Imagine those poor management consultants in Scotland who've been unable to earn a living by recommending change after change, but not being held accountable for why their last change failed.
Oh, and another thing, the current restructuring and changing of ICBs is yet another huge cost in money, people, and continuity that the NHS is having to fund.
A reminder that Scotland went to Health Boards in 2004, made a change with GP practices in 2005, and... haven't really changed since.
40 years ago. FORTY years ago.
And, yes, it is a manic Monday, most definitely not a fun day.
My main grumbles are that it moved from a model in the mid-90s where if the senior hospital consultant (Col rank +) said "this soldier is medically unfit for service and it was the service that caused it" then the pensions folk believed them, to a model now where they try to avoid payment.
There have been some pretty unforgiveable changes made to war pensions, especially in the 21st century.
Some folk with run-flats think that means they’re immune to getting an actual “your tyre is not a tyre any more” puncture. Oh, and they can drive at full speed while their puncture light is on
MPs probably considering buying bot farm surges to their followers and comment counts to get their boss’s love was not on my 2026 bingo card.
ICBs are just the wrong size. Where I live, my ICB ranges from wealthy, leafy rural Suffolk to very deprived Jaywick in North Essex. Where I work, from Hackney to Hornchurch.
One size fits all “strategic commissioning” across that is nonsense, but it seems to make sense to some folk.
As someone who joined the NHS in 2014, I have no experience before CCGs, but I liked a small local commissioner who is both independent and can effectively hold providers to account.
Otherwise you’re just giving money to pressured providers and trusting them to do the right thing.
If ICBs are moving to talking shops and money distributors then they have no purpose beyond being someone to blame.
I’m not convinced many ICBs understand “strategic commissioning” and what it is actually meant to be doing in the new world, so we are where we are.
www.hsj.co.uk/comment/do-i...
The CPS found 12 staff failed in their legal duty of care to Laura. In a letter, prosecutors said: “The evidence clearly proves that [doctors] prescribed incorrect levels of IV paracetamol for Laura due to her low body weight, which was administered without question by nurses.”
Every year until she died a few years ago, my gran would send me the annual Oor Wullie or Broons compilation book for Christmas.
It was one of the most welcome gifts every year and I really do miss getting it from her.
“Hey Sam, this is the US Govt, is that some oil I see on your driveway? Would be a shame if anything happened to that.”
Back when on Twitter, I once had an old-fashioned written complaint sent to our commissioners because I blocked someone for abusing me.
To end the complaint, I agreed to unblock him. I re-blocked him the same day when he did it again then refused to engage with the repeat complaint.
- Labour can't understand why they're STILL not leading the polls so adopt policies that'd make Priti Patel grimace at their inhuman approach.
(time passes)
- Labour get thrashed in every by-election.
- Aaaand... it's too late because you've seen what happened to the Tories when they did this.
2/2
A Sunday morning political prediction for the UK Labour Party
- Labour increasingly appease the nutjobs of the world, alienating core voters because the Daily Mail says so.
- Core Labour voters don't vote Labour in May.
- Labour thrashes even further to the right to "assuage concerns".
1/2
Kemi Badenoch and Nigel Farage want Britain to blindly follow Trump into this illegal war, even though the President has no plan for what comes next.
There is nothing patriotic about outsourcing Britain’s foreign policy to Donald Trump.
Well… Italy. England. Well….
I’ll take that for a day of rugby. 😃
Well, that was a fantastically entertaining game of rugby. 90 points in it from 13 tries, and a Scotland win, is just pure entertainment.
Scrolling on a web form to get your birth year when you’re over 50.
Sometimes it really is just rank incompetence, but you rarely/never hear these stories about white people with British white people’s names being told they’re not British, do you?
I sometimes think officials should be required to justify why a decision isn’t racist when it’s this obviously and completely flawed.
When your backs won’t/can’t do the job, your props will just have to do it themselves. A cracking try from Welsh prop Rhys Carré.
www.instagram.com/reel/DVjrG3n...
#Oliverscampaign
People with learning disabilities died after not being given access to routine cancer screening
@UHSussex
@NHSSussex
In 2024-25, the LeDeR programme was notified of 158 deaths, 20 more than the previous year
www.brightonandhovenews.org/2026/03/04/p...
It’s the look she’s getting that made me laugh.
Vote Labour, get Tory policies
"They wouldn't let me point a tank at anyone because Liz Truss cosplayed it so badly, please don't say mean things to me about pointing even unloaded rifles at people."
I really do think less of companies who use Google Meet.
Even Teams is better. And that's a very generous statement.
A picture of PEW poll on global attitude survey, saying the % who rate the morality and ethics of people in their country as good vs bad, where the US has the worst rankings and Canada the best
Americans: we live in a fallen state—embroiled by sin, cheating, lying, and evil. You cannot trust anyone, not even those who claim to know you best
Canadians: I love my neighbors and my friends!
There's only one where that's worked really well for me. The AA. Cancelling existing car insurance and AA roadside cover was flawlessly easy via their chatbot, onto a human with no delay to verify that, yes, I am me, and done.
I now judge the awful implementations elsewhere even more than before.
