arkim @timreay @paulpowlesland @lfg_uk I was alluding to the effect of short term policy making, as opposed to other countries such as China who make five year development plans, they have just started on their 15th five year plan.
Only thing I assume about the UK Government is that they’re completely corrupt.
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@maxblunt @timreay @paulpowlesland @lfg_uk Always a favourite. We assume the intention is to build something rather than enrich someone.
bbc.co.uk/news/uk-englan…
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@Adriatica1972 @MolloyLaurence @ReemAmirIbrahim Like i said, end of life stuff.
Most shipped to the 3rd world, they particularly like the old foot pump raising Hospital beds and baby incubators.
We use Hilditch, to get best value, rather than going to landfill.
As a tax payer, you should be chuffed.
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@Sam_Arkim @MolloyLaurence @ReemAmirIbrahim Labour had 13 years with almost complete control of parliament, did nothing other than introduce more PFI.
You must be barely out of your teens because obviously you have no comprehension of history
There are companies like EBME that specialise in NHS auctions FFS. Look them up🙄
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@Adriatica1972 @MolloyLaurence @ReemAmirIbrahim Example's please. No Post Covid Nightingale DoH&SS rubbish either
Ignoring Thatcher is like ignoring William the Conqueror or Churchill. She and Reagan switched Capitalism from wealth creation to wealth extraction (from the middle & lower lower classes).
Neoliberalism sucks
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@Sam_Arkim @jrkdenison @MolloyLaurence @ReemAmirIbrahim It's interesting that Spain's public health system works out at roughly €2000/head, whereas the UK spends about £3500 (€4000)/head. No public system is perfect, but spending twice the amount for far longer waiting lists isn't good.
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Oil, coal and gas consumption are rising. Wind and solar are energy additions. There's no sign of an energy transition.

Stefan Krauter@KrauterStefan
Only renewable energy sources can quickly and sustainably reduce the use of coal, oil, and gas. The world is no longer considering nuclear power; only Germany and a few other countries are still debating it.
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@ShaneLewis60 @jrkdenison @MolloyLaurence @ReemAmirIbrahim In the right wing press
We don't, these are propaganda, black swan events or complete lies.
For example 1 in every 477,000 reams of printer paper is vellum laid parchment for printing of Doctor's graduation certificates, which they will keep for life.
Guess what gets the headline
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@Sam_Arkim @jrkdenison @MolloyLaurence @ReemAmirIbrahim Excellent. I've not lived in the UK since 2006, but I continue to read stories of the NHS paying silly prices for basic commodities.
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@Adriatica1972 @MolloyLaurence @ReemAmirIbrahim Its not surplus, its beyond its functional life. Still useful in the developing world , but impossible to service & or clean to modern standards.
P.S. The admin burden increase is virtually all down to Letwin, Thatcher & Lansley's "internal market"
youtube.com/watch?v=8CSp6H…

YouTube
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@Sam_Arkim @MolloyLaurence @ReemAmirIbrahim Additionally as to the original point the NHS actually functioned better in the 70s and 80s when its administration was small. Today it is a morass of malfeasance and incompetence.
Well documented by how much NHs surplus comes to auction alone.
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@drdavidbull “Free at the point of need” sounds solid, but it’s actually quite narrowly defined. It only guarantees you’re not charged the moment when you receive care
It doesn’t rule out:
Charges after treatment
Subscription-style access models
Insurance reimbursement models
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@ShaneLewis60 @jrkdenison @MolloyLaurence @ReemAmirIbrahim Ultracrepidarian much ?
You need to stop listening to Tufton St. propaganda and stop thinking everyone in the Public sector is clueless.
There a five of these across England.
supplychain.nhs.uk/news-article/m…
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@jrkdenison @Sam_Arkim @MolloyLaurence @ReemAmirIbrahim If someone grabbed the bull by the horns, and explained it clearly to the public, they would receive massive support from all corners.
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@jrkdenison @ShaneLewis60 @MolloyLaurence @ReemAmirIbrahim Would need some huge warehouses. Perhaps 5 across the country, so no 1 hospital is more than 45 minutes away by Transit, in case of major incident responses & to ensure no single flood or fire can bring the NHS to its knees.
Same buying team & Amazon style portal across all obvs.
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@Sam_Arkim @MolloyLaurence @ReemAmirIbrahim You're not very old are you. Water privatisation took place in 1989.
Throughout the 70s and 80s we were known as the dirty man of Europe with the severely polluted state of our beaches and rivers and coasts full of untreated sewage that was just chopped and pumped.
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@jrkdenison @ShaneLewis60 @MolloyLaurence @ReemAmirIbrahim if only they centralised logistics and procurement
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@ShaneLewis60 @MolloyLaurence @ReemAmirIbrahim The NHS should be able to leverage its scale in all sorts of ways. The fact that it seems to fail in every way imaginable is an outrage.
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@jrkdenison @MolloyLaurence @ReemAmirIbrahim Wow, could you be any more out of touch.
Since Thatcher and Blair made outsourcing mandatory, the vast majority of non-emergency care is now provided by private companies. It's vastly more expensive of course but lets gloss over that.
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Underfunding? Pull the other one.
The money continues to flow regardless of poor performance or inefficiency.
The NHS has also largely crowded out the private sector and experiences very limited competition.
The incentive structure is a disaster and it shows.
The only thing holding it together is the professionalism of its staff, but now we discover that it is hiring unqualified individuals from overseas.
We can fix all this by establishing a healthcare voucher system to subsidise the demand side of healthcare (i.e. patients) to resurrect the private sector organically (not through PFI or outsourcing) and provide further support through nationalised reinsurance of the private insurance market, allowing the imposition of minimum terms.
The key objective must be to put power back into the hands of patient consumers and let the market respond, as it will.
That will also allow us to shift liabilities for negligence onto the private sector and private insurance. The private sector will manage that risk as it always does - doing a good job and otherwise removing those who can't or won't perform to the required standard.
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@ShaneLewis60 @jrkdenison @MolloyLaurence @ReemAmirIbrahim And i don't understand the Spanish thing at all. Virtually all Dental practices in UK are private, just the same way as Spain.
Many choose to carry out some work under NHS contracts and prices.
No one is forcing you to be a NHS customer
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@ShaneLewis60 @jrkdenison @MolloyLaurence @ReemAmirIbrahim I love this one, classic trading on ignorance propaganda.
NHS Toilet rolls are minimum 170metres long, so they require changing less of often, against household 22m.
No wonder Thatcher wanted voters gullible, stupid & educated
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@ReemAmirIbrahim as past post-Thatcherite experience has shown, you cannot create a market, in once in a life-time services.
I demand to use Wagner to defend me from invasion
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