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hampsterkahn

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Everything posted by hampsterkahn

  1. What will be these “disincentives” and how would they be applied ? The report suggests the need. for “young” “ economically active “ residents. This fifth former’s essay on social engineering has yet to focus on the basics such as the young get old and the “economically active” can, for a variety of reasons become economically very “inactive” Will someone be allowed to settle here if they a chronic health problem ? Will they be granted special dispensation if they are deemed a “special worker” what if they have a child with a serious disability? or an aged dependent relative? What is the process that will be applied to the “uneconomically active” -forced deportation ?
  2. John’s post should be read carefully by everyone. Perhaps most by those fortunate not to have need to seek consultation or treatment for a serious condition that involves travel off-Island. - You may yet, unfortunately. When you do, the stress of a serious diagnosis; awaiting the prognosis, it’s symptoms ; your mortality ; your family ; concerns about treatment, its effectiveness; its side effects and the concerns about how you will manage the logistics of receiving treatment is likely to be severe. Travel for those in good health - just off somewhere to enjoy ourselves, can be very stressful. Now add in the above factors plus symptoms of an illness - fatigue, pain, anxiety and effects of treatment such as weakness and nausea, then any “extra” stresses such as delays, transfer confusions, wheel chair foul- ups and “notes transfer problems”, then the effects can be can be very severe and demoralising, and will likely to impact on someone’s decision whether or not to continue with their treatment plan and ultimately affecting their condition, their symptoms - and their survival. Travel arrangements should be viewed not just as important, but an essential part of an individual's holistic care.
  3. 12 years seems a very long interval before a new comment emerges regarding this. The original poster identified a group of people whom he “hated”. As an example, he cited someone he felt typical. She had made a large fraudulent claim for benefits. This is not unique- or confined to any socio-economic group. There were tragic circumstances. Scarlett, her daughter,a 15 year old schoolgirl, was taken on a six month holiday to Goa by her mother who then left her there in the charge of a young tour guide whilst she continued her on with her travel. Scarlett was found dead. Originally the local authorities conclude she drowned. Further investigation, prompted by her mother, concluded that she had been drugged, sexually assaulted and murdered. Whether Scarlett’s mother identified herself as a” Hippie” I don’t know, but her appearance and lifestyle seems sufficient for the poster to put her into that category -a group for which he already had an overt hatred. That hatred seems strong enough to have prevented what would have been most peoples’ overriding reaction: “ Poor Scarlett”
  4. That is plastic surgery, dermatology, the wound management clinic,physiotherapy, occupational therapy, district nurse and health visitors at Dalmeny, various different outpatient clinics such as obs and gynae cardiology, ENT… It’s seems well- managed and the staff seem ready to smile and speak to you.
  5. That approach has been tried several times. It had failed spectacularly recently with a CEO with a history of health care based on a degree in music. That failure will prove to be extremely expensive
  6. Identifying the cause of the problem is the easy is bit- recruiting and retaining staff. Tackling it is not so easy and not helped, I would imagine, by the recent extraordinary and very widely published handling of the the anaesthetic tragedy and the Dr Ranson tribunal. Surprisingly,I understand some UK Health Trusts, are seen as even worse employers! - to our benefit sometimes.
  7. I think Wrighty has already very adequately answered that question. However consider this : Take the number of hours needed per week to provide that level of service you ( and we all) would ideally like. Now divide that number that by the number of of staff you have. For a rather bleaker picture , divide the hours to be covered by a figure that takes into account the staff - take GPs for example, who are likely to retire in the next few years..
  8. Am I dementing? - or am I a sort of bemused Rip Van Winkle awaking from another century ? or have I been living in a parallel universe ? Whatever the cause, I really have no idea what people on here are talking about! The explanations offered in response to my genuine requests for help, talk of “sleeping beauty” and “thirds” If I am going to even begin try to understand this topic,I I must start with the basics, please.
  9. Nope, still don’t get it - I get lost after the three legs sleeping beauty problem ? I ‘m just thick and live in a different world.
  10. This is probably a very naive question, but a genuine one : can you explain the reference to Manx flag in all of this?
  11. This is a very confusing topic for me- 1.I just don’t see where the Manx flag- or any flag,comes into this? 2.The public toilet issue - I use one very infrequently.I find then smelly and rather unpleasant- but useful if needed for the sole purpose of peeing and pooing. Thankfully, I have never been “approached” by anyone in a toilet.The prospect would be a further deterrent for me using one, even to the point risking of bladder complications. A fact of life is that women / female sex (or whatever term is currently in use) do, by dint of anatomy and physiology etc.m do have more frequent need of such facilities.Unless they have trained bladder and other muscular tone to levels to produce an unusual trajectory, they sit down - rather than pee against the porcelain whilst standing.This means removal of more clothing and increases the feeling of vulnerabilty. They should be be able to use these facilities confidently without even the briefest second thought about it -and not feel in any way uncomfortable. As father, I would have been very concerned to wait whilst my young daughter entered a public toilet ( where as a “male” I would not have been be permitted to enter) to be followed in by someone who - for whatever reason, claimed they had a perfect right to be there, but by their appearance and demeanor would have very probably caused her distress and - and fear. Men/ young boys; women/ young girls have a basic right to the access the appropriately designated facilities without feeling in any way intimidated or uncomfortable.
  12. It does have some relevance. When people were being assessed for this post, here it would seem was a candidate who was apparently very talented and valued by her employers. Such was their generousity, they readily agreed to lose such a vital member of their organisation for 3 days a week to for her to work some where else. “ somewhere else’”, being here.It didn’t even mean going “somewhere else but instead staying at home and and delivering her talent in the form of latter day colonial service by modern technology.
  13. It is interesting that in the interview he says that to get the “top notch candidate” ,.. their might need to be “ compromises in working conditions” He has perhaps revealed the approach taken in candidate selection. It would be interesting when faced with similarly qualified candidates how the “Top Notchers” were selected, as there is now a proven and consistent record of disastrous failure using this process. I suspect these candidates were impressive by apparent confidence and self promotion backed by extravagant claims of ability from a facade of personal dynamism. It also raises the depressing thought that rejected were some very able people who may not have dazzled with charisma, but would have just quietly and efficiently excelled - doing what we need of them - doing their bloody job..
  14. One of the characteristics of respected professionals, world experts and those with the most extensive and detailed knowledge and experience in their profession will sometimes readily respond to a question with, a straight forward, honest , “ I don’t know” if it is outside their area of experience or the facts aren’t to hand, or it is a topic they have yet to focus their thoughts on. A trait which does not seem to burden Mr Ashford.
  15. It is well known that DHSC has a recruitment and retainment problem for medical staff. It is not new.It was a problem before the Dr Ranson tribunal. The coverage of the disgraceful scandal in various publications read by those in interested in / or employed in health care has been extensive and withering. Looking at just one publication - the BMJ, the British Medical Journal,it ran a main article soon afterwards and in the last week a supplement that comes with it ran another: A very attractive picture of Douglas harbour, is spread across the top of a double page .Unfortunately, reading the article under it could not be more unattractive for anyone even considering working in the Island’s Health Care System. Such an exposé means that the Island’s Health Service has a negative advertising campaign all of it’s own making. it is likely to be a successful one.
  16. In 1912 or thereabouts many towns had tram systems that operated in the middle of the road.It wasn’t ideal then and worse as traffic density increased and motor vehicles became more commonplace. It seems extraordinary, then to ignore the obvious that a tramway in the middle of any 21st century road presents hazards. Having decided to retain the tramway and totally rebuild the promenade it is difficult to understand why the opportunity to relocate the tramway to somewhere safer and more convenient - )either side or on the prom but any where other than the middle of a busy road) was not taken. If and when the trams run again it would seem we have managed to retain all the disadvantages of an Edwardian traffic system and a 21 st century one by unimaginatively cobbling the two together.
  17. A wonderful Manx urban myth surrounds the vaccination hubs. It seemed that on seeing people in UK having injections in toilets and broom cupboards and comparing our more comfortable arrangements we felt let down as we felt entitled to a similar level of misery. Nearly all of us have passed through one of the hubs, so we are all experts, but to me they really were not/ are not lavish and certainly not as response to a national emergency: 1. part of the airport foyer cordoned off with 4x2 s , plaster board partitions- Ah! what about the famous, fantastically expensive skirting boards of folklore ( how much is wooden skirting per metre?) 2. A disused supermarket.Windowless with effectively no heating for the first few months and little afterwards. Chairs? .. Chairs ? don’t talk to me about chairs - I have heard (from someone who knows) they even bought a whole box of new light bulbs…- - A whole box.. New ones..Mad.
  18. As a species, politicians, I suspect have unusual levels of self-belief, coupled with a need for attention. This tends to suppress self- doubt, and with it the nagging thought that in reality they are bit, “come-day, go-day”-ish.. That said, what is so wrong with wearing a suit -tie, cravat, waistcoat if you so choose? -Even if you are not due in court- or attending a funeral or wedding ? It is so very unusual now, that only aged, style refuges from the 1960’s and 70’s could possibly regard such attire as being any way “ conventional”.
  19. We seem to have veered off on a diversion. Diversions here are frequent - onto rumbly dirt track road - with a lot of grass growing in the middle. This time, it involves staffing on a floor at a newsagent. To skid, steer and bump us back onto the information and discussion highway… Who is it we want/need? Is this Private or Govt.sector? Are incentives to be offered? For Govt.: Departments have a consistent, but sadly catastrophic record regarding senior official appointments, especially with candidates from, “ off island”. Perhaps a case for “Lay” representation? Private sector: Their boldness, unlike Gov., carries more of a personal risk. On reflection, not all employment solutions come from any sort of “planning’ - the great “Airship” venture , proclaimed in robust terms by politicos at the time, ended badly. However, many of the skilled workforce ,who had relocated here with their families became employed in other sectors, sometimes in very different roles, and very quickly became part of the Island community.
  20. Dr Ranson’s case was always very sound. Despite that, it could have been choked by the heavy, smothering hands of the system in the “usual way”. The “Usual way “ is asphyxiation and attrition- to smother and wear people down, and “make smoke “- just look at that appalling, devious, rambling drivel of a denial letter from Ashford to PAC. The catastrophic failure of this system was laid bare by this tribunal. It shook ‘ “The Department” to the core. Good. Dr Ranson obviously did have great personal resolve and also access to excellent legal representation. it was not just down to these strengths that this case was won, it was more to the dreadful and serious weaknesses of the system that were exposed as being seriously flawed and humiliatingly idefensible.
  21. Ah, if only more of us shared that degree of insight.
  22. The fuming indignation expressed by one group of road users ( fill in tribal name ) against others ( fill opposing name) probably has little to do with their respective modes of transportation, but more to do with personality traits and and in many situations… traffic density. One has to bear in mind that quite a lot of the people you encounter anywhere have, let us say,some significant degree of “social difficulty”in relating to others. Add the “anonymity cloak” of a car, or the cultural clothing of cyclists and bikers which serves a similar function, and there can be problems. It is perhaps significant that many cars have tinted windows and cyclists, dark glasses and bikers faces are obscured by helmet design - or choice. People who would normally squirm with embarrassment and race to profusely aplogise after miss-stepping someone, or colliding in the street or in a supermarket trolley clash are as, road users now self- righteous, combative - and even sometimes can be dangerously vengeful.
  23. Girls “ deliberately” getting pregnant with the sole ,focussed aim of attaining a council house ? Is that really- or was it ever, a significant problem or more just casual prejudiced social sneer? “ Hard working “. - “ Hard Working families” -These are the chosen ones. This all sound like echoes from discussions around 2004 - very “Tony Blair-ish” What do we think is the acceptable way of dealing with those who are not, for what ever reason, judged to be ..”Not Hard- working” or , perish the thought, “lazy”?
  24. Agree. That is why as a society we must always have careful scrutiny over those in positions of authority and power-The old , “ Quis cusdodiet ipsos custodes?” - who guards the guards?
  25. Society gets the criminals it deserves. A police force also reflects society, but we should not just get the police we deserve, we should be able to have the force we insist on. If you have been around for a while, you will have learnt that individuals who are “the Police”are very different.There is not a “generic” policeman/woman any more than other profession. They range from the extraordinarily decent and humane, who from my experience, are by far the majority, through the reasonably fair , to the ponderous and prejudiced, on to an very small, but evil minority. - A mirror of us all, really.
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