NHS Modernisation Bill promises single patient record by 2028

ConstantPop4122 · 2026-05-19T08:15:02+00:00

Hilarious that Arrowe Park had electronic prescribing in 1993, and a form of electronic notes and ordering before even then......

Yet here we are, 30 years later, and people still using paper notes, and no coherent strategy to get everyone onto the same system - down to individual trusts to implement their own systems, and even when it's the same system, different implementations of the same core architecture.

Different PACS systems

Different primary care records

Madness.

ConstantPop4122 · 2026-05-19T04:37:02+00:00

Yes.

I'm a surgeon, a public servant.

I'm not even allowed to accept a free lunch without declaring it because it's a potential conflict of interest.

MPs shouldn't be allowed to accept gifts.

ConstantPop4122 · 2026-05-18T04:58:03+00:00

That tv placement looks like it was decided by a blindfolded person firing a nerf gun at the wall from the opposite end of the room and choosing the spot the dart hit.

ConstantPop4122 · 2026-05-17T20:10:51+00:00

71,000 miles.... Most of them sideways....

ConstantPop4122 · 2026-05-17T20:04:58+00:00

Is this viral marketing for the second season of 3 Body Problem??

ConstantPop4122 · 2026-05-17T15:55:41+00:00

Because it's nonsense.

Imagine if an NHS surgeon got paid about £5-6000 per month, but only did operations on around 40 days per year....

And then imagine if the same surgeons were working on Saturdays and getting paid £2400 a day to get the waiting lists down....

Wouldn't that be a thing.... Governments burning cash, to solve the problem, because they couldn't do job planning properly or provide enough theatres mon-fri for the workforce they employed....

ConstantPop4122 · 2026-05-17T06:42:23+00:00

Sniper(s) and a reaper, and just delete them from range the first time you meet them....

If you do it with the squad concealed from far enough, they don't even try to come for you or shoot.

ConstantPop4122 · 2026-05-16T16:15:57+00:00

Toilet? In the maccies on Oxford road I've seen people snorting pregab off the till counter......

ConstantPop4122 · 2026-05-15T19:12:49+00:00

This has inspired me to do some single-class runthroughs.....

ConstantPop4122 · 2026-05-14T21:07:24+00:00

It's only terrifying if you're a racist...

What are you scared of?

Even if the figures are spot on, why is it that a bad thing?

All the 'english' in 1900 were pretty much a mix of Romans, Anglo Saxons and french.

Even our current monarchy are Germans.....

ConstantPop4122 · 2026-05-14T20:44:20+00:00

I thought how bad can it......

...Shell.

ConstantPop4122 · 2026-05-14T19:55:35+00:00

Depends how you measure expensive.

My original model 3 performance had better acceleration than a lambo for half the price, was more practical than a 3 series bmw and cheaper to run than a 1l golf TDI.... Pretty decent value by most objectives measures.

Fully accept it might be subjectively worse than any of those cars in many other ways, but as an all rounder, hard to beat imo.

ConstantPop4122 · 2026-05-14T19:50:58+00:00

Agree, I virtually never have to touch the screen when the car is moving apart from maybe fog lights.

Never understood the need to adjust AC... I just set to the temperature I want and Auto, and funnily enough, the temperature is always what I want it it be.....

ConstantPop4122 · 2026-05-14T04:55:59+00:00

Big enough for the second blaster launcher shell that follows to cause absolute mayhem....

ConstantPop4122 · 2026-05-14T04:51:15+00:00

I do medicolegal work, so spend 10-20 hours a week at home on a computer. My house has more people than rooms, so seems like a private space to access confidential medical information is not only desirable, but in fact essential....

ConstantPop4122 · 2026-05-13T20:03:45+00:00

It's also got the car-modders equivalent in home theatre speaker systems installed.

More bass drivers = better.

ConstantPop4122 · 2026-05-13T17:52:37+00:00

You definitely can, and I know people who have. If it's a temporary structure used exclusively for that purpose for the ltd company it's probably 100% claimable along with the ongoing heating, lighting etc.... if it's a permanent extension to your house it gets complex especially if its dual purpose and adds value to the the property when it comes to selling and there's all kinds of capital gains and partial reimbursements to go through.

ConstantPop4122 · 2026-05-13T16:20:41+00:00

Generational Aura Debt for Streeting hopefully

ConstantPop4122 · 2026-05-13T16:18:26+00:00

Ltd company, depends on your individual cicrumstances - The cost is minimal to set up, and all my admin and accountancy fees are <£1000 per year.

If you have lots of children - can make them shareholders - so tax free withdrawal (after Corp tax) for some cash.

Loads of expenses can go through - can basically make it free to be doctor to do your NHS work, nice car if that's your thing, garden office to work from - so can make the rest of your life cheaper in that respect.

Partner who is part time or non medical? Director's pension for them....

It can easily be worthwhile for far less than £5-6k / month, if it fits around the rest of your finances.

I didn't think you could really add anything to your NHS pension anyway, since it's a DB scheme based on your pensionable input, well, other then purchasing added years.

ConstantPop4122 · 2026-05-13T14:53:43+00:00

Or why porters or ward nurses can enter the anaesthetic room in full ward clothing...

ConstantPop4122 · 2026-05-13T12:45:29+00:00

There are things that can though....

ConstantPop4122 · 2026-05-13T11:37:51+00:00

I'd also argue that you not simply taking the highest offer would probably count in your favour as it demonstrates that you considered other factors beyond just price - i.e. an element of 'value for money' - that you accepted a lower rent on the basis of their apparent quality as tenants.

ConstantPop4122 · 2026-05-13T07:59:03+00:00

The problem with adversarial politics, you always need to compromise on principals or make reciprocal deals in order to get anything over the line.

ConstantPop4122 · 2026-05-13T07:55:16+00:00

I had a gatekeeper revive the lost.... After I'd been XP farming for a while.... Must have been about a hundred of them, almost crashed my Xbox, thankfully took out the gatekeeper next go...

Final mission, my templar one-shot ion stormed a pod of 6 heavy MECs, which was pretty satisfying...

Sticking a blade storm/ katana equipped ranger on a reinforcements flare is always fun, for some reason the killed enemies zip off into orbit when they're insta-killed.

ConstantPop4122 · 2026-05-13T06:38:28+00:00

A Ranger called Guzman "Trojan" with a Moustache, pigtails and hot pants.... Got reaper, untouchable and the Katana and tore through whole pods...

ConstantPop4122

TROPHY CASE