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Vinci Ho

Vinci Ho

  • Nearly two in five cancer diagnoses now made via GP urgent referral

    Vinci Ho's comment 17 Jan 2018 5:50pm

    Shouldn’t the narrative about cancer survival be focusing more on Referral to (first) Treatment time (RTT) than time spent in primary care before being referred on?
    Cancer Research UK and NHSE have clear target of RTT of 62 days for all cancers . How well is NHS doing right now??

    https://www.england.nhs.uk/statistics/wp-content/uploads/sites/2/2017/03/Cancer-Waiting-Times-Press-Release-January-2017-Provider-based-PDF-140KB.pdf

  • GPs should order more blood cancer tests, says cross-party group of MPs

    Vinci Ho's comment 17 Jan 2018 5:35pm

    OMG
    Somebody needs to grab a haematology textbook before opening his/her gob....

  • Migrants 'should not have to fear GP practices', MPs told

    Vinci Ho's comment 17 Jan 2018 1:51pm

    The fear is collorary if you have an atomosphere of animosity created by far right ideologies. Ramifications of Brexit are evidently far-reaching . Poor handling by this government led to more contraindication and ambivalence.
    The financial crisis from 2007/8 was officially over but our country is stuck in uncertainties.

    ‘’A minister of state is excusable for the harm he does when the helm of government has forced his hand in a storm; but in the calm he is guilty of all the good he does not do.’’
    Voltaire

  • GPs team up with hospitals to take over health budgets for 200k patients

    Vinci Ho's comment 17 Jan 2018 11:50am

    You see
    The way it goes , the government will eventually say OOH GP service is too unsafe to carry on . With the ‘evolution’ of integration into Accountable Care Services (ACS) run by Accountable Care Organisations (ACOs). There will be eventually no such things called in hours or out of hours.
    Primary care and GP will be 24/7 Services as there was no such thing called out of hour secondary care services previously.
    How are ACOs funded or ‘adequately’ funded is another matter. This government and its health secretary are really not interested.

  • Pressurised GP out-of-hours see serious incidents increase by 26% in a year

    Vinci Ho's comment 17 Jan 2018 11:49am

    You see
    The way it goes , the government will eventually say OOH GP service is too unsafe to carry on . With the ‘evolution’ of integration into Accountable Care Services (ACS) run by Accountable Care Organisations (ACOs). There will be eventually no such things called in hours or out of hours.
    Primary care and GP will be 24/7 Services as there was no such thing called out of hour secondary care services previously.
    How are ACOs funded or ‘adequately’ funded is another matter. This government and its health secretary are really not interested.

  • GPs team up with hospitals to take over health budgets for 200k patients

    Vinci Ho's comment 17 Jan 2018 11:36am

    I recall the Trilemma Theory:
    Integration
    Sovereignty
    Democracy
    You can only have two out of these three , never all three together.

  • Government working to 'minimise NHS disruption' amid Carillion bankruptcy

    Vinci Ho's comment 16 Jan 2018 0:14am

    Once this 'nuclear bomb' is dropped , it is all about asking more questions than providing answers . Locally in here , it is about the construction of the new Royal Liverpool University Hospital , completion of which has already been delayed repeatedly. Read this if you are interested :

    https://www.google.co.uk/amp/www.liverpoolecho.co.uk/news/liverpool-news/builders-urged-turn-up-work-14159747.amp

  • Hospitals desperately need an overhaul to improve access

    Vinci Ho's comment 10 Jan 2018 7:32pm

    Not sure an anti-secondary care, anti-consultant sentimentality is helpful here. I always believe we are all under the same flag fighting against our common enemy , the leader of which had just earned more letters in his title(i.e. he will make even more enemies).
    The old Chinese saying ‘the teeth are exposed cold when the lips die away’ well applies here , instead.
    You can say stop going on about the politics and we can reform and reform. Reality is the politics will become even more treacherous and rediculous ,stifling any permanent,rational remedy.This is not a war just for ourselves but for people of the county.
    We become the dumping ground of workload from secondary care because resources (remember my full definition of resources) were ruthlessly stripped everywhere in NHS . There is always a fear of making mistakes consequently while CQC and GMC are breathing behind our necks. Morales are low in general practice but also in everywhere else. Capable colleagues left as part of the whole phenomenon of a government failing to deliver.
    ‘’ When the hierarchy lost the WAY , people had already left their faith and morale behind for a long while. Under such circumstances, sympathy is more meaningful than schadenfradue when somebody was found to make a mistake or commit a so called ‘crime’ ‘’. (上失其道,民散久矣。如得其情,則哀矜而勿喜。)

    Analects

  • We need to talk about NHS 111

    Vinci Ho's comment 10 Jan 2018 1:46pm

    Thank you for for the insightful report. It only firmly consolidates my belief NHS111 should be scrapped from day one and give all the resources to out of hour GPs from day one . Even in the days of NHS Direct , a service run by nurse practitioners , people were sceptical about its effectiveness and correctness of the triaging offered . NHS111, even with 30% clinical input as you wrote, has absolutely no chance. The consequent backfiring consumed even more resources. Lord Vader and his mates had to die more than 10,000 times to repay for their historic sin.......

  • 'Close to collapse' GP practices cut clinical services and routine appointments

    Vinci Ho's comment 10 Jan 2018 11:25am

    Survival is ‘victory’ . Federate in order to survive, no hard feelings. Question , how long can these bigger and bigger practices even sustain if the government and its health secretary carry on with the same attitude to run businesses?

  • Jeremy Hunt congratulates the flu for shafting the NHS

    Vinci Ho's comment 10 Jan 2018 11:07am

    Agent Hunt,
    It appears that this new chemical weapon H3N2 works out very well for you. Please manufacture more and release them m various parts of England. Time to give a lesson to these b*****d GPs.
    This message will self destruct in 10 seconds.

  • Cancelling operations in winter 'will only make things worse', says GP MP

    Vinci Ho's comment 10 Jan 2018 9:19am

    Furthermore, insisting to stay on one extreme end or the other on the political spectrum will cease to attract young , deligent and capable candidates to join and stay in NHS general practice.

  • Cancelling operations in winter 'will only make things worse', says GP MP

    Vinci Ho's comment 10 Jan 2018 9:04am

    That is why I stand by the argument general practice in NHS should be driven by central ground politics and ideology , which had been wiped out completely by this historic circumstance dominated by two extreme polarities of populism.

  • MPs support motion urging the Government to fund cancelled operations

    Vinci Ho's comment 10 Jan 2018 8:58am

    Predictable
    But as definition goes ,additional resources are defined as additional money , expertise, time and manpower all at the same time .
    Purely talking about 'funding' with additional money remains short-sighted and as Dickens put, in the superlative degree of (political)comparison only.

  • Cancelling operations in winter 'will only make things worse', says GP MP

    Vinci Ho's comment 09 Jan 2018 1:05am

    You see
    These second tier health minister(s) lack the qualities of duplicity and perfidy in our beloved Agent Hunt who must think he would become the second-to-none , record-breaking health secretary in the history of NHS.

  • Jeremy Hunt stays in health secretary post with extended social care brief

    Vinci Ho's comment 08 Jan 2018 10:20pm

    Rather extraordinary events today if you look at the whole drama of this reshuffling :
    (1) Hunt actually insisted to stay on as health secretary instead of taking on the offer by the PM to swab seat with the Business Secretary . But he wanted Social Care to be under his jurisdiction as well . He got what he wanted after debating over an hour with the PM earning a longer title.
    And if Social Care was one of the Achilles‘ tendon ruptured in the PM’s manifesto for the general election she called last year , whoever in charge of Social Care will have a big say for the manifesto in the ‘next’ general general election(anytime from now to 2022?). On paper, the health secretary ,like Sajid Javid (remaining as Communities and Local Government Secretary but with housing adding to his title ) , now possesses more political power. Rather than moving into unknown territory, he is to become the record breaking longest serving health secretary with a new title. I would say that was a ‘clever’ political pursuit. He is now potentially a candidate for running for the next leader of the party , should May’s premiership finally collapsed.
    (2) On the contrary , the PM failed to achieve what she set out to achieve in this reshuffling . Succumbing to the virtual terror of the far right camp inside her party , she inadvertently got rid of a woman ‘remainer’ cabinet minister called Justine Greening as she refused to leave her position of education secretary for SOS of DWP. Instead, Esther McVey was appointed the head of DWP. The shadow chancellor would be intrigued with his smoking gun barrel as the two had ‘history’ three years ago during the infamous ‘stain of inhumanity/lynch the b*****d) row. This can be a potential ‘fire and fury’ show for the opposition party on welfare arguments.
    (3) This is not just about a government failing NHS and general practice , but also a head of a state being so lame and weak that all her ‘ambious’ ministers are grabbing power ready to overthrow her......

  • Jeremy Hunt stays in health secretary post with extended social care brief

    Vinci Ho's comment 08 Jan 2018 4:50pm

    Ha ha ha
    Congratulate , Agent Hunt
    I guess you really need to go for Auntie May’s job . Otherwise , you are stuck in this sh** ho*e with us.(Read my long comment in the weekend).

  • Managers in 13 areas fail to pass on funding to help reduce GP waiting times

    Vinci Ho's comment 08 Jan 2018 2:42pm

    Incidentally , have you guys read this latest editorial in BMJ?

    http://www.bmj.com/content/bmj/360/bmj.j5911.full.pdf
    CCGs fail to declare pharma funding
    Tom Moberly

  • My predictions for GPs in 2018

    Vinci Ho's comment 07 Jan 2018 12:10pm

    This first week of 2018 has already been proven to be eventful for us and NHS. More interestingly , the political demeanour of Agent Hunt and Auntie May was leaving ‘clues’ of what might happen this year:
    (1) Four days ago (3/1/2018) , the health secretary came out of the blue to apologise to the public as tens of thousands of non-urgent appointments e.g. hip replacement,had to be postponed due to extreme pressure in many acute trust hospitals. This threat of a potential Aussie flu(H3N2)epidemic played a part. Given the track record of Agent Hunt, one could be a bit surprised that he ditched the usual pre-written DoH script ,as this kind of incident did happen before. But that ‘script’ was not entirely thrown away into the bin. In fact , it was used almost immediately by the PM and she responded to the public with the usual , politically correct statement of how much more the government had already invested in NHS and NHS being well prepared for this potential crisis. Of course , we all reacted and labelled her as ‘out of touch’.
    Two days later , Auntie May changed her mind . The headline in The Guardian was ‘Theresa May changes tack to apologise for postponed operations’. Both non-urgent operations and outpatient clinics should be postponed until end of January to help acute trusts to cope. The apology was a reflection of what she said in a carnival funhouse mirror.
    (2) But here is the catch : How often do we see politicians openly apologising to people? If so , would you expect these ‘leaders’ of the state to deliver the same message at the same time? Agent Hunt is the SOS and Auntie May is the PM. The SOS actually overtook the PM to apologise first while the latter stood firm implying that the government did not do wrong. Fascinating.
    My conspiracy theory (I know some of you don’t like it) is this was an agent’s banana skin for Auntie May and indeed she had to switch to apology immediately two days later.
    (3) Perhaps , there is a wider implication here and it simply translates into the game called ‘Who is the next prime minister?’
    The political tectonic plates are moving towards each other and ready for an earthquake. Auntie May is standing right on top of them with no ‘wise men’ on her side . Thanks to the general election she personally called followed by resignations of her close aides and the thunderstorms of sexual harassment allegations in Westminster blowing away her First Secretary of State. The calamity of an everlasting cough with falling letters on the set behind her in last party conference was more than an omen from the divine power. Many said her days were numbered but yet she is still the PM today.
    The fact that you are still standing , though , does not mean the earthquake is not coming with numerous hyenas plotting and waiting behind you.
    (4)The far right camp within the Tory party is certainly trying to reposition itself in this new year. The evidence is emerging. Mojo Bojo’s brother appointed a new non-executive director on the board of the board of the Office for Students for universities. Guess what ? This was the headline on Mirror a few hours ago, ‘’Theresa May slams 'disasteful' tweets by Tory students tsar Toby Young after he 'posted sick sexual joke about starving children' ‘’. (You can Wikipedia who TY is if you are interested).
    And let’s call this new camp HYDRA (especially if you are fans of Captain America and Agent of S.H.E.L.D ). While Mojo Bojo is losing credibility due to the calamity associated with the imprisonment of the Iranian UK lady citizen in Iran, HYDRA has a potential , new leader for the whole party , Red Skull. Red Skull is anti-abortion , anti-(same sex marriage) and thought food-banks were ‘uplifting’.
    Being ‘betrayed’ by Donald Trump(recommend to read Joshua Green’s Devil’s Bargain and of course, the ‘fictional’ Fire and Fury from Michael Wolff) , Steve Bannon had to find a new patronage . He came to visit Red Skull in December last year(2017) to discuss ‘UK strategy’. Interesting, isn’t it.
    (5) What about our good Agent Hunt then? He was a ‘Remain’ in the EU referendum but he had stated recently that he was wrong to worry about the British economy after Brexit.
    He also said that the EU’s “disappointing” and “arrogant” behaviour since the referendum had turned him against the bloc. To those Brexiteers , he ticked at least one box and was certainly not one of those 15 ‘Brexit Mutineers’ (labelled by The Telegraph) which included Sarah Wollaston (she defected from Leave to Remain in 2016).
    And if your memory was good , our good Agent did briefly run for the leadership of his party , hence premiership, when his mate Lord Vader resigned as the PM.
    And if the free trade deal with EU did not materialise after the ongoing negotiations, UK would have to revert to WTO default arrangements. Any ‘good connection’ with all these big non-EU countries like US and China will be additional ‘merit’ for a PM. Well, Agent Hunt’s wife comes from China.
    xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

    As I have been reading a bit more on the world history in 20th century , there is a temptation to equate these political circumstances with the Weimar Republic between 1919-1933. I know this is only a temptation and clearly there are at least , several variables ,including financial situations , to prove me ‘wrong’ . The worrying aspect , however , is ever-changing nature of these variables.
    Furthermore , the far left ideology and demeanour(with its network organisation )from opposition also recalls the memory of the Third International(1919-1943). The opposition Chancellor admitted to be a fan of Marx-Leninism and Trotskyism.
    George Orwell was telling and descriptive when he wrote in 1941 ,’’The choice before human beings, is not, as a rule, between good and evil but between two evils.’’
    He probably never knew he could become a ‘prophet’ seventy odd years later as the prophecy could just repeat itself.
    For the sake of some optimism, I would quote Yuval Noah Harare in Homo Deus (instead of Charles Dickens’ opening in Tale of Two Cities):
    ‘’This is the best reason to learn history: not in order to predict the future, but to free yourself of the past and imagine alternative destinies. Of course this is not total freedom – we cannot avoid being shaped by the past. But some freedom is better than none.’’
    May the force be with us(Jedi) all this year.
    Watch the cabinet reshuffle tomorrow (8/1/2018) and UN-happy fox hunting.

  • GP consultation rates for flu-like symptoms rise further as 'Aussie flu' hits

    Vinci Ho's comment 07 Jan 2018 11:10am

    PS watch the cabinet re-shuffling tomorrow and UN-happy fox hunting .