Junior doctor strike: Union's pay demands unrealistic, says Steve Barclay

[Mrwong]

Being a bit dodgy seems to come with the territory when an MP or in government (and also subject to greater scrutiny than the typical private business person) so do you really think that Labour MP's in the same circumstances would be any different?

The other thing that always gets ignored is what is often perceived as ineptness in government can actually be traced back to the civil service who would be the same regardless of which party is in power. All the worst party gate breaches were by civil servants but that was brushed under the carpet and the people weren't even named.

No point, I have tried to explain this many times about civil servants, but they are unable to understand.

 

[Mrwong]

I’m sure many people here could help you?

Thanks for the offer, but I have it all under control.

 

[Mrwong]

No I can’t help you neither am I inclined to. Others could.

I will have a very nice life. I will have a Life.

I will walk to work in shorts and tee shirt, I will wake up direct sunshine, I will walk to the beach any time I want. I will eat good food not the processed rubbish we are given in this country.

I will have a nice home with ample space and that foreign air flowing through the property.

I will be able to eat at 10 pm or later I will not be restricted by drinking laws, or venue times nor will I see unruly behaviour.

I will keep more of what we earn,

 

[Mrwong]

You actually do a lot of complaining about your circumstances e.g you get a speeding ticket therefore the police are tax collectors

If they change the rules move to goal posts just to raise revenue. When they have roads that say 40 then get reduced to 20 and up to 30 then back to 20.

 

[Mrwong]

THaving lived and worked abroad, however much I dislike this country sometimes, the grass isn’t always greener.

I have worked abroad many times, I came back to help people. This time it is a full move.

 

[Mrwong]

Well that frothed up quickly.

Trying to give the Tories a free pass because of Blair/Brown is just showing the desperation and the death wails of the ideologues who will probably "rather leave the country" than have any other government and they aren't going to budge.

I am as bored of people not understanding 2006/7/8 as I was bored of people talking about "those risky LDIs" last summer. They don't have a clue. Technical inaccuracies like that (or I saw the film....) are why we are in the state we are now.

MrWong you absolutely stated previously you have hard evidence that senior civil servants were scuppering brexit, but you never followed through with proof.

All I can see is a bunch of die hard Tory Brexit fans unable to cope with the fact that they have been wrong since 2016 and now it's being proved again and again for all to see. It must sting! (of course supporting the current Tory mess, not just Brexit, but that is a defining part of them)

Yours, champagne centrist

Yes, you keep going with the flow keep paying more In taxes and receiving less.

You expect Doctors and others to earn the same as a London cleaner £14 per hour and then expect great service.

Expect people to pay for their higher education work for nothing and still have to pay Interest.
Well if you have to pay big fees for your degree, master etc then don't expect those people to stay. Paying high education fees means no loyalty or pressured by others about the duty to stay in this country.

You accepted the scam of affordable housing or share ownership.

Land ownership let not start their with rich landowners being subside by the tax payer to produce nothing.

Btw I am neither Labour or Tory.

 

[Mrwong]

You think at 16 or so when they started to decide on their career and we’re choosing their A levels to get into medicine, a minimum of 8 years ago for the very most junior they were looking at starting salary or really understood the job? Don’t make me laugh.

It’s like the lazy arguments around “if you don’t like it then get another job”. This is a career not your first pay check type of role, but the sad fact is many of them will be looking at either another career or moving abroad. I see it all the time from juniors, and a worrying number have followed through from staff room chats I’ve had over the last few years.

The biggest single stress in my working life is not having enough doctor staff and the impact that has on both my team and patient care, but there simply aren’t enough coming through and the drop out is frightening now.

The government need to step up and genuinely start meaningful talks, as not doing so has real ongoing risks that won’t even take that many years to come to fruition these days, the the ill feeling is so strong.

Clearly 35 is an opening position. Nobody is going to expect the government to say ok 35 it is then. Get down and talk and make something sensible. The government dicking about saying we won’t talk until you stop saying 35 is pointless. Just start some meaningful talks ffs

There are plenty of alternatives they can do.
Be sure that the traditional GP will not exist in 25 years.
Once we perfected scanning monitoring solutions it will be all over for GPs.
If is not the case of if but when.

 

[Mrwong]

The BMA is asking for talks. The government are the ones declining, just doing the same they always do with negotiations. A strike ( with an incredibly high mandate from members I might add) is telling the government we won’t accept you mugging us off with your usual low ball offers. The fact that doctors on this forum are telling you the level of feeling and how people are quitting or moving abroad and yet you still won’t accept that as truth shows that strikes are probably needed to get the message across.

I am neither a junior, nor a member of the BMA. My skin in the game is that I am very worried about us losing a significant amount if doctors over the coming years which we can ill afford

Strikes are the only solution, no matter how it impacts 3rd parties.

 

[Mrwong]

Again this just shows how little you understand about the subject matter. A GP is not simply a human scanner/diagnostic machine.

Honestly I'm at a loss why you continue to post about a subject you know so little about and yet contributed so much incorrect information.

I think you fail to understand what is around the corner.
At the moment tech is assisting doctors, then it will take over in medical imaging assessments, eventually will make its own assessments and provide treatment.
Sorry, but GPs are not for the long term.

A.I does not suffer from visual fatigue, mental fatigue , heavy workload, during its evolutionary expertise.

Verisound AI

GE HealthCare’s innovative AI solutions enable smarter scan guidance, greater workflow productivity, and more informed clinical decision support across our ultrasound portfolio.

captionhealth.com

Brainminer - Machine Learning for Neurology

Brainminer Ltd Machine Learning for Neurology

www.brainminer.co.uk

There are many many companies in this field, this is the tip and a tsunami of companies that are out there evolving.

Would you rather pay for an echo or a hospitalization?​

 

[Mrwong]

Ah yes you have a much better idea of what it is to be a doctor than I do, silly me, I apologies. I await the AI overlords to punish me for my mistakes.

While I may not have all the answers, its clear that some jobs are facing significant changes and challenges.
I really like to know is how much is the total package of a public worker, compared to a private worker.
I understand that they each contribute in their own way.
Yet, some private workers do not get any pensions, yet pay towards public workers pensions. How fair is that?

 

[Mrwong]

How would the private sector go about it?

The private sector is just as bad in this country, the retention rates are poor, I doubt you'll see the same doctor a year later, they too are grinded down.

There are ways for the NHS to stay afloat. But of course some citizens refuse to do it.

They did the same to housing, and destroyed the housing market, they detached it from organic fundamentals. The private sector is sucking in all the benefits.

ultimately, most will not own their home, companies are jumping into a market that they once would never have thought of doing.

Government can't even fund the armed forces.

The whole public system is collapsing in front of your eyes. It has been going this way for years.

Look at the national deficit, not as bad a WW1&2, but when you are 100% of nf just for keeping the country afloat then you have serious problems.

Insurance and pensions are the main customers of UK debt, amongst others like states buying then leading back.

Austerity measures do not work in the current form. It just keeps/ push deficit to 100% gdp.

It is going to get worse and very very hard decision will be made. The longer they keep tinkering with the system the worse it will be.

 

[Mrwong]

The public also need to be bluntly told to lose some weight and start moving.

Government needs to come down hard on food producers. The amount of junk they are putting in foods is ridiculous.
Ban sugar and Food grade silicon in foods E900 etc...

 

[Mrwong]

We can agree on that. The mountains of junk and processed foods people are eating is causing serious issues to health now.

Food grade silicon, you know the type of silicon they use in breast implants. Dimethylpolysiloxane.E900.

 

[Mrwong]

Yes but that probably wouldn't touch the most unrealistic that sit at the top of the organisation.

They should probably receive additional funding to also take over responsibility of social care from local authorities. If they're responsible for the whole end to end service they would invest in suitable half way house accommodation / intermediary care homes to discharge patients from hospital to free up beds and not have ambulances stacking up waiting to unload. Intermediary care homes would be cheaper to run than the bed blocking that goes on and the cancelled ops because of it. Hospitals were not designed to take long stay patients. They should from a business perspective be running operating theatres almost 24 / 7 to maximise the value of the assets.

They could save a lot if each Trust didn't do it's own thing in terms of outsourcing IT for instance, they ought to take that inhouse as a nationwide shared service.

Start of with 500,000 a day for private ambulance, NHS paying companies like dhl etc.. bring that back in house.