• 7 Posts
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Joined 1 year ago
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Cake day: October 6th, 2023

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  • They can’t keep going with the current setup due to how changing demographics are producing increased demands on the NHS. People using the service are much older, with more complicated diseases, then ever envisioned when we designed the systems.

    Beaurocracy is causing inefficiencies due to too much red tape. We spent £5.1 billion on “costs of harm” in the year 2023/24 which is quite a large amount of the £160 billion total budget. Running total of outstanding compensation claims was recently £83 billion. We need a way to fix the processes to prevent these clinical failures or find some way to cap the amount of compensation claimed.

    Additionally the use of short term contractors is hemmoraging money. Often the management will give IT contracts to large firms like accenture who fail to deliver semi-regularly while charging a premium. NHS administrators frequently use the big names because they are recognisable instead of interrogating which company is actually best placed to deliver.

    I’d personally be happy with looking more closely about how other European countries handle healthcare. They seem to spend less for better outcomes, while ensuring that everyone who needs medical treatment receives it. If it can save lives we shouldn’t be too ideological.

    Edit: In Scotland health is devolved, we get higher levels of funding per capita due to the Barnett Formula, and lastly income tax is higher to provide more money to the NHS. Outcomes are actually worse here than in England due to mismanagement. Seems like an example of more funding not being a silver bullet.


  • I was trying to write a custom Strategy for an objectMapper in Java. Foolishly decided to ask ChatGPT about it and got instructions which suggested an implementation that was the inverse of how Strategies actually work. Stuck for an afternoon.

    Then in the evening I read the docs and put it together in half an hour from scratch. Lesson learned about the stochastic parrots.



  • The UK has always had an outsized influence on popular culture worldwide. For example our musicians are overrepresented in terms of music charts in many other countries. There was a good Economist article about this a few years ago where they interviewed a die-hard Gorillaz fan who lived in rural Russia.

    However, that 90s ‘cool Britania’ self confidence we had is definitely missing these days. We’ve retained a sense of British twee or fascination with the mundane though which I suspect is driving this modern interest. I don’t think it’s a coincidence that youtube/instagram shorts are preoccupied with the mundane - and we have heaps of that to offer up.






  • Yeah my mate worked there for a few years after his chemical engineering degree. I hadn’t realised what a disaster it was until he spoke about it. Apparently the Russians phoned the site when Chernobyl happened because it was the worst nuclear disaster in Europe that had happened before.

    Mate also told me there were many flora and fauna that lived in the area despite the high levels of gamma radiation. One of his colleagues had a bird shit in her hair on the way in to work one day and it wouldn’t wash out in the chemical shower so they had to shave her hair off.








  • There is the famous Yes, Minister argument about smokers being a net postitive for the NHS given that they are likely to die younger of smoking related diseases instead of requiring expensive care for more complex diseases later in life.

    A study in Finland found that each smoker contributed a net positive of 133,000 euros to their health system by dying younger (on average). Source: https://pubmed.ncbi.nlm.nih.gov/23233699/

    I don’t think people in the UK care about this though. People seem to be consistently in favour of banning anything that they don’t personally partake in. This is despite the fact that smoking rates are at their lowest levels ever and still falling.

    Labour are looking for a policy which is cheap for them to implement but has some popular support so they can basically say, “look at us; we’re governing!”