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Lati looks a liability tonight Sent from my Pixel 7 using Tapatalk

We missed a pen? Sent from my Pixel 7 using Tapatalk

The season before last it was, feels like a long time ago Sent from my Pixel 7 using Tapatalk

Judicial law doesn't even make sense, what are you on about? Sent from my Pixel 7 using Tapatalk

Listening to Radio 5 Live 606 at the weekend, they had a female presenter (she was far preferable to Robbie Savage) - she came out and said she thought Cov would beat United.

Presenter sounds like a northern Doug King

West Ham average gate was just under 35k and was constrained by the capacity at Upton Park, so the jump to 60k is smaller relative to the actual demand. Further, they also play at an Olympic Stadium in one of the world's most visited cities with great transport links.

I would hate Gyokeres play for the murdering bastards, vile club.

Trusts don't make a surplus but the direct tariff will contribute to the overhead, so there may be a surplus against the direct costs of performing the procedure. Sent from my Pixel 7 using Tapatalk

Colleague has just been involved in a new major trauma centre in Greater Manchester, the NHS organised the building and equipping of that actually Sent from my Pixel 7 using Tapatalk

Oh it's a right wing Think Tank, we don't hear enough from those guys Sent from my Pixel 7 using Tapatalk

He's got a serious case of sesh head finds exercise I think Sent from my Pixel 7 using Tapatalk

Of course there is a surplus, these private entities wouldn't agree a contract for work with no margin in it. The consultant's charge will be no greater than the actual cost of employing a consultant in an NHS Trust taking into account on-costs etc.

We had Jack Stephens here on loan years ago, definitely a centre half! Sent from my Pixel 7 using Tapatalk

Isn't £85k the maximum amount of money the government guarantees if your bank goes bust. £85k is still a lot more than £0k you will get if your house burned down with all your cash stored in it.

It's almost as if there is an inherent practical efficiency of having one NHS Trust with multiple specialisms under one roof.

Oh, and the private sector is paid exactly the same tariff for an elective procedure that an NHS Trust is. This reform then means that the government pays the same but the surplus (if there is one) goes to shareholders whomever and wherever they may be, rather than being recycled within an NHS...

NHS England put in place the 'increasing capacity framework' two years ago. This framework is to make arrangements so that the NHS is able to easily buy in from the private sector extra capacity to help with the elective waiting list...

I think personal attitudes in the UK are in reality much closer to northern European ones it's just got a rabid right wing media that likes to try and encourage something more American (when it suits). Sent from my Pixel 7 using Tapatalk

People working in the NHS don't want a new IT system though, it's not where the problem is. The problems are more basic than that - they have got very old kit that is just not fit to work with the cloud hosted EPRs etc they are trying to use. It's a bit like playing the newer versions of Champ...