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Mebh posted:I didn't realise after talking to a consultant friend with the NHS that when they get a referral, their dept doesn't get paid unless they see the person in an appt and they turn up. So they're disincentivised from quickly solving easy issues by replying to the gp or giving the patient a quick call and the waiting lists grow massively long. This is BS. Easy issues can be solved if the GPs are competent but years of burning down the primary care service have reduced the actual competent workforce down to nearly nothing. Now you have fresh GPs, overseas imports ans paramedical staff promoted beyond the scope of their ability who have neither the experience nor incentive to act as anything more than a glorified triage service. So many times a comprehensive response has been sent back only for the person who picks it up in the surgery to go tl:dr and instead send a referral to jam the waiting lists up even more. Or you find that the diagnosis was not even correct in the first instance and now there's a whole medicolegal can of worms to deal with.
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# ¿ Jun 7, 2022 21:25 |
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# ¿ May 10, 2024 18:13 |
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Mebh posted:That loving blows. Doesn't the fund allocation very much vary by area and even hospital? I assume its different everywhere if that sounds like bs to you as likely I'm explaining it poorly second hand. I wouldn't expect my mate to be making that up though. It used to be something called payment by results where the hospital would be paid per case. I could see the reasoning under this system to accumulate referrals as it would mean more £££. I don't actually know if this is still a thing though because of: These days it's usually a block contract where the hospital/department gets paid a set amount (based on an estimated number of cases) by the commissioners. As I recall this is renegotiated every few years (five?) so if there's a sudden jump in demand you could be seeing 2x the number of referrals incoming for the same amount of money. It really incentivises dealing with patients as quickly and "efficiently" as possible (ideally by never letting them darken your door in the first place). As you might imagine, this leads to a whole new set of equally troublesome issues.
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# ¿ Jun 7, 2022 21:53 |
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Guavanaut posted:The man takes a drink. The drink takes a drink. The drink takes a man. Hi-ho the derry-o
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# ¿ Jun 9, 2022 21:16 |
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Speaking of strikes the junior doctors are asking for a reinstation of pay equivalent to 2008 levels or it's strike time. Let's see if anything comes of this. The govt is going to pass a law making it illegal for doctors to go on strike.
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# ¿ Jun 11, 2022 13:16 |
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Guavanaut posted:We all still have to remove our shoes at the airport because of one guy who failed to bomb a flight over 20 years ago, but cloth masks in packed public transport is an imposition too far. Dont forget the mandatory groping because the other idiot tried to smuggle explosive budgies.
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# ¿ Jun 14, 2022 08:52 |
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feedmegin posted:Counterpoint, Ireland should annex England Special Military Operations for everyone!
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# ¿ Jun 14, 2022 13:49 |
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Darth Walrus posted:It is a bit annoying that it's generally only the Catholic space fascists who get the 'yes, this is an awful faction run by awful people, but here's a nice, relatable protagonist stuck inside the system for you to cheer on' treatment. Ascension Day has an oppressed underclass rising up against their fascist, technocratic masters. There are strong themes of family and community. Genestealers, of course.
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# ¿ Jun 28, 2022 11:42 |
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No Dignity posted:Calling an election whilst the opposition party is in the middle of a leadership election is one of those things so obviously rotten you'd think our unwritten constitution would have something to say about it Boris should make Keith a Lord to really rub it in.
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# ¿ Jun 29, 2022 09:45 |
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There are spiders and bees everywhere and I live in a suburb. So many spiders infesting the laundry. Watched one suck a huge Not many flies though, which is a blessing.
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# ¿ Jun 30, 2022 18:58 |
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OwlFancier posted:I stopped reading banks half way through excession cos honestly I kinda got a bit bored. Excession is a really hard read. It was my first and nearly bounced off as well since the concept sounds really cool but the execution is hard to follow if you dont know the universe. The other books are better if you haven't tried them yet. Surface Detail and Hydrogen Sonata have a fairly normal story structure and are far more accessible.
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# ¿ Jul 1, 2022 16:15 |
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JeremoudCorbynejad posted:I'm now imagining you getting scammed by someone spoofing a bank building In places where online/telephone banking isn't so common you have stories of people being 'charmed' by witch doctors instead.
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# ¿ Jul 2, 2022 11:01 |
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fuctifino posted:If we decide to break international law, renege on the Brexit agreement with the EU, destroy the Good Friday Agreement and also flout WTO rules, then we are going to be eventually sanctioned. Johnson's probably looking at how well sanctions are working on Russia and thinking nbd we got this.
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# ¿ Jul 3, 2022 12:51 |
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the sex ghost posted:dont like it melt simple as All the melts gonna evaporate.
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# ¿ Jul 10, 2022 15:07 |
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Jaeluni Asjil posted:This brexit is poo poo really for sole traders. Send it as a gift valued at €1? Unless your relative is like super famous I find it dubious anyone in customs is going to recognise or care about the value of art. I think the record I've heard is 3 Warlord Titans (Warhammer kits the size of a toddler) making it past customs untaxed with nary a second glance.
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# ¿ Jul 11, 2022 21:44 |
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Pistol_Pete posted:An actual good and fascinating story from the Guardian about the personal fallout there's been from the crypto crash: Ponzi scheme gonna ponzi except this time there isn't a Bernie Madoff to chuck into prison. I hope it dies a
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# ¿ Jul 12, 2022 08:09 |
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Necrothatcher posted:Not that I want to turn this into a butts thread, but was the guy in that story who had $525,000 and lost it all ever able to realistically turn that into regular currency or was it just an imaginary number on an app? Very slowly and with great difficulty. In the US the IRS would be demanding a cut as well. With how crypto goes you could owe the IRS on proceeds of that 100s of 1000s despite that investment cratering to
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# ¿ Jul 12, 2022 08:22 |
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Mega Comrade posted:Congrats on winning. But I've got to say I'm not sure taking bongs and other large glass vaping devices out in public is the best way to fix the stigma. It makes it come across as something you're doing for fun rather than for medicinal purposes. If you're doing it more for getting rid the stigma of cannabis for recreational use I still think it's not the best way. There's also the stigma against smoking in general which is actually very good and needs to be reinforced constantly.
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# ¿ Jul 12, 2022 10:49 |
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fuctifino posted:Just for the record, I don't smoke. I always vape. That's cool by me Tesseraction posted:It seems being a WoC in the modern Tory party you have to be neo-Nazi adjacent to stand a hope of being taken seriously. It's like being an evangelical convert, you have to double down to make sure you fit in with the rest of the assholes.
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# ¿ Jul 12, 2022 14:29 |
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OwlFancier posted:also from the tweet thread hmbol: Immortan Keith, probably
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# ¿ Jul 12, 2022 22:38 |
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OwlFancier posted:Given that you would have to have a very permissive recovery department for when people for whatever reason lose their one unified ID for everything or become victims of fraud, the question then becomes why the gently caress do we have all this poo poo in the first place if you're still going to have to post the government three bank statements to get your card back in the end? Link it to your biometrics and have everyone that needs to verify your ID with that card confirm it with a fingerprint scanner. Even if your card gets nicked its useless unless they snip off your thumbs as well. Also having info like your address and dob become less critical since you still need the fingerprint to verify. It really isn't that hard and it would make life so much easier than needing to cart around bank statements and utility bills. Also all immigrants already have ID cards that do some of the above courtesy of the home office. It would actually make things more equal if the locals have to carry them as well.
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# ¿ Jul 15, 2022 20:44 |
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Jippa posted:The reason the long acting stuff is "better" is because it will get all of them. If one animal eats the quick acting stuff and dies immediately the rest of them will be warned off and leave it completely. I remember a goon saying not to use poison as you'd then end up with rotting rats in the walls? It's a shame OP is allergic to cats because a cat is really the easiest option. The rats know one is about and will promptly GTFO.
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# ¿ Jul 16, 2022 22:24 |
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Payndz posted:We never had any mice in the house until our cat started bringing us little gifts (sometimes dead, sometimes less so) from next door's garden. Send your neighbor an invoice for pest control services rendered. I'm pretty sure we will never have mouse problems our street is literally crawling with cats.
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# ¿ Jul 16, 2022 22:33 |
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Godskin Noble Truss
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# ¿ Jul 18, 2022 13:00 |
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Thank you to the kind goons recommending foil on the outside of windows. Spent this morning ghetto-crafting reflective panels which I've now hung outside and it's a chilly 25c inside now. It's the sixth circle of hell outside.
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# ¿ Jul 18, 2022 16:32 |
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The Perfect Element posted:This feels like a dumb af question, but is the heat affecting Internet speeds? Our connection has been patchy and slow all day, and loads of people at work are having similar issues. Maybe some data centre is struggling as their air con can't handle the heat? I'm definitely finding my work vpn stuttering a lot.
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# ¿ Jul 18, 2022 16:44 |
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Jaeluni Asjil posted:Muslims have you covered. Jahanam is such a cool curse. Much better than hell, or gently caress, or poo poo.
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# ¿ Jul 18, 2022 22:53 |
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Surprise T Rex posted:The Sainsbury's near me (and the Co-Op too maybe?) have big monitors above the till showing a live CCTV thing of you. One of them has MONITORING IN PROGRESS written on it. All a bit ominous tbh. If the fan spins slowly the motor is on it's way out.
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# ¿ Jul 19, 2022 09:57 |
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Surprise T Rex posted:Is there any way to extend its lifespan? When I took it apart the motor didn't seem particularly user-serviceable in any way tbh. I don't know. I've just binned the fans when they get to that state. I don't think the motor is serviceable unless you're an electrical engineer. They're only 15 quid a pop from the electrical wholesalers anyway.
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# ¿ Jul 19, 2022 13:47 |
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The swastikas are a nice touch.
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# ¿ Jul 20, 2022 10:53 |
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Apraxin posted:'All economic problems are the fault of Gordon Broon, who - as everyone knows - spent All the Poonds' has been a successful election message for the last decade, no reason for them to change it now. The Age of Strife, the Long Night and the coming of Chaos are the fault of Gordon Broon - The Emperor, M29
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# ¿ Jul 21, 2022 14:06 |
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Nilbop posted:I've literally said aloud "I'm glad I emigrated" four times this week and it's only Thursday. I wonder where they're gonna get all these 'agency workers' from. Anyone with the training and skills would already be doing the job. Foreign workers are difficult to hire even if you want to and it's politically inconvenient to start poaching professionals from abroad unless they're planning to use Ukrainians.
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# ¿ Jul 21, 2022 16:38 |
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HopperUK posted:We tell people about grapefruit quite a lot and it's always in the little leaflet things. Almost nobody reads those, and then you get someone who did and is in a spiral of anxiety because the leaflet says they might get a headache. It's understandable but boy, nobody ever worries about things an appropriate amount. I know I don't. No need to worry about it until you turn yellow or start spontaneously haemorrhaging out of every orifice. Thank god for e-prescribing and automatic interaction checking imo.
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# ¿ Jul 23, 2022 11:53 |
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fuctifino posted:https://twitter.com/LBC/status/1550538906872950786 Suddenly find out there are 50k members from the Conservative Association of Kiev who vote RON - Boris
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# ¿ Jul 23, 2022 13:59 |
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smellmycheese posted:Honestly decent fresh ground beans and a standard drip coffee machine make an extremely delicious pot of hot fresh coffee for the morning with zero effort. 2 spoons of options hot chocolate and mixing the coffee with 70% milk will make even instant coffee delicious.
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# ¿ Jul 24, 2022 19:02 |
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NotJustANumber99 posted:unless youve got like your own butler or something, using smart devices to make your home life easier/better is not the same as crossing the luddite picket line. You could get stux-netted like an Iranian nuclear plant. Imagine someone getting control of the thermostat and maxing it out in 40-degree heat.
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# ¿ Jul 24, 2022 23:13 |
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Brendan Rodgers posted:It's not about them turning the brightness on your TV so high that it explodes, it is about them gaining access to your TV and then pivoting into the rest of your network and then getting all your data and logins so that they can get money. Unless you manage to enforce basic opsec on your entire household it's pretty much a foregone result that your home network is going to have gaps in it. It's hard enough to get family to shred documents on a regular basis and I think I've had the Alexa=bad conversation with my other half many, many times. Not having any other people in the household is also a solution I guess. Z the IVth fucked around with this message at 01:12 on Jul 25, 2022 |
# ¿ Jul 25, 2022 01:06 |
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NotJustANumber99 posted:you're all mental You drive a car that comes with day-zero paid DLC. I'll stick to mental tyvm.
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# ¿ Jul 25, 2022 01:14 |
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The Perfect Element posted:Also the default voice for all digital servants is female, which is #problematic!!! There used to be a Brian Blessed GPS theme (Garmin?). Get him to do some lines for the digital assistants.
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# ¿ Jul 25, 2022 08:32 |
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Guavanaut posted:China is at the forefront of Ftfy.
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# ¿ Jul 25, 2022 20:33 |
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# ¿ May 10, 2024 18:13 |
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Brendan Rodgers posted:There are a lot of people who wil be sceptical about a source reporting on their own street, but if it's that same source reporting on a mortal enemy from the cold war that is on the other side of the planet, then they just accept it. It's his wife's Indian influence maybe. Modi whispering into his ear.
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# ¿ Jul 25, 2022 21:05 |