It’s sobering in these times of austerity that a consultant is currently offering his services to the NHS for an hourly rate of £666. One of the skills listed on his CV? Cost savings and reward management. Nice work if you can get it.

 

It’s entertaining to see GPs suddenly realise that being given the power to decide how and where money is spent on health care in the UK is tempered by the fact that the buck stops with them.

Yes, boys and girls, you get the honey pot but you also get the sticky hands from holding it – and all that sticks is not sweet.

The days of palming off tough decisions on primary care trusts are coming to an end as trusts wind down in anticipation of the transfer of power to GP consortia in 2013.

It will, for the first time, see GPs collective head firmly above the parapet as primary budget holders. Break out the tin helmets and flak jackets.

 

Things seem to be going from bad to worse for Afghanistan with news that the war-torn country may be sitting on 1.8 billion barrels of oil.

A preliminary survey by Afghan and ‘international’ geologists have discovered what looks like a potential oilfield in the northern provinces.

It follows an announcement by US geologists last summer that Afghanistan had probable mineral resources of $1 trillion.

One small step for Afghanistan, one giant step for the American economy.

 

GPs have been saying for years that they are best placed to decide how and where money is spent on health care often citing primary care trusts as dictatorial bureaucrats more interested in targets than the needs of the local community.

And so it came to pass that the health fairy Andrew Lansley granted them their wish on one condition.

The caveat is that GPs take full responsibility for how and where  money is spent and are held accountable for any failings.

GPs are now wising up to the fact that pretty soon there won’t be a primary care trust to conveniently blame and they will be in the firing line as budget holders.

This realisation, along with the huge skills gap they will have to bridge as GP consortia, has come as something of a shock.

In all likelihood, they will have to re-employ a small army of trust staff to keep things working.

And Andrew Lansley is trying sell us his new vision of the NHS by saying he is cutting bureaucracy. Oh really?

 

The film industry and its associated parasites are never more disingenuous and self serving than when they are promoting their product.

There are few things that stick in my craw more than seeing some actor/actress extolling the virtues of appearing in Shrek 3 or the existential experience of Piranha II.

Hell, Adrien Brody was even spinning a line recently about his new film Predators telling us it was an evolutionary thread from the original. Give me a break. How dare he sully the role of Arnie’s gun toting alien exterminator

It takes a couple of old-timers to tell it like it is sometimes and admit they appear in crap films to fill up the financial coffers.

Two examples come to mind.

Brit stalwart Miachael Caine made no bones about the reasons behind starring in Jaws 3: the revenge saying: “I have never seen it, but by all accounts it is terrible. However, I have seen the house that it built, and it is terrific.”

Alex Guinness also told it as it is after getting fed up with his role as Jedi master Obi Wan in Star Wars saying: “I just couldn’t go on speaking those bloody awful, banal lines. I’d had enough of the mumbo jumbo.”

 

The loafer has been off work this week on legitimate annual leave. What’s the world coming to when a seasoned soak has to fall back on normal holiday time?

He rang up asking the latest on the shakeup in the NHS which will mean the demise of primary care trusts and major job losses at our work place.

I couldn’t enlighten him beyond the doublespeak of high management which sounded like the band of the Titantic playing ever more frantically as the ship goes down.

Words, such as new beginnings, opportunity, a brave new world and standard bearers were all trotted out by our glorious leader who has all the charisma of a reheated steak. Yes, a very inspiring talk to the troops as we march into the abyss of mass unemployment and the coalition government’s vision of a brighter Britain.

I did want to tell the loafer that he would be the first to walk the plank once he’d been prised squealing off his work station but felt he was genuinely concerned.

This sympathy lasted a mere heartbeat when he earnestly added that he would ‘leave tomorrow if they gave me ten thousand  pounds.

We could also get him to leave tomorrow by throwing him off the roof.

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