@epistatacadam@toot.wales avatar

epistatacadam

@epistatacadam@toot.wales

Not a lot to say about myself. Worked as GP in valleys, then public health something to do with data of health events. Ignored mainly, you're advised to do the same. Meanwhile if you fancy seeing what I'm thinking this is quite a good place happy to be corrected as I don't know as much as I think I do. It's a common male fault. 🤣

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ChrisMayLA6, to Health
@ChrisMayLA6@zirk.us avatar

Maternity care is in crisis:

Zoe Williams concludes:

'It’s not a story of one bad apple, or one bad chief executive, or one bad institutional culture, or one underprivileged area. In 2022, 80 of the country’s 193 maternity units were deemed unsafe by the Care Quality Commission. That definitely wasn’t the austerity promise, not even in the small print: creating a country not safe to give birth in'!

One more dimensions of the Tories wrecking of the NHS


https://www.theguardian.com/commentisfree/article/2024/may/13/the-birth-trauma-scandal-is-not-about-one-bad-apple-one-bad-culture-or-one-bad-area-its-about-the-mess-of-austerity

epistatacadam,
@epistatacadam@toot.wales avatar

@ChrisMayLA6 it's also part of the tick box approach healthcare. If you train professionals to act as providers of care/advice to individuals tailored their needs, but then insist that they deliver (bog) standard care aimed at a mythical Mean patient, then as day follows night the probability that any person receive excellent care is very close to zero. So costs rise as outcomes deteriorate.
Healthcare is complex and humans keep it safe, if permitted to; procedures may prevent them doing that.

cstross, to random
@cstross@wandering.shop avatar
  • Looks out window at: three bus stops, 2-5 pubs, a row of restaurants, and a busy shopping street at ground level *

Reader, those things were all there before I moved here. They're a big chunk of the reason WHY I moved here. 17 years ago …

epistatacadam,
@epistatacadam@toot.wales avatar

@cstross my small town has a thriving high street umpteen coffee shops, plus Fromagerie, an ice cream parlour and numerous restaurants, and a greengrocer and three butchers, two bakers! Plus the usual chains. We walk to town most days, to see what's going on. Unfortunately housing is expensive so young people are driven away. Would love to see housing drop in price. But I'm old and decrepit so no one cares what I thin. 😆

fkamiah17, to UKpolitics
@fkamiah17@toot.wales avatar

"The Green Party is becoming a dustbin, a repository not only for climate activists but for disgruntled hard leftists leaving the Labour Party, and some fairly unpleasant Free Palestine activists as well."
Peter Mandelson to Matt Chorley on Times Radio, yesterday

#DontVoteLabour #UKPolitics #FreePalestine #ToryContinuityParty

epistatacadam,
@epistatacadam@toot.wales avatar

@Thebratdragon @gruff @fkamiah17 on the basis of the latest recruit JRM is hard left compared to her! And very keen on destroying Trade Unions.
I am always told you can judge a person by the company they keep. Fortunately, here in Wales we have two progressive parties, neither of which are HMG or HMLO.

Wen, to environment
@Wen@mastodon.scot avatar

Bird flu outbreaks in cattle will not affect supply, Americans told

http://archive.today/2024.05.02-184845/https://www.thetimes.co.uk/article/bird-flu-outbreak-us-virus-spread-cattle-cows-mgbnwwn9f

(cached)

Scientist and animal/human health workers are worried, but the public is told ‘nothing to see, nothing to worry about, move on’.

The massive power of agribusiness is threatening the world we live in and also (for those who don't really care), our health by incubating new and dangerous illnesses.

epistatacadam,
@epistatacadam@toot.wales avatar

@Wen I expect their intensive inhumane feedlot system of mass produced beef is almost certain to reduce animal health and the density of the 'herds' almost guarantees any infections will pass swiftly through the herd.
And their given hormone supplements to grow faster.
Why anyone thinks US beef is good, totally baffles me. The pollution it causes is enormous. Free ranging big herbivores are an environmental plus, but force fed dense collections are a disaster waiting to happen.

ChrisMayLA6, to random
@ChrisMayLA6@zirk.us avatar

Tomorrow morning the Home Office starts to round up the migrants they expect to try to send to Rwanda... I saw round up, but actually they're expecting to pick up (some of) their victims when they attend regular/scheduled meetings with officials.

These currently 'free' migrants will then be detained ahead of flights to Rwanda.

(again) if the money spent on this viscous & inhumane policy was spent on integrating migrants into British society, it would be much more cost effective!

epistatacadam,
@epistatacadam@toot.wales avatar

@ChrisMayLA6 and beneficial to us all. This policy has no merit at all. It costs us tax payers plenty, for which we see no short term or long term benefits. Spending the same to integrate them all would improve public services, and give us both financial and social benefits of unimaginable value. It's an evil policy, born of gross stupidity, and totally without merit.

ChrisMayLA6, to random
@ChrisMayLA6@zirk.us avatar

Excellent news today:

The case against Trudi Warner for contempt of court (for holding up a placard outside a court reminding a jury of their right to find not guilty on the basis of their conscience), has been dismissed as 'fanciful' today (after a years wait).

https://www.theguardian.com/environment/2024/apr/22/judge-throws-out-case-against-uk-climate-activist-trudi-warner-sign-jurors-rights

epistatacadam,
@epistatacadam@toot.wales avatar

@ChrisMayLA6 funny it's not being reported on BBC news. It's not everyday the solicitor general gets told by the courts that his case is fanciful. Clearly a case of performative legal action similar to the SLAPP process. Perhaps, he should be forbidden from bring any more actions, by being declared a vexatious litigant?

epistatacadam, to random
@epistatacadam@toot.wales avatar

My company this afternoon in the garden.

epistatacadam, to random
@epistatacadam@toot.wales avatar

Fascinating to hear Sir John Bell saying we needed to invent a new branch of the NHS to undertake Community health care.
Funny he forgot to mention that when founded, in 1948 the NHS was a three legged stool, the hospitals (secondary+ care), Primary care, AND community care. The original design was sound, but the focus moved from looking after people, to providing treatment for illnesses, has led to the neglect of both Community care, almost gone now, & Primary care, on it's knees.

Geri, to random
@Geri@mastodon.online avatar

Tobias Elwood says the UK will be involved in a nuclear war within 5 years

Horseshit

epistatacadam,
@epistatacadam@toot.wales avatar

@Geri well in that case why is government worried about paying public servants more eg social care, NHS, and balancing books, if world as we know it is ending in 5 years. The paper/electronic money we have now will all be gone in the first flash of gamma rays. So government will depend on very local arrangements. Groups of 200 to 500 or so.

DrALJONES, to random
@DrALJONES@mastodon.social avatar

deleted_by_author

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    epistatacadam,
    @epistatacadam@toot.wales avatar

    @DrALJONES it's going to be interesting when ICJ has it's hearings, as subsequent cases may result in cases against US and UK. US of course will claim it's outside ICJs jurisdiction, but visits to ICJ nations will be off if arrest warrants issued. Russia USA Israel who else has failed to sign up?

    Geri, to random
    @Geri@mastodon.online avatar

    More than 900 people were convicted of theft, fraud and false accounting because of faults in Horizon.

    Had it not been for the heroic (and I do mean that word) works of AlanBates many would not have received justice

    Sadly, 251 postmasters wrongly accused of stealing from their own tills passed away before receiving final compensation.

    We should honour their names somehow.

    xx

    epistatacadam,
    @epistatacadam@toot.wales avatar

    @Geri as per vanity fair we need to return to honest straight talk in public. A lie is a lie, not an alternative fact. It remains true that the PO board lied to all who would listen to them, so did Fujitsu, and the prosecution witnesses in court.

    ChrisMayLA6, to random
    @ChrisMayLA6@zirk.us avatar

    Why when the NHS is in crisis does the 'solution' seem to be increased private healthcare, but when the railways hit crisis point, it was finally the state that had to step in...

    The solution to constrained funding is not to introduce more suppliers who by their very market character need to make a surplus out of any available funding....

    And yes, in Wes' terms... if saying that makes me a middle-class Leftie - then so be it!

    https://www.theguardian.com/politics/2024/apr/08/middle-class-lefties-wont-stop-labour-using-private-sector-to-cut-nhs-backlog-wes-streeting-says

    epistatacadam,
    @epistatacadam@toot.wales avatar

    @ChrisMayLA6 when will politicians finally realise that a) the staff working in private providers were trained by the NHS and can only do more for private providers if they reduce their NHS work
    & b) the policy of reducing beds since 1990, has steadily increased the chance of overload and hence long waits.
    c) Speeding up discharge will make next to no difference as the main bottleneck is getting most patients in not getting them out.

    DrALJONES, to random
    @DrALJONES@mastodon.social avatar

    deleted_by_author

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    epistatacadam,
    @epistatacadam@toot.wales avatar

    @DrALJONES anyone still thinking the IDF is a moral force, needs to read this report from Harrez. It is clear they have no care for any Palestinian welfare, even if they present no threat to anyone.

    DrALJONES, to random
    @DrALJONES@mastodon.social avatar

    deleted_by_author

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    epistatacadam,
    @epistatacadam@toot.wales avatar

    @DrALJONES exactly what US policy was that led to My Lai, which explains why US can find no evidence of breaches of humanitarian law, despite the deliberate repeated attack in space and time on aid workers. They're dead so by definition they must have been terrorists although we knew when they were alive they were aid workers, who helped supply 60% of the food aid in Gaza, so frustrating Israeli policy of starving the population.
    Seems to have had the desired effect, stopped that food input.

    epistatacadam,
    @epistatacadam@toot.wales avatar

    @DrALJONES my memory is the source of My Lai based on the report into the massacre there, essentially the US operated kill zones in which everyone inside was considered a Vietnam Cong operative or supporter. Here's the Wikipedia entry https://en.m.wikipedia.org/wiki/My_Lai_massacre
    "everyone there is VC or VC supporter" is quoted under operation.
    The Harrez article is my source for the current Israeli approach.
    As then it seems a few soldiers are holding to a higher moral principle & quietly telling the truth.

    ChrisMayLA6, to Nurses
    @ChrisMayLA6@zirk.us avatar

    in 2023 satisfaction with the dropped by 17% leaving levels the lowest since data collection started in 1997.

    In an over-stretched system, where the internal market has reduced procedures & patients to economic data (outputs/efficiency etc.) is it any wonder that people do not feel satisfied?

    Improving empathy may be the answer, but the lack of empathy is not only a personal issue for & , it has been engineering into the NHS by 'reforms'

    https://theconversation.com/empathic-doctors-have-more-satisfied-patients-new-study-222235?utm_medium=Social&utm_source=Twitter#Echobox=1706728444

    epistatacadam,
    @epistatacadam@toot.wales avatar

    @ChrisMayLA6 from experience many many moons ago when things were much better than they are now, in terms of workload. It's very hard, if not impossible, to be empathetic when you're exhausted and there are six more people waiting for your attention. All you really want to do is get even 10 minutes sleep. We at least had rooms with beds to sleep in and a mess to try to unwind in. Today's doctors have neither, & are bottom of the pecking order in hospitals, PAs are afforded greater respect, IME.

    ChrisMayLA6, to random
    @ChrisMayLA6@zirk.us avatar

    'Since 2020, the richest five men in the world have doubled their fortunes. During the same period, almost five billion people globally have become poorer. Hardship & hunger are a daily reality for many people worldwide. At current rates, it will take 230 years to end poverty, but we could have our first trillionaire in 10 years'!

    @oxfam latest report on focusses on the role of as the engines of the widening gap between rich & poor!

    https://policy-practice.oxfam.org/resources/inequality-inc-how-corporate-power-divides-our-world-and-the-need-for-a-new-era-621583/

    epistatacadam,
    @epistatacadam@toot.wales avatar

    @ChrisMayLA6 @oxfam on past performance, the experts will simply get together and change the definition of poverty.
    Don't believe me, the definition of unemployed was changed to 'improve' the data.
    Currently, UK gov just makes the data up to suit itself.
    Hence the regular concerns of the national statistician

    epistatacadam, to random
    @epistatacadam@toot.wales avatar

    On PM @BBCRadio4 listening to the discussion about the problem of execs concentrating on shareholder value, exemplified by, but not unique to, Boeing currently, 17:40ish, I wondered if any leading politicians were listening. Seems to me that since Mrs T's worship of monetary policy Britain has gone from being a sound trusted partner, to a laughing stock.
    Perhaps a new chancellor should consider changing the argument from good money, to supporting good policy by making possible, by funding it.

    epistatacadam, to random
    @epistatacadam@toot.wales avatar

    Listening to Idris Elba being questioned on how to fund youth services, on @BBCRadio4 . He overlooked as did his questioner, that HMG has announced it is going to cut taxes for the rich (and has relaxed bonus caps for the best paid, whilst cutting low pay & benefits). Perhaps, the billions to be spent on the rich, could be invested in children instead. That is much more likely to result in improvement in Britain than giving people with too much money, even more.

    fkamiah17, to UKpolitics
    @fkamiah17@toot.wales avatar

    Moany McMoneface is stropping out all over X 😂 😂

    "Michael Gove and Sir Chris Wormald approved the purchase of 5 years supply of PPE when the remit was to build up only 4 months.
    They oversaw huge waste in PPE contracts. They have both had questions to answer for a very long time."

    epistatacadam,
    @epistatacadam@toot.wales avatar

    @fkamiah17 I look forward to all the Johnson cabinet joining them in clink for bribery and corruption and her cabal for fraud....

    epistatacadam, to random
    @epistatacadam@toot.wales avatar

    Listening to @BBCRadio4 Today, 2 items made me wonder if there is intelligent life in the programme.
    The first was the discussion about King's speech proposing extending prison terms for some crimes. By the man who told judges to delay cases, and not impose prison terms due to lack of space. Performative legislation.
    2nd CEO post office, the ongoing Horizon Scandal. The concept of the root cause in complex issues is known to be a falsity. So either PO still got ignorant management or worse.

    epistatacadam, to random
    @epistatacadam@toot.wales avatar

    I hope @BBCRadio4 will fact check the rubbish being spewed by the transport minister. I'm surprised the today presenters did not correct the lies he said. There is no blanket 20mph limit even in Urban areas. Since the limit came in, my bus journeys have actually sped up! It may be coincidence, but traffic flow seems to have improved: no stop start! Perhaps England should try it too.Pot holes are being filled but it's a stop gap not the proper maintenance. Worse in England when I visit.

    epistatacadam, to random
    @epistatacadam@toot.wales avatar

    I'm informed by my insulin pump manufacturer that the next up date of iOS and Android may disable my pumps interaction with me. I'm wondering if Apple and Google ought to earn users of their operating systems to check with all their medical devices manufacturers that there is no risk to their health.
    Seems kind of important to me, suffice it to say my life depends on my device manufacturer, not on Google, in my case, so updates are switched off.

    Perhaps the corporation's should check first?

    epistatacadam, to random
    @epistatacadam@toot.wales avatar

    Listening to the suggestion that £600,000 compensation for innocent people sent to jail by a conspiracy organised by a government body, the PO. I was struck by the interviewer on the BBC calling it a lot of money. I can't help noticing that the presenter clearly thinks getting less than 3 years pay, is good value for a conviction and time in jail, bankruptcy and living for a decade as a convicted fraudster, with all the financial consequences, eg. Getting insurance...

    epistatacadam, to random
    @epistatacadam@toot.wales avatar

    I wonder when a Welsh hospital will be built so that the easiest way to get to outpatients and for staff to work, will be by rail or bus? Currently they seem to be intent on doing the same as at the Heath. Large car parks, impossible by public transport, and clogged roads. No vision for the future. Clearly emergency transport will need to be door to door, but most people do not arrive by ambulance.... And even in emergencies a surprising number arrive by other routes. Eg. Clapham train crash.

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