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(Thread IKs: OwlFancier, crispix)
 
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frankenbeans
Feb 16, 2003

Good Times
Briefly back to the NHS. I've been in NHS IT for nearly 25 years now. There are very few things about NHS IT that won't make you scream.

System interoperability is a never ending struggle. We literally can't afford to lose a handful of IT staff (mostly DBAs) because every system that needs to talk to other systems is wholly dependent on the work of a couple of engineers. One is nearing retirement. We have created a middle-man system that can pull data from the majority of the other systems, but it is completely in-house and started life as a side-project of a couple of devs. We certainly can't lose those guys.

And that brings up the main problem: Nobody makes healthcare software. There just isn't enough of a market to draw the interest of anyone competent. And with hardware, it gets even worse. Globally, there is now one supplier for the pathology equipment/software we need. And as you can imagine, they are making the most of their monopoly. They are also utter shite. 10 years ago, we could have moved away from them, but if we had we would now be running a fully unsupported path system. Upgrading it to get us off Windows 2012 is a multi-year project. This theme covers every clinical department to some degree.

We did try a country-wide 'merged system' some time ago called the National Program for IT. This was a spectacular failure as there were still 3 suppliers available to each Trust, but they didn't talk to each other properly, and there were no rules around who gets which supplier. It goes without saying that all 3 suppliers were poo poo. It was a good idea, but it was never going to work with the requirements and low quality of the suppliers/tools.

Edit 147 is the maximum score in a single frame of snooker, a strange hobby that people call a sport.

frankenbeans fucked around with this message at 13:06 on Apr 9, 2024

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Z the IVth
Jan 28, 2009

The trouble with your "expendable machines"
Fun Shoe

frankenbeans posted:

And that brings up the main problem: Nobody makes healthcare software.

I think you might need to clarify that as there are plenty of commercial EPR systems (not to mention booking and billing systems) and the big daddy EPIC is big enough to be involved in hush-hush scandals about patient safety in the US.

Are you referring to back end lab management software or some more specialised bits?

The Question IRL
Jun 8, 2013

Only two contestants left! Here is Doom's chance for revenge...


Sorry, what is the purpose behind the plastic ring?

Is he worried that London is full of lust crazed Londoners who will fall on him and desperately try to hump him to death, but will be held at bay by a sign that they are married?

Like, does this bell-end think a wedding ring acts like a Clerics Holy symbol and wards off the undead or sex-ghosts?

Puntification
Nov 4, 2009

Black Orthodontromancy
The most British Magic

Fun Shoe

The Question IRL posted:

Sorry, what is the purpose behind the plastic ring?

Is he worried that London is full of lust crazed Londoners who will fall on him and desperately try to hump him to death, but will be held at bay by a sign that they are married?

Like, does this bell-end think a wedding ring acts like a Clerics Holy symbol and wards off the undead or sex-ghosts?

I think the idea is if he wears a valuable one he'll be robbed.

keep punching joe
Jan 22, 2006

Die Satan!
Everyone is getting robbed constantly in Khan's London. It's like being in Ankh Morpork.

Failed Imagineer
Sep 22, 2018
Man, Pratchett would have such good fun ripping on ULEZ weirdos :sigh:

feedmegin
Jul 30, 2008

As a (east, even) Londoner, can confirm, I get robbed at crossbow point literally every time I open my front door. This is totally a real thing that happens.

Point of order on Ankh-Morpork though, you are perfectly safe from being robbed as long as you pay your annual protection fee to the Thieves' Guild iirc.

bessantj
Jul 27, 2004


fuctifino posted:

'Comedian' and GBeebies presenter Leo Kearse seems to have been cancelled after a torch was shone on his social media activity, hence this desperate scraping of the bottom of the barrel by Calvin

Oh hey, he's a comedian? Will have to look at his twitter, I love a good laugh

https://twitter.com/LeoKearse/status/1775262282454622614

HAHAHAHAHA Brilliant, what a knee slapper. Can you imagine selling tickets to a Marxist conference?

mediaphage
Mar 22, 2007

Excuse me, pardon me, sheer perfection coming through

bessantj posted:

Oh hey, he's a comedian? Will have to look at his twitter, I love a good laugh

https://twitter.com/LeoKearse/status/1775262282454622614

HAHAHAHAHA Brilliant, what a knee slapper. Can you imagine selling tickets to a Marxist conference?

the comments on that post are super weird. like sure id expect some kind of left / right antagonism but one goes straight to “makes you wonder how many in that room have sex with dogs.”

literally never in my life have i wondered that about anyone??

His Divine Shadow
Aug 7, 2000

I'm not a fascist. I'm a priest. Fascists dress up in black and tell people what to do.

frankenbeans posted:

Briefly back to the NHS. I've been in NHS IT for nearly 25 years now. There are very few things about NHS IT that won't make you scream.

System interoperability is a never ending struggle. We literally can't afford to lose a handful of IT staff (mostly DBAs) because every system that needs to talk to other systems is wholly dependent on the work of a couple of engineers. One is nearing retirement. We have created a middle-man system that can pull data from the majority of the other systems, but it is completely in-house and started life as a side-project of a couple of devs. We certainly can't lose those guys.

And that brings up the main problem: Nobody makes healthcare software. There just isn't enough of a market to draw the interest of anyone competent. And with hardware, it gets even worse. Globally, there is now one supplier for the pathology equipment/software we need. And as you can imagine, they are making the most of their monopoly. They are also utter shite. 10 years ago, we could have moved away from them, but if we had we would now be running a fully unsupported path system. Upgrading it to get us off Windows 2012 is a multi-year project. This theme covers every clinical department to some degree.

We did try a country-wide 'merged system' some time ago called the National Program for IT. This was a spectacular failure as there were still 3 suppliers available to each Trust, but they didn't talk to each other properly, and there were no rules around who gets which supplier. It goes without saying that all 3 suppliers were poo poo. It was a good idea, but it was never going to work with the requirements and low quality of the suppliers/tools.

Edit 147 is the maximum score in a single frame of snooker, a strange hobby that people call a sport.

Can't we just get Estonia to make everyone's health care IT systems?

Dabir
Nov 10, 2012

smellmycheese posted:

Not really sure why Captain Haddock is in the gang of angry lefty stereotypes standing in the way of Wes’s privatisation plans here



lot of hook-nosed caricatures in that "middle class lefties" mob huh

OwlFancier
Aug 22, 2013

To me it just looks like wes is abducting grannies from the hospital.

bessantj
Jul 27, 2004


mediaphage posted:

the comments on that post are super weird. like sure id expect some kind of left / right antagonism but one goes straight to “makes you wonder how many in that room have sex with dogs.”

literally never in my life have i wondered that about anyone??

Well you know what they say about accusations and projection.

Failed Imagineer
Sep 22, 2018

mediaphage posted:

the comments on that post are super weird. like sure id expect some kind of left / right antagonism but one goes straight to “makes you wonder how many in that room have sex with dogs.”

literally never in my life have i wondered that about anyone??

Have you never watched PMQs then?

frankenbeans
Feb 16, 2003

Good Times

Z the IVth posted:

I think you might need to clarify that as there are plenty of commercial EPR systems (not to mention booking and billing systems) and the big daddy EPIC is big enough to be involved in hush-hush scandals about patient safety in the US.

Are you referring to back end lab management software or some more specialised bits?

There are a few EPR systems, but a lot of departments have at best 1 or 2 software options for their specific areas, and they are invariably garbage. We still have systems coming in now that can't go on anything newer than Server 2016, or need to have the server permanently logged in because it was created by some ex-doctor in visual basic on a workstation, and can't be run as a background service.

domhal
Dec 30, 2008


0.000% of Communism has been built. Evil child-murdering billionaires still rule the world with a shit-eating grin. All he has managed to do is make himself *sad*. It has, however, made him into a very, very smart boy with something like a university degree in Truth. Instead of building Communism, he now builds a precise model of this grotesque, duplicitous world.

OwlFancier posted:

To me it just looks like wes is abducting grannies from the hospital.

Spare capacity in the sense of organ storage.

Runcible Cat
May 28, 2007

Ignoring this post

domhal posted:

Spare capacity in the sense of organ storage.

I thought that was refugees.

Granny gonna get a nice new Afghan kidney.

mediaphage
Mar 22, 2007

Excuse me, pardon me, sheer perfection coming through

Failed Imagineer posted:

Have you never watched PMQs then?

i didnt say pigs

ItohRespectArmy
Sep 11, 2019

Cutest In The World, Six Time DDT Ironheavymetalweight champion, Two Time International Princess champion, winner of two tournaments, a Princess Tag Team champion, And a pretty good singer too!
"When I was an idol, I felt nothing every day but now that I'm a pro wrestler I'm in pain constantly!"


its funny, living in an area with more violent crime than even the roughest london boroughs and I still wouldn't shy away from wearing jewlery and wearing a watch, the hysteria is so embarassing.

Jaeluni Asjil
Apr 18, 2018

Sorry I thought you were a landlord when I gave you your old avatar!

Sad Panda posted:

Can you go via a physio appointment? My knee has been giving me grief so I went to a physio. They suggested an xray which took a couple of weeks to get and then a couple weeks more for the results. Showed nothing so they referred me for an MRI. I was lucky that after the appointment on Thursday I got the call at lunch and an invite for an MRI last Sunday. Now just the wait for the results.

Wow that sounds good? Might be worth a try.
I'll see if the x-ray I had comes back this week & maybe look in to that route depending what it might show up.

Jedit
Dec 10, 2011

Proudly supporting vanilla legends 1994-2014

feedmegin posted:

As a (east, even) Londoner, can confirm, I get robbed at crossbow point literally every time I open my front door. This is totally a real thing that happens.

Point of order on Ankh-Morpork though, you are perfectly safe from being robbed as long as you pay your annual protection fee to the Thieves' Guild iirc.

Not only that, if you pay a little extra you can have an acceptable level of physical violence performed on you in the comfort of your own home and also be completely safe from muggers, murderers and assaulters.

Sad Panda
Sep 22, 2004

I'm a Sad Panda.

Jaeluni Asjil posted:

Wow that sounds good? Might be worth a try.
I'll see if the x-ray I had comes back this week & maybe look in to that route depending what it might show up.

Also if you don't know, the NHS app will (should?) have your xray results on it. Checking that is a lot better than calling the GP to see if they're in. It also gave me a lot more detail as opposed to the person on reception who literally said "Yes, your results are in. They were satisfactory." and seemed slightly surprised when I asked for a follow up with the physio to talk about them.

It may also be worth organising a physio appointment about your knee now with the assumption your xray results will be in before the appointment.

Jaeluni Asjil
Apr 18, 2018

Sorry I thought you were a landlord when I gave you your old avatar!

Sad Panda posted:

Also if you don't know, the NHS app will (should?) have your xray results on it. Checking that is a lot better than calling the GP to see if they're in. It also gave me a lot more detail as opposed to the person on reception who literally said "Yes, your results are in. They were satisfactory." and seemed slightly surprised when I asked for a follow up with the physio to talk about them.

It may also be worth organising a physio appointment about your knee now with the assumption your xray results will be in before the appointment.

I'll check out the NHS app - it wasn't available in Wales last time I looked but is being rolled out now. Thanks.

Ed: no, doesn't look like my GP practice puts test results on there. I shall have to hobble over there tomorrow (it's only about 5 mins away onna stick and next to Waitrose :guillotine: )

Jaeluni Asjil fucked around with this message at 15:20 on Apr 9, 2024

Starbucks
Jul 7, 2002

Your daily cup of fuck you.

quote:


System interoperability is a never ending struggle. We literally can't afford to lose a handful of IT staff (mostly DBAs) because every system that needs to talk to other systems is wholly dependent on the work of a couple of engineers. One is nearing retirement. We have created a middle-man system that can pull data from the majority of the other systems, but it is completely in-house and started life as a side-project of a couple of devs. We certainly can't lose those guys.


Can you document this, or get them to document it? Because that sounds like a lot of pain waiting to happen.

grobbo
May 29, 2014

What's great is that we've arrived at a place where there's no longer any attempt to advocate for changes that might help combat, say, pickpocketing in London, it's just "Khann!!!!! This happened on your watch, Khannn!!!" with the implicit suggestion that the Mayor is deliberately bussing criminals into the city and letting them run riot like we're living in mob Chicago or something

Bobby Deluxe
May 9, 2004

It kind of is a perfect encapsulation of the situation though. All those fuckers in the queue are still going to be waiting, but Wes is being hailed as a hero for letting a half dead person who can afford it jump the queue.

They're also deeply confused if they think it's the middle classes protesting private healthcare. It's the middle classes who can afford it. Working class people can't afford it.

josh04
Oct 19, 2008


"THE FLASH IS THE REASON
TO RACE TO THE THEATRES"

This title contains sponsored content.

grobbo posted:

What's great is that we've arrived at a place where there's no longer any attempt to advocate for changes that might help combat, say, pickpocketing in London, it's just "Khann!!!!! This happened on your watch, Khannn!!!" with the implicit suggestion that the Mayor is deliberately bussing criminals into the city and letting them run riot like we're living in mob Chicago or something

Thing is, through his ULEZ scheme Mr Khan has [unintelligible] and that's why I'm carrying a machete to visit Shoreditch.

Jaeluni Asjil
Apr 18, 2018

Sorry I thought you were a landlord when I gave you your old avatar!

frankenbeans posted:


System interoperability is a never ending struggle. We literally can't afford to lose a handful of IT staff (mostly DBAs) because every system that needs to talk to other systems is wholly dependent on the work of a couple of engineers. One is nearing retirement. We have created a middle-man system that can pull data from the majority of the other systems, but it is completely in-house and started life as a side-project of a couple of devs. We certainly can't lose those guys.


Not the NHS, but a friend of mine's husband retired at 60, then his (big company which services millions of people a year) hired him back because a large part of their operational requirement depended on a legacy mainframe system using a programming language hardly anyone knows anymore (cobol maybe? Not sure.) and he was one of only 2 people that knew it. Anyway, then he died unexpectedly so they now only have one person that can sort out any problems with this software and he must be almost 70 now.
Apparently it would cost an absolute fortune to build a new system (though if it goes pop there will be even more to pay out in compo etc. I'm not entirely sure what it did but it could even cause some major (human life) disasters.

Talking of which - are any of you on Unix making any sort of planning towards the Unix 'millenium bug' of 2038? Or has that potential problem all gone away?
14 years seems like a long time, but it isn't, really.

Rarity
Oct 21, 2010

~*4 LIFE*~

ItohRespectArmy posted:

its funny, living in an area with more violent crime than even the roughest london boroughs and I still wouldn't shy away from wearing jewlery and wearing a watch, the hysteria is so embarassing.

Where do you live and are there are any areas with poor street lighting or CCTV blindspots? Asking as a security precaution, you understand

Noxville
Dec 7, 2003

Bobby Deluxe posted:

They're also deeply confused if they think it's the middle classes protesting private healthcare. It's the middle classes who can afford it. Working class people can't afford it.

They're not confused, it's just in their best interest to pretend that anyone left-of-centre is coming from a position of privilege

Jaeluni Asjil
Apr 18, 2018

Sorry I thought you were a landlord when I gave you your old avatar!

Noxville posted:

They're not confused, it's just in their best interest to pretend that anyone left-of-centre is coming from a position of privilege

That's what I don't get - Streeting is more or less implying that 'middle class lefties' don't work or aren't hard working or whatever, but he - on more income than at least 95% of the population - is? So many mixed (up) messages in that.

Guavanaut
Nov 27, 2009

Looking At Them Tittys
1969 - 1998



Toilet Rascal

keep punching joe posted:

Is there such a thing as a right wing comedian who's jokes aren't about punching down on minorities?

The Question IRL posted:

wards off the undead or sex-ghosts?
This just reminded me of Caimh McDonnell's Relight My Fire, where an occult group attempting to resurrect dead rock stars brings back Bernard Manning and Margaret Thatcher as an attempt to put off the people trying to stop them.

Tesseraction
Apr 5, 2009

Dabir posted:

lot of hook-nosed caricatures in that "middle class lefties" mob huh

You know, this could easily need edited to be like the Zyklon Ben edits of Garrison comics, just change the spare capacity to be "Ovens"

Probably wouldn't be far off Blowers actual views, too.

Runcible Cat
May 28, 2007

Ignoring this post

grobbo posted:

What's great is that we've arrived at a place where there's no longer any attempt to advocate for changes that might help combat, say, pickpocketing in London, it's just "Khann!!!!! This happened on your watch, Khannn!!!" with the implicit suggestion that the Mayor is deliberately bussing criminals into the city and letting them run riot like we're living in mob Chicago or something

Mayoral election's coming up, so "demonise the brown guy in charge" is in full swing.

smellmycheese
Feb 1, 2016

Tesseraction posted:

You know, this could easily need edited to be like the Zyklon Ben edits of Garrison comics, just change the spare capacity to be "Ovens"

Probably wouldn't be far off Blowers actual views, too.

The Cum edits of Garrison are funnier and would also work well here. I’d do it if I could be arsed

Gonzo McFee
Jun 19, 2010

smellmycheese posted:

Not really sure why Captain Haddock is in the gang of angry lefty stereotypes standing in the way of Wes’s privatisation plans here



Hate this "Spare capacity" nonsense from Piss Streaking. I worked in an NHS funded Private sector Eating Disorder unit. It was a poo poo show. £3000 a bed and all the consultants were NHS doctors moonlighting or retired old foggies who were tragically out of touch and egotistical. Absolutely nothing done there was any different from what you would get in the NHS except the food was better and the majority of the work was done by HCA's being paid barely above the minimum wage.

A complete waste of money that would have been cheaper and better if they just funded the NHS properly. But then Wes wouldn't get his bribes, would he?

TheDoublePivot
Feb 27, 2013

Tesseraction posted:

You know, this could easily need edited to be like the Zyklon Ben edits of Garrison comics, just change the spare capacity to be "Ovens"

Probably wouldn't be far off Blowers actual views, too.

The what edits?

Guavanaut
Nov 27, 2009

Looking At Them Tittys
1969 - 1998



Toilet Rascal
Oh, you know, just the ones where a non-zero number of political cartoonists are actual Nazis.

Whereupon Blower is the stupid idiot man, I am the laughing Jew making him look bad, and all political cartoons are the appalling sack of poo poo that nobody should enjoy viewing.

kingturnip
Apr 18, 2008

Runcible Cat posted:

Mayoral election's coming up, so "demonise the brown guy in charge" is in full swing.

It is funny how hard Labour are trying to get donations for the mayoral election so that "we can compete" when the Tory candidate and campaign are rainbow-farting-unicorns levels of lunacy.

Also, Kevin Pietersen is a humourless narcissist too stupid to realise when his fellow cricket commentators are taking the piss out of him.

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OwlFancier
Aug 22, 2013

I got sent to a private hospital for urethral damage and they did very nice egg and cress sandwiches while I was laid up.

Spent most of the day asleep and the bed was very good too, not sure I have slept as well before or since but that might have been the UTI, who can say.

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