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NHS reform

I thought about this for some time and had a lightbulb moment,the more you shift of a product the cheaper it becomes the first light bulbs cost a week's wages but as they caught on the cheaper they became hopefully healthy food will do the same.
but if one doesnt like the taste of sweet potatoes it doesnt really matter if theyre the healthier option or not
 
It’s amusing, if quite sad!

These comments always make me smile. Especially after I have been accused of being a “troll”.

Living rent free in his and a few others’ heads is very funny.

Anyone with any objectivity can see who the trolls are, don’t worry.
 
Healthier, but also a more expensive option, and not (until the last few years) a vegetable that your average Brit would consider eating. King Edwards and Maris Pipe Rule!
When I worked in the food industry we learned that there is no such thing as a healthy, or unhealthy, foodstuff!

There are only healthy or unhealthy diets.

An occasional bag of crisps or Big Mac won’t harm you.

Eat them all the time, or any high fat, high sugar or high salt diet and it will.

Overconsumption of anything or everything is what really needs to be addressed.

The food industry will, like any other industry, only produce what it can sell, using the availabie raw materials and following the regulations.

It we demand lower fat, lower sugar, lower salt products, as we have been doing, they will be made.
 
When I worked in the food industry we learned that there is no such thing as a healthy, or unhealthy, foodstuff!

There are only healthy or unhealthy diets.

An occasional bag of crisps or Big Mac won’t harm you.

Eat them all the time, or any high fat, high sugar or high salt diet and it will.

Overconsumption of anything or everything is what really needs to be addressed.

The food industry will, like any other industry, only produce what it can sell, using the availabie raw materials and following the regulations.

It we demand lower fat, lower sugar, lower salt products, as we have been doing, they will be made.

Considering the food industry and pharma are the ones who don't care about anything other then profit they would look at it that way.

Those 2 are the ones who made up the current guidelines about nutrition which is not science based.

The bit about eat them all the time high fat etc will is false.

1. salt is essential.
2. so is fat/protein.
3. sugar is not required at all in the diet.

Mix those 3 together and you have the modern day diet which is why so much health decline.

It is very difficult to over consume just fat/protein.

Food industry has designed foods that people are addicted to and as I said before they have too much influence pharma/food industry should not be making up guidelines.

About the NHS reform it is BS it's like marketing the system was never designed to do what it is doing as again its controlled by pharma.
 
NHS AP and AI.


I already have experience of this, my surgery uses a product called Anima, essentially it is an automated triage system. You cannot just phone up and book an appointment you to go through this triage.

Me: My stomach feels bloated and I am throwing up in the mornings
Anima: Congratulations sir you are pregnant. (just kidding).

I am guessing that this is what the NHS app will be like. Here's my take on how Anima currently works.

The Good
It saves the practice time by asking a series of detailed questions so in theory when you get to see someone in person they already have a detailed description so they can focus on that rather than wasting time asking 20 questions. My GP friend says pointless pleasantries drives her up the wall, some patients just meander and wont get to the point.

Anima can refer people to other resources e.g. I have a cold, then go see a pharmacist.

The Bad
It's another barrier between patient and GP. Recently a lady friend had a hip problem and wanted to see her GP. I did the Anima for her.* It took 20 mins to do the Triage and I could see her getting more and more frustrated at the endless questions. Through out the Triage the loaded questions were geared to direct her away from the GP e.g. would you like to see a physiotherapist / pharmacist etc.

My GP friend has told me how to game the system which I shouldn't have to do. She needs a diagnosis first rather than move to treatment. So no point in having physio until you know why you are in pain. The whole tone of the Anima was geared to not getting an appointment with the GP. I suspect many would get angry or fed up with that. Anyway eventually she did see her GP.

*She is a lady of a certain age and has no idea how to use the system. I have become the de facto booking clerk for the ladies in my block of flats when they need appointments. The problem is that they have to go into detail as to what is wrong. Imagine how embarrassing that could be.

Conclusion
It's yet another barrier between patient and doctor and won't get rid of time wasters. People with commonsense will already know not to bother the doctor with a cold. Hopefully it will mean that when you finally get to see your GP the meeting is targeted but I am not convinced it will make the savings that they hope.
 
NHS AP and AI.


I already have experience of this, my surgery uses a product called Anima, essentially it is an automated triage system. You cannot just phone up and book an appointment you to go through this triage.

Me: My stomach feels bloated and I am throwing up in the mornings
Anima: Congratulations sir you are pregnant. (just kidding).

I am guessing that this is what the NHS app will be like. Here's my take on how Anima currently works.

The Good
It saves the practice time by asking a series of detailed questions so in theory when you get to see someone in person they already have a detailed description so they can focus on that rather than wasting time asking 20 questions. My GP friend says pointless pleasantries drives her up the wall, some patients just meander and wont get to the point.

Anima can refer people to other resources e.g. I have a cold, then go see a pharmacist.

The Bad
It's another barrier between patient and GP. Recently a lady friend had a hip problem and wanted to see her GP. I did the Anima for her.* It took 20 mins to do the Triage and I could see her getting more and more frustrated at the endless questions. Through out the Triage the loaded questions were geared to direct her away from the GP e.g. would you like to see a physiotherapist / pharmacist etc.

My GP friend has told me how to game the system which I shouldn't have to do. She needs a diagnosis first rather than move to treatment. So no point in having physio until you know why you are in pain. The whole tone of the Anima was geared to not getting an appointment with the GP. I suspect many would get angry or fed up with that. Anyway eventually she did see her GP.

*She is a lady of a certain age and has no idea how to use the system. I have become the de facto booking clerk for the ladies in my block of flats when they need appointments. The problem is that they have to go into detail as to what is wrong. Imagine how embarrassing that could be.

Conclusion
It's yet another barrier between patient and doctor and won't get rid of time wasters. People with commonsense will already know not to bother the doctor with a cold. Hopefully it will mean that when you finally get to see your GP the meeting is targeted but I am not convinced it will make the savings that they hope.
Our surgery uses this too - can't tell you what it's like here though as it opens at 7.30am and closes down at 12 noon, and when you try to access the system at 7.35 it tells you all requests for that day are taken, please try tomorrow!

Anything up to 58 mins on the phone will get you from #6 on the line to actually speaking to a person who will put your request into the system and if you are lucky (or not liable to die within the next 24hrs) you should get a response within 3 weeks.........

Anyone who actually gets to see a fully qualified GP in the flesh gets the Freedom of the village and 20 mins solo with Farmer Davies best ewe.
 
Our surgery uses this too - can't tell you what it's like here though as it opens at 7.30am and closes down at 12 noon, and when you try to access the system at 7.35 it tells you all requests for that day are taken, please try tomorrow!

Anything up to 58 mins on the phone will get you from #6 on the line to actually speaking to a person who will put your request into the system and if you are lucky (or not liable to die within the next 24hrs) you should get a response within 3 weeks.........

Anyone who actually gets to see a fully qualified GP in the flesh gets the Freedom of the village and 20 mins solo with Farmer Davies best ewe.
I have had the same problem. Once they've received their allotted requests for the day they close the system. So no different to the 8am phone rush.

Recently I did a request for a friend and after completion which took 20 mins we received a message that they were full for today and try again tomorrow. And when I say try again I mean it. We couldn't re-open or copy paste the previous day's work literally had to to start all over again from scratch.

This is the biggest problem with Anima. I should be able to input a request at 3am if I want. I don't expect a response at that time but that is the whole point of online.

By the way I am not against the reforms just pointing out the pitfalls.
 
Considering the food industry and pharma are the ones who don't care about anything other then profit they would look at it that way.

Those 2 are the ones who made up the current guidelines about nutrition which is not science based.

The bit about eat them all the time high fat etc will is false.

1. salt is essential.
2. so is fat/protein.
3. sugar is not required at all in the diet.

Mix those 3 together and you have the modern day diet which is why so much health decline.

It is very difficult to over consume just fat/protein.

Food industry has designed foods that people are addicted to and as I said before they have too much influence pharma/food industry should not be making up guidelines.

About the NHS reform it is BS it's like marketing the system was never designed to do what it is doing as again its controlled by pharma.
That is very cynical and completely wrong. Every business needs to make a profit but they can only do so if they produce things that people will buy AND which meet the regulations.

They don’t make up either those regulations or the nutritional standards. We do. Via our elected representatives taking advice from experts in a variety of settings, including government departments and universities.

The food industry cooperates and often leads. I was a senior executive in that industry and can assure you of that. Salt is an example. It is essential but we consume around 10 times what we need. Why is historical. It was the original preservative and the food of our great grandparents and the generations before them was loaded with it. We became adapted to salty foodstuffs. Take it out and people complain their food tastes bland. The problem is that whilst cheap it’s also the primary reason for heart disease. Weaning people off it takes generations and a cooperative effort by government and industry. Which isn’t easy.

The idea that the industry deliberately gets people “addicted “ is simply wrong. Nor is the NHS controlled by the pharmaceutical industry. It negotiates very hard and effectively to achieve some of the best deals in the world whilst cooperating in testing new drugs that can benefit us all.
 
Remove illegal immigrants and immigrants who commit crime, this should free up space for GPs and Hospital appointments/visits + save 300 Million+ a year
But the government doesn't know where they are.

Of course they are invisible, it's not like they are in plain sight in the high street, barber shops, nail bars, car washes, deliveroo drivers, mini cab drivers etc. 😀
 
That is very cynical and completely wrong. Every business needs to make a profit but they can only do so if they produce things that people will buy AND which meet the regulations.

They don’t make up either those regulations or the nutritional standards. We do. Via our elected representatives taking advice from experts in a variety of settings, including government departments and universities.

The food industry cooperates and often leads. I was a senior executive in that industry and can assure you of that. Salt is an example. It is essential but we consume around 10 times what we need. Why is historical. It was the original preservative and the food of our great grandparents and the generations before them was loaded with it. We became adapted to salty foodstuffs. Take it out and people complain their food tastes bland. The problem is that whilst cheap it’s also the primary reason for heart disease. Weaning people off it takes generations and a cooperative effort by government and industry. Which isn’t easy.

The idea that the industry deliberately gets people “addicted “ is simply wrong. Nor is the NHS controlled by the pharmaceutical industry. It negotiates very hard and effectively to achieve some of the best deals in the world whilst cooperating in testing new drugs that can benefit us all.

Why don't you go and educate yourself you really have no clue how the real world works.

Everything I said is facts.

You don't even understand how things work or the places they came from.

Every post from you is out of touch with this reality or you are just a shill for these large companies.

Your claim about salt is incorrect not science based and again if you understood human biology etc you would know salt is not the issue it's carbs/sugar you combine those with the salt what happens (time for you to brush up on science)

Yes they don't want people addicted so they buy more of there product are you serious food is designed if you really worked in food industry and had not been brainwashed you would know this.

NHS is controlled by big pharma again you are clueless.

No point ever paying attention to anything you post and its real shame this place doesn't have ignore feature you are uneducated and clearly have no real world experience.
 
Why don't you go and educate yourself you really have no clue how the real world works.

Everything I said is facts.

You don't even understand how things work or the places they came from.

Every post from you is out of touch with this reality or you are just a shill for these large companies.

Your claim about salt is incorrect not science based and again if you understood human biology etc you would know salt is not the issue it's carbs/sugar you combine those with the salt what happens (time for you to brush up on science)

Yes they don't want people addicted so they buy more of there product are you serious food is designed if you really worked in food industry and had not been brainwashed you would know this.

NHS is controlled by big pharma again you are clueless.

No point ever paying attention to anything you post and its real shame this place doesn't have ignore feature you are uneducated and clearly have no real world experience.
If you hover over the icon above any poster's name, the drop down feature clearly shows an 'ignore' option at the bottom
 

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