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Vinci Ho

Vinci Ho

  • Some 30,000 excess deaths 'could be linked to NHS and social care cuts'

    Vinci Ho's comment 17 Feb 2017 12:35pm

    From the point of playing the game of politics , there is no obsession of cleanliness, especially if you are dealing with an enemy of bigotry , autocracy and bullying:
    ''There are no morals in politics; there is only expedience. A scoundrel may be of use to us just because he is a scoundrel.''
    Vladimir Lenin

  • Some 30,000 excess deaths 'could be linked to NHS and social care cuts'

    Vinci Ho's comment 17 Feb 2017 10:25am

    Please join these words with lines
    (1)David Cameron
    (2)Jeremy Hunt
    (3)Gerorge Osborne
    (4) Nick Clegg
    (5)Andrew Lansley
    (6)Health and Social Care Act
    (7)Francis Inquiry
    (8)Duty of Candour
    (9) 200,000 votes of no confidence
    (10) 30,000 excess deaths

    Try to map them up under the title of Social Injustice ?
    History is the judge

  • Federating can be a good thing for practices

    Vinci Ho's comment 17 Feb 2017 8:24am

    It is interesting to read comments of a vigorous debate under Des Spencer's article about merging and working by scale.(I gave my comment as well).
    This article above , though, reminds me of Dani Rodrik's trilemma model of globalisation of world economy:
    Integration(merging , grouping , federating etc ) versus sovereignty versus democracy; you can only have two out of the three but not all of them together . That , of course , represents one of the cornerstone arguments about Brexit.
    But no matter what , the government cannot run away from the political responsibility and will to answer the question of how to fund any model of general practice adequately and permanently, any deviation of which will just create another big white elephant.

  • GPs, it is time to face the elephant in the room

    Vinci Ho's comment 17 Feb 2017 4:44am

    Interesting debate from both sides of the argument. As I said long time ago : the strategies to fight this war were (1) Going for the jugulars on the negotiating table (2) anti-spinning against the government propaganda machinery (3) not the least , grouping together to increase our defence against the common enemy.

    The interesting question here is ' has our enemy actually changed?' or ' otherwise , has our enemy only changed its face with the same secret( well , not so secret anymore) agenda?' Read the full interview with Bruce Keogh about GPs would all become consultant physicians in the community (read my comment if you want as well).
    Defending against your enemy could mean changing the tactics of war but not necessarily changing who we are and the values we hold . I accept the point we might have been a bit obsessed with this continuity but then I would refer to my favourite Michael J Sandel's definition of justice : '
    ''Arguments about justice and rights are often arguments about the purpose, or telos, of a social institution, which in turn reflect competing notions of the virtues the institution should reward and honour .''
    Perhaps , we have to redefine our telos and virtues of general practice in this country ??
    Like everything else , work by scale will have both advantages and disadvantages but I also believe one size does not fit all.
    But the bottom line is the indisputable lies behind the government's claim of how much money it will put into NHS and hence general practice by 2020 , as quite rightly exposed by the Health Care Committee in House of Commons. And of course , you now know the true meaning of STP.
    I also agree that the problems cannot be solved simply by paying each GP more as I stand by the definition of resources as money + manpower +expertise + time, one for all , all for one. But fundamentally, if there is a political will to sustain NHS and general practice, there must be a political ,but also honest ,way to face the reality of establishing new , secure channels of recruiting funding . Whether it is a left(taxation) ,right(private funding ) wing or somewhere in between solution, we need to have a transparent, democratic debate. The problem is this government is ,with an excuse, too busy dealing with Brexit and Article 50 that all domestic issues are left to rot and wither.
    One thing I also like to point out is agreement to work by scale universally has a potential danger of giving our common enemy the opportunity to claim general practice has substantially increased its 'capacity' by merging together , more capacity the bigger. This of course , will certainly fit its agenda of pushing for 7 days opening , at current level of recruitment and funding .
    I respect the author's modesty not to presume how practices should merge but my ideology of grouping together is a mentality of fighting a war instead.
    Exactly what is the colour of this elephant, I will leave this to the readers to decide and by the way , I always believe second law of thermodynamics .You probably already know that anyway .

  • GPs will be 'consultant physicians' in 20 years, says NHS England medical lead

    Vinci Ho's comment 16 Feb 2017 5:24pm

    Cunning.
    Worth reading the whole interview. He was holding back 'something' in almost all of the answers in the Q&A. Well , that's why he can do his job , not you and me..,,,,

  • GP practices will get 52p per patient to cover rising costs of indemnity

    Vinci Ho's comment 16 Feb 2017 2:55pm

    The argument here is the unreasonable and unprecedented increase in indemnity fees over short space of time e.g. mine jumped from about 7 to 10 grands in around two years with no actual changes in the work I'm doing everyday .
    To cover this sudden increased margin , how the hell this figure of 52p per registered patient arrives is unfathomable . Give us the evidence based calculations for this figure, please.
    And the generalisation ,saying that all partners will just swallow this money(peanuts really mate) ignoring the salaried colleagues they employ , is simply denigrating, disdainful and derogatory.

  • An alternative future for general practice?

    Vinci Ho's comment 13 Feb 2017 10:45am

    Plan to watch the film(La La Land)third time:
    Still , the ending is the same.......

  • #GPnews: Doctors will not have to declare private earnings, decides NHS England

    Vinci Ho's comment 13 Feb 2017 1:53am

    You see
    From day one when I gave you the name Agent Hunt , I just love u😘

  • A simple solution to take the pressure off GPs

    Vinci Ho's comment 13 Feb 2017 1:06am

    And the equation of resources (R )is:
    R=Money + Manpower+Expertise +Time with all four must be present, one for all , all for one

  • A simple solution to take the pressure off GPs

    Vinci Ho's comment 13 Feb 2017 1:02am

    Said it before , say it again:
    Second Law of Thermodynamics explains that it is impossible to convert heat energy to mechanical energy with 100 percent efficiency . There is always a 'ceiling' of the highest efficiency you can possibly get and some energy is always wasted (entropy). You cannot get anything out of this wasted energy. This is science as well as philosophy about the nature and our universe . Hence , you will have to input more energy(resources) to get to a 'higher and better' level .

  • Out-of-hours GPs are keeping hundreds of thousands of patients out of A&E

    Vinci Ho's comment 13 Feb 2017 0:33am

    As I said before :
    Destroy OOH , destroy us all.
    Sort out OOH if you tell me the 'new' contract is not a Trojan Horse......

  • NHS England to look into GP practice which set up private side clinic

    Vinci Ho's comment 10 Feb 2017 5:19pm

    I said again:
    All GP routine appointments in the weekend should be charged with a fee . Full stop.

  • Out-of-hours GPs are keeping hundreds of thousands of patients out of A&E

    Vinci Ho's comment 10 Feb 2017 5:13pm

    From Day 1 when NHS 111 was born , we know all the way it was a Rosemary's Baby. It was created by Cameron's government as an even cheaper version of NHS Direct( still remember that ?). As a result , OOH is allowed to wither as funding is drained further and further(indemnity rising higher and higher) . The media spin misled the public to the impression that there was no GP working after half six in the evening , Monday to Friday and the whole weekend .Then the seven days GP opening protagonists waved their flags and slogans criticising how much we were responsible for the A/E crisis because we could only open 5 days a week trying to preserve the invaluable core value: Continuity(Close my eyes , saw the word 'Quisling').It is now too obvious what the original ,clandestine agenda was in Cameron's mind: punish these expensive GPs who were doing f**k all.

  • The 2017/18 GP contract at a glance

    Vinci Ho's comment 10 Feb 2017 4:23am

    Still remember the iconic video game PAC MAN? Cannot remember how much money I spent playing this game in video game shops as an acne-loaded teenager !
    If the ' new deal' is something positive and not a Trojan Horse , it might just represent a flashing Power Pellet(at each of the four corners of the square screen , eating which(if you can bloody reach it) will make you 'invincible' for about 10 seconds so that you can eat the ghosts that had been chasing you all these time before and have a chance to clear the stage .
    Remember the names of the ghosts?
    Blinky, Pinky, Inky and Clyde
    Use your imagination to assign these names to those who have been suffocating you all these times , mates!

  • NHS England set for primary care budget underspend of nearly £50m this year

    Vinci Ho's comment 10 Feb 2017 0:30am

    Still remember the iconic video game PAC MAN? Cannot remember how much money I spent playing this game in video game shops as an acne-loaded teenager !
    If the ' new deal' is something positive and not a Trojan Horse , it might just represent a flashing Power Pellet(at each of the four corners of the square screen , eating which(if you can bloody reach it) will make you 'invincible' for about 10 seconds so that you can eat the ghosts that had been chasing you all these time before and have a chance to clear the stage .
    Remember the names of the ghosts?
    Blinky, Pinky, Inky and Clyde
    Use your imagination to assign these names to those who have been suffocating you all these times , mates!

  • 'We are turning the corner on a decade of under-investment'

    Vinci Ho's comment 09 Feb 2017 0:05am

    If you ask me , as an ordinary GP with little baggage of representing an establishment (except committee member of Liverpool LMC , non-salaried member), I would say : Is this representing the first step of a cerebral bleed patient coming out of the ITU bed with more to progress or is this a Trojan Horse from our common enemy?

  • A promising deal, but one key detail is missing

    Vinci Ho's comment 08 Feb 2017 5:13am

    A sensible contract
    A sensible analysis
    The reality is: this will only matter if it represents a cycle of 'positive changes' over the next 2-3 years to repair the damages inflicted on us , bearing in mind the root is still rise in demands(necessary and unnecessary ones) ,hence workload,together with workload dumped onto general practice due to unsustainability in other sectors of health and social care services .
    In fact , my concern is the lack of new money meaning draining blood from other sectors to feed us. End of the day , the shadow of privatisation remains.

  • My three tests for the new GP contract

    Vinci Ho's comment 03 Feb 2017 11:11pm

    Quite like the ending of the most recently talkable movie La La Land ; a confrontation between a sad reality and a glamorous happy ending.
    Not holding breath for this new contract.....

  • One in ten areas left without GP out-of-hours cover

    Vinci Ho's comment 03 Feb 2017 1:54am

    (1) Starving the funding of OOH, even more radical than in hours, renders situation impossible to attract enough GPs to work (poor pay and high indemnity
    (2) Vanguard sites offered better pay pulling even more colleagues out of the system , sustaining the myth of seven days 8-8 opening with current funding level and obscuring the importance of continuity( thanks to Pulse to publish the article supporting the value of continuity a couple of days ago). Shame to those protagonists.
    (3) And would you really think all these are accidental and incidental? Where is the responsibility of the government(s)? Shame on Cameron and May.

    OOH is part of us , destroy OOH , destroy us

    While

  • GPs ‘rush’ to new national mental health support service on launch day

    Vinci Ho's comment 30 Jan 2017 5:09pm

    It will be good to have some discriptive and statistical (as politicians love their figures) data on the pattern and range of problems/issues encountered, obviously with strict confidentiality. The impact of unsustainable workload , overegulation , medico-legal challenges , financial difficulties and not the least, personal circumstances, should all be addressed and tabulated some ways. This is a new territory of 'evidence based medicine' and the government cannot deny the facts being presented....