1943-My parents paid half a crown for me to see a GP in someone’s parlour on his weekly visit to our village (Half a crown was one tenth of a week’s pay)

2020 Having contributed NI for 44 years and tax for 64 I needed to see a GP for a pain relieving prescription.A receptionist “fitted me in”with a telephone appointment in 3 weeks time

2020 A major NHS initiative includes encouraging self management of preventative action – exercise included

2020 Consultation on proposed actions to reshape health and social services includes postponing hip and knee operations until pain killing medication cannot enable some quality of life

If my car is sick the garage will collect it or provide coffee and comfortable seating and profuse apologies while they fix it at. a time to suit me !

If I am sick??

Root Causes

Reading today about the CQC inspections and downgrading of ratings of UHNM and Worcestershire sites I could find no evidence of any attempts to trace the root causes of the current failings

Perhaps this is due to my simple mind,shaped by a career in the private sector where personal accountability for long and short term results was important

In the case of UHNM for example,in the rush to be seen to be taking action in response to the Mid Staffs revelations,was care taken to ensure that resources provided would match predictable long term need?

It seems not?

In local and national government,the election cycle does perhaps,encourage eye-catching short term initiatives?

In the NHS and the-rest of the public sector bureaucracy,proliferation of initiatives,job titles and jargon sometimes seems to be the norm.Certainly it is difficult to hold original leaders to account when they have moved on ,often multiple times, or their brainchild has been discarded in favour of the latest edict from above.

A factual identification of causes might produce permanent improvement and also prevent originators repeating their damage elsewhere

None of this diminishes the need to address the issues of effective resourcing including manpower,organisation and poor people management that are regularly reported . Unlike those ,as private industry found in the 70’s ,addressing root cause can reduce costs while improving effectiveness!

Introduce Yourself (Example Post)

This is an example post, originally published as part of Blogging University. Enroll in one of our ten programs, and start your blog right.

You’re going to publish a post today. Don’t worry about how your blog looks. Don’t worry if you haven’t given it a name yet, or you’re feeling overwhelmed. Just click the “New Post” button, and tell us why you’re here.

Why do this?

  • Because it gives new readers context. What are you about? Why should they read your blog?
  • Because it will help you focus you own ideas about your blog and what you’d like to do with it.

The post can be short or long, a personal intro to your life or a bloggy mission statement, a manifesto for the future or a simple outline of your the types of things you hope to publish.

To help you get started, here are a few questions:

  • Why are you blogging publicly, rather than keeping a personal journal?
  • What topics do you think you’ll write about?
  • Who would you love to connect with via your blog?
  • If you blog successfully throughout the next year, what would you hope to have accomplished?

You’re not locked into any of this; one of the wonderful things about blogs is how they constantly evolve as we learn, grow, and interact with one another — but it’s good to know where and why you started, and articulating your goals may just give you a few other post ideas.

Can’t think how to get started? Just write the first thing that pops into your head. Anne Lamott, author of a book on writing we love, says that you need to give yourself permission to write a “crappy first draft”. Anne makes a great point — just start writing, and worry about editing it later.

When you’re ready to publish, give your post three to five tags that describe your blog’s focus — writing, photography, fiction, parenting, food, cars, movies, sports, whatever. These tags will help others who care about your topics find you in the Reader. Make sure one of the tags is “zerotohero,” so other new bloggers can find you, too.