2026-07-27T10:05:59Z https://nostr.ae Epistatacadam https://nostr.ae/npub1zg4p47vzcs7cjlp8mv9t3svq27273p2yttyf8t72zry36t885wuqhz56fh https://toot.wales/system/accounts/avatars/109/310/705/671/480/388/original/14e9e35e7a3771d1.jpg https://toot.wales/system/accounts/avatars/109/310/705/671/480/388/original/14e9e35e7a3771d1.jpg https://nostr.ae/nevent1qqstndkfc4qpuywclp6q4pc7j6k05zyvsfs0yjurhwwt7ng3y58745gzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msya8pt8 In reply to <a href='/nevent1qqsw84qtpnwzx32rz2n2zqwcm4tj2xyhhht9pkw53fqe0p3peq32gdqx4jr3p'>nevent1q…jr3p</a><br/>_________________________<br/><br/>it&#39;s not just medicines (drugs) my insulin delivery system is dependent on reliable supply of batteries, and equipment that is warehoused in Netherlands. When there was a manufacturing fault, the supply or parts that keep me alive almost dried up. Going back to the system I used 50+ years ago isn&#39;t possible as those supplies simply aren&#39;t made anymore.<br/>Life expectancy without insulin is not long, probably a handful of weeks. 2026-03-28T09:35:06Z https://nostr.ae/nevent1qqs0e68ae0kvm5x4t0lkjuuym49m6sck36zgr4chzkfnux8xf9vje7czyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msj4kyhd In reply to <a href='/nevent1qqsxg344clxkxej4u3lh8rn5007hncsqfe8yr74nc973x8t0yzpa9tgltswca'>nevent1q…swca</a><br/>_________________________<br/><br/>the defeat of Rome by Pyrus was the one I misplaced. 2026-03-23T16:15:07Z https://nostr.ae/nevent1qqs00g2lmne9flvmc3dl8lyaxf7v2wmn7qhf5dtg6ushp3twyr0njkczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msy3k054 In reply to <a href='/nevent1qqsgcnh8yn6lsskg7f2uwajvcpfl6gs0j2pjpxcejxn7uw9tgce653cvat6lk'>nevent1q…t6lk</a><br/>_________________________<br/><br/>news reports said 5 tomahawks were launched. Four targets hit. The school had a double tap. So I assumed that US sailors would not intentionally target parents rescuing their children who survived and initial attack. So I presumed following Heckseths removal of on the extra safety identification stage, that IA made all the decisions. So my source is news reports and statements from the US command. 2026-03-10T10:20:16Z https://nostr.ae/nevent1qqsrnnpnxtauf2x42xmxz58cnntrw6lhvcywkru8956yrcgwq78xdcgzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msq4p9g8 In reply to <a href='/nevent1qqsv8qmn75jmg9c7w0xv72pj6ygd29jk9v7fwnnd7c6ry60pk58sp6gx9xp9r'>nevent1q…xp9r</a><br/>_________________________<br/><br/>You left out that it hit the school twice. The spare Tomahawk was loitering in case one of the attack ones had failed. But the AI saw lots of activity around the school after the first strike so it selected the school for a second attack aimed at killing any survivors and rescuers. The chief exec and other directors of the AI company should be included in the list of War Criminals. 2026-03-10T08:22:00Z https://nostr.ae/nevent1qqszp25cl6lh892jtg2gcatscmmrjps07r08uwxhhfd0akzma9wykjszyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms7xjty6 In reply to <a href='/nevent1qqswu6gs7g7gg8vm2ymlldftxy3z9f3qnjvrrar50ynfnyh9t5j04xqj0z06s'>nevent1q…z06s</a><br/>_________________________<br/><br/>what I find irreconcilable is if the US-Israeli action is illegal, as Starmer says it is, how you can assist the parties by knowingly letting them use UK bases to commit the Crime, without aiding and abetting the criminal enterprise? So the UK government are war criminals too..... 2026-03-03T07:40:55Z https://nostr.ae/nevent1qqspgpkef0djyzn299qzzfjrcwha6e5gjmcvtggg6jes6nf607umsgszyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msmjvaae In reply to <a href='/nevent1qqs97nlde67klksu9uw93vzskrex9pnhz88ryd27ymyvr9aunlnfefqwvkl5k'>nevent1q…kl5k</a><br/>_________________________<br/><br/>be better if they forgave 20% every year until all debt and interest removed. The 9% income tax surcharge might then be forgiveable. Personally, as someone who got a grant and paid no fees, perfectly happy with an increase of 1% on my income tax rates. Perhaps us older graduates could pay back what we gained. <br/>I&#39;d like a graduate tax, with free tuition and proper maintenance grants for all students. Those who have loans currently could opt for the tax or stay on the loan scheme. 2026-02-22T10:05:16Z https://nostr.ae/nevent1qqs0dd2zpctwju9vtp7pv3x37w0avu2nud2g05qpvuhks05rdap2keqzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msmp0s8w In reply to <a href='/nevent1qqsvnvp9tkmn2q6jlk0tjpnzvr2dp4lscggjd3ccw32v2p5q24vqlnsmc87fr'>nevent1q…87fr</a><br/>_________________________<br/><br/>But surely Government strategy is to replace human workers with LLM based &#39;AI&#39; so offices will no longer be required and since there will be no workforce to manage managers will be redundant too. So getting rid of differently abled workforce allowance fits with the plan. Insisting they come to work is part of it, so they make themselves redundant. 2026-02-22T08:00:32Z https://nostr.ae/nevent1qqswzuq8zpyd5jmnvtn7urhxr523hvaaytm0f8wr7mjw4cjtxkrwtjczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73mss64sk7 In reply to <a href='/nevent1qqswzge4vnqd00y0sx736pzly6w98nsqf895map0hz8s58hc6dkxnxq6ry6n9'>nevent1q…y6n9</a><br/>_________________________<br/><br/>I suspect the news is bad for the acute sector budget, as that is where pharmaceutical costs lie. The public health budget has very little expenditure on drugs as almost of of its work is on keeping an eye of what is going on, and advising on policy to improve thevoublica health. See the Wales 20mph limit for a classic example, or the routine childhood immunisation programme where the supplies costs are trivial compared to the savings both in the healthcare budget and human terms! 2026-01-08T12:27:38Z https://nostr.ae/nevent1qqsdhy3pmshdvkqwx33yt6lugyw8szhkf7g8peta58q6gv7nz7x94yczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73mssj87yu In reply to <a href='/nevent1qqsytdlgysdl8enzd3ceel7fzr78c8aq6n4ht77rhh23tuhcq5fre2ctpkj9p'>nevent1q…kj9p</a><br/>_________________________<br/><br/>agree but perhaps an NHS consultants pay is a useful pointer. It&#39;s considered a well paid respected job. But it pays (In England, £109k for the first year, for a 40 hour documented planned work week, rising to £149k after 14 years if no complaints about ability or skill. Oh and you have to attend annual training events and get revalidated every 5 years (re-elected?). So very similar. 2026-01-08T09:22:57Z https://nostr.ae/nevent1qqsz6y8sz6hj6y0fxx4du8heptp8rpd38akt7h79vsmgslpups627pgzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms0jnpc3 In reply to <a href='/nevent1qqsqs0vqjzqljey98tz32qs9kam6fn6jru4rw4qj2403kw3shcphkusgjjjke'>nevent1q…jjke</a><br/>_________________________<br/><br/>my only disagreement would be they should get Median Wage, with median terms and conditions of employment. Not sure about the no outside jobs, both as some professional require constant practice to keep registration, eg medicine. And I suspect median T&amp;C&#39;s do not exclude second jobs in your free time. Indeed for many people they are a necessity. So binding MPs to the lives the population live would be important. As the inequality grows a bigger pool need two jobs to survive. 2026-01-08T08:12:57Z https://nostr.ae/nevent1qqsdk7cywfrzw6karqp56qpy64tx7xwzvk3atm3g027v448ehyknesszyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms32wu9y In reply to <a href='/nevent1qqsz2stq542qjrakya00p23hcwv6jxm6wprdy0sen9rf8dfl2y68q9gkst97h'>nevent1q…t97h</a><br/>_________________________<br/><br/>they closed the convalescent homes for economy reasons and the modern NHS had no need of convalescence as it was an old fashioned concept that modern health care had shown to be rubbish. <br/>Hubris always comes before nemesis..... 2025-12-30T10:17:20Z https://nostr.ae/nevent1qqsfhdxq2n3lmphzw2zzlgqd2p9fdjfqz58mstygmp6pkjt55l5ltgszyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms2zd64j In reply to <a href='/nevent1qqs9s5vsdqp6wl9qf8edut3k3lh3703rc475rglxr46ymx4tytx5r3sgyyj6z'>nevent1q…yj6z</a><br/>_________________________<br/><br/>It seems economic experts live in a world of hope rather than experience. I suspect investment will be placed where it earns the most, rather than social good! <br/>I&#39;m not actually sure how you invest in social good, as no sellers of savings schemes say that is what they do, that I&#39;ve seen. 2025-12-28T09:05:41Z https://nostr.ae/nevent1qqsq6karj3za24vf7d9lfqh80c4lsd4p25kzj4plzne63fuf2areu4gzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms0evsj7 In reply to <a href='/nevent1qqsg72tdq0ggcqzxh0szvv3ct9r4nhj8nphyn0v0yphl74dtfnc48jg5ca0la'>nevent1q…a0la</a><br/>_________________________<br/><br/>the one piece I couldn&#39;t understand was the concept that someone earning 75k and spending 50k was taxed less than someone earning 50k and spending all of it. Unless he meant the marginal rate. I presumed the tax on 50k spending was the same, so the poorer person got taxed more again. 2025-12-27T22:12:06Z https://nostr.ae/nevent1qqsdtq96srstq39hs8ts96scuwxelw02v4dsvtgafpaln6xhkxwlpyqzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73mst9cpqt In reply to <a href='/nevent1qqsreavtgf65zqk0kns86wcl8497krrfsq3vg2l24c9rcqvdvd8q2pg8xzmwk'>nevent1q…zmwk</a><br/>_________________________<br/><br/>not just produce, but more importantly retain. You train for 10 years, you retain for 30 to 40...<br/>Giving lousy 3 year short term contracts with awful working conditions almost guaranteed to make other grass seem greener. Pay has been reduced too in real terms and as it&#39;s an average earning pension, that means you retirement will be in poverty too. <br/>Hardly surprising they go elsewhere. 2025-12-15T10:23:22Z https://nostr.ae/nevent1qqsru7l3kfvysk3rkc3uzh8ec7s6ylykn39k6s97pzle3ef36f7ujegzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msez45rh In reply to <a href='/nevent1qqs8ddnyqyq4kzwl7pnpvgaek0ntpevfxc24h0gxnv6prelftm4dyhs892jwa'>nevent1q…2jwa</a><br/>_________________________<br/><br/>The JiT philosophy depends on regular predictable arrival of stock and demand. But demand/need in health care is both clustered (infectious causes) and random (though not actually memoryless) and affected by seasonal factors. All told the modelling of it is a nightmare. Not even telecoms companies manage the new year&#39;s eve rush, which is predictable and inevitable. Often takes days for texts to arrive! And the peak demand moves location in a defined way. Health care is much harder. 2025-12-15T10:09:00Z https://nostr.ae/nevent1qqsxfm8uvu5xzk0s37qkn05rf9r3vesnpzk5a523q5aasgczl9z053gzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msm20e28 In reply to <a href='/nevent1qqsfl9fc7lrnk8538y0qklg0zeadrhjz85c24j6uelxfpndd6dmplgcqqkqpq'>nevent1q…kqpq</a><br/>_________________________<br/><br/>I suspect the mistake is assuming that once the surge in need is over, everything returns to normal almost at once. I recall a study done at I think KCH that showed (when normal bed occupancy was about 75%) if you became full for a single night, due to a flu outbreak, or norovirus, then the hospital took three months to return to status quo ante. Thus aiming for Bed Occ of 85% elongates the delays created by a short surge: &#39;flu outbreaks traditionally hit locally as snowstorms! 2025-12-10T11:25:00Z https://nostr.ae/nevent1qqsd5xr8e68eupdpxlg6wd6hl6m0h55sex0yv0ltwazzfvnpy73t9sqzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73mse9ll9p In reply to <a href='/nevent1qqsfcqkgng8fgkagdj2qfdqn4577uzdezz8vy6yewjvax70fevsj20q9zgkt4'>nevent1q…gkt4</a><br/>_________________________<br/><br/>We have in the interim reduced both the number of acute hospitals, and the number of staffed beds.<br/>So even if needs had not altered, most of our need for hospital care is at each end of our lives, the duration of stay has shrunk so service time reduced, but the number of servers (staffed beds) and locations has reduced dramatically, so of course throughout has reduced.<br/>Amalgamation of multiple hospitals into a megahospital continues despite evidence showing its less cost effective. 2025-12-10T09:56:05Z https://nostr.ae/nevent1qqsfcqkgng8fgkagdj2qfdqn4577uzdezz8vy6yewjvax70fevsj20qzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms45swmx In reply to <a href='/nevent1qqsfae3y58up90uv43dr46selju0k5fq2mpq33ehhn3c48kwpyxs82gzv3wga'>nevent1q…3wga</a><br/>_________________________<br/><br/>I question how much of the sluggishness in the system is due to difficulties in discharge. &#34;Bed blocking&#34; was a complaint routinely trotted out by Health units when I was a medical student back in the 1970s, it seems to occur with much the same frequency now.<br/><br/>What has significantly changed is the expected bed occupancy rate. As a student the bed manager got anxious if occupancy rose about 80%! Now I see my local DGH is reporting an occupancy of 102%....<br/><br/>1/2 2025-12-10T09:48:59Z https://nostr.ae/nevent1qqsdxwa98m98elzwzf20627v9ru3vkch0s0acflnfz72trnxm9fr8fczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msftwumz In reply to <a href='/nevent1qqsrtk9fl8ny5vvejunzgnsl90fkpcqklm0x8nz2rvqvymtmlljrqksku4k9p'>nevent1q…4k9p</a><br/>_________________________<br/><br/>in this case I am pretty certain it&#39;s the view of the minister and his peripherals, that is setting the tone, and if he just told his Principal Sec that he wanted to know how many we needed to ensure everyone had access to an NHS Dentist, then the costs would be with him in hours, he could pressure the treasury by a gently asked question in HoC preferably by an opposition Member. The pressure would then be on HMT to find it, as it did from things they want. Might improve their polls 2025-12-09T15:26:55Z https://nostr.ae/nevent1qqs9t4yrmdpmz2ty7x55wux8t7va8ezzrp8kn80jl9z8cxq7alg050szyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms3xhju6 In reply to <a href='/nevent1qqsqql0e2wsxhgy7qmtrrfts70e26r0432kzkza0yh79wcueuta9e2q92jrsf'>nevent1q…jrsf</a><br/>_________________________<br/><br/>Sounds a typical DH approach. Delay making it possible to appoint the needed qualified people so as to save cash this financial year. Of course the treatments required become more extensive so each one costs the purse more, but never mind the suffering &#34;We&#39;ve got to balance the books!&#34; <br/>Sometimes it think DH should be renamed Department for Extending Suffering, but I believe DES is already occupied.... 2025-12-09T11:26:45Z https://nostr.ae/nevent1qqsvfn0sz6k3crkg0mueqhqzlntcyqptfzsd2an3xn0srvm6h65a6pqzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msukf798 In reply to <a href='/nevent1qqsyxjadefd2jn848s23p8qlu4y6e0kjw86qekj6tc6ju5lf0radntsu04ae7'>nevent1q…4ae7</a><br/>_________________________<br/><br/>I would argue all three started with the adoption of the household model of government economics so beloved of the grocer&#39;s daughter, and the B movie actor. The plundering of the family silver by privatisation, and burning of the revenues of the North sea bonanza to break unions and increase reliance on financial services was all part of her legacy. Perhaps, if FT moved away from that false economic model governments might follow? 2025-12-08T08:58:43Z https://nostr.ae/nevent1qqsxvw4zgattg2pajferc0xlqelvw32rpwaltprpcx80q05e5mvhdcgzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms59lv75 In reply to <a href='/nevent1qqsfae7h5lk77z4dg5jhwvcry954u86ms4yqql7637nx8sy3m5qm5yqsgaq4r'>nevent1q…aq4r</a><br/>_________________________<br/><br/>perhaps if the UK breaks up, NI joins Eire, so becomes a member, Scotland gets it independence, and is allowed back. Then Wales post independence, leaving the toxic English to stew alone in the world for a while. May open negotiations on any terms. 2025-12-06T09:19:52Z https://nostr.ae/nevent1qqspkjr0crm6xwygy2h66xe3ygznzmfcnfl4pgjt5wz0lmzqjgymvhqzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms3yz8e5 In reply to <a href='/nevent1qqsxt3r4vtrzcpj8chgtepph9hhxn8l2leajftpcg8hq0pn5ahhjz0gc5ssm4'>nevent1q…ssm4</a><br/>_________________________<br/><br/>I noticed that they sent questionares to more than 5,000 GPs. I wonder if that was 5001, 5499, or even 5999! Taking the lower figure they got a 15% response rate. So not even close to being representative. On top of that the one sided response could suggest that those who believed MH problems are over diagnosed were more likely to respond. A totally meaningless survey, and another example of the lousy standards of reporting currently common in the BBC. 2025-12-06T08:29:08Z https://nostr.ae/nevent1qqsrwx6tsz6gydpx2tenuzf63wdth6w82tf2m5ekvsunp2avx2exrlgzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms2f7j0x In reply to <a href='/nevent1qqsp5rq3chge7ukxfsjm5q3e5r6gl2nh779u8w4vvhr4tpk8eqc5qvcm6zz22'>nevent1q…zz22</a><br/>_________________________<br/><br/>my biggest problem is getting people to actually follow the bit of NiCe guidance that says nothing in these guidelines overrides clinical necessity. Having four life threatening chronic illnesses, makes the guidelines drawn up to deal with only one a nightmare. That&#39;s even before we get into the whole issue of the guidance being based on the assumed ergodicity of humans, which we know is false. I.e. NICE guidance is built on foundations of sand: particularly for endocrine disorders! 2025-12-02T15:27:15Z https://nostr.ae/nevent1qqsxl07k66mx8n5qhqqcmqclmmxmsh3pfgfl2rqpauwk6h76wyvpaqgzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms0n6a6p In reply to <a href='/nevent1qqsx6wy3nmwl2vdq95pv0497nelqj2c85p7qa8q7zku9pufzjgendasau6ufj'>nevent1q…6ufj</a><br/>_________________________<br/><br/>Perhaps a more important question is will this subsidy/investment in private companies have any beneficial effect on the trend in mortality rate? Austerity stalled the Century plus long improvement for the first time outside major war. <br/>Quite an achievement for Osbourne and Cameron. One they should be reminded of every single day. 2025-11-25T08:07:59Z https://nostr.ae/nevent1qqs0sd80w4zhj35um6yzuyzpteu8zp7j7499valu6e2zfp6tt2eyumgzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms3xepcy In reply to <a href='/nevent1qqsgk0zqxn5utt3549ave2v7n2473sqvrsw2ypug4uphfd6cl0ca2fsadj9y6'>nevent1q…j9y6</a><br/>_________________________<br/><br/>Add to that the replacement of residents in training posts with less trained Assistants (without the undergraduate medical degree) the lack of doctors both slows treatment and increases costs, both fiscal and human for the nation.<br/>All NHS staff (doctors especially) used to be encouraged to engage in inquiry into improving care and treatment, and the service constantly strived to be outstanding.<br/>Now it follows NICE protocols or else, so the service strives to become average/mediocre! 2025-11-24T08:27:08Z https://nostr.ae/nevent1qqsfxh8vyxmme7t6t0ha4z07lrtzcjjmt879kh332p5klwu9upc99eqzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msy242nf In reply to <a href='/nevent1qqsduwkzcp4gy8tfwxkc65y6zff652smt57ulrmmazzp0r7dwwnlnagg3p0lm'>nevent1q…p0lm</a><br/>_________________________<br/><br/>part of the problem is the centralisation model in search of efficiency, rather than the old dispersed model of searching for the highest effectiveness. This combined with the craven worship of process, results in delays throughout the system and a lack of resilience to extreme conditions. The economic model on which this is based will collapse under its inherent unfairness soon. 2025-11-22T10:24:37Z https://nostr.ae/nevent1qqsdwvx0atqv3v4tqx4y0rtf4ny7zp6t74hvd8yn2f3lqzk73zh029szyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msza9flm In reply to <a href='/nevent1qqstsrex5nq92sj7l5avq2766kkuh80un0vjw9vepsg26mljxvj28xg8pu86k'>nevent1q…u86k</a><br/>_________________________<br/><br/>The change in contract and nature of GPs probably has more to do with it that actual capacity, though clearly you can&#39;t squeeze a quart into a pint pot. <br/>We really need to ask if primary care is to provide primary care, or as at present a cheap outpatient and community health service. <br/>Almost all GP time is now spent on follow up and preventative care, rather than on acute diagnosis &amp; treatment.<br/>So are GPs being trained for community and follow up care, or primary care? 2025-11-14T09:18:20Z https://nostr.ae/nevent1qqsxvadmpdkjsgv6sp9fqu9n9e96y4m8th7dyu2hc2tvp3gu0zzuq2czyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msc8rfzm In reply to <a href='/nevent1qqsvayhvhk7h8wp3veqekfmyzg3473hhtx4zq0yktnz9m0penfrcvjgv6ra2u'>nevent1q…ra2u</a><br/>_________________________<br/><br/>it&#39;s interesting that the graph displayed seems to suggest the long waits problem started around 2012, about the same time as the decline in mortality rate stalled, and life expectancy stopped rising as fast as it had. The are probably connected, and I wonder what could have changed in 2012/13 to create such a major impact on trends that go back to Victorian times...<br/>Any one remember austerity. It&#39;s manta was bailing out the rich by making human sacrifices of the poor population? 2025-11-14T08:25:43Z https://nostr.ae/nevent1qqsxfdqd6fhscnjxygra3grmlpyglk7743feg9ser04a77h93dqctxgzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms4e3kcf In reply to <a href='/nevent1qqs87dzwr6erjxw5k5w2p6455x6vrvttsra0tcy340j60ehylde5qcggfhevh'>nevent1q…hevh</a><br/>_________________________<br/><br/>on the question of whether public sector pay should be used to control inflation, there was a Royal Commission that reported on this very point; it stated that public sector pay was not responsible for inflation; so that should not be used as an excuse to reduce PS pay.<br/>When the pay review body was reconstituted by Cameron, that vital element was removed, now it is a fig leaf for imposition of Treasury whim on public sector. Save the cost of the RBs &amp; face annual strikes. 2025-11-11T13:31:52Z https://nostr.ae/nevent1qqs04yj2mkud2lmnenvf8j8zxuu42quy3peyjka5drdup8xxstmqanqzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms5wkpac In reply to <a href='/nevent1qqsf7yx8gs9qtygtlkagjwuuevxnxtcu2j7zjmvqvxmulv3vcdfymcs47alqw'>nevent1q…alqw</a><br/>_________________________<br/><br/>I failed to explain clearly my belief that the salary premium is very dependent on the work you do after obtaining your degree.<br/>Stem students who remain in STEM work see very little premium, but those who join the city see a vast premium, my nephew who chose that route now has a basic salary greater than mine was when I retired from the NHS. His student debt was paid off by his employer after 1 year, my younger colleagues just pay a graduate tax of 9% for most of their lives. 2025-11-06T09:50:59Z https://nostr.ae/nevent1qqsf8dpf44ah36cyt3swkzdcuamdty4a02l2qazlk7955zr0ay24gfqzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msu8u7yn In reply to <a href='/nevent1qqsg3gt99n22kxymseczzu05psvc8ku3g7kfet9tjmhtcsdz5lp2pxs94q738'>nevent1q…q738</a><br/>_________________________<br/><br/>it&#39;s interesting that the hubris of the Treasury is that it should decide policy, rather than Ministers. Seems to me that perhaps it&#39;s should remember it&#39;s role is to fund whatever the Crown in Parliament decides and advise ministers if it needs more funds, and suggest ways they could raise it within the policy guidelines the crowns ministers have set out.<br/>Something I suspect ministers rarely do these days. 2025-11-06T09:18:59Z https://nostr.ae/nevent1qqsxq49egkftdl42mz0dxrj2qufzvx52tgpdgzvqq589gdg4my23wyszyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msqyys65 In reply to <a href='/nevent1qqsxhfhnkv0wfe4gvc6yxe5uskwr35g3z4h9ty2vdp8rmwjq4vzlp4sexf842'>nevent1q…f842</a><br/>_________________________<br/><br/>just like income tax was? Until some war required it. We&#39;ve had it ever since...<br/>Everyone seems to agree the current system is awful, so a trial might be a good idea,and if it works, perhaps we keep a graduate tax.<br/>Or alternatively just add an extra layer to income tax, say taxable income over 4 times median wage, at 60% . Give that to universities. 2025-11-05T23:23:12Z https://nostr.ae/nevent1qqs03azqytf8u2d0084z2zehpdjtae54ldwmh60738cqug9xm6fwj3qzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms9p484w In reply to <a href='/nevent1qqsfw6520ugfe8q5vjhksr5mt4d6skpha66a6c9sf23fhe7ltsg0wfces2kys'>nevent1q…2kys</a><br/>_________________________<br/><br/>I&#39;d prefer we had a flat fee of Zero, with payment made instead by central government based on the costs of providing the courses. Plus the option of a living grant in exchange for a 1% surcharge on income tax for graduates. Or a loan from Student Loans repayable as currently.<br/>All graduates like me who had free tuition and no loan are charged the extra 1%. As the HMRC already collects the Student Loans money, it can&#39;t object to collecting the 1% and sending it to a university fund. 2025-11-05T18:54:06Z https://nostr.ae/nevent1qqsf7yx8gs9qtygtlkagjwuuevxnxtcu2j7zjmvqvxmulv3vcdfymcszyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msv7h4yz In reply to <a href='/nevent1qqst4fu26cu4my7tpnv95fual8hmjh5n03hrw65n49l66w2yu0rw23szuwdg7'>nevent1q…wdg7</a><br/>_________________________<br/><br/>I suspect a bigger problem with universities is that whilst globally there remains a salary premium, the disparity between the size of that premium does call into question the uniformity of the fees. If unis are simply businesses selling premium jobs, why is the fee the same for a small premium as it is for a financial services type premium.<br/>On top of that I know one student friend of my daughter who hopes to finish his first degree after 3 years turned into 8 as departments closed. 2025-11-05T09:22:32Z https://nostr.ae/nevent1qqsrsqve9x6zm08y4glu7hv20uewsgtxlean0dx9jmqcns50e0z62qszyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73mss8jplf In reply to <a href='/nevent1qqs2ky3gcnmeagmwtpk9f64qsjkw6vtzcugn642ner3cngpgy78q9hga38kjy'>nevent1q…8kjy</a><br/>_________________________<br/><br/>I&#39;m not even sure as a rule that the rich are particularly innovative. Generally speaking the rich like the status quo and use their influence to prevent innovation as it might make them less rich and or powerful.<br/>So pandering the rich stymies progress and improvement. 2025-11-04T17:21:43Z https://nostr.ae/nevent1qqsgj5u4akggma8ml929c0wvxu6lmv49kkdwv7f6pzudmnas6am0meczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msatlqyp In reply to <a href='/nevent1qqstm7x8ttqxutvll8ewvkwmr5cf2smvvvlm4etsl32wvfqw4ddrntgg55q9r'>nevent1q…5q9r</a><br/>_________________________<br/><br/>That was part of her private is good public bad. The super fast broadband was being proposed by the nationalised GPO telephones. So regrettably the idea that privatised government businesses aren&#39;t so constrained by government policy indicates the accepting her deliberate knife to the heart to UK productivity. Her propaganda ministry is still working. OFCOM is owned by the big players so doesn&#39;t do what it was set up to do. 2025-11-04T11:04:16Z https://nostr.ae/nevent1qqsrrsc72gt2hqy3xhsuycz74j2zvw359t53w026tfy3hs5qe4l6e0gzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msvhhqek In reply to <a href='/nevent1qqs90d78g39q2c799tlklp6cewr0s4ew22wafu2rp4gud0ghfnt4m2c7mfa8e'>nevent1q…fa8e</a><br/>_________________________<br/><br/>the behaviour of large corporation&#39;s suggests they strangle novel solutions rather more effectively than government owned businesses, which often employ odd people who think differently, so develop totally new ideas, winged needles, in vitro fertilisation are two ideas in my field of work. Small head total hip replacement is another. 2025-11-04T10:50:54Z https://nostr.ae/nevent1qqsdpuxmjrygl2au4uk8deyfr8dx6mc8v5s4lwvgfh376pzwmwygdfczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msvjq8kc In reply to <a href='/nevent1qqspw979gpyzmtgxghc43sc2sx90s4vd3fu20vwncfhxevd3zwq0l8ck2pjx5'>nevent1q…pjx5</a><br/>_________________________<br/><br/>why not simply take over the otherwise-unviable socially useful businesses as public services, i.e nationalise them. 2025-11-04T10:14:52Z https://nostr.ae/nevent1qqs0c342wfwj832zm4chjme36p9mq2yx00gvrh9dfctsmgu8urcs6hczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msrtcvfm In reply to <a href='/nevent1qqsftwnc0kevdvq7m9w620fqn09lz0gcvk3dv7ngdn3dnu76tc33ldsgt3w8z'>nevent1q…3w8z</a><br/>_________________________<br/><br/>and underplayed the bigger point about in work benefits being a subsidy to lousy employers. And tax avoidance schemes advertised in their pages.... perfectly legal but hinder the state.<br/>All whilst decrying spending on HMRC investigation &amp; enforcement to catch illegal tax evasion. I understand tax non-payment outweighs the black hole in the Treasury! 2025-11-04T08:29:21Z https://nostr.ae/nevent1qqsxfwayx8cxzkrrf87atsqs662drwg4qu07tm3qxgsl48h7jsdy9uqzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms2yzjcu In reply to <a href='/nevent1qqsrffpru8k6x33wuc4y06rcnn9z27ehgzc820ynqrgdh60aark4wqcey5kru'>nevent1q…5kru</a><br/>_________________________<br/><br/>I think the regulatory bodies are by their very nature exclusionary. They are designed to only permit the chosen few to practice in the respective profession. They go out of their way to hinder those with non UK qualifications. The GMC is a classic, not merely at the start of their UK career, but more often chastising their performance and subjecting them to regulatory sanction.<br/>It&#39;s basically a response to political &amp; media brohah about forins threatening us. 2025-11-04T08:23:58Z https://nostr.ae/nevent1qqswlnqh64ccgtupcv7yvfrvxaaj2fc5820x4ytqweutnyk43vgmuyczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msrtceuj In reply to <a href='/nevent1qqsvrjr24cenzglmuv37qlg7teq08m0ke3sayalr3cd4fk3qvgqh5js24fcuq'>nevent1q…fcuq</a><br/>_________________________<br/><br/>the individual bonus culture is known to reduce productivity, perhaps that&#39;s the UK productivity paradox? 2025-11-03T14:06:43Z https://nostr.ae/nevent1qqsvrjr24cenzglmuv37qlg7teq08m0ke3sayalr3cd4fk3qvgqh5jszyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msxm3y25 In reply to <a href='/nevent1qqsq5esu442lj06ur676uvywy23d5apa4vtpwvm708qm20t0ndv2lmsqcvymm'>nevent1q…vymm</a><br/>_________________________<br/><br/>If they really need bonuses to work hard and give their best, then the company is better off without them. 2025-11-03T14:05:37Z https://nostr.ae/nevent1qqsq3sm8zwqavx6pe5tyt6zj0du08urlxvdyatfwrvf02j5g4ytmw8gzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msw6lpm3 In reply to <a href='/nevent1qqs0d4jymlczfr9xv5qz7xgpd2el8k3qjhr664h7tuae4u5dga48lfg099s2h'>nevent1q…9s2h</a><br/>_________________________<br/><br/>abolishing bonuses for executives would be a useful first step. That money could instead be spread evenly amongst all employees. Since all created the profit, that seems fair to me. It might encourage some starters to stay if money is their main motivator, but I&#39;m guessing it would help sort the good from the &#34;in it for themselves&#34; very well. 2025-11-03T11:00:57Z https://nostr.ae/nevent1qqs8nxnd7a5zr44etrtl787tvn7nypr9pjwfdfdyveufcs5nq7849xqzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msjrmp0v In reply to <a href='/nevent1qqspqjsf4e8xmarv27qm8sjjjdnefp82hnmzzj6keg7l38fdauywz5c8qrvt0'>nevent1q…rvt0</a><br/>_________________________<br/><br/>i.e. it the colonial mindset once again. If the big boy is happy we can use our wealth if not then we can&#39;t. So IMF and WB loans and expertise, is not given to benefit the recipient, but to ensure income for the donor states.<br/>Fiscal rectitude is oversold, anti corruption enforcement is required, but the rich states make that impossible by hiding money, UK, Swiss, US..... 2025-11-02T13:26:17Z https://nostr.ae/nevent1qqst6nvyptxgvk8zuutelhg8yylrvhhd3kk7ngn55zhan6mlh66k4uczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73mss6gq52 In reply to <a href='/nevent1qqsft4dyp0hg8vzckj8nkh86elf4r2ujpe9kee53pn8n2wwlhk6ytnsnzxxmx'>nevent1q…xxmx</a><br/>_________________________<br/><br/>if the EU got it&#39;s act together it could be a natural exchange currency for the world. Though why poor countries with large natural resources should choose to use another currency, which will ensure others benefit from their wealth, is beyond me. <br/>I suspect because corruption is at US/UK levels but not so well hidden. 2025-11-02T10:20:37Z https://nostr.ae/nevent1qqsf26w05kz4l2dz06kx4ycthrhazsdmtvsuvgl7pzg765u6wtcajagzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms9lgv28 In reply to <a href='/nevent1qqsgvyjgutl6h7pn786wdcpkhxw8cj2fw6aclt3zf5n49zkt4ye69lqtej2wk'>nevent1q…j2wk</a><br/>_________________________<br/><br/>Not sure what it will do to General Practice. Already realing from the effects of the employers rise on staff costs, I&#39;m sure the review body won&#39;t be interested in raising intended remuneration. Hospitals have had their increased NI contributions adjusted for...<br/>Expect waits for GP appointments to go up, the difficulties in recruitment are enormous now, last thing it needs is a cut in pay to make it even more attractive! 2025-10-22T18:44:12Z https://nostr.ae/nevent1qqsdzuuga56fh2ed2yymknqw0rh23xvrzfglhhlx692g83tvd8mvkuczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msk3xppf #SilentSunday<br/> <img src="https://toot.wales/system/media_attachments/files/115/401/217/553/752/392/original/ae4cecd70945405d.jpg"> <br/> 2025-10-19T14:12:22Z https://nostr.ae/nevent1qqsryzsnatf0f0x3rr65qqqhcr9uvqmft3ek8rug0kskrl25t8lutgqzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms9yxjaf In reply to <a href='/nevent1qqs2nzztrxk0mluzrps3w82t30m86nyysg5cyg0zpvvllc2l929kfxsy4v9v0'>nevent1q…v9v0</a><br/>_________________________<br/><br/>I do have a problem with his statement &#34;needs growth&#34; growth can only happen within the carrying capacity of the area, island or planet you are considering. Thus as with demography, growth must be logistics, not exponential. As Meadows &amp; Club of Rome pointed out ages ago there are &#34;Limits to Growth&#34;.<br/>Surely tax reform is like criminal reform, and should be undertaken to improve the fairness of the tax system, so those with the broadest shoulders carry the biggest burden for society. 2025-10-19T08:46:18Z https://nostr.ae/nevent1qqstaxslgnk798dkvrejmxwavr9ta8dyzjcnzs25f7trx7vfq04d9uszyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msv9u5u2 In reply to <a href='/nevent1qqsv8dgds34lm3d77et6rfmqhgd90ckt3dpstkun99x9g0tcjkcscfg9anyzp'>nevent1q…nyzp</a><br/>_________________________<br/><br/>I&#39;m curious about the 15%tile. They as the third lowest group have seen a substantial drop in their income compared to median. Those that have not, even that little they have will be taken away! Seems to apply here, is it a benefits threshold kicking in? 2025-10-17T12:25:12Z https://nostr.ae/nevent1qqspv4mjf4kjk9wshzdjlxp3h5w8035gk5kv58etrfwcuytayk43tfczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msppy2em In reply to <a href='/nevent1qqs0dvvav2zs08xu6fzpatv06y4p3ehy8mf8wjc0uskjv5spx6pnfmswp4zn3'>nevent1q…4zn3</a><br/>_________________________<br/><br/>holders of that degree should be banned from all public offices, and advisory positions to government agencies or statutory bodies. 2025-10-15T12:26:49Z https://nostr.ae/nevent1qqszqscy9324yg8gd6qhejw8gw5z4rxgsyrqcpmnyaxaetctzrgcxgczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msv6pvmd In reply to <a href='/nevent1qqszctxhrdunchr5lvv82ktplmqgrl9yw64whrlszduk0fx89kntytgjt725c'>nevent1q…725c</a><br/>_________________________<br/><br/>Suggesting staff should pay for immunisation themselves indicates the employer recognises the risk to staff is real, but can&#39;t be bothered to protect them in contravention of the Act. I&#39;d like to see a few CE and Finance directors in court facing jail for this wanton neglect of their statutory duties. Perhaps a minister could join them...<br/>2/2 2025-10-13T09:35:31Z https://nostr.ae/nevent1qqszctxhrdunchr5lvv82ktplmqgrl9yw64whrlszduk0fx89kntytgzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msdx9szw In reply to <a href='/nevent1qqsxccfns9w8f9r3vmzqrvsquft55gyzqrjeqy9vy9gjsl5mdtrkxlqa84gcw'>nevent1q…4gcw</a><br/>_________________________<br/><br/>it also ignores the Health and Safety at work act. I believe, and I&#39;m no lawyer, an employer has an duty to protect employees against reasonably expected risks, and where the exposure to that risk can&#39;t be completely removed. Mitigated by all practical means. In this case the risk can&#39;t be excluded, so immunising staff is an easy cheap way of mitigating the risks. If staff choose not to be immunised that&#39;s their decision but it creates risks for them to carry on their own. 1/2 2025-10-13T09:32:49Z https://nostr.ae/nevent1qqsvgz0f8kkx8mxwuhmqpufsvlynn0sn3a5rzxz5z8m0tj8ljqmv6qszyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msanc4dz In reply to <a href='/nevent1qqs8276878sr4z704yvuw4lejynp3thljff85t5wp8ekuay5hp5ur4qvnh0ur'>nevent1q…h0ur</a><br/>_________________________<br/><br/>The bizarre thing is most Medical graduates are women, and have been for some time. Why has the preponderance of female medics not changed this? 2025-10-12T08:03:00Z https://nostr.ae/nevent1qqswu7m0he3j35f07htjepdrn4w9v2p6z3xxmt6acvz5ez2wl2cqxfszyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msl9urhp In reply to <a href='/nevent1qqs8h0j8c4hljysg8tq5y4j9al3w05fe6ptrhhmyazqpm0xtl50ve3qresfx9'>nevent1q…sfx9</a><br/>_________________________<br/><br/>I&#39;ve seen, I think from the same source, reports using attitudinal questions to build a composit scale that trys to look through the expressed self beliefs into the reality. I was surprised this method wasn&#39;t used in this case, which rang alarm bells with me. <br/>Even respected experts get it wrong sometimes, the respect is earned by explaining why they are right or accepting they made a mistake. I recall an Nobel laureates work being questioned on the calculations they used.... 2025-10-11T10:23:52Z https://nostr.ae/nevent1qqsdyhgek49mk9ndytjnezfs9ff4r323zxx03cqz0xzzknq5lv86q9szyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msm2uvsd In reply to <a href='/nevent1qqs2vtgs9s0a582rxtr62lnp8sa00x8y7cw8zrpjczmmmkrut9tjmyqqhyhmq'>nevent1q…yhmq</a><br/>_________________________<br/><br/>To me the data on which this was based was prone to self reporting bias of the worst kind. My understanding from the conversation piece was that respondents were asked to place themselves on a scale of 1 to 10 from extreme left(1) to extreme right (10). Not met many people who don&#39;t describe themselves as middle of the road! Even if I think they&#39;re rabid Nazis.<br/>Perhaps Green party members think of themselves as left of centre and Reform right of centre.i.e honest! 2025-10-11T09:39:06Z https://nostr.ae/nevent1qqsrlkn80v8w6qacc84h6n64lh7u7x5ytespqlshj3vwjv0ls6krgmqzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73mspwnjey In reply to <a href='/nevent1qqs02y0fxskj445w9m083z4rufxf94086d5ygkhutgk8fu4th0n6tpspyrmwh'>nevent1q…rmwh</a><br/>_________________________<br/><br/>That&#39;s assuming the Government isn&#39;t in the back pocket of the monopolist companies. The Evidence seems to suggest to me that the established political parties are totally owned by those companies. <br/>Perhaps start there and then the rest will follow. 2025-10-07T12:16:17Z https://nostr.ae/nevent1qqsws99d9n85suxgj54zcj75phpvq3f4lf370kmclzwa2h8x6nxruxczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msefk7kg In reply to <a href='/nevent1qqsqkx43fvx554j3x4ju3tw2sytt9pgdql42srrwvtq5jcntul7tsyqus70g2'>nevent1q…70g2</a><br/>_________________________<br/><br/>No Proscription of Steven ten names group though they have a habit of repeated demonstrations at certain key locations aimed at making groups fearful and altering public policy. And have harmed people in the past.....<br/>Now what adjective describes a group like that? 2025-10-05T10:52:29Z https://nostr.ae/nevent1qqstjsduf3slfznukvz2r7dwncdvz6z2dl4tly6j45jwqncn0us8qrqzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms767emj In reply to <a href='/nevent1qqs8mvr8kkxfftw9qhcpd6pdpqwjd6zvykd9rzf5f2k370gmqyh6lmc4wgka4'>nevent1q…gka4</a><br/>_________________________<br/><br/>or just issue an advisory to all seeking tickets to watch any US based games, FIFA advises that attendance at this game as an official, player, or spectator is at your own risk, as the US government may for no reason seize you and place you in unsafe locations before transporting to concentration camps in third countries, with no record of where they have sent you. At least the Nazi party kept immaculate records of whom they had taken and killed. 2025-10-05T07:37:52Z https://nostr.ae/nevent1qqsz49pgmawuw2wzsngs0ek836ajfx0fxqyhf47pw38afpxq7tjg0qgzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73mslzfkz4 In reply to <a href='/nevent1qqs8n9tjw37ykeuprr07dljezjpty69lr62wgrpmwxzjstn45g7953gwr4957'>nevent1q…4957</a><br/>_________________________<br/><br/>we had a taste of that a few years back in our bank free prosperous town, The card handling centre went off line so all local stores reverted to cash, and some even let regulars write IOUs. Those with cash were welcomed as they kept business working. <br/>I keep some cash available for exactly that. But I&#39;m comfortably off. Some living pay cheque to pay cheque (or worse benefits) won&#39;t have the reserves to have spare cash. Managing their debts becomes much harder in a cashless society. 2025-09-25T14:26:22Z https://nostr.ae/nevent1qqsxvrjwhm52nppdfvsmxjjk9tcgevd55t9z6sg7n83rl73wth9upmqzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msfrsh9e In reply to <a href='/nevent1qqs8809pt7qptx2x6gj449rdg6mkjvamux5s0908fxec39xfj4cnaycrp7gz6'>nevent1q…7gz6</a><br/>_________________________<br/><br/>Perhaps the lesson is that all companies with a turnover of more than say £1m must have suitable cyber insurance cover for their suppliers or they are compulsory wound up. We do it for drivers, why not for the drivers of the economy.<br/>The premium could even be taken by the treasury based on a market assessment undertaken by actuaries. We do it for pensions and sickness insurance. By spreading the load costs are reduced. 2025-09-25T07:36:31Z https://nostr.ae/nevent1qqsdyvt4muv0epx9py0ky3z89n73pyg6etxly5fkts8wrdw3zq7jekczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msrkl8da In reply to <a href='/nevent1qqs00renn8zlz7kdnjmsxe7vvup9k5qknrym66gr0yn7gpr2rqkesysr4jtk9'>nevent1q…jtk9</a><br/>_________________________<br/><br/>Time for me to repeat my request that all taxation be collected by the smallest unit of government, with precepts set by both central and regional governments, to find their activities. The administration could be part of the national government precept, together with a needs based adjustment fund so richer areas pay more to support poorer areas. Then the broader shoulders will carry more of the burden. 2025-09-22T09:16:41Z https://nostr.ae/nevent1qqs8fqp4qs5ct0zp50ckens4jnralueqns6xz0zs5t8earlckflqfqgzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73mshrezs7 In reply to <a href='/nevent1qqsqjef0fsr42m6897ra7ljmd0x0tsd898ky7es6q4fwxqp8yftnaqsqjq22w'>nevent1q…q22w</a><br/>_________________________<br/><br/>I often think that the Right ought to only have WPCs protecting or escorting them, on demonstrations and such. Be interesting to see how their protecting women talk stands up when they attack the police. Perhaps Proscription would follow 2025-09-20T13:40:38Z https://nostr.ae/nevent1qqs2aydvc6q47q50p952dlk6j0qmwkkzpvq8d79l2a6m6rsrzpg8hqczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms2kypv8 In reply to <a href='/nevent1qqsydjv3g5z8mc0e5e0thnvap2cucsh00d43ppwz3kd78q6cp30x73cckujlv'>nevent1q…ujlv</a><br/>_________________________<br/><br/>I hope they go there at least the English ones, Green policy is indepence permitting to the other nations, and is definitely in favour of worker ownership and participation in company policies.<br/><br/>So a natural home for sensible people, perhaps time to drop the left right nomenclature, instead adopt a long-term included/short-term only spectrum? 2025-09-18T17:17:49Z https://nostr.ae/nevent1qqsp297n3unu8hx8m4y3rk6ng2g67m6jge6m3vr20nvgktwx559vzgczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msykn3cc In reply to <a href='/nevent1qqsv85vdm5smh6w72nrnhcd9kt639x7a097gtm7uqw9yphuyel88mxge298vl'>nevent1q…98vl</a><br/>_________________________<br/><br/>The difference is the right deny that hypocrisy is a moral failure, simple because they have no morals or ethics. It&#39;s all about making money, and the pursuit of gold is the root.... 2025-09-18T11:37:34Z https://nostr.ae/nevent1qqsvx2m7ptcm4zs37rpdk8sejk2n0etw0rqe8nzjakl7a3lltqa0tugzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msegxqlw In reply to <a href='/nevent1qqs95s2rqk9gaq93u8uj0wgtrk66y8kzkqkfnmuywma7h2p55kgs4mse6epgx'>nevent1q…epgx</a><br/>_________________________<br/><br/>Perhaps by offering a safe and legal.means to claim asylum to those forced into the boats, they could remove that danger, and welcome those who have much to offer us, not least by paying taxes. 2025-09-16T19:18:08Z https://nostr.ae/nevent1qqsfd2wdnaxx0ugm9y5q300zgw6la82ax0ma8wfekq9m6fzau896rhszyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msy69t2a In reply to <a href='/nevent1qqs9zz4q3x4xwdqa7y5whqgs6gt6wwuzl6nalclrg35yllpxvmqp92gvfnaky'>nevent1q…naky</a><br/>_________________________<br/><br/>I suspect the Second will give rise to problems in government.<br/>First because they won&#39;t like what good data collection costs, and what I &amp; they suspect it will show.<br/>Second because it will almost certainly show that the most at risk group of women are trans, whom, as far as I can tell, it is labour policy to villify. 2025-09-13T07:52:17Z https://nostr.ae/nevent1qqsw4nxlh0dcquvm0rwz6cv3utvdeqqwvqtydgtlxa72ga0fjzdvgjqzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73mske8vc3 In reply to <a href='/nevent1qqs2q7z24y5cuygzjl7chzx5xsnhcflgpxsvm4m3mjze5hqhz588sgq75wdlt'>nevent1q…wdlt</a><br/>_________________________<br/><br/>interestingly there was a paper published that looked at the benefits or otherwise or major disorganisation of the NHS. The only change since 1955 that was beneficial coincided with the much maligned Health &amp; Safety at Work Act.<br/>Since that paper was published the century long improvement in life expectancy stopped in 2012. I leave it to others to guess why. My guess is neoliberalistic murder by starvation.<br/><br/><a href="http://dx.doi.org/10.1177/0141076815608853">http://dx.doi.org/10.1177/0141076815608853</a><br/><br/>*Reference edited to one that works, sorry. 2025-09-12T06:46:32Z https://nostr.ae/nevent1qqsqys5qwhqtrqeggtx8xzyg337h8nfqhh7wtm649gx2mdyvl7qnj6czyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73mspyn7vn In reply to <a href='/nevent1qqs0af0n8derwwearzm6tmy5799ggawty390da7ykmzh3fwkka5774szfd3g3'>nevent1q…d3g3</a><br/>_________________________<br/><br/>I suspect so in All areas of life. The nature of society is it is evolutionary, it has memory, that is to help it ensure it continuously improves, otherwise it collapsed and becomes extinct. If you do not learn the lessons of history then not merely are you destined to repeat them, but also risk extinction. As Ghandi said civilisation of the West would be an excellent idea. 2025-09-10T16:46:30Z https://nostr.ae/nevent1qqsd5pclssj7dzxlvspe0zy24kmpqkk2az05s2xpr9lmv7zmj437f3qzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msw52v3p In reply to <a href='/nevent1qqsrvm7wjmmh6q0ecn8fru2lnxg9x0h2jcfeuc9zdztgdk890vuup6ghu59lz'>nevent1q…59lz</a><br/>_________________________<br/><br/>Perhaps we could go back to the Old Health Authority model, with a seperate Authority for primary care and fund LAs enough for Community care including Social, school, a district services. Make LAs conterminous with HAs, and re-establish the equivalent of MPC to ensure fair distribution of GPs, and RAWP to sort out the distribution of Secondary and Tertiary care. And while we&#39;re about it ensure All health professions schools are attached to Secondary rather than Tertiary centres. 2025-09-10T15:58:09Z https://nostr.ae/nevent1qqs9zg3g00r37slvhyer8kvnquhmgtjfnpu6t4xxvs404aqnz600mzszyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73mskc5v0g In reply to <a href='/nevent1qqs0wze69wdkjzpawf6vjnzdnt37tafnwpaulcnf37e759q06g0h4pchlyq4m'>nevent1q…yq4m</a><br/>_________________________<br/><br/>By composing league tables that inevitably favour those who have more resources compared to need you exacerbate the problem as the rich get all the profit but the poor get the blame. Unless the competition ethos is removed the disparity between the richer areas and the poorer ones will continue to grow. <br/>The proper use of league tables is to transfer resources from those doing well to those doing badly, hence lifting those in deprived area. It worked for London in the past. 2/2 2025-09-10T09:12:13Z https://nostr.ae/nevent1qqs0wze69wdkjzpawf6vjnzdnt37tafnwpaulcnf37e759q06g0h4pczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msgwp09n In reply to <a href='/nevent1qqsw5u66928ladg2c6wxd6qvqlxhtx2q47exy44afx3kpgy9jy9xduqjxmvtd'>nevent1q…mvtd</a><br/>_________________________<br/><br/>Not to mention the problem the market was supposed to make go away, stubbornly persists.<br/>The need for health care is not uniform amongst the population, hence we had RAWP, aimed at redistribution of resources to areas of highest need. It worked so well that London started to become understaffed, so they introduced the London Weighting Allowance as a temporary measure to make working in London more attractive.<br/>The market was to respond to need, but responded to profitability. 1/n 2025-09-10T09:03:48Z https://nostr.ae/nevent1qqszxfvc3f5pe6savzxlakpk4h92wk6nd8xxyce2cless9dju63q8aczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msydwm6n In reply to <a href='/nevent1qqs9l7radmwznktgqgmeeew44jkdgcddn7qcmtnvgt6gswl9jg85gdcmgs9a7'>nevent1q…s9a7</a><br/>_________________________<br/><br/>I suspect that if public services were invested in especially local government delivered services, the net effect on inflation would marginal at worst. Instead by the multiplier effect it would boost GDP magnificently, whilst the inflation concerns would evaporate unless accompanied by income tax thresholds rising. 2025-09-09T14:06:16Z https://nostr.ae/nevent1qqs9nc066ne024f768gz92wwrqmqwtspsznz0x37vumduwg8np5zx3qzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms5qlvpd In reply to <a href='/nevent1qqsz6jhvq83t20nu6k9k264cpmarczgcqvpylpx5zjtch4eq2pe6gec5j98dd'>nevent1q…98dd</a><br/>_________________________<br/><br/>I think Remploy used to do well as a gov agency employing the disabled, with any losses underwritten by the government. I recall being welcomed into reception by a blind receptionist/telephonist, using her wheelchair, relieved when required by a one armed young man who had argued with a baler or some such bit of farming kit. 2025-09-07T14:06:19Z https://nostr.ae/nevent1qqsfs9fcag00p4avgcez57psukrgaqmr0qn4gya6mqppvw2n2ht5v0szyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msw7dqz7 In reply to <a href='/nevent1qqspnpmvknp2xx7hu8y0fq8s4gn4vydh7yzyxlydg25wgs5yntztfsgrrp7ae'>nevent1q…p7ae</a><br/>_________________________<br/><br/>What Emma misses out in her piece is how massively skewed income is in the UK the vast majority receive well under the average (mean) income. Thus I would expect, if the state system of mutual aid was working for the distribution of benefits to citizens to match that income disparity. It doesn&#39;t which is why people are so angry, they know they will never get their fair share, but the fact the rich, especially the very rich, don&#39;t pay their fair share is studiously ignored. 2025-09-07T10:40:40Z https://nostr.ae/nevent1qqspalzd4lxvgnumnhg9hshcqtnuu3hznfpv0aj4k2zh9j37j69almszyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msfwpwrr In reply to <a href='/nevent1qqs22xgy5qay94udpy746l964lz64ds7kl2d03k3yh0ps5fzghpzzzq5fq7g4'>nevent1q…q7g4</a><br/>_________________________<br/><br/>In ONS defence part of its problem is it tries to keep the long time series of data it holds intact, so replacement series are comparable. The cut backs like all public services have been severe falling revenues over the past 15 years have been constant and whilst initially easy to accommodate after 5 years they eat into daily activities. Not sure the basic vital statistics is still secure. The whispers about replacing the 10 yearly census; the power of money saving over function! 2025-09-03T07:19:42Z https://nostr.ae/nevent1qqs2n9cullydg9lepkxtughqxq3wr83dh7e3aesx5ave48zmye7pxqqzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms5cqm9l In reply to <a href='/nevent1qqs2ttgjrtrdp7jfl0jlzkk4e6gxyrvxvwr4lf8vkg6gyhmu09tkfngdsld9c'>nevent1q…ld9c</a><br/>_________________________<br/><br/>agreed, I think the Electoral Reform Society favours it too, as it gives individuals to represent constituencies and ensures close the proportional representation. <br/>Despite what politicians say, it&#39;s easy to explain and do. Voters are not as dumb as most MPs and party apparatchiks seem to think. 2025-09-02T19:47:09Z https://nostr.ae/nevent1qqsfs0yp76mxax5d00s8qj3qrr36583ggxtlssrvqh7hhzah7whcy5czyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73mswp9suh In reply to <a href='/nevent1qqsfq69dv08d63pac77j9mskmfyyw9sr5e2qpsv45ud4c7hh434z5lc4l53jc'>nevent1q…53jc</a><br/>_________________________<br/><br/>I foresee at some soon to be time a two party race The Greens v Reform ltd. The big question is will a change to the voting system occur FPTP is clearly wrong, but will we go Australian with transferrable votes or instead go full party apparatchik like Wales with a closed list, or Apparatchik in chains with an open list system, or a form of hybrid. 2025-09-02T15:09:56Z https://nostr.ae/nevent1qqsf2h34p8edfds7mclnyherpynd0flv3ry9ss828mzj6k6vwmj98jqzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msv33qne In reply to <a href='/nevent1qqs9sqrjcx89nqh2zr9tz253j6ffwemdny8p6lm25e296ww3u4hpc7g9g9h0z'>nevent1q…9h0z</a><br/>_________________________<br/><br/>I wonder if the poor reliability of the mainstream news media is part of the problem. I know from personal experience a news report as given on TV news is very different from what those involved/witnesses reported. Even to the extent of getting the location wrong ....<br/>Why listen to factual inaccuracies interspersed with opinion &amp; forecasts of future events based on briefings? It doesn&#39;t inform you, it&#39;s worse than Pravda in Brezhnev&#39;s day.<br/>The UK has no reliable factual sources. 2025-09-01T17:43:36Z https://nostr.ae/nevent1qqswa8lvjn3dwj5d5nh796dfjxjmkvsa43gy0v38txhmasv2dweg8wczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms8w04ed In reply to <a href='/nevent1qqs878ug599yc2ttk54qrphc90zaugq992678xpj3zq9wqfddvechrqw5898d'>nevent1q…898d</a><br/>_________________________<br/><br/>the robust long term answer to his claim, would simply be to open consular offices in European countries where asylum seekers could apply, and offer them tickets on a ferry from Calais at cost. So long as they report to the ship&#39;s office on boarding and to immigration with their certificate from the consular office on arrival at Dover. Since they observed the rules they could be fast tracked to get clearance, especially if they are from an unsafe country.... 2025-08-31T11:57:15Z https://nostr.ae/nevent1qqs8tav82234p24leaxs2llnpk0uumcnzywzw22fneevs0x3df4wypqzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms99hm4g In reply to <a href='/nevent1qqs9rwh7y037m5xlrjhk599fexrjtkkunzduzrkdh93c7wsyk5na5dqunh586'>nevent1q…h586</a><br/>_________________________<br/><br/>my preference would be for the UN plan to be imposed, modified to allow all three patches of Palestinian land to be contiguous hence to Mediterranean borders one in the north and one in the South in Gaza. Israel is split into three separate enclaves so it would find it much harder to threaten anyone again. <br/>That would be a fitting memorial to the current homicidal crew ruling Israel now. 2025-08-19T09:31:22Z https://nostr.ae/nevent1qqsdt3g64jfdzvvr09xrh9c7kw9zc5pkqved8z4tmxd5u5clrdmvxsgzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms43yyu5 In reply to <a href='/nevent1qqsfh9ptmj3mkhmf9jrqulch0fshncek5rxhf7srwc6ujxthzmlhwlc70p6lx'>nevent1q…p6lx</a><br/>_________________________<br/><br/>possibly also Female graduates tends to favour socially useful jobs like medicine, engineering etc. whereas male graduates are attracted to glamorous low social worth high pay jobs like banking and financial services. 2025-08-19T08:53:03Z https://nostr.ae/nevent1qqstlsqkcsxksqpv84hdaqez3kse348faapzpss7zdf3r6g7q69x5ggzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msgsg5eh In reply to <a href='/nevent1qqsyzgnppdpwz0n8hapvw056n6ph7mlxyukgqeect0wta2snh9lgklgk8qk8x'>nevent1q…qk8x</a><br/>_________________________<br/><br/>I suspect it&#39;s more the cumulative effect of low income and small reserves, due to the market capture by big supermarkets/suppliers, the chaos of the subsidy arrangements post Brexit, plus the costs(time and money) of ensuring you fit in with the IHT rules. <br/>Whilst it&#39;s true most small farms should evade the tax, they can&#39;t evade the paperwork, under which they are close to drowning anyway.<br/>The big conglomerates with an army of consultants to sort it all out, escape. 2025-08-14T18:39:54Z https://nostr.ae/nevent1qqsrky796mp85hl4gzdv479mgrpnxum2pvz2nkghxtj9fxhatkdtktszyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msxvg90m In reply to <a href='/nevent1qqs2dr2zjz4f7kf9ww5h4092tl753rkk7mpxhqmw7zhy5ea69cptdug376u8x'>nevent1q…6u8x</a><br/>_________________________<br/><br/>I suspect Mrs Thatcher&#39;s single minded and obsessive denigration of Local Government and public services has a lot to do with it. The trust government had post war was hard earned by not reacting as UK gov had in WW1 but instead involved everyone in the effort, and the officers learnt a very clear message their lives depended on the other ranks. That generation has gone now. Their successors think they are entitled to rule exactly as Charles Rex primum did! 2025-08-05T17:40:52Z https://nostr.ae/nevent1qqs0ahkenp6gkpdxxtjxynea08tldgq0jzewv34v093ru6glng4u4ggzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msh7y2h5 In reply to <a href='/nevent1qqsx7pxxw329hsk6uqddq7er5mkvlzyvk7d7ke3p2lu2xpvg9tksklgw20edu'>nevent1q…0edu</a><br/>_________________________<br/><br/>When I did elementary demographics almost 50 years ago, it was widely expected that due to death control, age of first birth rise &amp; number of births would fall. Since we have long overshot our local social space it is inevitable populations will drop.<br/>Economic policy resulting in earlier adults mortality will only make things worse.<br/>Economic inequity, accelerates the population drop.<br/>Those predictions, dismissed as fanciful at the time, seem to be getting it right! 2025-08-03T12:18:01Z https://nostr.ae/nevent1qqsyznwrkqlvdymaclwy7kz0kst9gfg4gg6yrgwydfyzxwrvwghn95gzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73mseresm5 In reply to <a href='/nevent1qqsvg78ryznyqj63lz9a9kt5t7mpkz6pe3hhplmnuygecv9p5p9y2rgqgcnm8'>nevent1q…cnm8</a><br/>_________________________<br/><br/>sorry for repetition. I should have checked other replies. 2025-07-30T09:52:26Z https://nostr.ae/nevent1qqspnnwt774yl43ff5fgnxg05fyjfmf8l7f8xxzurhwldugpqrgrn0czyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73mspdvau2 In reply to <a href='/nevent1qqs8lnl0l60m48d24k4hdqsrkd50cpstf9l6tzedc0u34udets4yh4s0kdv54'>nevent1q…dv54</a><br/>_________________________<br/><br/>England, not UK, sorry prof. I think Scotland was there some time ago, but as we know if it doesn&#39;t happen in the SouthEast of England it doesn&#39;t happen as far as UK media are concerned. That&#39;s how the Irish famine, and recent events in the Levant failed to be reported honestly. 2025-07-30T07:58:48Z https://nostr.ae/nevent1qqsrwdyyl6f8gn3ppxj8y5p32r68vu90gnxgd3vcaljqhwjr3zh9v9qzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msp6hlk8 In reply to <a href='/nevent1qqsfkgj2qt88fsflfldecqcsvw3cnx7s8k7llkue7kes80k9gycwh8sswc2vx'>nevent1q…c2vx</a><br/>_________________________<br/><br/>and of course the murderer will not be punished let alone arrested by the Israeli security forces, despite being the occupying power so have a responsibility to ensure the safety of the occupied population.<br/>Israel clearly acts as if it believes international law does not apply to them. 2025-07-29T07:03:53Z https://nostr.ae/nevent1qqsxg3rx3kessvkp9k7qqutlfdjdr2ktv7fu6mnqnulz64chpxlevcszyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms64zgcc In reply to <a href='/nevent1qqsp0cz04gz4dcwaspnp5ug83u22flmlqmzpftvcvjtyq9w90mjh8eqaslzkj'>nevent1q…lzkj</a><br/>_________________________<br/><br/>Only if bonuses for all directors are cut by 1% for every day a company of &lt;250 employees is kept waiting more than 14 days for full payment. Preferably once the bonus is less than 1K we reduce basic pay by 1% per day. I&#39;m guessing payment will happen within 12 days...<br/>Oh yes, and if directors pay is not cut as above shareholders dividends are surrendered to the Exchequer for 5 years. 2025-07-28T07:23:26Z https://nostr.ae/nevent1qqsx6qax88nwcqqt6y36c289fulpl48p9ywey8ref0srktssemw0acczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms5xd2t0 In reply to <a href='/nevent1qqsw2p2g5czax3rtuc46a7l24pqhvvpas5qx7rwmgt9xyjlkvhyy4zsxzqagv'>nevent1q…qagv</a><br/>_________________________<br/><br/>the time to sanction all Israeli exports, as they are made with illegally (stolen) gained resources is long overdue. I try to avoid Israeli produce and have done for ages, since I met the son of a Palestinian farmer on a post graduate course. 40 odd years ago. 2025-07-27T09:32:52Z https://nostr.ae/nevent1qqstjx2ndx672z65kmnv37y4e372e8pce33faxp8e2kn4q6rkzhehjqzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msp3tv82 In reply to <a href='/nevent1qqs2w5ammufwjqmwcdhjhh6ntjqsmcynse76vt475pudqdynm702elcktakjr'>nevent1q…akjr</a><br/>_________________________<br/><br/>The gov doesn&#39;t like independent mediation. The GPs got a 50% pay award last time. So they introduced the independent pay review body, which was to pay no attention to political desires for pay rise levels as it was agreed that using medical staff to control inflation was silly as their pay has no effect on inflation. Tories got rid of the pay body as he preferred direct negotiations, kept being taken to cleaners, so introduced Dependent Pay Review body that we have today. 2025-07-25T07:28:00Z https://nostr.ae/nevent1qqsxvfytxnjssexehzky946mk9r4xfhdnd8p2f3vwn082rk78tvz7hszyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms95fc02 In reply to <a href='/nevent1qqs0yw30vstucn6pqrwzhnfls5s7pqrajg75x3huyydppxw4yaqv2lsy9jngu'>nevent1q…jngu</a><br/>_________________________<br/><br/>The last time there was a crisis in maternity services. We had the Peel report.<br/>It closed local maternity homes &amp; centralised labour wards. This led to the phase of active management of labour. The rights and wrongs of that have never been properly resolved, but clearly what&#39;s happening now is untenable. We train midwives, but don&#39;t employ them &amp; maternity departments are understaffed. <br/>If ever there was a case of short termism costing more, investing in healthy babies is cheaper. 2025-07-21T07:23:05Z https://nostr.ae/nevent1qqsgwj9582pv7yvcw32rmglx6mm9r0yymn5j87ey9lg84ffd0dr9emczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms4ghpq4 In reply to <a href='/nevent1qqsr4rpm6thdj8xr3jnp7umg73wwzcrjsj6xncc63qyf06gkgqs5suq2zk8dd'>nevent1q…k8dd</a><br/>_________________________<br/><br/>I wonder if the judges in the inevitable criminal court cases, will permit any defence, as after all the judges have denied climate protestors any defence. Seems the judiciary have chosen not to apply justice but instead obey the line pushed down by HMG or whoever is paying to them. 2025-07-19T17:43:36Z https://nostr.ae/nevent1qqsg62u8p3mku9nu4az2qjzkvwr03hp42k9rs0prjy2kr47aj0angwgzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msnh0uw9 In reply to <a href='/nevent1qqsy8lmpzjyg4vg0pcxxk28rapf88euzx6gpy4uatmdhwuqllykss7g5s7jp4'>nevent1q…7jp4</a><br/>_________________________<br/><br/>I think she missed out the sensible option. Give everyone a sceptical degree of trust. As sources prove trustworthiness, they earn higher trust.<br/>However, whilst being proven right improves trustworthiness slowly &amp; incrementally, being wrong once wipes your slate to zero trustworthiness. <br/>Being first to broadcast the latest press release without checking if it is in fact raining, is a recipe for public distrust.<br/>Local reporters may be the answer. 2025-07-18T07:31:45Z https://nostr.ae/nevent1qqsdt4etzc3k3tmtsuv8tzq5kktf6t8fm4gaw2rjh43cg4x6myuf4zczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73ms4qpnzm In reply to <a href='/nevent1qqsxkth0fsr77d2d5uyands6ry5ftat9sencavvzrswy8hrrl2x3x9g4gqjzj'>nevent1q…qjzj</a><br/>_________________________<br/><br/>Now when you have a problem of any kind, you can&#39;t speak to someone who can help you. Now you have to listen to a string of options press a few buttons then answer a load of questions before eventually you are told &#34;Call volumes are unexpectedly high; the average wait is currently xx minutes, you could try the website....&#34; Apparently this is more efficient than having a person answer the phone and transfer you to someone who sorted the problem out, or arrange to meet to do so! 2025-07-09T18:41:06Z https://nostr.ae/nevent1qqspm5g956hyuxjrzjfrjt8aq0eskv88g0qhme3uj24638d2vephvqszyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msqj7385 In reply to <a href='/nevent1qqstftrrmhk5utntnctytu42qzllhqdfyuxfscxcp6lnw6p5fa5fw4ghunsdt'>nevent1q…nsdt</a><br/>_________________________<br/><br/>I&#39;m unclear if it would happen as the green PC alliance hasn&#39;t seen light of day yet. (Perhaps as Greens are E&amp;W so unionist despite their policies) The left in Wales was historically both anti EU and Anti devolution and independence. A cognitive dissonance that I could never stomach. Their international solidarity seemed to often disappear if those persecuted reached West of Dover, as well. Hence, the keeping illegals out! 2025-07-05T08:58:32Z https://nostr.ae/nevent1qqsddjen8y5wnf6ysn4qyqll5e7k9qtcjxesgudllvjnfhdd0e6qmjgzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msstg4az In reply to <a href='/nevent1qqs993v4kwc2sylnc37lu0ktm0meechykckq7k7gg2vj2uxpaup9qwsrs0tj0'>nevent1q…0tj0</a><br/>_________________________<br/><br/>As a gentle correction, most of what is called technological change is simply automating and improving precision. I recall counting drips per minute, then drip counters came in, now stepping pumps do the same task. Makes life easier, but no great change in outcome or care.<br/>However, Coombs test and Anti D injection, replaced rhesus disease, exchange transfusions, dramatically improved outcomes, reduced cost &amp; time.<br/>Real technology change, changes things, automation doesn&#39;t but costs! 2025-07-03T08:34:24Z https://nostr.ae/nevent1qqs9876w9ht06pv06fhmln3xg2dnmxmtzjhtll0e7m2jmhcy69keyagzyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73mscuqnwx In reply to <a href='/nevent1qqs95avdguapgp2s43txpludqlf8zxnf8cf3p85vhwhy42p058sq5msq88fvz'>nevent1q…8fvz</a><br/>_________________________<br/><br/>it&#39;s interesting in the case of immunisations, which generally have a negative 5 year cost of QUALYs are used, JCVI only considers healthcare costs not societal. Hence some of its strange decisions of a global HC QUALY approach is used. <br/>Things may have changed, but the cost of chickenpox to the NHS is very small so a low key introduction of immunisation has been adopted. But the cost in terms of lost schooling, Lost parental work etc. is not considered as far as I can tell! 2025-07-03T08:28:17Z https://nostr.ae/nevent1qqsg84kwhlp7wpx67e2z88d4e4y49qudxwht4h0mca7kp2xlauuxurczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msqd3x00 In reply to <a href='/nevent1qqs8qesmnd7xaywzws02e44yqan7325gf007wed578qncqxcf4dxhfqpqxena'>nevent1q…xena</a><br/>_________________________<br/><br/>Whilst I am in favour of sordition, I&#39;d prefer the Athenian practice of volunteering followed by checking ability to function. My previous town had a mayor who&#39;s tenure was so embarrassing for the council that they passed a motion to disbar him from chairing council meetings.<br/>I&#39;m also hostile to the leaders of representative bodies selecting the MHPs from the professions. Assuming they have a register, use sordition for them too, to make sure it&#39;s truly representative of them. 2025-07-01T17:55:10Z https://nostr.ae/nevent1qqsyjyxh6t29hgfqhjnemq63wsapqcjxnu7tq2lzm3ql2st2esl2wlczyqfz5xhestzrmztuylds4wxpsptet6y9g3dv3ya0eggvj8fvu73msysnftf In reply to <a href='/nevent1qqs92789z30nzvvep0ej4cd9v9wxrlz6mlml6lt9zgkr39hpzrrh9ds4gcxlw'>nevent1q…cxlw</a><br/>_________________________<br/><br/>fair point, I think education, health care and art ( all forms) are trades, requiring craftsmanship. So not sure they are truly services. Financial services are pure flummery and spivy activities. The fact no bankers have been jailed for 2008, shows it is not a trade. Any teacher, Artist etc who did that much damage would be punished severely and would certainly never work again. 2025-06-28T15:51:16Z