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    (Original post by JakeM)
    Where I want the 140bn of cuts to come from doesn't mean anything, Im not a MP.
    No but surely you have an opinion...?

    MPs don't get any say either anyway, only the Cabinet.
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    (Original post by Quady)
    No but surely you have an opinion...?

    MPs don't get any say either anyway, only the Cabinet.
    My only opinion is that I want the NHS to get better not worse.

    Also as I work for the NHS I have seen Doctors holding back on certain checks due to money so I would rather it not get any worse than that.
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    (Original post by JakeM)
    My only opinion is that I want the NHS to get better not worse.

    Also as I work for the NHS I have seen Doctors holding back on certain checks due to money so I would rather it not get any worse than that.
    Right, so with 18% of the budget ringfenced, a further 18% on pensions effectively ringfenced you're suggesting a 45% reduction in all other Govt spending - right?
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    (Original post by Quady)
    Right, so with 18% of the budget ringfenced, a further 18% on pensions effectively ringfenced you're suggesting a 45% reduction in all other Govt spending - right?
    Why all of a sudden do we need to cut down by 81%?
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    (Original post by JakeM)
    Why all of a sudden do we need to cut down by 81%?
    I didn't mention 81% anywhere.
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    (Original post by JakeM)
    Why on earth would you want them to make the Healthcare worse?
    Because we cannot afford it.
    We need to resolve spending, and Labour was at fault in the first place for increasing spending beyond our means.

    Also, to whomever wrote this in neg rep: "I really hope people like you do not get into parliament."
    There are tonnes of people who want to see the NHS budget cut or entirely scrapped. The NHS budget will be cut by the next government no matter who they are.
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    (Original post by -Emmz-)
    What time does your pharmacy close? I've never worked in a hospital pharmacy that closed before 5 on weekdays.
    pharmacy closes at 5 , and will not accept blister pack requests for TTOs after 1400 and any TTO request after 1615 ....

    given that we have evening clinics in Out patients and we have discharge PTS until 2000 hours ...
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    We can’t keep spending money we don’t have; the NHS budget has to be cut. Its ironic people go on about the cost of maintaining and replacing the Trident nuclear weapons system over the next 50 years could top £100 billion while the NHS costs 110bn a year.
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    (Original post by zippyRN)
    pharmacy closes at 5 , and will not accept blister pack requests for TTOs after 1400 and any TTO request after 1615 ....

    given that we have evening clinics in Out patients and we have discharge PTS until 2000 hours ...
    How involved are your pharmacists in discharge planning? Often pharmacy are the last people to know. Most discharges can be at least planned in the morning and the TTOs written up ... then if the patient doesn't go home that day due to care package/OT/physio at least the medication is already ready!

    Everybody being more organised would cost a lot less than staffing the pharmacy for longer opening hours.
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    (Original post by -Emmz-)
    How involved are your pharmacists in discharge planning? Often pharmacy are the last people to know. Most discharges can be at least planned in the morning and the TTOs written up ... then if the patient doesn't go home that day due to care package/OT/physio at least the medication is already ready!

    Everybody being more organised would cost a lot less than staffing the pharmacy for longer opening hours.

    assumes that you are talking about base wards and specialised units with their own patients, it doesn't work like that in acute medicine or with acute medicines outliers on specialist units where the bed is required for tertiary admissions or has been used when the 'proper' patient is on leave ...
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    The two words today that should be associated with the NHS as a whole is:
    "Slashy Slashy"
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    (Original post by Teaddict)
    Because we cannot afford it.
    We need to resolve spending, and Labour was at fault in the first place for increasing spending beyond our means.

    Also, to whomever wrote this in neg rep: "I really hope people like you do not get into parliament."
    There are tonnes of people who want to see the NHS budget cut or entirely scrapped. The NHS budget will be cut by the next government no matter who they are.
    Any cuts in spending will either lead to poorer healthcare, or pass the costs onto the individual anyway, so it makes little difference in the end. In any case, as the economy improves, revenues will rise.
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    (Original post by Captain Crash)
    Any cuts in spending will either lead to poorer healthcare, or pass the costs onto the individual anyway, so it makes little difference in the end. In any case, as the economy improves, revenues will rise.
    Yeah but GDP has to rise a tad over 10% before there isn't a problem.

    If theres a gilt strike we don't have a choice whether to cut or not.
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    (Original post by zippyRN)
    assumes that you are talking about base wards and specialised units with their own patients, it doesn't work like that in acute medicine or with acute medicines outliers on specialist units where the bed is required for tertiary admissions or has been used when the 'proper' patient is on leave ...
    Do your pharmacists not see outliers on wards?
    Do you have a system where all regular medication is dispensed for a patient and kept in his/her own locker?
    Your pharmacy may work differently so it's hard for me to comment.
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    (Original post by Captain Crash)
    Any cuts in spending will either lead to poorer healthcare, or pass the costs onto the individual anyway, so it makes little difference in the end. In any case, as the economy improves, revenues will rise.
    But it isn't that simple.
    If we are to increase revenue through a growing economy, we must convince industry and investors that they can have confidence in us. Loans given to the Government become expensive quickly, if we do not inspire confidence.

    We need to cut spending across the board; except for the budgets I have always excluding from those cuts, and need to focus on reducing all tax rates. The next Governments priorities should be

    / Cutting spending
    / Cutting taxes
    / Cutting regulation
    / Privatisation of certain industries such as the Royal Mail and the Met Office.
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    (Original post by Teaddict)
    But it isn't that simple.
    If we are to increase revenue through a growing economy, we must convince industry and investors that they can have confidence in us. Loans given to the Government become expensive quickly, if we do not inspire confidence.

    We need to cut spending across the board; except for the budgets I have always excluding from those cuts, and need to focus on reducing all tax rates. The next Governments priorities should be

    / Cutting spending
    / Cutting taxes
    / Cutting regulation
    / Privatisation of certain industries such as the Royal Mail and the Met Office.
    How would cutting tax inspire confidence? Wasn't cutting regulation one of the major factors in getting us into this mess?

    Why can Japan borrow so cheaply when nobody has any confidence in it (I agree with you but I do get confused how Japan is managing it)
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    (Original post by Quady)
    How would cutting tax inspire confidence? Wasn't cutting regulation one of the major factors in getting us into this mess?
    Cutting tax doesn't inspire confidence in itself. But what it does do, is create competitiveness. The competitiveness of an economy inspires confidence.

    I wouldn't agree with your regulation comment. We do need to cut regulation, red tape and other pointless pieces of legislation that affects business. We do, however, need to ensure that some much needed regulation is in place.

    However, even saying that, depending on your point of view, it is regulation (and the intervening in the economy) that has failed, not the free market.
    Why can Japan borrow so cheaply when nobody has any confidence in it (I agree with you but I do get confused how Japan is managing it)
    I can only assume because of the size of their economy.
    However, in regards to credit worthiness Japan is 18th - Which means borrowing money isn't as cheap as it otherwise would be if they were higher.
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    (Original post by Teaddict)
    But it isn't that simple.
    If we are to increase revenue through a growing economy, we must convince industry and investors that they can have confidence in us. Loans given to the Government become expensive quickly, if we do not inspire confidence.

    We need to cut spending across the board; except for the budgets I have always excluding from those cuts, and need to focus on reducing all tax rates. The next Governments priorities should be

    / Cutting spending
    / Cutting taxes
    / Cutting regulation
    / Privatisation of certain industries such as the Royal Mail and the Met Office.
    You've missed my (main) point. Cutting the NHS will either lead to a worsening of service (which is unacceptable) or transferrence of costs to the individual. The latter will reduce access to care, especially those who need it most, and the costs will be transferred to the individual. This means that the spending cuts won't be real as individuals will have to pay an effective 'tax' to either a semi-privatised or privatised healthcare system instead.
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    (Original post by Quady)
    How would cutting tax inspire confidence? Wasn't cutting regulation one of the major factors in getting us into this mess?

    Why can Japan borrow so cheaply when nobody has any confidence in it (I agree with you but I do get confused how Japan is managing it)
    Cutting tax wouldn't inspire confidence, but it'd bring in more businesses from overseas - if we can keep our tax rates lower than continental europe we'll steal a lot of business off them and have a bigger economy as a result :yep:

    As for japan - a huge amount of their national debt is held within the country, and a lot of japanese people invest in bonds. That said, I'd say they're headed for the sort of financial catastrophe that'll make lehman brothers look tremendously insignificant.
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    (Original post by TShadow383)
    Cutting tax wouldn't inspire confidence, but it'd bring in more businesses from overseas - if we can keep our tax rates lower than continental europe we'll steal a lot of business off them and have a bigger economy as a result :yep:

    As for japan - a huge amount of their national debt is held within the country, and a lot of japanese people invest in bonds. That said, I'd say they're headed for the sort of financial catastrophe that'll make lehman brothers look tremendously insignificant.
    I don't disagree, but it would weaken the financial position in the short term until the growth in business kicks in which would be a few years.

    I did wonder if it was that, but was/am unsure how that changes the market pricing. I'd agree but it'll be a long term ie 10 year+ catastrophe, not a two week one. Or do you think differently?
 
 
 
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