RogerOThornhill wrote:AngryAsWell wrote:The best the Donald Trump inauguration can do is a Bruce Springsteen tribute band
He couldn't get The E Street Band, but he did land 'The B Street Band'
http://www.independent.co.uk/arts-enter ... 23436.html" onclick="window.open(this.href);return false;
Wouldn't be at all surprised if The Boss tried to stop them playing any of his songs...
Don't worry David Cameron promised we'd all be safe from flooding in the future.PorFavor wrote:The rain here is torrential, and has been so all day - with no sign of it letting up.
Over.
There'll be hordes of them . . .An evacuation centre in Clacton will receive evacuees [from Jaywick] from 4pm on Thursday and accommodate them until it is safe to return to their homes. (Guardian)
Do you think that Theresa May "recognises" or "accepts" flooding?PaulfromYorkshire wrote:Don't worry David Cameron promised we'd all be safe from flooding in the future.PorFavor wrote:The rain here is torrential, and has been so all day - with no sign of it letting up.
Over.
Strangely 'Here Comes the Rain' has just come on the sound system where I am
[which is odd because it's snowing here!]
Put her Canute skills to the test.PorFavor wrote:Do you think that Theresa May "recognises" or "accepts" flooding?PaulfromYorkshire wrote:Don't worry David Cameron promised we'd all be safe from flooding in the future.PorFavor wrote:The rain here is torrential, and has been so all day - with no sign of it letting up.
Over.
Strangely 'Here Comes the Rain' has just come on the sound system where I am
[which is odd because it's snowing here!]
Maybe Nissan's Brexit deal is that they get to run the hospitals in Sunderland?Eric_WLothian wrote:The components in a car plant don't sleep at night or use public transport to get there. Patients don't "work" shifts, even if the staff do.WelshIan wrote:What hospital plant and capital are you thinking of here? I'm struggling to come up with any examples - I don't think you're talking about appointments, non-urgent surgery,etc. I can't think of anything else that would fit though.SpinningHugo wrote:
Of course it does. That wasn't the point. The point is that you don't make different levels of use according to day/time (see a car plant).
With Jeremy ?unt in charge, best not to give them ideas!WelshIan wrote: Maybe Nissan's Brexit deal is that they get to run the hospitals in Sunderland?
Operating theatres? Equipment?WelshIan wrote:I still don't understand your answer. What are they supposed to do with that hospital? They are already open 24/7.SpinningHugo wrote:WelshIan wrote: What hospital plant and capital are you thinking of here? I'm struggling to come up with any examples - I don't think you're talking about appointments, non-urgent surgery,etc. I can't think of anything else that would fit though.
The big building with the sign hospital, the rooms inside, and all the stuff like knives that are used.
I really do not appreciate this sort of condescension to a serious question.
He's the clown who knocked a cyclist off their bike by opening his 'ministerial' ride door into their path.AngryAsWell wrote:Cyclists don't count as road users, argues transport secretary
Chris Grayling’s response to question in House of Commons draws fire from cycling groups and accusation of ‘astonishing lack of knowledge’ of his brief
https://www.theguardian.com/politics/20 ... ?CMP=fb_gu" onclick="window.open(this.href);return false;
I see. That never occurred to me.
PaulfromYorkshire wrote:We could organise a Brexit speech bingo
RogerOThornhill @ROTSchools 4h4 hours ago
@rafaelbehr 10am to 10:01.
"Good morning ladies and gentlemen. Brexit means... Brexit! Thank you very much"
Thanks for the apology, Hugo.SpinningHugo wrote:Operating theatres? Equipment?WelshIan wrote:
I still don't understand your answer. What are they supposed to do with that hospital? They are already open 24/7.
I really do not appreciate this sort of condescension to a serious question.
Clearly we aren't going to be doing standard operationa at 2 am but in commercial terms it makes no sense to have any difference between Sundays and Wednesdays.
You're quite right to be cross and I apologize. Long day.
Costs of implementing seven day services, and current service levels, vary within these eight providers and may vary even more across the whole English NHS. Current services are at different levels. That suggests a local rather than a standard national approach to implementation is required.
• The range of costs for implementing seven day services at most providers, excluding London, is broadly 5% to 6% of relevant expenditure (i.e. the cost of emergency admissions excluding maternity) or up to 2% of total patient care income. In our view, caution should be used when attempting to use this information to construct a potential cost for the whole of the English NHS because of the relatively small sample size, the differences in London and the potential differences in nonfoundation trusts.
• It appears that the additional costs would be lower in London trusts than elsewhere, because of investments already made. Costs would tend to be higher in smaller district general hospitals. The practical problems of implementation, and recruitment, also tend to be worse at smaller trusts.
• There is evidence that seven day services at the front-end of the hospital can pay for themselves at some trusts, by reducing admissions and length of stay. But usual PBR rules have to be flexed locally to enable providers to share the financial benefit from reducing admissions.
• Seven day services for a hospital as a whole are unlikely to be cost-neutral (except at some London trusts) under the present configuration of services. It is fair to conclude from this small study that the move to seven day services does appear achievable, but it may be too expensive and unsustainable for all existing hospitals to move all their current range of services to a seven day basis.
• Costs could be reduced if current payments for working unsocial hours were reduced.
• In general PBR has not helped with creating seven day services and a set national tariff would not be a good tool to incentivise them. Emergency seven day services may be better paid for as a fixed ‘payment for capacity’, with adjustments for activity levels. The hard task is to find a fair and defensible way to set that payment level in a semi-commercial environment.
• In the trusts examined, any move to seven day services was led by the trusts not their commissioners. NHS England would need to take action to incentivise commissioners if it wants to implement seven day services quickly.
Forget who it was earlier but it was pointed out that this might not be such a great idea since France went for Clinton 81% against Trump 19%...AngryAsWell wrote:Words fail......
Sam LevineVerified account
@srl
Marine Le Pen in Trump Tower
" onclick="window.open(this.href);return false;
The City Regions already exist - certainly Leeds City Region is pretty successful. I don't live or work in Sheffield, so can't really comment. The question is therefore whether there should be a mayor. My understanding has been that local politicians feel elected councillors have done a decent job thanks very much and why would we want a "populist" type position instead.Tubby Isaacs wrote:Paul is closer to this than me (clue in his name) but it doesn't sound like a great idea.
https://www.theguardian.com/politics/20 ... -wide-deal" onclick="window.open(this.href);return false;
Calls for a pan-Yorkshire region, instead of the Sheffield Region (which has been held up by a high court case).
Cornwall has enhanced devolution already, but Yorkshire looks too disparate to work like that. The Sheffield Region, including "Sheffield facing" bits of Derbyshire, looks better. Maybe lose Derbyshire Dales- is that there to provide Tory votes? Even so, I'm surprised a Tory area would tie itself to a city region. Ones around London have been very reluctant to come under TfL for transport.
And for all of the "It's a massive white elephant" talk at the time, it worked out pretty well given what it's used for.AngryAsWell wrote:Michael Harris @mjrharris 3h3 hours ago
Remember when the biggest problem in the UK was the MILLENNIUM DOME. Remember that? DO YOU?
I don't accept that it's snow. (BBC have just called to offer me a gig to offer balance on the shipping news)PorFavor wrote:It's snowing here now.
Change is as good as a rest.
Global Britain my arse.PaulfromYorkshire wrote:May’s spokesperson said: “She will be making a speech on Tuesday, setting out more on our approach to Brexit, as part of preparing for the negotiations, and in line with our approach ofglobalLittle Britain and continuing to be anoutwardinward-looking islandnation.”
Yeah,the personality politics you get with mayors is annoying but it's probably been good for London, the last bellend's buses notwithstanding. It's been an evolving thing, with more rail lines being devolved, until Grayling came along. It could be better if the Tory councils round the outside didn't get so silly about how the Mayor isn't accountable to them, and oppose devolving more lines. I mean, how accountable to them really is the DfT?PaulfromYorkshire wrote:The City Regions already exist - certainly Leeds City Region is pretty successful. I don't live or work in Sheffield, so can't really comment. The question is therefore whether there should be a mayor. My understanding has been that local politicians feel elected councillors have done a decent job thanks very much and why would we want a "populist" type position instead.Tubby Isaacs wrote:Paul is closer to this than me (clue in his name) but it doesn't sound like a great idea.
https://www.theguardian.com/politics/20 ... -wide-deal" onclick="window.open(this.href);return false;
Calls for a pan-Yorkshire region, instead of the Sheffield Region (which has been held up by a high court case).
Cornwall has enhanced devolution already, but Yorkshire looks too disparate to work like that. The Sheffield Region, including "Sheffield facing" bits of Derbyshire, looks better. Maybe lose Derbyshire Dales- is that there to provide Tory votes? Even so, I'm surprised a Tory area would tie itself to a city region. Ones around London have been very reluctant to come under TfL for transport.
I’m glad well known fact-checker Donald Trump has come out against ‘fake news’
Asked who he thought was responsible for hacking into secret American emails, he answered, 'Russia and China and everybody'. That shows whatever else you can complain about, you can’t fault his grasp of detail
http://www.independent.co.uk/voices/don ... 24611.html" onclick="window.open(this.href);return false;
Whereas Leeds City Region arguably relies on Leeds Council to provide leadership to the whole region. Given about 20% of the region's 4 million live in Leeds itself this probably just about works. The Combined Authority does link up the other areas, but even I don't know how it is constituted and it doesn't feel very democratic, though it is effective.Tubby Isaacs wrote:Yeah,the personality politics you get with mayors is annoying but it's probably been good for London, the last bellend's buses notwithstanding. It's been an evolving thing, with more rail lines being devolved, until Grayling came along. It could be better if the Tory councils round the outside didn't get so silly about how the Mayor isn't accountable to them, and oppose devolving more lines. I mean, how accountable to them really is the DfT?PaulfromYorkshire wrote:The City Regions already exist - certainly Leeds City Region is pretty successful. I don't live or work in Sheffield, so can't really comment. The question is therefore whether there should be a mayor. My understanding has been that local politicians feel elected councillors have done a decent job thanks very much and why would we want a "populist" type position instead.Tubby Isaacs wrote:Paul is closer to this than me (clue in his name) but it doesn't sound like a great idea.
https://www.theguardian.com/politics/20 ... -wide-deal" onclick="window.open(this.href);return false;
Calls for a pan-Yorkshire region, instead of the Sheffield Region (which has been held up by a high court case).
Cornwall has enhanced devolution already, but Yorkshire looks too disparate to work like that. The Sheffield Region, including "Sheffield facing" bits of Derbyshire, looks better. Maybe lose Derbyshire Dales- is that there to provide Tory votes? Even so, I'm surprised a Tory area would tie itself to a city region. Ones around London have been very reluctant to come under TfL for transport.
I'd like more of it in London, provided a more powerful assembly was set up. I can't see how it makes sense to have 32 library services, for example.
