Thursday, 19 November 2015


Well at last the repeated kicking by politicians of the political football called the NHS has led a group of individuals to say NO!

The junior doctors in the United Kingdom who are those who are not consultants or General Practitioners (GPs) have voted as follows:

98% in favour of striking

76% turnout.

Compare that with the general election results of:

36.9% for the current Party

66% turnout.

We hope that the political gong hunters at the BMA will not repeat mistakes learned over the past 40 years and do as we recall from a letter from c. 25 years ago in which one of the team wrote to a former colleague in the first world:

"With public and professional support behind us it was like going from Normandy to Berlin and then giving back everything that we had gained and saying sorry over the deal the BMA negotiated (then)." 

A day a week every week is no different to a Bank holiday a week and if the the limp wristed gong hunters had thought realistically and tactically then doing the same number of strikes starting on Monday 21st December on consecutive days may have achieved by blitzrieg what may not be achieved by siege warfare.

We shall see what happens.

Emergency patient care will not be affected and it may be improved for for once “the consultant will see you immediately” rather than several hours after you are admitted.

Routine outpatient work and elective procedures i.e. non urgent care will be and we suspect the media will crank this up as they have already used cancer care as being affected.

Praise be to the Party who continues to see healthcare as a service like McDonalds that can make a profit by only paying highly trained staff less for more and not realizing that they can see through the lies.

Tuesday, 10 November 2015

British Medical Computing is crap 002.

Those doctors in the medical team we report on who have turned to the Dark Lord’s side have encountered how bad British Medical Computing (BMC) is. For the Dark Lord’s playmates insist that they use an NHS or a BMC email account.

The Dark Lord’s playmates insist that all NHS surfs use these because they are deemed to be secure. Indeed they are for many of the Dark Lord’s new playmates have all had the same problem. They could not access their own new super secure BMC email accounts for the login details and passwords supplied to them by the NHS IT Thickerazzi were all wrong.

Another glaringly obvious problem with BMC email accounts is completely clear to those who have worked in General Practice for years and that is how small they are. We do not advertise here at ND Central but compare some typical email account inbox sizes and think if you were to pay for this how big would you want yours to be?

Gmail 15 GB free storage, BT quotes as here unlimited storage (other suppliers are available) while NHS mail does a mere 400MB. True socialized medicine for all good NHS comrades to bask in the omnipotence of its excellence.

This is a massive increase over previous BMC email accounts of some 60% comrades so clearly illustrating how glorious comrade NHS managers are raising NHS productivity in line with the 5 year plan (of being shafted by the computing industry senselessly and costing all tax payers dear for peanuts in return via BMC). 

Of course this efficiency gain of BMC email acoount size comrades was at the expense of all previous emails being lost so that will save practice managers loads of time by not having to read them ever again – or will it?

Of course the current philosophy about NHS email is that you should delete all emails read to preserve storage space a policy no doubt that came from the top the Nicholson “it wasn’t me” philosophy. 

UK practice managers receive many emails a day and a BMC email account no doubt boasts a secure service along the lines of Philby, Maclean and Burgess but when your average practice manager has to spend the first part of their day deleting crap in order to find the wheat amongst the huge amount of NHS chaff (spam) something clearly has gone seriously wrong with BMC. 

Why do they have to do this? Because many use their inbox to store information that they may need in the future for example discusions regarding services purchased for the practice. If there were to be a dispute then this information would be of use. However BMC does not recognize how people use their email accounts in the free market they only do socialized medicine.

There is so much crap sent to NHS mail inboxes that China or North Korea does not need to do a cyper attack to disable the NHS, its own IT via BMC email does it on a daily basis. They could however help it a long but by duplicating it a few times over if they so wished. For your average practice manager using BMC is like starting a coal powered steam engine each day versus a diesel or an electric train.

One is slightly slower than the others to get going to the point where you can start moving forward in the morning (unless you come in several hours before the working day to fire up the engine that is BMC email). 

So BMC proves once again that it is not fit for purpose but has continued to leach billions from the public purse to provide private profit via the preferred provider/bidder, any qualified provider or any other use of language to use the simple word shaft scheme which means double the cost for half the service.

Praise be the Party for ensuring that whenever an NHS person is provided with BMC the private sector gets so much more value for money than the patient or the healthcare end user.

Stop press comrades. There is a rumor that NHS.mail 2 will now offer accounts in the GB scale but this has been delayed no doubt for improved efficiency gains. Will that be 0.4 GB?

Friday, 9 October 2015


You have to admire the man with the silly, smug grin and without a clue who is the current health secretary when it comes to demonstrating his commitment to the NHS via the New Deal(s).

Could we respectfully suggest that all head teachers in the land show these videos to their brightest and best and ask them what do these videos mean and will their pupils be throwing themselves on their swords in order to become the GPs of the future?

The team at ND Central discovered this website that has just issued its second, sorry third GP recruitment video in a few days.

Ditto all current medical students and F2 doctors and all those medical school dean dudes who should be showing them 24/7 into every medical students’ or junior doctors’ rooms to alleviate instantly the shortage of GPs now and to come.

Perhaps a Freedom of Information request along the lines of how many additional GPs have been recruited per pound spent on these inspirational videos is in order?

Real time and real life GPs looking at the first one will be cringing thinking oh no not another form to complete for a jobsworth let us jump off a cliff without a parachute for we get so many of these a week.

For the second video doctors and nurses in General Practice will be thinking if we hadn’t spent so much time filling in care plans to prevent this year’s record hospital admissions then maybe some asthma reviews could have been done instead?

And for the third well by then we had lost the will to live . . .

And a slightly better video about matters current can be found here.

This at least might bring a smile to someone's face if you have not seen it as yet.

Praise be to the Party for spending money on a problem to ease it while not addressing the underlying problem itself which it has created.