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  1. I would agree with that, and yet, at the same time as people are becoming increasingly health conscious, we see the NHS coming apart at the seams which was my point really. It doesn't relieve the pressure on the NHS/Social Care.
  2. Effective health promotion is doubtless a good idea, but whether it would relieve the pressure on a perpetually overstretched service is doubtful, I would suggest. Quite apart from the problem of how you deliver effective health promotion, it would take many years to have a significant impact on the levels of illness. Unhealthy people who have already lived a significant portion of their lives will continue to become unwell and need treatment, and at the same time a lot of resources would presumably have to be put into health promotion. Eventually, once (if!) it starts working, you will have a gradually ageing population needing to be looked after. As you said, people are going to die of something. One thing that maybe can be learnt from the studies around smoking is that, quite independent of the taxes raised from smokers, in absolute terms it costs more to look after non-smokers than smokers because they live longer and then die of something. If you look at it in broader terms than just health, the differences become more stark due to differences in pension payments. So leading healthier lives is a good thing, but the idea that it will relieve pressure on health services, or reduce costs doesn't really stack up.
  3. No-one could argue that from an individual perspective it makes absolute sense to live healthier lives, stop smoking, drink less alcohol etc, but the financial calculations are extraordinarily difficult. The area that has been most looked at in financial terms is smoking, and the answers are far from clear. The most recent UK Gov estimate for excess costs to the NHS from smoking was £2.5 Billion annually, and a further £1.4 Billion excess annual costs in Social Care. Compare that to approximately £10 Billion raised in tobacco duty annually and a further £2.5 Billion paid in VAT by tobacco companies and you can see that it isn't straightforward. Other studies have reached the conclusion that average annual healthcare costs are slightly higher for smokers compared with non-smokers, but that total lifetime healthcare costs are slightly higher for non-smokers due to their longer life expectancies. None of that is to suggest that smoking is a good idea, but to blame the problems of the NHS on individuals' lifestyle choices does feel a bit like another attempt to blame the public (without any compelling evidence) rather than looking at how the service is set up and run.
  4. That's assuming that the person who doesn't turn up doesn't go on to have a hip replacement at some point in the future. If they do, missing the initial appointment ends up costing money. In that case the £1500 on the implant will get spent at a later date anyway, and many of the other costs (staff etc) will be the same whether you do 2 or 3 hip replacements on 1 list. If you only do 2 it is less efficient (as you say) and therefore more costly in the long run. If they don't turn up because they no longer require one (for any reason) that is a different matter. If that is the case there should be a system that stops them being sent for and their spot could be offered to someone else on the waiting list. Either way, running lists at two thirds capacity is less efficient/more costly in the long run.
  5. Looking at missed appointments in terms of their financial cost isn't terribly helpful, but if 4 or 5% of appointments are missed (rather than cancelled and rebooked for someone else), it does mean that 4 or 5% fewer people get seen. A 4 or 5% increase/decrease in numbers seen can make a significant difference to waiting times for appointments. If demand exceeds capacity by a few percent, waiting lists will build up. If capacity exceeds demand by a few percent, waiting lists will fall. Furthermore, whilst some people who miss appointments do so because they no longer need an appointment, many do still need to be seen and just book another appointment, effectively increasing waiting times for everyone. I guess that is a harder concept to get across in a few words, rather than expressing it in financial terms. The underlying message remains the same that if you can't make an appointment it helps to cancel it (even at quite short notice), rather than simply not turning up.
  6. She is employed as a teacher. When the personal choices she makes with regard to her appearance start to undermine her ability to teach effectively that will harm her students' education. The school should feel able to address that issue, as they should with any cis gendered teacher who dresses inappropriately. The vast majority of trans people just want to live their lives. They doubtless face more challenges than most in society and deserve to be treated respectfully and with an understanding of those challenges. Then there is a small minority, such as this woman, who seem to want to go out of their way to create problems. I suspect that she would be quite happy if the school were to tell her to stop wearing the prosthetic breasts as she would then be able to claim she was the victim of transphobia. It has parallels to the case of Jessica Yaniv who went out of her way to try to create problems for beauticians who decided that they didn't want to wax her scrotum. Unfortunately, this tiny minority get a disproportionate amount of media coverage and aren't doing any favours to the vast majority of the trans community. Everyone, including the rest of the trans community, should feel able to call them out on that.
  7. Well obviously yes, but in this case they aren't implants and could easily be removed.
  8. I think the point is that the missed appointments aren't cancelled. They just don't turn up. If someone feels better and they cancel the appointment, that isn't really a problem as the appointment can then be given to someone else.
  9. Surely the something that should be done is that she should be instructed that she should not be wearing the fake breasts whilst working in the classroom?
  10. There are 11 GP practices on the Isle of Man so 1200 missed appointments a month equates to around 5 a day per practice on average (although it will likely be more in the larger practices and fewer in the smaller practices). I would imagine the figure includes missed appointments with doctors and practice nurses etc so seems like quite a believable number to me.
  11. Newbie

    Isle of Pride

    The issue is that they were protesters. In fact they claim that the whole Pride event was a protest rather than a party or anything else. No other group of protesters get to choose whether their protest is policed, and in what manner. That is a decision for the Police, surely? People can protest about the manner of policing if they wish, but they cannot demand that their activities are beyond the remit of the Police, otherwise where does it stop?
  12. Their main argument seems to be that Pride is a protest rather than a party, and as such the Police have no place there as it makes them feel unsafe. When did protesters get to choose whether their protest was policed? Or for that matter, when did it become necessary for the police to be invited by the organisers before they could be present at a protest? Would they want to see that extended to all protests? Can any group of people who feel they have been treated harshly by the Police in the past demand that their activities are no longer policed because a police presence makes them feel unsafe? So many questions!
  13. It is easy to understand, however, why many people view the actions of trans campaigners as attempts to silence people with opinions that differ from theirs. The cancelled public appearances of leading feminists, the demonstrations targeting individuals etc all because those people hold different views seem, on the surface at least, to be attempts to prevent those views being heard. The fact that those individuals seek other ways to put their opinions across is hardly a surprise, and is surely an indication that trans campaigners tactics don't work terribly well, rather than indicating that there isn't any intention to cancel people. A prime example is Kathleen Stock, who's book Material Girls: Why Reality Matters for Feminism would probably have been read by a few hundred academics had it not been for the concerted campaign against her. The outcome is that she was hounded out of her career, and she sold many, many more books that she otherwise would. To someone who is not really affected by these issues (in any practical sense), but is trying to understand both sides of the argument, it seems like a bad tactic on the part of trans campaigners. It doesn't achieve what they (presumably) want - to prevent Kathleen Stock putting her views forward, and it gives the general public completely the wrong impression of the vast majority of the trans community.
  14. Newbie

    TT 2022 ??

    The Event Safety Plan is quite clear that all marshals have to have completed an Incident Management Course within the previous three years. Obviously marshals have to start somewhere, and novice marshals can go out on the course and be positioned with experienced marshals, but if there are insufficient qualified marshals to cover all the marshalling points, and fulfil all the marshalling roles, having more novice marshals won't change that. Novice marshals cannot be used to 'make up the numbers'. Hence the appeal for experienced marshals.
  15. Newbie

    TT 2022 ??

    That's true, but the Road Races Act requires that all marshals that are appointed have received appropriate training. In this context that means that they have gone through the Incident Management Course for marshals on the TT Course. It wouldn't be possible to put a marshal with no experience through the course before tomorrow. Hence the call for experienced marshals
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