tag:blogger.com,1999:blog-66947644884300155082024-03-12T16:39:35.693-07:00Northern DocNorthern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.comBlogger453125tag:blogger.com,1999:blog-6694764488430015508.post-59434293457957756222016-12-24T07:26:00.000-08:002016-12-24T07:31:44.956-08:00Christmas, car parks and roads.<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgQiCa8C_1NqBhhrZrZfGF4eZxHNHNUDWY5rKtDx55feuCMlFotPMFHqSo6baryafXA4EP4RCl5qL0KMSiGACL5VADgm_fwInadxxLo9tT1tZafOlQJKPB-7YeB6EU2tl-dizdGyBwNyEQ/s1600/Christmas+2016+mod+2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgQiCa8C_1NqBhhrZrZfGF4eZxHNHNUDWY5rKtDx55feuCMlFotPMFHqSo6baryafXA4EP4RCl5qL0KMSiGACL5VADgm_fwInadxxLo9tT1tZafOlQJKPB-7YeB6EU2tl-dizdGyBwNyEQ/s320/Christmas+2016+mod+2.jpg" width="320" /></a></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
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</xml><![endif]--><span lang="EN-US" style="color: black; font-family: "times new roman" , serif; font-size: 12.0pt;">Once again it is
Christmas Eve and for the whole year the world has hated and abused mankind relentlessly
and for some reason this has happened too in Northernshire GP land where the
demand for urgent consults for trivia and crap continues unabated and </span><!--[if gte mso 9]><xml>
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</xml><![endif]--><span lang="EN-US" style="color: black; font-family: "times new roman" , serif; font-size: 12.0pt;">exponentially and
ingratitude and joy towards all NHS staff is now endemic and normal all year
round.</span><span lang="EN-US" style="color: black; mso-ansi-language: EN-US;"> </span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">A sore throat for 30
minutes, a temperature for a couple of hours or a cough since the morning when
you woke up and then told reception staff to f**k off and die at 11:00 are
rarely if ever emergencies as is the classic itchy scrot for months urgent consult.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">But for
the nonpaying NHS punter these are all EMERGENCIES that can only be eased by an
urgent medical consult that anywhere else in the world would cost them dear but
in the UK is completely free at the point of abuse with no come back whatsoever.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">What was different was
this observation regarding the car park and one of the main roads into Shiteton
that transverses the car park entrance at ND Central. Normally the surgery car
park is full of parking wars as the well duff up their fellow patients and damage
their cars in their frantic efforts to get free healthcare for trivia and the
main road runs freely but today both the car park and surgeries were half empty
and yet the main road was full of standing traffic.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">How come?</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">Because it is Christmas.
Ahh lovely baby Jesus peace, love and joy to the world.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">For one day of the year
the NHS is not the <i style="mso-bidi-font-style: normal;">raison d’etre</i> for
the socially and educationally inadequate who will happily part with their cash
for seasonal trinkets and happily queue on the roads for the privilege to do so
and completely ignore the surgery and its car park in contrast to the rest of
the year.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">So if you are genuinely
ill over the festive period good luck for your first port of call will now be
NHS dumb, dumb, dumb whose highly trained comprehensive school failures operate
a binary healthcare system whereby illness is based on a toss a coin option based
on a moron and an NHS computer algorithm which decides either to let you see a GP
urgent option <i style="mso-bidi-font-style: normal;">(for trivia)</i> or will
advise A&E or send an ambulance to you ASAP <i style="mso-bidi-font-style: normal;">(for any trivia you want)</i>.</span><br />
<br />
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">Or not which is the more worrying option for the truly ill.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">Praise be to the Party
for providing healthcare for the truly inadequate at the expense of the
genuinely ill who will have no chance over the festive period. Socialized
medicine rocks as trivia top trumps genuine illness time and time again with full
Party support. Stay lucky ill people dudes it’s Christmas!</span></div>
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Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com3tag:blogger.com,1999:blog-6694764488430015508.post-16587519571530077132016-11-21T05:24:00.000-08:002016-11-21T05:24:23.323-08:00Frail Elderly.<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiPlyMdRlqwu8UelzAFB1FFx_HA2yerbQCzxcPD-MBFO6cwJjGL8MfbFEoDxeQjgf0a3wnIzvwgwVJFi8V30iEELx4yheqMKFadLvcNHHNbGWWI6tECrQPnXP9WAHp3US8L2jd2ekQpBf8/s1600/Frail+elderly+mod+1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiPlyMdRlqwu8UelzAFB1FFx_HA2yerbQCzxcPD-MBFO6cwJjGL8MfbFEoDxeQjgf0a3wnIzvwgwVJFi8V30iEELx4yheqMKFadLvcNHHNbGWWI6tECrQPnXP9WAHp3US8L2jd2ekQpBf8/s320/Frail+elderly+mod+1.jpg" width="320" /></a></div>
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<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">Ah the NHS is struggling
and it is not the fault of under investment, under manpower it is the
increasing demands of an aging population who are now the frail elderly. What a
complete load of crap spread by the appeaseniks of the BMA, RCGP <i>et al </i>most of whose
august members are not on the front line for more than a session a week.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">When we started many decades
ago in Northernshire if you went to a busy Friday once a week branch surgery
you might get between 3-7 patients. Now they are always full. Most people came
in then with just one acute illness problem and if they had 3 separate problems
that was commented upon then.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">Yet people are now
healthier, live longer and yet consult more up 24% more between 1998 and 2014
an increase of 1.5% <i>per annum</i> offset by a decrease in NHS funding for primary
care from 11% some 5 years ago to less than 8% now. Ignore the <a href="https://www.england.nhs.uk/ourwork/gpfv/">GP Forward View funding</a>
that does not even restore the <i style="mso-bidi-font-style: normal;">status quo</i>
5 years ago.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">The increased demand in
the NHS is similar to the if you build more roads to relieve congestion people
drive more just think Darzhole centres and NHS Dumb, Dumb, Dumb.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">Roads are free and so is
the health service and so are extended hours, 7 day working all of which result
in the same increased demand for want but rarely if ever true medical need.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">Take a typical
“emergency” appointment which have become more and more common over the last
2-3 years:</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">1) I think I have a
chest infection for I have been coughing for 15 minutes. No you don’t you have
a minor viral upper respiratory tract infection that will get better in 3 weeks
just like all those other family members that you told us about who had the
same symptoms and got better after they consulted their GP, had no treatment so
what is different about you other than this is a freebie? (3 minutes).</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">2) Oh, clear
disappointment here at not having blagged an antibiotic, so then comes the while
I am here can I collect my blood tests I had done because I was worried I was
ill 6 months ago? (<i style="mso-bidi-font-style: normal;">Actually 2 years ago
but thanks for the disinformation and wasting our time searching for them)</i></span><span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">Until now when I didn’t
get what I wanted. All normal. I thought so because no one had bothered to
contact me <i style="mso-bidi-font-style: normal;">(no patient responsibility
or self care agenda here).</i> (3 minutes).</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">3) Clearly disappointed
so on to the next old chestnut end of consultation favourite my partner/seventh
cousin twice removed/employer said I ought to get this completely unchanging
skin lesions of 20 years duration checked. And why did they suggest you do this
because they had noticed a change? No because they told me to.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">If you want a “check”
for non-illness see your bank manager but those who do others bidding without
thinking won’t get that. (3 minutes).</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">4) I think I might be
stressed, I have a busy job, I work 24/7 and never stop can I have a sick note
for I hate my job?</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">If you have time to
think you are stressed then you are not. I am a doctor the fact that you hate
your job is not my problem it is your life style choice and as such yours to
fix.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">Hating your job is not
an illness in the same way that you don’t like your spouse, mother in law,
house you live in etc. But please feel free to waste your doctor’s time discussing
something we can do absolutely nothing about other than give you a sick note
which you are not going to get because you are actually medically fit to work. (7
minutes).</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">5) While I am here can I
collect my repeat prescription and also my children’s, and their children’s
prescriptions it will save me so much time <i style="mso-bidi-font-style: normal;">(but
waste the most expensive part of general practices’ time but your time is
precious see 4)</i> above (3 minutes but an additional 45 seconds for each
prescription to print using advanced NHS IT).</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">6) When I got up this
morning I had a twinge in my knee when I put it to the floor. It was really
painful for a fraction of a second and has not bothered me since and I went for
my usual 3 mile fell run without any problems this morning. Can you tell me
what that was it was so painful? No. (2 minutes).</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">7) I am planning a trip
in a few months’ time what immunizations do I need? Am I at risk of the Zika
virus in the Antarctic? <i style="mso-bidi-font-style: normal;">(Ah the emergency
I am going on a holiday which I have paid for </i></span><span lang="EN-US" style="color: black; mso-ansi-language: EN-US;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: black; mso-ansi-language: EN-US;"><i style="mso-bidi-font-style: normal;">appointment </i></span>but this is a freebie).</i>
(2 minutes).</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">Well thank you for
squeezing me in as an emergency. I don’t come here very often so I thought I
would save them all up to save you busy doctors’ time <i style="mso-bidi-font-style: normal;">(usual idiot NHS freeloader’s grin here)</i> and a typical Friday
afternoon something for the weekend crap emergency appointment. You can’t be
too careful at 18:10 on a Friday when demanding an emergency appointment for
all of the above as there are after all no doctors whatsoever for a whole
weekend in the whole of the UK until late on Monday morning.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">Repeat such retarded
crap across a nation and then wonder why you as a patient cannot get to see a
GP and patients usually spend the first 2 minutes of their appointment whining
about this fact. It is not the frail elderly it is the retarded well whose only
port of call when they have acute case of non copitis and are feeling pathetic and
no-one wants to listen to them is to see their GP. True illness is conspicuous
by its absence.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">Praise be to the Party
for ensuring that via socialized medicine no one with anything wrong with them
will be denied access to a GP unless they are actually ill. GPs did once used
to see illness now most of their workload is social and educational inadequacy
that they cannot fix.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">The NHS is increasingly the
convenience store for those who don’t want to pay for coping and all Party’s
sponsor this message but don’t fund it.</span><span lang="EN-US" style="color: black; mso-ansi-language: EN-US;"> </span></div>
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="35" SemiHidden="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="0" SemiHidden="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
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<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
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<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
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<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
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<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
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<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
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<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
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<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
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<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
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<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
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<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
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<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
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<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
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<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
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<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
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<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
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<w:LsdException Locked="false" Priority="21" QFormat="true"
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<w:LsdException Locked="false" Priority="31" QFormat="true"
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<w:LsdException Locked="false" Priority="32" QFormat="true"
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<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
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<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
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<![endif]-->Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com1tag:blogger.com,1999:blog-6694764488430015508.post-40633279348425820312016-10-25T07:15:00.002-07:002016-10-25T07:15:34.980-07:00What is this man on?<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgByT5zExeRYHDZP0ta27_I3eCo0JnBZEKVLEEm4rHUR1SOpjOM6_NwBqOn7qME08Phv3wNm2A1VLeXPp4PMqoVA97-F2BEPUt3plGO8chtlaQKyH_woCAdDW3zQTXs4Qg2Fn0AC9YQ98Q/s1600/Khunta+kinda+work+dump+mod+1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgByT5zExeRYHDZP0ta27_I3eCo0JnBZEKVLEEm4rHUR1SOpjOM6_NwBqOn7qME08Phv3wNm2A1VLeXPp4PMqoVA97-F2BEPUt3plGO8chtlaQKyH_woCAdDW3zQTXs4Qg2Fn0AC9YQ98Q/s320/Khunta+kinda+work+dump+mod+1.jpg" width="320" /></a></div>
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<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">One
of the few things some of the team remember from grunt school psychiatry is
that a delusion is a belief in the absence of reality and can be a sign of
mental illness. So bearing this in mind what is a rational person to make of
the great Hunto’s latest<a href="http://www.pulsetoday.co.uk/news/commissioning/commissioning-topics/long-term-conditions/health-secretary-announces-one-stop-plan-to-expand-role-of-gps/20033063.article"> Pontification?</a></span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Clearly
a man who reads learned texts like the Daily Mail for he believes that there
are more than enough GPs in the UK all of whom struggle to fill their days with
work and so he feels that he can help than do this by dumping yet more work
onto them.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Just
look at his arguments and implied facts:</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">1)
The outpatient budget is about the same as the entire GP budget. GPs do 90% of
healthcare in the UK for c. 8% of the budget c. 340 million consults a year
compared with 85.6 million outpatient appointments. So the great Hunto expects
a mere 25% increase in workload from a workforce struggling to cope with the
day job?</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">2)
The total cost if any to a patient for potentially a year’s worth of free
access to a general practioner is £ 136 while the <i style="mso-bidi-font-style: normal;">cheapest</i> outpatient appointment is £ 69 for a one off follow up in
dermatology. The most expensive single appointment is £ 324 for a first
attendance at an infectious diseases clinic.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Will
the money therefore follow the patient into general practice as a result?
Clearly the day job won’t be so financially attractive and outpatient work will
displace the day job so something has to give. The doctor won’t see you now for
just over £ 20 for a normal GP appointment they have an urgent dermatology rash that has got
better to see for £ 69. Curious number 69?</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">3)
Hospitals are allowed to run at a £ 2 billion deficit but if GPs do so they go
out of business in contrast to hospitals which are supported in their failings
by the Party.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">4)
Hospitals get money per patient per attendance via the NHS Tariff which if GPs
did would mean a very happy workforce for the harder they worked the richer
they get but this system does not apply to GPs only hospitals. So Jeremy like
every other Secretary of State before him thinks lets dump extra work on GPs
for they are on block contracts and as such we just change their contract and
don’t pay them anything else extra.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Remember
comrades the concept of money following the patient within the NHS Internal
Meerkat is strictly one way.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">5)
If work moves out of hospitals then so does money which could make deficits
even worse although of course you could make the redundant hospital medical
staff redundant as they would be left with nothing to do except that NHS
employment is very well protected in terms of employment rights and this would
not be cheap.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Once
again the current Secretary of State has cracked the NHS nut with world-class
efficiency savings <i>(sorry comrades "gains)</i> based on his limited view of the world via Oxford University’s
political degree called PPE which is useless elsewhere in the real world.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Praise
be to the Party for once again ensuring that the only qualification you need to
run the NHS in the UK is no knowledge of the NHS at all.</span><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> </span></div>
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 5"/>
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</xml><![endif]-->Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com2tag:blogger.com,1999:blog-6694764488430015508.post-18712073223600932642016-10-15T05:05:00.000-07:002016-10-15T05:05:03.101-07:00Now the Muppets really have taken Manhatten.<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhWWy8DzDkkqX2eS6OvUufY81kxVDhAzQ5dDbRcqQrH4B_j8ISJ166pehPIF3ZB7c7PQ_GkV-sDPngThYSDpru7IbZAAu3oZ94VGKecHtyQtKN6pE-9Xf9aClx9KivnP_ZhovVxZe0Sjs0/s1600/Manhatten+Deal+2+mod+1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhWWy8DzDkkqX2eS6OvUufY81kxVDhAzQ5dDbRcqQrH4B_j8ISJ166pehPIF3ZB7c7PQ_GkV-sDPngThYSDpru7IbZAAu3oZ94VGKecHtyQtKN6pE-9Xf9aClx9KivnP_ZhovVxZe0Sjs0/s320/Manhatten+Deal+2+mod+1.jpg" width="320" /></a></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<!--[if gte mso 9]><xml>
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have to admire a Royal College that lacks both ability, leadership and academic
kudos for just look at this august body’s <i style="mso-bidi-font-style: normal;">(corpse’s)<a href="http://www.pulsetoday.co.uk/news/rcgp-issues-gratitude-journal-for-gps-to-write-down-positive-aspects-of-their-lives/1/20032879.article">
</a></i><a href="http://www.pulsetoday.co.uk/news/rcgp-issues-gratitude-journal-for-gps-to-write-down-positive-aspects-of-their-lives/1/20032879.article">latest wizzo wheeze</a>.</span><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> A
College without a clue has produced “A wellbeing pack”.</span> </div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
An
initiative directed at GP trainee members of the college <i style="mso-bidi-font-style: normal;">(sorry RCGP should that be “registrars” in your Chair of Associates in Training Committee’s quote in the article?)</i>, all of whom are bright enough
to see through Royal College sh*te or chaff<i style="mso-bidi-font-style: normal;">(ing)
</i>crap called reflection, e-retardfolios and probably are bright enough to
realize that chocolate coins, teabags <i style="mso-bidi-font-style: normal;">et
al</i> are mere baubles, beads and trinkets that are once again there to convince
the muppets in charge that they know best <i style="mso-bidi-font-style: normal;">(or
more accurately know nothing)</i>.<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;"> </span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">You have to admire a bunch of <i style="mso-bidi-font-style: normal;">appeaseniks</i> who have screwed up medical
training for years for having come up with this outstanding idea for only they
could think that teabags, a chocolate coin and a reflective colouring
book would bring an end to the problems in general practice at present.</span> </div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
The idea
of a “gratitude journal” is beyond measure for it will probably be shorter than
other such masterpieces read by those on high and in charge in their formative
years such as One Exciting Thing to do in Inverness on a Dull Rainy Winter Solstice
Day.</div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
We suspect
the only thing most frontline GPs will put in their “gratitude journal” is the
weekends, holidays, time off sick and retirement as the shortage of GPs
struggles to cope with an increasingly aggressive demand for urgent
appointments for trivia which cannot be met at present.</div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
Still as
someone once said every little bit helps.</div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
Yeah,
right.</div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
Praise
be to the Party for giving us the RCGP whose contribution to educating and
supporting GPs is beyond measure in their own humble retarded opinion. Ideas
like this would have ended the Second World War long before those slightly
brighter at Bletchley Park solved the Enigma code.</div>
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</div>
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<br /></div>
<br />
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<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;"></span></div>
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</div>
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</div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;"></span></div>
<br />
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span><br />
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
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</div>
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span>Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com0tag:blogger.com,1999:blog-6694764488430015508.post-10306264039271390782016-09-10T07:14:00.001-07:002016-09-10T07:22:10.194-07:00Greedy bastards.<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjY-gmvf6857Vj14HhX1tzewBUZiwHbP5MjGmtrFTFIEcP1zoVrcTSYrAWbrvQ2TpPN21ZY9MHGH5lk02rJNPHXiGNmvGF7q_1MezXgVrtcULB0kaNg6LT4tKOQHQmf-hP85OvSH2taBzM/s1600/bag+of+cash+mod+2+copy.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjY-gmvf6857Vj14HhX1tzewBUZiwHbP5MjGmtrFTFIEcP1zoVrcTSYrAWbrvQ2TpPN21ZY9MHGH5lk02rJNPHXiGNmvGF7q_1MezXgVrtcULB0kaNg6LT4tKOQHQmf-hP85OvSH2taBzM/s320/bag+of+cash+mod+2+copy.jpg" width="320" /></a></div>
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<br />
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">The
Party is as ever all wise and believes in a fair day’s pay for a fair day’s
work in all commercial organizations like the Houses' of Parliament, banks,
stock brokers and the like and applies its free market principle to all and
sundry with one notable exception which is the NHS.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">A
<a href="http://www.bbc.co.uk/news/health-36898881">small piece of non news</a> caught our eyes as it shows once again how greedy
bastards are getting paid extra to do extra work something that would not
happen in any other industry. Can you imagine asking a builder to work on a
Saturday or a Sunday to finish a job on time because they were behind schedule?
We are sure the conversation would go something like this:</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">“Comrade
customer I am so very and truly sorry that we have not been able to finish the
job on time but I will forego taking my children to the seaside this weekend and
my summer holiday and I will work 168 hours a week to finish the job as agreed
on time. It is a privilege and honour to work for you comrade customer and I
shall not ask for any tea and biscuits or even money in case the need for food
and drink and the toilet interferes with me working non stop”.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Now
imagine a hard pressed comrade hospital commissar manager asking an idle
hospital consultant who <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">never</i></b> works weekends if you believe a
certain Jeremy Hunt to do the same.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">The
hard pressed consultant brushes their hair back and pulls a half smoked
cigarette from behind an ear before taking a few stressed puffs from it after
lighting up while looking worried and concerned at the comrade commissar’s
request and shaking their head from side to side, tutting and tapping the ash
from their cigarette before saying:</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">“That’s
not gonna be cheap mate. It’s gonna cost you time and some mate. I can <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;">just </i></b>about
squeeze you in which ain’t gonna be easy because I’ve got more jobs on at the
moment than I have comrades to work them and we are in a recession you know . .
.”</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">So
once again the press point out that market forces using the supply and demand
curve mean that if there is a shortage of supply but increased demand then
costs usually rise but this is verboten in the NHS “free” meerkat. Costs
comrades should be zero regardless of demand for all who work in the NHS.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">If
you put the £ 350 million overtime into context with the overall spend and
these are approximate figures from various sources then this represents about
16% of total consultant pay but remember comrades compare that with estimates
of the total cost paid to all locum staff say £ 3.3 billion and for those on
medical top dollar salaries £ 350 million is a small percentage of total agency spend
(10.6%). And curiously the same cost of the alleged weekly benefit to the NHS
from brexit so why is the BBC unhappy?</span><br />
<br />
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">It
means that full trained staff can be used to plug the gaps today rather than
waiting for the Party to increase supply which will take at least 15 years if
they recruited extra medical students today as demand on the NHS increases
unabated. Or take the chance of possibly dodgy locum cover? <i style="mso-bidi-font-style: normal;">(Before you start we are aware that locum
staff have the same good, the bad and the ugly just as regular staff do).</i> </span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">And
did we also say that it costs 25 times more to fill locum posts than it does to
have full time posts? Clearly the meerkat is working for the meerkat not the
comrade patient.</span><br />
<br />
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">And remember some highly trained
professionals choose to work as locums for the following reasons:</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">1) better pay</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">2) choice of hours to suit family
commitments</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">3) post retirement to top up
pensions and do a job of pure clinical medicine they enjoyed without the Party add on of retardocracy that
they hated and resented that went with the day job.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Still
there is a solution and Jeremy knows how to do this. He will <a href="https://www.bma.org.uk/news/2016/july/doctors-leaders-pursue-strongest-possible-offer-for-consultants?utm_source=The%20British%20Medical%20Association&utm_medium=email&utm_campaign=7351922_NEW11Z1%20MAIN%20ENEWSLETTER%20250716&utm_content=Consultants%20contract%20headline&dm_i=JVX,4DKS2,36I9ST,G2SM7,1">just change the contract</a>. Perhaps the consultants will agree to the same contract as the BMA
got for GPs in 2004 whereby the Party only has to “consult” about changing the “contract”
each year and does not even to bother doing this now knowing that they can in true
Soviet style enforce it. Maybe a consultant QOF too to make bugger all difference
to patients’ healthcare other than “inviting” them back to consults for
nothing more than to tick a retadocrat’s QOF box.?</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">We
are sure the Party will want any extra consultant hours to be done for a no
extra pay for extra hours clause in any new contract just like they did with GPs,
junior doctors, lawyers, bankers, plumbers, builders and so on for comrades
when it comes to exploitation of the NHS workforce in the NHS “meerkat” we are
all in it together.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">And
Jeremy understands a contract as a voluntary agreement between two parties enforceable
by law as a contract by Jeremy and for Jeremy take it or leave it using the
concept of Party NHS “Choice”.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">And
interestingly the same news organization<a href="https://www.thesun.co.uk/sport/football/premierleague/1475531/paul-pogba-to-manchester-united-105m-frenchman-agrees-personal-terms-on-220000-five-year-contract-with-united-after-tax/"> has no qualms</a> about highly skilled
operatives in a different profession that people pay for when they use it being
paid a mere £ 220,000 a week after tax in contrast to the salaries commanded by
consultants and GPs in healthcare.</span><br />
<br />
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">That is the equivalent per week of the total annual earnings of 2 above average paid GPs per year total income BEFORE they have to paid their tax and after they have paid their staff and expenses.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Praise
be to the Party for again once explaining to those in the NHS that extra work
is to be done for no extra pay for they understand this for builders, footballers <i style="mso-bidi-font-style: normal;">et al</i> they pay for but the NHS is
completely free at the point of abuse and should cost nothing extra for
politicians to misuse it even more. Seven day working anyone?</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">You know it makes financial sense, simples? </span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span></div>
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</div>
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 9"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footnote text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index heading"/>
<w:LsdException Locked="false" Priority="35" SemiHidden="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="envelope address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="0" SemiHidden="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
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<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
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<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
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<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
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<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
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<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
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<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
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<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
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<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
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<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
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<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
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<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
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<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
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<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
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<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
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</xml><![endif]-->Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com0tag:blogger.com,1999:blog-6694764488430015508.post-71444275871722695342016-08-31T07:07:00.000-07:002016-09-10T07:17:49.008-07:00New ideas, old ideas?<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEio-tLfjDvImkyEIwYTMxWeH8baPJgLos1WERP1dXF8zm06RtYSEMqKCxnyv4LRWK-Zyyq6zUrV_uKK3NVr3oDpr8sgwSOr4RjB5z5MIrbuIR0SPVu_GSGIBR16-jjLGtCpvekjygwB-Ew/s1600/Galley+slaves+mod+1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEio-tLfjDvImkyEIwYTMxWeH8baPJgLos1WERP1dXF8zm06RtYSEMqKCxnyv4LRWK-Zyyq6zUrV_uKK3NVr3oDpr8sgwSOr4RjB5z5MIrbuIR0SPVu_GSGIBR16-jjLGtCpvekjygwB-Ew/s320/Galley+slaves+mod+1.jpg" width="320" /></a></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">You
have to admire those in charge at the BMA for being so in touch with its
grassroots membership and for being so in tune with those in charge of the
Health Service in their endless quest <s>to support their members</s> for gongs
that they have come up with a whizzo wheeze to solve the GP crisis and restrict
workload. You can read about the wheeze<a href="http://www.gponline.com/overflow-service-cut-gp-workload-25-appointments-day-says-bma/article/1407154"> here</a> and if you want it from the <s>ass’s</s>
horse’s mouth the link at the end of the first paragraph after the header GP Workload will take you there to a document called “Safe Working in General Practice”.</span><br />
<br />
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">So
having signed <a href="http://www.pulsetoday.co.uk/hot-topics/lmcs-conference-2016/reaction-gpc-abandons-plans-to-ballot-on-mass-resignation/20032609.fullarticle">the peace in our time document</a> with the Party to avoid a possible
vote on mass resignation and loss of gongs for the BMA leaders, its leadership
have agreed to promote Party policy as the means of solving the GP problem
which in a nutshell is too much demand and very limited supply.</span><br />
<br />
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">To
avoid opening a second front the document and its authors lists a series of six
principles that you can read in the article towards the end and if this was
presented by NHS managers your buzzword bingo card would be full by the end of
the first paragraph but nonetheless the language is the same as recycled flawed
thinking that working smarter and IT will reduce unmet demand.</span><br />
<br />
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Now
hubs is currently a buzzword but haven’t we had these before? Walk in centres
and Darzhole centres all supposed to reduce GP workload and A&E
attendances?</span><br />
<br />
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">They
weren’t called hubs then and the BMA document says that these new hubs are “not
walk in centres” (pg 5) and on page 6 the hubs would only offer same day urgent
appointments which is great as all unmet demand in general practice is for same
day urgent appointments rarely if ever for urgent medical conditions that
require immediate medical care just patient want.<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "times new roman" , serif; font-size: 12.0pt;"> </span></span></span></span></span><br />
<br />
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "times new roman" , serif; font-size: 12.0pt;">The "I want somemit now so give it to me for free
it’s my right whatever" principle.</span></span></span></span> </span><br />
<br />
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">It
does not take long for Party speak to sneak in for where have some of the team
heard the phrase Multi-speciality Community Providers (MCPs) and the term hub
before?</span><br />
<br />
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">This appears at the beginning of page 5 but note the fact that the BMA
gong hunters have dropped the word “community” which is the C in the MCP initials
and they describe it as a “multi-specialty provider”. They are either dyslexic
and/or thick and confusing their C’s for S’s or they are glossing over the fact
that MCPs are yet another Party vehicle to dump hospital work onto GPs albeit
in “hubs” or GPs working together, "at scale" or in Federations<span style="mso-spacerun: yes;"> </span>of the sizes quoted in the document and all Party approved/determined "options".</span><br />
<br />
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">So
well done chaps and chapesses at the BMA for coming up this pile of recycled
guano which will be as much use as the creeping barrage was to the troops on
the front lines in World War 1. Lots of bangs and flashes to achieve nothing
useful for the boots on the ground.<span style="font-family: "times new roman" , serif; font-size: 12.0pt;"> </span></span><br />
<br />
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "times new roman" , serif; font-size: 12.0pt;">One principal, and the most important the
seventh, is conspicuous by its absence and that is where is the extra capacity
coming from to create these hubs in terms of fully qualified GPs?<span style="font-family: "times new roman" , serif; font-size: 12.0pt;"> </span></span></span><br />
<br />
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "times new roman" , serif; font-size: 12.0pt;"><span style="font-family: "times new roman" , serif; font-size: 12.0pt;">Time for a rousing rendition of the World War
One song Over There! to lift morale we thinks on the front line as the BMA solves
the problem and <a href="https://www.youtube.com/watch?v=TI73oAcmTaU">this clip </a>shows exclusive footage of the architects of this leaving
BMA headquarters in all its modesty and selling it to the troops they have enthused to sing along
and their attitude towards their members.</span></span> </span><br />
<br />
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Praise
be to the Party and its <s>bumchums</s> Allies for doing everything to
solve a problem other than defining and addressing the actual problem itself.
With all these these hubs from Narnia comrades the war will be over by Christmas (once again).</span></div>
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 5"/>
<w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Closing"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Signature"/>
<w:LsdException Locked="false" Priority="0" SemiHidden="true"
UnhideWhenUsed="true" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/>
<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 3"/>
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgFFqEZLbU89QJR06MxepONOuFUnbys8n_InS3BGKOvlsEyEWJ2spVPbN3mI4trDlp5Jzkjm38kQFuOuI_PEN0TSdY8TR8ILgkzmdDZ0ZAKhpsA8qYIX_zI4LPhk0j8I72wbAOBaSMbrKs/s1600/Manhatten+Dealpsd+mod+2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgFFqEZLbU89QJR06MxepONOuFUnbys8n_InS3BGKOvlsEyEWJ2spVPbN3mI4trDlp5Jzkjm38kQFuOuI_PEN0TSdY8TR8ILgkzmdDZ0ZAKhpsA8qYIX_zI4LPhk0j8I72wbAOBaSMbrKs/s320/Manhatten+Dealpsd+mod+2.jpg" width="320" /></a></div>
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<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">There
are some real morons at present who are medical “leaders” and false
“professors” as can be seen by <a href="http://www.gponline.com/rcgp-offers-free-college-membership-gp-returners/article/1400812">this latest announcement</a> from a certain Royal “College”.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Now
if you were a GP wanting to return to practice what would you want to tempt you
back?</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">1)
Not having to pay a minimum of just under £ 11,000 a year for basic medical
defence insurance? Of course not patients are far more important.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">2)
A highly paid stress free job, free of the NHS institutionalized bureaucracy one
of the reasons you left in the first place whereby seeing and treating patients
was <i style="mso-bidi-font-style: normal;">(once)</i> an option and the reason
you became a doctor in contrast to today’s box ticking for bureautards fully
supported by a certain Royal “College”?</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Of
course not, comrades, reflection is far more important than treating patients
it achieves bugger all <i style="mso-bidi-font-style: normal;">(for patients)</i>
other than ticking another box for retards<i style="mso-bidi-font-style: normal;">.</i> </span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">3)
A job with reduced workload <i><span style="mso-bidi-font-style: normal;">(most GPs
leave because of workload)</span></i> and the opportunity to see real illness in contrast
to socialized inadequacy?</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Of
course not comrades completing an e-portfolio each year is far more rewarding
and important and so by adding to workload it merely reduces your stress after
seeing the odd patient who may, or more likely not, have anything wrong with
them but the RCGP does not do illness.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">4)
No annual appraisal or any other such crap <i style="mso-bidi-font-style: normal;">(all
for the benefit of the Party and its bum chums at the GMC et al)</i>?</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">All
of which are but some of the <i style="mso-bidi-font-style: normal;">(many)</i> reasons
why you left as a GP in the first place.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">So
if a Scottish womble says ah way hin, that must be terrible, I feel your pain and
while I am here can I explore your Ideas, Concerns and Expectations of why you
wish to return <i style="mso-bidi-font-style: normal;">(not)</i> to practice and do
absolutely nothing about your problems after pretending to listen while
appearing concerned and
then goes on to say I think I can help, would you like a free year’s membership of the
RCGP as there is a loads of evidence of its benefits together with that of crystal
healing, quantumtouch and homeopathy?<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> </span></span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">We suspect that most GP <i>(even)</i> thinking of a return to
practice <i>(after 20 pints of Old Scroty Grundge and a serious head injury)</i> would view this in the same way as someone asking you <a href="https://www.youtube.com/watch?v=85UlWqk-YKI">to come and see some puppies</a>.</span> </span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Most
GPs of a certain age who actually had the option of joining said Royal “College”
would think and would once have known the true meaning of the word to “ice”
someone.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Currently
membership of this alleged “college” is compulsory as they are the Party
groomers of GPs to be to fix social not medical problems and as such the “College”
has a degree of <i style="mso-bidi-font-style: normal;">(political)</i> impotence
but most GP registrars are bright enough to realize that its methods are so
flawed that they are retarded <i style="mso-bidi-font-style: normal;">(sic</i> the
e-portfolio, reflection <i style="mso-bidi-font-style: normal;">et al</i>)
although its alleged “leaders” think otherwise.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">GP
registrars also know that <a href="http://www.pulsetoday.co.uk/your-practice/regulation/trainees-portfolio-used-as-evidence-against-them-in-legal-case/20031605.fullarticle">such reflections can screw them</a> more than their
trainers do now but none at the RCGP can see this for most believe that the sun
revolves around something dark called reflection which is essentially the art of
self colonoscopy with the light switched off and then saying I can see
everything more clearly now to your trainer or appraiser.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">So if this is aimed at GPs who have left general
practice and maybe older ones we are sure that those proposing it on high think
that GPs can still be bought by baubles, beads and trinkets from the RCGP when schemes
offering<a href="http://www.pulsetoday.co.uk/your-practice/practice-topics/employment/gp-golden-hello-pilots-fail-to-attract-enough-candidates/20009941.fullarticle"> tens of thousands of pounds</a> have <a href="http://www.pulsetoday.co.uk/your-practice/practice-topics/employment/practices-to-be-offered-16k-to-persuade-gps-to-stay-in-general-practice/20031792.fullarticle">failed to attract GPs</a> to general
practice posts.</span><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> </span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">The
war on the lack of GP recruitment will, comrades, be over by Christmas by this
simple, innovative intervention of the RCGP for less than the cost of a First World
War rifle (Lee Enfield) today by provision of up to £ 519 of RCGP membership will
mean that GPs not currently in practice will like lemmings be flooding back soon
in droves to return to work.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Clearly
many hours of institutionalized retardation at the Royal “College” will have
led to this earth shattering idea and we are sure that they will reflect at
length on its success when it achieves absolutely nothing useful like a GP
returning to work. Their e-protfolio will be full of brown stuff with which to
discuss with and impress their appraiser.<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> </span></span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">The muppets retaking Manhattan perhaps by a “New
Deal”? You can see Jeremy’s smile now as he knows he will meet his 5000 new
GP target thanks to his friends . . .</span> </span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Praise
be to the Party for understanding why no-one wants to be a GP and thinking that
baubles, beads and trinkets are the answer. And that is just those that claim
to represent the profession that they do not understand.</span><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> </span></span></div>
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 5"/>
<w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Closing"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Signature"/>
<w:LsdException Locked="false" Priority="0" SemiHidden="true"
UnhideWhenUsed="true" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/>
<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 2"/>
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<![endif]-->Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com2tag:blogger.com,1999:blog-6694764488430015508.post-68504895916579390042016-06-24T06:30:00.001-07:002016-06-24T06:30:40.622-07:00Are we there yet?<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjp4IfgxR5n5QSutJOQnPBC621U-X7mJIobcKEuZWbkcQf1gnMoLnQ2oXIwzXAP5AMPh5ucPdqmUBVMu6hE3c1ub-HEDYV2Gw5xTYonBy7ukOna743y5s-X2QXzyRqcQdYCQ2yylMKsOP4/s1600/Brexit+mod+1+copy.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjp4IfgxR5n5QSutJOQnPBC621U-X7mJIobcKEuZWbkcQf1gnMoLnQ2oXIwzXAP5AMPh5ucPdqmUBVMu6hE3c1ub-HEDYV2Gw5xTYonBy7ukOna743y5s-X2QXzyRqcQdYCQ2yylMKsOP4/s320/Brexit+mod+1+copy.jpg" width="320" /></a></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">For
months here in the UK the population has been bombarded on a daily basis by
claim and counter claim about its continuing involvement with the European
Union. Today at long last the British people actually have had their say in
contrast to the politicians <i style="mso-bidi-font-style: normal;">et al</i> who
have had hours of air time.<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> </span></span></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">What has been decided by the combined people(?s)
of the United Kingdom will mean there is only one thing that will be absolutely certain and
that is that despite the lies and counter lies the NHS will be no better or
worse off. Throughout the whole campaign both sides have banged on about the NHS using the NHS
in the only way politicians know how to use it for as a mere political football
to kick to death. And boy have they given it a good kicking.</span> </span></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Just
look at <a href="http://www.kingsfund.org.uk/projects/nhs-in-a-nutshell/health-care-spending-compared">how little we spend on the NHS</a> as a percentage of GDP compared with
other European countries for until this increases the NHS will only get worse
regardless of whether we are in or out of Europe.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Praise
be to the Party for spending so much time talking about the NHS rather than
spending a little more time to fix it. Talk as they say is cheap, healthcare is
not <a href="https://www.theguardian.com/society/2016/jan/26/nhs-comes-14th-in-europe-wide-survey-on-health-systems">especially good quality healthcare</a>.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Still if you believe that the 200+ CCGs in the England get a share a £ 350 million a week that went to Europe then £ 350 million shared by 200 to keep the maths simples means that each CCG should be getting an extra 1.5 million a week to spend or may be a bit less given the other countries in the UK so the NHS will be laughing all the way to the brexit . . . ? Dream on.</span></div>
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<![endif]-->Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com3tag:blogger.com,1999:blog-6694764488430015508.post-79945575156074737312016-06-16T07:07:00.000-07:002016-06-16T07:07:09.087-07:00A relative’s comments.<!--[if gte mso 9]><xml>
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<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgB4_LWrBCAfFJIbrlTgIWuWNZE7dS3hpPh1DJ71gD80WQP_zV0T_Tks-Rii4u-GmXz8g8h0haWPEAgeTfu0gcLI96yLql-XOWkM5sbvXJGwTxLjwzjtUKbp3OKGe2mtK_7puh3p5iaFK8/s1600/Dinner+party+mod+1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgB4_LWrBCAfFJIbrlTgIWuWNZE7dS3hpPh1DJ71gD80WQP_zV0T_Tks-Rii4u-GmXz8g8h0haWPEAgeTfu0gcLI96yLql-XOWkM5sbvXJGwTxLjwzjtUKbp3OKGe2mtK_7puh3p5iaFK8/s320/Dinner+party+mod+1.jpg" width="320" /></a></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">The first 2 minutes of any Party
determined 10 minute appointment are now usually spent listening to the NHS
non-paying punter complaining about how long it took them <i style="mso-bidi-font-style: normal;">(to struggle)</i> to get a totally free at the point of abuse NHS
appointment with a GP something that anywhere else in the world they would have
to pay for.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">How the public in the UK suffer
under this system is remarkable as they never complain to their elected
“members” of Parliament who provide it and who often only spend a mere couple
of hours a month listening to them complaining in contrast to those who work
full time <i style="mso-bidi-font-style: normal;">(listening to their complaints
about the system that they cannot change</i>).</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">5 such punters waste a whole GP
appointment and a whole day’s worth of appointments could be as many as 10
appointments wasted by the non-paying NHS whingers before they start on any
alleged illnesses always in the plural but rarely if ever in reality. They just
whinge and go on and on and on.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">A recent dinner party at your
average UK GP’s baronial mansion led a senior relative to pass comment, when
the port was passed around for the 97<sup>th</sup> time after their junior
relative, a mere GP, had finished their working day on the golf course about
the appalling state of general practice today.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Their comment was that at ones
last attendance at ones General Practitioner had resulted in a disturbing
comment from ones GP that distressed our relative and left them thinking that
they were abusing the service.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">They briefly needed the
administration of smelling salts <i style="mso-bidi-font-style: normal;">stat</i>
due to an acute attack of the vapours but fortunately declined the offer of an urgent
NHS 111 consult and subsequent blue light ambulance and trip to A&E for a
slight emotional upset.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">And what was this incredibly
hurtful comment from their GP?</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">The comment from their GP was:</span><b style="mso-bidi-font-weight: normal;"><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> </span></b></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">“Thank you for being the only person that came to see me today who said
that they had just one problem and who actually had just one problem”.</span></b><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> </span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">And we bet no GP anywhere in the
UK thinks they have finished their consultation before the non-paying punter
says,<i> with an idiot grin on their face</i>, for they know they are on to a good
thing called free healthcare says any of the following:</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">And.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Also.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">And also.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">The other thing was . . .</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">I don’t come here very often . .
.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">I have saved them all up . . .</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">While I am here . . .</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Can you see my relative while I
am here?</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Can I <i style="mso-bidi-font-style: normal;"><u>just</u></i> order my relatives(s) repeat prescription(s) and . . .?</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">While I have gotcha mate can I
<i>just</i> . . .</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">I know it is an emergency
appointment for one item but can I <i>just</i> . . .</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">I <i style="mso-bidi-font-style: normal;">just </i>have a couple of things . . . <i style="mso-bidi-font-style: normal;">(7 items later and still going . . .)</i> </span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">And all of the above is as if
they were all </span><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><i>just </i></span>doing their GPs a favour <i style="mso-bidi-font-style: normal;">(remember
the non-paying NHS punter’s idiot grin)?</i> </span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Can you imagine any other
profession with the cashometer running feeling aggrieved by the above idiot
grins seen by GPs on a punter by punter daily basis? If you are wondering why
your GP appointments never run to time just look to the above <i style="mso-bidi-font-style: normal;">“while I am here”</i> wasters </span><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><i style="mso-bidi-font-style: normal;"><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><i>just</i></span></i><span style="mso-bidi-font-style: normal;"><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> </span>(</span><span style="mso-bidi-font-style: normal;">doing their GPs and fellow patients a
favour?)</span>. How selfless.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Of course not.<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> </span></span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Any other profession would be laughing all the way to
the bank for with every other increasing demand for trivia the cashometer would
be ticking on an hourly basis at your average accountants’, solicitors’, dentists’
or vets’ office but runs completely free with unlimited use in General Practice
in the NHS’s using socialized medicine’s free at the point of abuse principle.</span> </span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Funny how GPs in the UK are not
laughing at the moment and certainly not to the bank for increased demand for
trivia is not rewarded by politicians it is merely encouraged.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">No wonder our relative felt so
guilty for they had not wasted their NHS GP’s time and had been honest with
their GP and could count. And what was even more telling was that they could
remember the days of having to pay to see GPs and that you did not waste their
time then for most people could not afford to do so then.<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> </span></span></span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Such patients in United Kingdom general practice are
as rare as is true illness in contrast to fabricated trivia or socialized
inadequacy which is currently the <i style="mso-bidi-font-style: normal;">raison
d’etre</i> of the health service and keeps the RCGP in existence and creates
false prophets, sorry false professors of their leaders.</span></span> </span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">One of them was <a href="http://www.cqc.org.uk/content/professor-steve-field-cbe">a once a weak man in general practice </a>and has since said he is ashamed to be a GP in a system
that he oversaw the creation of and is now the Witchfinder General of General Practice
at the CQC. Who knows what great “academic” contribution <a href="http://medicine.dept.shef.ac.uk/news/index.php/2016/03/23/upcoming-lecture-staying-safe-people-and-systems-in-healthcare/">the other will make</a>?
Perhaps they will rediscover the 4 elements and im</span><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">part </span></span></span></span>them to their students
via “reflection” and the ePortfolio?</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Praise be to the Party for
ensuring that one of the most expensive resources that takes care of 90% of
healthcare in the UK is available for less than 8% of the NHS budget and with
completely unlimited access completely free at the point of abuse.<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> </span></span></span></span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">And nobody appreciates honesty for lying is the
bedrock of all GP appointments and has been so since the inception of the NHS
and abuse of the service continues to be completely free with a zero tolerance
policy of any form of redress for doing so and it is reinforced by the donkeys
that currently lead the decreasing number of lions.</span> </span> </span> </span></div>
Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com1tag:blogger.com,1999:blog-6694764488430015508.post-47076207214554452622016-05-22T03:51:00.001-07:002016-05-22T03:51:27.214-07:00All hands to the pump!<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjEIod9FIL0FMime7wFPWhLA6m-GUK_A8htSQNX52Qva3qlACwl6MVh0OeYa_8iR-kjpz6L4C9MZVE3g8ys0REet_wgi_OruFxqgPb8rJeUe6F07EKj-8NHcm5H6kM816KQORNILrQRAIg/s1600/All+Hands+to+the+Pump+mod+2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="265" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjEIod9FIL0FMime7wFPWhLA6m-GUK_A8htSQNX52Qva3qlACwl6MVh0OeYa_8iR-kjpz6L4C9MZVE3g8ys0REet_wgi_OruFxqgPb8rJeUe6F07EKj-8NHcm5H6kM816KQORNILrQRAIg/s320/All+Hands+to+the+Pump+mod+2.jpg" width="320" /></a></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">There
are numerous films where a ship gets holed and starts taking on water which
seems to ensure that all the heroes and heroines, all actors, will drown under
the weight of incoming water (work) miles away from help (rescue).</span></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">So
imagine our relief <i style="mso-bidi-font-style: normal;">(despair)</i> at the
news this week that <a href="http://www.pulsetoday.co.uk/home/finance-and-practice-life-news/train-non-medical-staff-to-solve-gp-workforce-crisis-employers-told/20031859.article">a report commissioned by NHS England </a>has stopped the influx
of water in an instant into the gaping hole of no manpower or funding to
sustain the RMS NHS Titanic (General Practice sub commissariat).</span></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Balance
this against <a href="http://www.kingsfund.org.uk/publications/pressures-in-general-practice">another report</a> saying that the influx of water has increased as
has the size of the hole and we are sure that the current captains of the NHS
are listening to the orchestra playing while supping vodka and caviar on the
quarterdeck fully expecting those less qualified than doctors to take a thimble
into the water filled hole stand waist deep in the water and throw the thimbles
of water over their shoulders in order to keep the NHS afloat.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Of
course after many vodkas they will not realize that those with thimbles have
been deployed from some areas of shortages while others are from areas of
excess which once again leaves the ship unbalanced and with a hole to plug and
no plan with which to do so.</span> </div>
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 5"/>
<w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Closing"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Signature"/>
<w:LsdException Locked="false" Priority="0" SemiHidden="true"
UnhideWhenUsed="true" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/>
<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 2"/>
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<![endif]-->Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com0tag:blogger.com,1999:blog-6694764488430015508.post-25181957512192674362016-05-01T05:11:00.000-07:002016-05-01T05:11:07.017-07:00A Thank You.<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgsEOKtoqt3UzXW8XT_8yzNc_fEb-kwU7kgVf5BymwZf76rA6_ldX2LhQvH2ln-XwwrhLO19BWeJMhpaXqDYIn__YT3jc-NVniliZkGuhPUU6NkTtO133OeVANPreoKbFdcXfH9xOBD8Ns/s1600/Strike+copy.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="222" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgsEOKtoqt3UzXW8XT_8yzNc_fEb-kwU7kgVf5BymwZf76rA6_ldX2LhQvH2ln-XwwrhLO19BWeJMhpaXqDYIn__YT3jc-NVniliZkGuhPUU6NkTtO133OeVANPreoKbFdcXfH9xOBD8Ns/s320/Strike+copy.jpg" width="320" /></a></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Occasionally
as a GP you get a thank you letter but this has to be tempered with the
unwritten rule that when you receive one it is usually followed by 3 letters of
complaint. So can you imagine how happy United Kingdom GPs must be<a href="http://www.pulsetoday.co.uk/hot-topics/junior-doctor-contract/jeremy-hunt-thanks-gps-for-ensuring-patient-safety-during-junior-doctor-strikes/20031731.article"> to have all been thanked</a> by none other than the current secretary of health our very own
Jeremy Hunt.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">We
are sure that fellow GPs across the land on the junior doctors’ strike days
were busy as usual on the golf course perfecting their swing rather than seeing
patients. We thought we would enlighten Jeremy as to what happened on the
ground.</span></div>
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<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">First
all our junior doctors’ appointments were cancelled thereby reducing
appointments available for 2 days. Several doctors went and joined our juniors
on the picket lines others, while doing home visits, tooted their support from their vehicles along with other members of the public and unusually there were actually free appointments in
surgery despite the reduced numbers of appointments available.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">So
thank you Jezza for thanking us for what we did on the strike day and we
suspect quite a lot of other GPs did exactly the same to support the NHS.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Praise
be to the Party for Jeremy a man so in touch with the medical profession and
the NHS he has not got a clue about it but thinks he knows it all. You can show
your appreciation <a href="https://punthunt.uk/#">here</a>.</span> </div>
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Name="line number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="page number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of authorities"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Signature"/>
<w:LsdException Locked="false" Priority="0" SemiHidden="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
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<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
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<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
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<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
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<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
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<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
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<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
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<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
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<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
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<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
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<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
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<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
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<w:LsdException Locked="false" Priority="21" QFormat="true"
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<w:LsdException Locked="false" Priority="31" QFormat="true"
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<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
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<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
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<![endif]-->Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com0tag:blogger.com,1999:blog-6694764488430015508.post-35016783173873897352016-04-23T00:32:00.000-07:002016-04-23T00:32:02.246-07:00The relief column?<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgEAvW1t7MIJYrKU0p0vAlvWcKQBDQMDB73MMmcgxfh0qdX4iqtzczhMEtJt2vi5PSdMf2lb7tpQ90kzMA2fQ7vdNwEjjOqcghLwMq0eH9C74NTtILaD-F9jzI_-vwepXTk7RN75YykUMU/s1600/NHS+relief+column+mod+2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgEAvW1t7MIJYrKU0p0vAlvWcKQBDQMDB73MMmcgxfh0qdX4iqtzczhMEtJt2vi5PSdMf2lb7tpQ90kzMA2fQ7vdNwEjjOqcghLwMq0eH9C74NTtILaD-F9jzI_-vwepXTk7RN75YykUMU/s320/NHS+relief+column+mod+2.jpg" width="320" /></a></div>
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</xml><![endif]--><span style="font-family: "times new roman" , serif; font-size: 12.0pt;">In many British films about Victorian daring do
often the heroes are seen fighting a brave battle to hold their position and
just as it seems all is lost the sounds of bugles or the sight of a relief
column causes all their cares to disappear and after killing a few more baddies
there are lots of smiles and manly greetings and all is once again well with
the Empire.</span><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> </span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">No
doubt NHS England safe in their bunkers fortified by retardation will be
thinking that <a href="https://www.england.nhs.uk/2016/04/gpfv/">this little announcement</a> will be having the same effect on GPs in
their practices this week as reported by the news channels. Will
GPs and their staff be embracing the relief column? We think not for look at
the detail.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> </span><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><b>Funding.</b>
At first sight this would seem like a huge increase in money going into general
practice but it is little more than a return to what was paid 5 years ago which
in fact will be less than that due to the ravages of inflation and remember
medical inflation is greater than general inflation so the beleaguered garrison
is not even as well armed or manned as it was at the start of the siege.<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><b> </b></span></span></span></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><b>Workforce.</b>
Clearly the extra men in the relief column will bolster the garrison and its
defences except this is a paper army and is more like a work of fiction given
<a href="http://www.pulsetoday.co.uk/your-practice/practice-topics/employment/revealed-dh-set-to-miss-5000-new-gp-target-by-more-than-half/20031463.fullarticle">recent comments</a>.</span> Still
the local tribes that are NHS England switch their allegiances and promises as
often as the wind direction changes in a coastal temperate climate and it cannot
count for they tell </span></span><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">health </span></span>select committees the exact opposite.</span> </span></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">And
the deployment of auxiliary troops will always make up for a lack of veteran
fully trained legionaries but comrades did you notice the word co-funded in front
of the word auxiliaries? In other words the beleaguered garrison will have to pay
for the auxiliaries <a href="https://www.england.nhs.uk/commissioning/wp-content/uploads/sites/12/2015/08/clin-pharm-gp-pilot-faqs-0815.pdf">we believe over a 3 year period of subsidy</a> before bearing
the full cost themselves. And if the auxiliaries were to be found wanting then
the garrison would also have to pay to decommission them too.<b> </b></span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><b>Workload.</b>
So the relief column will tackle all the areas in this paragraph but they will
not tackle the main offensive thrust on the garrison which is the daily charge
on it by screaming tribespeople <i style="mso-bidi-font-style: normal;">en masse</i>
who want instant satisfaction at all costs <i style="mso-bidi-font-style: normal;">(but
not to them)</i> or else, who take no prisoners and care not about inflicting causalities.
In case NHS England don’t get this we mean patients and their increasing
demands for trivia to be seen NOW.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><b>Infrastructure.</b>
Always a good scene in any film when plucky British troops plug a gap in the
wall with sandbags but these are just empty bags with no sand.</span></div>
<div class="MsoNormal" style="margin-top: 12.0pt; tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><b>Care
redesign. </b>Well this is a bit like <a href="https://www.youtube.com/watch?v=3l_3-23zAWM">the dinner party scene in the Carry on Up the Khyber film</a> in terms of stemming the offensive and looks like actually encouraging
it.</span></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">So
as GPs and their staff woke up to the news that a relief column is coming will
they be thinking that this is <a href="http://www.historytoday.com/richard-cavendish/relief-mafeking">the relief of Mafeking</a> provided by NHS England or
merely a continuation of <a href="http://www.rorkesdriftvc.com/battle/battle.htm">Rourke’s Drift</a> depicted in the film Zulu on a ground
hog day basis? Or will it continue to feel like the final scene of the 1962
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chaps. Scum of the earth perhaps as Wellington once said? <a href="http://www.bma.org.uk/working-for-change/negotiating-for-the-profession/bma-general-practitioners-committee/gpc-members/chair-newsletter">Other generals may disagree</a> believing this to be yet another Pyrrhic victory for their “troops” in
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</xml><![endif]-->Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com0tag:blogger.com,1999:blog-6694764488430015508.post-45431732773475931102016-03-13T06:40:00.001-07:002016-03-13T06:40:20.156-07:00NHS lies never heard by any GP ever 001: I never have a home visit.<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi4_bLrjs34ohhWS8XpBt9BqBua-bi5o0aNrHzq4_gqeZlfIct5d4qDLjjLZax2Ek5jvpiiwB96kmdtSOGtB23hblm6xx7pYbCXEsiGsr9Ko0qn-vQM7GX7lep0aOKMksBZ6pVIdvIwt6g/s1600/home_visit+002.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="213" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi4_bLrjs34ohhWS8XpBt9BqBua-bi5o0aNrHzq4_gqeZlfIct5d4qDLjjLZax2Ek5jvpiiwB96kmdtSOGtB23hblm6xx7pYbCXEsiGsr9Ko0qn-vQM7GX7lep0aOKMksBZ6pVIdvIwt6g/s320/home_visit+002.jpg" width="320" /></a></div>
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<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">One of the great things about a
free at the point of abuse healthcare system is that it is free at the point of
abuse and the only thing you have to do to access free healthcare in the UK is
lie.</span></div>
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<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">So take the NHS socialized
medicine’s free at the point of abuse GP home visiting system. Need a home visit, can’t be arsed
to go to a GP's surgery? It’s FREE just ring, lie and get one.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">I can’t get out of my home – but you
go to the hairdresser to get your naff purple rinse?</span></div>
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<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">I need a home visit I have just
come back from a week in my caravan <i style="mso-bidi-font-style: normal;">(transport
to coastal trailer parks for those in the UK is of course provided by the local
ambulance service for free together with state benefits to fund these trailers
incredibly common on the coasts both west and east south of the Wall).</i></span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
</div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">The doctor at the hospital I went
to see this morning at an outpatient clinic said I needed a home visit
urgently. Completely appropriate given your immobility to go to an outpatient
appointment under your own steam and how you managed to get back from there
under your own steam we will never know such is the selfless lying of your
average NHS patient and yet the subsequent letter does not support their
assertion <i>(lie)</i>. We do ring and check were possible in these cases.</span></div>
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<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">These are but a few of the <span style="mso-spacerun: yes;"> </span>requests that GPs get for home visits and the
usual requester of home visits is usually old, miserable, lonely and female <span style="mso-bidi-font-style: normal;"><i>(they live longer before you start and maybe
possibly or rarely are more infirmed as a result of longevity but more commonly
are dementing and lonely)</i>.</span> They have peed their families of so much that
their families have moved elsewhere and no longer care because they do not have
to since the so called nuclear family imploded in the past few decades and the
great British <i><span style="mso-bidi-font-style: normal;">populus</span></i> still believes
in totally free cradle to grave care <i><span style="mso-bidi-font-style: normal;">(not)</span></i>
from the NHS<span style="mso-bidi-font-style: normal;">.</span> Will the doctor go and
wipe Granny's bottom as I am in a meeting and the carer is of sick?</span></div>
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<br /></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Or by family who have only spoken
on the phone to their <i>(allegedly ill)</i> family member whom they have had enough of
them and they never actually see which is part of the problem. Granny moans
what do I do? Ring a GP and “request” a home visit. Such patients need to be in
nursing homes which cost <i style="mso-bidi-font-style: normal;">(a family dear)</i>
but home visits for crap by GPs are completely free.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Other misusers of GP home
visits are the pathetically inadequate members of society you know the ones who
will ring their surgery 15 times a day, dial 999 and consult a moron via NHS 111
as many times a day too. Why can patients do this?<b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> </span></b></span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><b style="mso-bidi-font-weight: normal;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Because they can</span></b><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">!</span> </span></div>
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<br /></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">The NHS is completely free at the
point of abuse and despite socialized education for the past few decades GPs
and their staff have to deal with this (***p) free at the point of alleged need
<i style="mso-bidi-font-style: normal;">(abuse)</i> daily. Anyone hear Bevin
spinning in his grave for someone informed us that he is once said to have said
that they <i style="mso-bidi-font-style: normal;">(NHS patients)</i> were too
lazy to wash their own medicine bottles and return them to pharmacies for reuse
once everything was free?</span></div>
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<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">The other major source of
completely unnecessary home visits is nursing and residential homes where so
called healthcare “professionals” need GPs to see things that rarely if ever
need treatment but GPs are there to just cover their own limited professional
incompetency.<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> </span></span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">“Doctor, you can’t be too careful with someone
who is already dead but we have to preserve our source of income for how else
can we 20 stone and 5 foot nothing carers – pass me another éclair Chantelle love while
the doctor refuses to write a prescription and I document this in our client’s
notes. The eclairs have to be eaten by someone the patients don’t touch them and
we are too busy to pick them up to feed them because we are stressed and me
doctor won’t give me Orlistat to help me with my weight is that another one
spare Chantelle, love your new tattoo, pass it me luv . . ."</span> </span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">But when you visit any patient in
any Grim Reaper’s departure lounge and someone asks in the background “Who’s
that?” what do you hear when a caring staff member says “It’s a doctor”?</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">You then hear shrieks from the other
demented residents of “Doctor, nurse help me! I need to see you.” you realize:<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> </span></span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">1) how much healthcare is valued in the UK by
dements</span> </span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">and</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">2) how little it is valued when
dements hear the word doctor and start shouting for something they do not need, value, understand or have to pay for. It is just there for the taking
regardless.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">No different to the day job then.
"Doctor I need a home visit . . .*</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Praise be to the Party for
ensuring that one of the most expensive and labour intensive services a society
can provide to its citizens is freely available at the point of abuse even in
your own home, whatever.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
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</xml><![endif]-->Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com1tag:blogger.com,1999:blog-6694764488430015508.post-28009053156043425992016-02-20T05:59:00.000-08:002016-02-20T05:59:34.554-08:00Survey 2.<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjG7Jq36tU5S2qCuiC1-S7JAQw-zznBtFWvOouMODIda8bUZ9OYbFuQTMi1XuEMuLWBoArWEEQLvokq1uUnIwB994j7brU3OBJekLaVS_LN1NfMAVHB0B6LJvyiT71TaSpI7kWL8vQWbhw/s1600/Survey+2.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjG7Jq36tU5S2qCuiC1-S7JAQw-zznBtFWvOouMODIda8bUZ9OYbFuQTMi1XuEMuLWBoArWEEQLvokq1uUnIwB994j7brU3OBJekLaVS_LN1NfMAVHB0B6LJvyiT71TaSpI7kWL8vQWbhw/s320/Survey+2.jpg" width="320" /></a></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Surveys are always interesting
but whether they are statistically valid is always a good one for if you asked
your 20 a day 20 year old smoker if smoking killed they would probably say as
some of the team’s contemporaries said 30-40 years ago no.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">But then they are not writing
this piece and they ignored the surveys from 50 + years earlier called research
and as such knew better in the same way that politicians do today. They are now
however unable to comment as they are dead in the same way that politicians are
always right and will be forgotten or despised.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">So we present and hope that <a href="http://www.bma.org.uk/working-for-change/urgent-prescription-for-general-practice?utm_source=The%20British%20Medical%20Association&utm_medium=email&utm_campaign=6740210_NEW11Z1%20MAIN%20ENEWSLETTER%20080216&utm_content=UPGP%20button&dm_i=JVX,40GS2,36I9ST,EI3GL,1">those who provided this survey</a> do not mind us using this the results of a 3 question
survey of UK GPs the questions being:</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">1) </span><strong><span style="font-size: 12.0pt; font-weight: normal; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">Has the quality of service
that your practice has to deliver to patients changed over the past 12 months?</span></strong></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<strong><span style="font-size: 12.0pt; font-weight: normal; mso-ansi-language: EN-GB; mso-bidi-font-weight: bold; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">2) Has the demand for
appointments changed over the past 12 months?</span><span style="font-weight: normal; mso-bidi-font-weight: bold;"> </span></strong></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<strong><span style="font-weight: normal; mso-bidi-font-weight: bold;">3) How would you describe
your current workload within your practice?</span></strong></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<strong><span style="font-weight: normal; mso-bidi-font-weight: bold;">Obviously there may be a
degree of bias here so click on the map and see what GPs feel in your </span></strong><strong><span style="font-weight: normal; mso-bidi-font-weight: bold;"><strong><span style="font-weight: normal; mso-bidi-font-weight: bold;">MP’s </span></strong>parliamentary constituency.</span></strong></div>
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<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<strong><span style="font-weight: normal; mso-bidi-font-weight: bold;">If you can find the area(s)
where question 1 and question 2 are answered no and question 3 is answered as completely
none existent then you can find where ND Central is and where Jeremy and the
popular press thinks most GPs in the UK live and work.</span></strong><span style="mso-bidi-font-weight: bold;"> </span></div>
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<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-bidi-font-weight: bold;">Good luck.</span><strong><span style="font-weight: normal; mso-bidi-font-weight: bold;"> </span></strong></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<strong><span style="font-weight: normal; mso-bidi-font-weight: bold;">Praise be to the Party and
for those in search of the perfect Daily Mail and Jeremy Hunt GP practice tally
ho and good hunting you now know where to find it – without NHS Choices or NHS
dumb, dumb, dumb.</span></strong> </div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-bidi-font-weight: bold;"></span></div>
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</div>
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<strong><span style="font-weight: normal; mso-bidi-font-weight: bold;"></span></strong></div>
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</div>
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="toa heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 5"/>
<w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Closing"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Signature"/>
<w:LsdException Locked="false" Priority="0" SemiHidden="true"
UnhideWhenUsed="true" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/>
<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/>
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</xml><![endif]-->Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com1tag:blogger.com,1999:blog-6694764488430015508.post-84867855240835399032016-02-13T06:22:00.000-08:002016-02-13T06:22:06.742-08:00Surveys.<div class="separator" style="clear: both; text-align: center;">
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<br />
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Before many of the team awoke to
go to work many hours before busy working politicians some watched a news
channel and saw the results <a href="http://www.bbc.co.uk/news/health-35527318">of this survey</a>.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">The public are more dissatisfied
with the NHS than ever before. Surely not after all the ill informed completely
unnecessary <i style="mso-bidi-font-style: normal;">(is it now 13?) </i>“reforms”
over the past 20 years by political retards the public should be in NHS Nirvana?</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Have a look at the poll’s top 3
dissatisfactions and see if you as a politician can see what the public
actually want and then ask if you are delivering these?<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> </span></span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">1) Takes too long to get a GP or hospital
appointment</span> </span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">2) Not enough NHS staff</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">3) Government doesn’t spend enough
money on the NHS.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">So for those posh ministers who
went to public schools and will have done geometry the corollary will be to
solve the above theorem and square the circle:</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">If it takes too long to get a GP
or hospital appointment you have to invest in more NHS staff to meet demand
which means you have to spend more on the NHS to create the staff needed to
satisfy demand.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">QED.<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> </span></span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Pure business sense.</span> </span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">But the NHS is not a business it
is socialized medicine and more demand does not generate more money <i>(profit)</i> or staff
<i>(in contrast to real world business)</i> especially in general practice that is seen as the relief valve <i>(economically)</i>
for expensive hospital treatment.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Praise be to the Party for always
listening albeit with permanently deaf ears to the people and giving them
exactly what the Party wants in healthcare for them.</span> </div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span></span></div>
<br />
<br />
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span></div>
<br />
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
</div>
<br />
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span></span></div>
<br />
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
</div>
<br />
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span></div>
Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com0tag:blogger.com,1999:blog-6694764488430015508.post-13141250544578202492016-01-27T22:57:00.000-08:002016-01-27T22:57:05.679-08:00British Medical Computing is crap 003.<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhl2AlOfx9vMozzbnTE3xTNqZmldJT2zkve9CYqwbnBNqPv3oWnahiu3WEl5EwoLPQVdoFFWYzo3-wvuTlWTLELMe950qm5r044As4sVlGNWcsFTzk-SwVbF7l880-XTeyI0sEbOz5QIKI/s1600/British+Medical+Computing+is+crap+mod+2+copy.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="229" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhl2AlOfx9vMozzbnTE3xTNqZmldJT2zkve9CYqwbnBNqPv3oWnahiu3WEl5EwoLPQVdoFFWYzo3-wvuTlWTLELMe950qm5r044As4sVlGNWcsFTzk-SwVbF7l880-XTeyI0sEbOz5QIKI/s320/British+Medical+Computing+is+crap+mod+2+copy.jpg" width="320" /></a></div>
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Britain has for many years
been a great source of innovation and that includes in healthcare but
unfortunately it does not have the ability to translate most ideas into positive
actions. So GPs who created software to help themselves many years ago and have
now had their ability usurped by the Party which has taken control of NHS GP IT
all for the better, comrades, and only for the benefit of the administrator not
the clinician.</div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
The introduction of the NHS
Smartcard means that the Party can turn off the ability of a variety of healthcare
professionals to use NHS IT and stop them working without the need to consult any
professional regulators no different to any totalitarian Party card issuer in
the past be it Nazi or Soviet.</div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
The Party being all wise
took control of general practice IT away from GPs and substituted a National IT
scheme so flawed it can be seen from space as an intellectual blackhole and put
NHS IT idiots in charge. So instead of GPs and their staff having direct access
to their IT suppliers they have for the past few years had to go through pseudo
private entities called Commissioning Support Units (CSUs) which have lots of
cosy meetings with GP IT suppliers which deliver bugger all useful on the ground.<span style="font-family: "times new roman" , serif; font-size: 12.0pt;"> </span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">CSUs are another example of Dave’s Big
Government (BG) you know the one where the consulting room is the command
centre of the Supreme Soviet that is the NHS and was a ruse for private
companies to come in and milk the NHS of cash and then be found wanting after numerous reconfigurations
for the improvement of customer service - not.</span> </div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
NHS IT and CSUs are where
all the thick kids in your average Northernshire comprehensive school with an
IT qualification and a polytechnic degree landed up for no one else would
employ them. So GPs and their staff get what Dave’s BG is prepared to pay for
just think e-referrrals and the NHS care on the cheap.</div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
We have to say on this
subject Praise be to the Party for inventing the fax machine for when it comes
to e-referrals the fax will always get through and for someone inventing
Kleenex to support Jeremy’s fantasies of a paperless NHS, for the NHS is, and
still will involve, paper for many years to come just think how many hospital
IT systems are paperless?</div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
Think EPS (Electronic
Prescription Service 2) how many times have GPs never heard this one: "You sent my prescription EPS and the chemist hasn’t
got it. I want my prescription now". Cue the printer or the fax and a piece of paper that does the job.</div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
A simple example is the
fact that Dave’s BG now controls most GPs’ and their staffs’ computers to the
point whereas before BG GPs and their staff had administrator passwords now
they do not. Only Big Uncle Dave’s and Uncle Jeremy’s Soviet CSU staff have
these but to get these you have to be very nice to your political Uncles and no
doubt sit on their knees to get what you want.</div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
So take the situation at
07.30 when someone comes into work and tries to log on and is prompted for an
administrator password. You can’t ask the practice manager or a GP for the
passwords for they no longer have these, they are not worthy of these, oh no
comrade, you have to wait for the CSU password commissar, general practice sub commissar who being there to “support” general practice in
their local CSU does not start work until 10.00 and finishes at 16.00 to allow family
friendly working for “busy working people”.</div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
So Dave’s and Jeremy’s BG paralyses
idle working GPs and their staff for hours in order to maintain your confidential record's security from people who might actually need them and they do this day in and day out.</div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
And then there is the browser
issue. BMC can only allow GPs to run Internet Explorer 8 at best (we believe it
is now at version 11 outside of NHS IT in the free world). Try viewing a copy
of any GP magazine on this and see what you get. There are work arounds but
guess what?</div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
You will need an
administrator password to be able to apply any of these but GPs and their
administrative staff don’t have as many polytechnic degrees as the idiots in
NHS IT and this may take days or weeks to fix until someone is deemed worthy
enough to have admin passwords something that once all GP Practices had
themselves. And what about all the security issues that out of date browsers
pose? No problems comrades for NHS IT is like the Enigma code completely secure
because it is unbreakable for it is as up to date as those who write British Medical software confident that Windows 3.11 is the latest and the best operating system in the world of BMC.</div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
Of course comrades the CSU
staff could just dial in to sort this out but guess what? The idiots in IT
don’t have the administrator passwords only their senior IT managers have but
they are always on holiday or “in a meeting” or doing something very important
like Jeremy and Kleenex.</div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
Anyone old enough to
remember 1970’s Soviet hotels where as a foreigner in order to get into certain
hotels you had to show your passport? To get access to a floor or a restaurant
with real food you had to show your passport again. This was in a then “free”
country and this is how easy it is to get an admin password to fix a problem in
today’s NHS. And this also shows how poor any NHS IT software is for it is
incapable of keeping up with changes in browser or operating system technology.</div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
While a GP or their staff
at home can freely apply updates to operating systems and browsers which
improve functionality and security at work they are slaves to BMC and all of
their advanced 1970 Longbridge techicians who are still stuck in a time warp
that predates the Sinclair ZX, the Commodore 64 and Atari as does NHS IT as a
whole.<span style="font-family: "times new roman" , serif; font-size: 12.0pt;"> </span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="font-family: "times new roman" , serif; font-size: 12.0pt;">Praise be to the Party for giving via socialized
medicine an IT system that means that a 5 year old computer at home is 20 years
ahead of the brand new computers that your GPs and their staff are forced to use at work and worst of all you are paying quids over what it actually costs for crap by
virtue of preferred bidders and CSUs.</span></div>
<br />
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Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com0tag:blogger.com,1999:blog-6694764488430015508.post-55615697474777702472015-12-26T07:06:00.000-08:002015-12-26T07:06:26.055-08:00It’s Christmas time there is no need to be afraid . . .<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjwYPZrNtdvz2l59YVyx1k5ZL4RzaqL_0zus7LwGy_U-6VJVBfhGeoNcfqCQwIqcVVFWuALHxoAo0hyphenhyphen9Q2T_s4GxBPygghbe2HmzamhZJa2KPx8JYDMZ8xZ3l1uRWarEeUNwpibfxUmLCA/s1600/Christmas+emergency.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjwYPZrNtdvz2l59YVyx1k5ZL4RzaqL_0zus7LwGy_U-6VJVBfhGeoNcfqCQwIqcVVFWuALHxoAo0hyphenhyphen9Q2T_s4GxBPygghbe2HmzamhZJa2KPx8JYDMZ8xZ3l1uRWarEeUNwpibfxUmLCA/s320/Christmas+emergency.jpg" width="320" /></a></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">In the same way that punters rush
out at the last minute to buy totally unnecessary presents so do patients go to
the NHS for totally unnecessary consultations the just in case something
happens over the 4 day Christmas holiday when the NHS is totally shut down and
there is no healthcare provided anywhere in the United Kingdom as Jeremy truly
believes.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">So from Monday the 21<sup>st</sup>
until the 23<sup>rd</sup> the free at the point of abuse it is an emergency I
need to be be seen now wasters have been demanding emergency appointments. But
for some reason on Christmas Eve despite ND Central fielding a full team
providing only book on the day appointments most were empty. Could it be that
no one was ill or could it be that patients had better things to do than waste
NHS time like buy gallons of alcohol and stock up on lard rich food to consume
all at once over the next few days of the Christmas healthcare siege?</span></div>
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<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Christmas Day may be quiet but
the deluge will come in the subsequent days.</span></div>
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<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">So here is a guide to where to
get urgent healthcare over the holiday period for those like Jeremy who believe
the NHS will be shut all hours.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">The Party would ideally like you
to “consult” a pharmacist because there is an apparent glut of these. They have
no medical training but regard themselves as “clinical” and it is claimed that
they will be able to advise and treat you if you believe Party propaganda. We
believe they have a 50/50 chance of getting a correct diagnosis but they can always
sell you a bottle of totally useless cough medicine for a chesty or mucus cough
whatever that means at a price which will profit them but do nothing for you.<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> </span></span></div>
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<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">The Party would encourage you to ring NHS 111,
or NHS dumb, dumb,dumb as some would call them, which is again like “tossing” a
political coin based on the reports we get back form them. The vast majority of
these reports give only 2 outcomes which are see <a href="http://www.pulsetoday.co.uk/news/commissioning/commissioning-topics/urgent-care/three-quarters-of-nhs-111-referrals-to-general-practice-are-inappropriate/20009240.fullarticle">a GP within a randomly generated number of hours</a> or <a href="http://www.pulsetoday.co.uk/news/commissioning/commissioning-topics/urgent-care/three-quarters-of-nhs-111-referrals-to-ae-are-unnecessary/20030577.fullarticle">we will send an urgent ambulance</a>.</span> </span></div>
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<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">You used to be able to ring your
surgery and then would be put through to an out of hours GP deputizing service
but this was replaced by NHS dumb, dumb, dumb call handlers with 6 weeks of
training and a computer algorithm which in 20 minutes on the phone can come up
with the wrong diagnosis slower than a GP can get the right one in a 2 minute
consult.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">In some areas there will be GP
out of hours’ services operating from centers which if it is not an emergency
would be the preferred place to go for non life threatening conditions. These
would be staffed by GPs who can issue prescriptions for real medicine not snake
oil.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">The last option should be A&E
which should be just for emergencies examples being heart attacks, meningitis,
strokes, appendicitis but socialized education in the UK means that A&E is
nothing more than general practice with x-ray and best of all free
prescriptions if needed in contrast to general practice where 10% of those who
live in England would have to pay.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">So while the Party may believe in
the NHS market the great British public will use the true market forces of what
can I get NOW and for FREE and just as they do when asked if their condition is
an emergency they will lie and decree that anything they have is an emergency
so you can guess where most people will end up.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">We wrote this on Christmas Eve at
the infamous Café Michelle pre Christmas going home resistance meeting (after 18.30hrs comrade NHS commissar managers when you would have been home for 6.5 hours) and decided not
to post it but look<a href="http://www.bbc.co.uk/news/health-35171613"> at what the BBC have put as one of their lead stories on Boxing Day</a>.</span></div>
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<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">It is nice to know that those in
charge leave it until Boxing Day to inform the masses about what to do for
healthcare during a holiday. It is amazing that they also realize that the
first working day back will be busy something that GPs especially those who
will be on call have known for years.</span> </div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
Praise be to the Party for
ensuring that whenever there is a crisis the advanced planning by the thick who
know nothing always means that the patients always get through to free
healthcare even if it is not needed for while it is free there
is no need not to use, or not to abuse it, whatever, whenever.</div>
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<br /></div>
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/>
<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
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<pre><i style="mso-bidi-font-style: normal;"><span lang="FR" style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: FR;">Après les vacances le déluge, quelle surprise!</span></i><span style="font-family: "Times New Roman",serif; font-size: 12.0pt;"></span></pre>
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<![endif]-->Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com0tag:blogger.com,1999:blog-6694764488430015508.post-90480585941298775282015-12-20T07:20:00.000-08:002015-12-20T07:20:16.377-08:00Paracetamol 002.<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhvf-X39_c5ds9NjZ8cS4tyFd9jiDR2Df0siJW2dyW_6-_mr2m1ARlc5exLtXi6PUw_CK3tYxBD3-U5nq2uNk2fzDgXNaGLfYazxLaCXbqC3trAAP4hGlXmxdyF89tKgL7aD_ipWQkgYCM/s1600/Paracetamol+002.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhvf-X39_c5ds9NjZ8cS4tyFd9jiDR2Df0siJW2dyW_6-_mr2m1ARlc5exLtXi6PUw_CK3tYxBD3-U5nq2uNk2fzDgXNaGLfYazxLaCXbqC3trAAP4hGlXmxdyF89tKgL7aD_ipWQkgYCM/s320/Paracetamol+002.jpg" width="320" /></a></div>
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<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">Paracetamol
is a cheap drug in the United Kingdom which is a painkiller. It is readily
available for both adults and children at a host of pharmacies and other retail
outlets across the UK.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">However
for GPs it is a huge waste of time.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">Children
in the United Kingdom are available free of charge after a couple of drunken
grunts on a Saturday night and as a result of such productive activity usually
unplanned but totally legal they then cost the NHS dear.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">One
of the commonest “emergency” appointments in Northernshire is the “I have <i style="mso-bidi-font-style: normal;">just</i> picked up Johnnie or Joanna Scrot
from nursery . . .” and the relatively unqualified nursery nurse has said “they
are not well”.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">Mr
or Ms Scrot fearing the loss of a day’s pay and the thought of actually having
to look after the results of their drunken grunts a few years’s earlier always
demand an urgent consult usually after 17.00hrs.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">Urgent
consult usually determines that there is nothing wrong with Scrot junior,
despite what the highly qualified NVQ (= Not Very Qualified) educated nursery
nurse ordained which was a “<i style="mso-bidi-font-style: normal;">just</i> see
your GP for a check” urgent appointment.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">You
(I) can’t be too careful <i style="mso-bidi-font-style: normal;">(I must cover my
arse)</i> appointment with a minor self limiting viral illness that requires no
treatment or a non infectious rash which allows the Scrot’s offspring back into
nursery <i style="mso-bidi-font-style: normal;">(because they have seen a doctor
and if you want a letter to say so because the NVQ asked for one forget it)</i>.<span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;"> </span></span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;"><span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">The parting words to
all these consultations are always the same:<span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;"> </span></span></span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;"><span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;"><span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">Can I have <i style="mso-bidi-font-style: normal;">just</i> some Calpol (paracetamol) as I <i style="mso-bidi-font-style: normal;">just </i>am running out?</span></span> </span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">I have
<i style="mso-bidi-font-style: normal;">just</i> run out.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">I don’t have <i style="mso-bidi-font-style: normal;">much</i> left.</span><span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;"> </span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">I am
<i style="mso-bidi-font-style: normal;">just</i> running low.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">I <i style="mso-bidi-font-style: normal;">just</i> used the last bit left in the
bottle this morning . . .</span><span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;"> </span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">GPs
across the land by the end of such consults must be in tears as they rapidly
print off an urgent resupply of vital life saving medicines for distraught
parents and their offspring in pain but most will use their universal bull sh*t
<i style="mso-bidi-font-style: normal;">(sorry for the naughty grunt word)</i> translation
devices which translate the preceding universal lies into the following text::</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">it’s FREE and that
was the real reason for the urgent consult.</span><span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;"> </span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">In
contrast to the packet of fags in the parents’ breast pocket and the Smart
phone in their pockets which always goes off at the start of the consult as
Granny Scrot wants to know what has happened to precious Scrot junior.</span><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;"> </span></i></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">It was after all an emergency consult so Scrot junior should
have been seen 10 minutes before their consult time according to Granny Scrot</span></i><span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">And
don’t forget the Range Rover Sport’s keys left on the doctor’s desk which means
a knock on the door as one starts to write ones notes when the parents realize
they can’t get into their car to drive to the chemist to get their ill gotten
freebie.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">Smoking
is legalized as child abuse in the UK but the non provision of paracetamol on a
prescription for free in the UK would be regarded as medical negligence and a
crime against humanity and a war crime if not provided free at the point of
abuse as it has been since the inception of paracetamol. A packet of cigarettes
or a Smart phone is more important to most parents than they purchasing a
bottle of paracetamol just in case Scrot junior becomes ill when they can get this for free.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">We
suspect that if the provison of free paracetamol were stopped that these “urgent”
consults would stop overnight in the same way that parents usually find fuel for
their cars to purvey Scrot junior without the NHS, in the same way they can
afford Smart phones without the NHS and in the same way they can also find fags
without the NHS. But paying for something a fraction of the cost of the above
three items is beyond the means of most parents in the UK when they can get it
for free.<span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;"> </span></span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;"><span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">And then at the end
of these “emergency” consultations to suit lifestyle not illness GPs always
wonder why NVQ determined criticially ill little Johannie and Joanna scrot haven’t
kept still and have demolished the consulting room and why parents <span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">always say the same –
they are never like this at home and were really poorly when we picked them up .
. .<span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;"> </span></span></span></span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;"><span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;"><span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;"><span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">Must be because they
are not getting enough free paracetamol.</span></span></span> </span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">Praise
be to the Party for ensuring that parents always put the purchase of
cigarettes, fuel, cars and Smart phones before the purchase of paracetamol
(Calpol) and their children’s health but always place an emergency appointment
for <a href="http://www.telegraph.co.uk/news/health/11259122/NHS-spends-on-80-million-a-year-on-paracetamol-prescriptions.html">a paracetamol resupply at up to 20 times more than the true cost of the drug</a> as a medical emergency.</span></div>
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<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;"><span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;"><span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;"><span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;"></span></span></span></span></div>
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<div style="mso-layout-grid-align: none; text-autospace: none;">
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<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;"></span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;"></span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;"></span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;"><span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;"><span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;"></span></span></span></div>
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</div>
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<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;"></span></div>
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<![endif]-->Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com0tag:blogger.com,1999:blog-6694764488430015508.post-86065760696745560652015-12-02T06:28:00.000-08:002015-12-02T06:28:43.244-08:00The 3 R’s of NHS emergency healthcare.<!--[if gte mso 9]><xml>
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<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 4"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 5"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 6"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 7"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 8"/>
<w:LsdException Locked="false" Priority="9" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="heading 9"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index 9"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 2"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 3"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 4"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 5"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 6"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 7"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 8"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" Name="toc 9"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footnote text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="header"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footer"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="index heading"/>
<w:LsdException Locked="false" Priority="35" SemiHidden="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of figures"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="envelope address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="footnote reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="0" SemiHidden="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
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<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
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<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
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<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
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<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
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<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
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<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
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<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
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<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
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<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
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<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
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<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
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<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
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<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
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<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
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<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
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<br />
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">1) The right not to be Reasonable</span></div>
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<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">2) The right not to be Responsible</span><br />
<br />
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">3) The right not to be Respectful.</span><br />
<br />
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">AKA<span style="font-family: "times new roman" , serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> </span></span><br />
<br />
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><span style="font-family: "times new roman" , serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">1) It’s always an emergency – it rarely if ever
is.</span> </span></div>
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<br /></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">2) I need an emergency
appointment for a sick note that was due 2 months ago - totally predictable but
never your fault.</span></div>
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<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">3) Its an emergency give it me
now or I will kill you and your staff.</span></div>
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<br /></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">All of which are rights without
any responsibility on the part of the non paying public.</span></div>
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<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">The 3 Rs of the NHS emergency
care in a nutshell.</span></div>
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<br /></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Free, free and free at the point
of abuse but rarely if ever for true illness.</span></div>
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<br /></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">And always an <b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><u>“emergency”.</u></i></b> </span></div>
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<br /></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">True socialized medicine.</span></div>
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<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Praise be to the Party for
ensuring that politicians or anyone else never has to deal with institionalised
patheticness and want for nothing medical. After all the get out of jail free
card for any moron who cannot cope is <b>“I think you need to see your GP or
A&E it is an <i style="mso-bidi-font-style: normal;">EMERGENCY</i> . . .”</b></span></div>
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<br /></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span></div>
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</span></b></span></div>
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<b><span style="font-weight: normal;"><span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"><a href="http://www.bbc.co.uk/news/health-30207608">And that’s just the politicians</a> .
. .</span> </span></b></div>
<br />
<br />
<br />
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span></div>
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</div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span></div>
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</div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
</div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
</div>
<br />
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span></div>
Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com1tag:blogger.com,1999:blog-6694764488430015508.post-62898817894351644562015-11-19T22:18:00.000-08:002015-11-19T22:18:08.089-08:00Result!<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEighTXVHdXZUO5s3vefOlJhoJcFrHwICl4AWuRWwiatcKwmiPWjDd_gT8w0-qaL3ns5apdL7XVgKCcC5ifelROBwN_7wpc_WioZ28bmA67Sbdh9uVowfsDDVsK90vOPGe-6wM6yQhEoVWc/s1600/Drs+strike+mod+1.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEighTXVHdXZUO5s3vefOlJhoJcFrHwICl4AWuRWwiatcKwmiPWjDd_gT8w0-qaL3ns5apdL7XVgKCcC5ifelROBwN_7wpc_WioZ28bmA67Sbdh9uVowfsDDVsK90vOPGe-6wM6yQhEoVWc/s320/Drs+strike+mod+1.jpg" width="320" /></a></div>
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<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Well at last the repeated kicking
by politicians of the political football called the NHS has led a group of
individuals to say NO!</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">The junior doctors in the United
Kingdom who are those who are not consultants or General Practitioners (GPs) have
voted as follows:</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">98% in favour of striking</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">76% turnout.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Compare that with the general
election results of:</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">36.9% for the current Party</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">66% turnout.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">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:</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">"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 <i style="mso-bidi-font-style: normal;">(then).</i></span>"<span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"> </span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">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.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">We shall see what happens.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">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.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">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.</span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">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.</span> </div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span><span style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span></div>
<br />
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
</div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
</div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span></div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
</div>
<div class="MsoNormal" style="tab-stops: center 207.65pt;">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;"></span></div>
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</xml><![endif]-->Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com0tag:blogger.com,1999:blog-6694764488430015508.post-24537659359943456802015-11-10T21:54:00.001-08:002015-11-10T21:54:53.744-08:00British Medical Computing is crap 002.<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiiyYAH1QtHvWvLm0XitUEp5ZdHnl84CFgs5dptEp102qGn9k2zbY6ZsfU4cuBYaSa6o_l2tgGiq9ZANeJpI9MNy4Cy-E8lJq42nrH0FYoO1gCigj5VwuqqFKkHzk-t4mHdhxX-j6BLYqo/s1600/British+Medical+Computing+is+crap+mod+2+copy.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="229" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiiyYAH1QtHvWvLm0XitUEp5ZdHnl84CFgs5dptEp102qGn9k2zbY6ZsfU4cuBYaSa6o_l2tgGiq9ZANeJpI9MNy4Cy-E8lJq42nrH0FYoO1gCigj5VwuqqFKkHzk-t4mHdhxX-j6BLYqo/s320/British+Medical+Computing+is+crap+mod+2+copy.jpg" width="320" /></a></div>
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<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">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.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">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.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">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?</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">Gmail 15 GB free
storage, BT quotes as <a href="http://bt.custhelp.com/app/answers/detail/a_id/44915/~/what-is-the-storage-limit-for-bt-mail%3F">here</a> unlimited <i>storage (other suppliers are available)</i> while NHS mail does a mere 400MB. True
socialized medicine for all good NHS comrades to bask in the omnipotence of its
excellence.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">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 <i style="mso-bidi-font-style: normal;">(of
being shafted by the computing industry senselessly and costing all tax payers
dear for peanuts in return via BMC).</i> </span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">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?</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">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 <i style="mso-bidi-font-style: normal;">“it wasn’t me” </i>philosophy.<span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;"> </span></span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;"><span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">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 <span lang="EN-US" style="font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">to find the wheat amongst
the huge amount of NHS chaff <i style="mso-bidi-font-style: normal;">(spam)</i>
something clearly has gone seriously wrong with BMC.</span></span> </span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">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.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">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.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">One is slightly
slower than the others to get going to the point where you can start moving
forward in the morning <i style="mso-bidi-font-style: normal;">(unless you come
in several hours before the working day to fire up the engine that is BMC email).</i></span><span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;"> </span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">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 <i style="mso-bidi-font-style: normal;">shaft</i> scheme which means
double the cost for half the service.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">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.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" Priority="39" SemiHidden="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="35" SemiHidden="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="0" SemiHidden="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="0" SemiHidden="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
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<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
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<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
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<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
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<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
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<w:LsdException Locked="false" Priority="30" QFormat="true"
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<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
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<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
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<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
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<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
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<w:LsdException Locked="false" Priority="21" QFormat="true"
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<w:LsdException Locked="false" Priority="31" QFormat="true"
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<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
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<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
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<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">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?</span> </div>
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<![endif]-->Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com1tag:blogger.com,1999:blog-6694764488430015508.post-68193576359408467392015-10-09T05:14:00.001-07:002015-10-09T05:14:47.043-07:00Inspirational.<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi2xloAUl-0HanBGdPNhWEQYSJBB_lWmveQ8ah-Z-e7O-hlFJB9FtuaWLWdJTWV1Dx2UVj-4CXMFwRoE8RCpceSV3QIIrvs78_379eLEifukVy3fzWrFdwJOdPv28jjwpJEtwOpl-6ozbo/s1600/In+the+navy.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEi2xloAUl-0HanBGdPNhWEQYSJBB_lWmveQ8ah-Z-e7O-hlFJB9FtuaWLWdJTWV1Dx2UVj-4CXMFwRoE8RCpceSV3QIIrvs78_379eLEifukVy3fzWrFdwJOdPv28jjwpJEtwOpl-6ozbo/s320/In+the+navy.jpg" width="320" /></a></div>
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<div class="MsoNormal">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">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).</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">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?</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">The
team at ND Central discovered <a href="https://gprecruitment.hee.nhs.uk/Recruitment/Nothing-General">this website</a> that has just issued its second,
sorry third GP recruitment video in a few days.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">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.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">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?</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">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.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">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?</span></div>
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</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">And
for the third well by then we had lost the will to live . . .</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">And
a slightly better video about matters current can be found <a href="http://www.dailymail.co.uk/health/article-3261795/It-s-NOT-money-money-money-Junior-doctor-s-protest-song-controversial-changes-NHS-contracts-sweeps-internet.html">here</a>.</span></div>
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<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">This
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<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US;">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.</span> </div>
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</xml><![endif]-->Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com0tag:blogger.com,1999:blog-6694764488430015508.post-81660372789023758642015-10-01T01:12:00.001-07:002015-10-01T01:12:53.303-07:00Junior doctors less for more or more for less?<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjwlkQjbZgrDjhTbQBbC4Vh2Qi74l_t7e6rKbF4CWZQfT4V7W6D7x5BNGHjLSYQmsq65k44JcgK1uS6HS0pbBvJ0WHboMX1qs2HAcWOBGKzEkN9H32W6PKsgqpaBve5RJQ2tl3D9rC29Xs/s1600/Less+for+more.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjwlkQjbZgrDjhTbQBbC4Vh2Qi74l_t7e6rKbF4CWZQfT4V7W6D7x5BNGHjLSYQmsq65k44JcgK1uS6HS0pbBvJ0WHboMX1qs2HAcWOBGKzEkN9H32W6PKsgqpaBve5RJQ2tl3D9rC29Xs/s320/Less+for+more.jpg" width="320" /></a></div>
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<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">One
of the team at ND Central was informed by their batman, all Ferrari driving GPs
who inhabit baronial mansions in the UK have batmen to attend to their personal
needs, that the damned supermarkets had increased the costs of their products.
Now this is not just any supermarket it is many and this has been done by
stealth.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">Supermarkets
operate in the free market so beloved of politicians so when ones batman tells
you as they serve one ones evening meal that a tin of something contains 25%
less than it did a week ago, or that a packet of something has decreased in
weight by 25% or that another product has decreased the volume by 15% but
increased in price by 15% then by jingo one just has to slap ones thigh with a
riding crop and say thank goodness for the increase in value for money for busy
working people that the free market represents.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">And
then write a stiff letter to the Times and sign it with one’s former military
rank of Brigadeer General (Miss).</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">As
our illustration to this post we include the classic demand and supply curve
which suggests without going too deep into economic theory that if a commodity
is in short supply then its price should rise. However, none of the commodities
refered to above are in short supply.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">So
in the NHS if demand rises and supply decreases what should socialized
medicine’s internal market do?</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">1)
Increase costs to the non paying customer? No Comrades NHS healthcare is free
at the point of abuse.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">2)
Restrict supply? Of course Comrades for using the above free market examples
should a GP surgery of 24 patients be reduced by 25% to 18 for the same cost
true free market economics and value for money for the non paying consumer?</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">Of
course not comrades what one does is promise an increase in supply of healthcare
across the board of 40% (7 day working) and assume that demand and cost stays
the same. In that way economic theory would suggest that costs fall, we think,
due to economic efficiencies as supply theoretically increases.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">This
we are sure is the level of retardatation that your average Secretary of Health
with a degree in PPE from the University of Oxford would apply. There is
Economics and there is PPE and then there are Secretaries of Health.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">And
then there is real world healthcare.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">Supermarkets
and their suppliers are trying to keep profits the same or increase them by
reducing supply and hoping that demand says the same and that no one will
notice these small changes. Some interesting figures seen by accident by one of
the team at a small local supermarket showed that the day before there were
around 3000 customers who on average spent c. £ 25+ a basket. They even gave
the percentage increase in spend over the previous week, day and sickness
figures.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">These
figures showed that patients are happy to spend more on food than they do on
healthcare for the numbers involved at the supermarket are many times more than
those attending ND Central on a single day who pay nothing for a basket
(consultation) which averages out at £ 22.67 a consultation.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">Curious
how when it comes to food there is no problem for patients paying more for less
and there are clear efficiency gains here (for the food industry) as what are
known in medicine affectionally as fat bastards are just getting fatter and
this is by getting less but paying more for the privilege.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">So
the free market meets demand by restricting supply and generates profit while
the NHS market creates demand which it cannot supply and expects all involved
in doing so to suffer a loss.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">Which
is where the junior doctors come in. All parties in the Tripartite health
alliance regard junior doctors as nothing more than cheap labour <a href="http://www.itv.com/news/2015-07-19/thousands-share-doctors-letter-to-pm-over-nhs-row/">as the recent letter to the Prime Minister shows</a>. And yet they are the people that if you go
into hospital you are likely to see amongst the first and are to be the first to treat you.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">The
Party using supermarket economics is using the less for more argument with
junior doctors whereby they are seeking to reduce the costs for them working
out of hours in the same way that Joe the plumber if asked to work outside of normal
hours will always say that will cost you guv’ double time before 20.00 triple
time after that and at weekends plus a call out fee. Yet you can see from <a href="http://blogs.channel4.com/victoria-macdonald-on-health-and-social-care/junior-doctors-contracts-affect-patient-safety/3141">this link</a> to a more detailed account of how the Party plans to reward junior doctors’
time and what they feel their basic working week should be.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">Jeremy
clearly understands Oxford PPE economics for if something is in short supply,
namely junior doctors wanting to train as GPs what better way of making general
practice more attractive than decreasing GP registrars’ salaries by 31%? And
being a true equalitarian he will do the same to other junior doctors as well.</span> </div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
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</xml><![endif]-->Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com0tag:blogger.com,1999:blog-6694764488430015508.post-48339273531303225032015-09-13T05:41:00.001-07:002015-09-13T05:41:43.710-07:00Taxi!<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjtAjpVR98dKnYQIr7rIDaNE5aLoHzmTfBznLUbKGXTOKH_vW-1DDMoAlkohksP3OQlvNP-LjXJrx-ZVKmGA3vejaLK5JhLlVxGLSBDuZWiB7MS8sefFNeB_XSCrS4g3AUwr6g1tJxVXOg/s1600/Taxi%2521.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjtAjpVR98dKnYQIr7rIDaNE5aLoHzmTfBznLUbKGXTOKH_vW-1DDMoAlkohksP3OQlvNP-LjXJrx-ZVKmGA3vejaLK5JhLlVxGLSBDuZWiB7MS8sefFNeB_XSCrS4g3AUwr6g1tJxVXOg/s320/Taxi%2521.jpg" width="320" /></a></div>
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<div class="MsoNormal">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">The more the doctors at ND Central work the more
examples of the free at the point abuse National Health <i style="mso-bidi-font-style: normal;">Service(?)</i> they see and comment on at increasingly fewer Resistence
meetings at the infamous Café Michelle.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-GB;">Still those that in between patient commitents, Scottish
retard politically imposed extra work for no extra pay and more recently the
drive towards 7 seven day working for all bar politicians and busy working
people <a href="http://www.mirror.co.uk/news/uk-news/jeremy-hunts-7-day-nhs-6355905">supported by science like this</a> it is amazing that idle non working GPs
do anything useful at all given the constant political interference and media
bad press. </span><span style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">There is another take <a href="http://careers.bmj.com/careers/advice/1%2525_of_consultants_have_opted_out_of_elective_weekend_working">here </a>on the same aspect.</span><span style="color: black;"> </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-GB; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">Still idle GPs will take comfort
from the fact that Jeremy is now back in the play pen <a href="http://www.parliament.uk/about/faqs/house-of-commons-faqs/business-faq-page/recess-dates/">after his busy summer break</a> <span style="mso-spacerun: yes;"></span>and only has to work just a few
more weeks until he is off again.</span><span style="color: black;"> </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="color: black;">So as more and more patients use
the NHS as a want and go service to paraphrase <a href="https://www.youtube.com/watch?v=abA7aUM4F8w">an advert from the 1980s for a hair shampoo</a> that you had to pay for in contrast to the NHS patients want more
and more for nothing.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="color: black;">And like <a href="https://www.youtube.com/watch?v=l3OO42dKxfY">Violet Elizabeth</a> if they
do not get what they want they will scream and scream until they are sick in
the hope that anyone now trained by the RCGP will consider their demands and be
NICE to them after considering their ICE(s) and give in.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="color: black;">Appeasement has rarely worked in
the face of an increasingly hostile threat and often what has happened is that
a patient thinks they have something but the patient’s theory of disease has
been rejected on more than one occasion. So more often than not after a trip to
the local hostellery or if the 56kbs dial up is slow during peak porn download
times they start googling for specialists.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="color: black;">Eventually they discover an expert
in London who they think will, not can, help them. They then DEMAND a referral
there for a 57<sup>th</sup> opinion to reinforce the 56 other ones that all
state they haven’t got what they think they have.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="color: black;">The referral letter usually goes
along the lines of please see farmer Scroggins who is convinced after reading
an article on New Guniea brain disease and touching a holiday brochure about New
Guinea that he has acquired such a brain disease to explain his congenital complete
absence of higher cerebral function which might help him with his benefit
claim.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="color: black;">Scroggo, as he is affectionaly
known to our staff as he is a frequent flyer but rarely if ever consults a vet,
has seen numerous consultants over the years copies of their corresponance are
enclosed all 4 realms of A4 of them which are but a mere summary of Scroggo’s many
volumes of notes. I wonder if you could or could confirm if this or is not the
case?</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="color: black;">Later farmer Scroggins gets their
appointment and then works out how long it would take him to drive to London in
his tractor at 20 leagues to the day. “I can’t afford to be away from the pub
for that long I demand an ambulance.”</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="color: black;">“But farmer Scroggins you
regularly take part in sheep dog trials across the land, take part in grouse
shoots and take the train to horse races all over the country I can’t justify
an ambulance for that.”</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="color: black;">“It’s my right.”</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="color: black;">“But you don’t qualify. You are
foot mobile and can drive.”</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="color: black;">Prior to the NHS 90% of ambulance service
work was for emergencies but within 2 years that figure had dropped to 10%.
While patients can be transported by family members to baptisms, barmitzas,
marriages, funerals, hairdressors, vets and all of the above when it comes to
travel to a hospital appointment this instantaneously becomes the
responsibility of the NHS.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="color: black;">“<a href="http://chat.allotment-garden.org/index.php?topic=103005.0">It will cost me 2 sheep</a> to get
there if I go by train/bus or tractor I can’t afford to get down there in my
Range Rover Sport I need an ambulance.”</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="color: black;">And how much will it cost by ambulance
for what would be a 24+ hour round trip and overnight stay given the appointment
times and distances involved for a driver and their tachograph?</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="color: black;">£ 1000 + and an ambulance out of
service for that time for one self centred patient.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="color: black;">“Well that’s alright then I pay my
taxes. I am 75 can I have my sick note while I am here and my Viagra too as I
am off to a cattle fair in Texas next week and am hoping to get some Texas
prime while I am there <i style="mso-bidi-font-style: normal;">(nudge, nudge wink,
wink know what I mean doc?</i>). I still need that ambulance as I am too sick
to travel for that appointment . . .”</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="color: black;">“You want an ambulance you can have
it if you are prepared to pay for it?”</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of authorities"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="macro"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="toa heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 5"/>
<w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Closing"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Signature"/>
<w:LsdException Locked="false" Priority="0" SemiHidden="true"
UnhideWhenUsed="true" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/>
<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
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Name="footnote reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="line number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="page number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote reference"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="endnote text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="table of authorities"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="macro"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="toa heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Bullet 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Number 5"/>
<w:LsdException Locked="false" Priority="10" QFormat="true" Name="Title"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Closing"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Signature"/>
<w:LsdException Locked="false" Priority="0" SemiHidden="true"
UnhideWhenUsed="true" Name="Default Paragraph Font"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/>
<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
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<![endif]-->Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com4tag:blogger.com,1999:blog-6694764488430015508.post-24384855179307434032015-07-28T23:24:00.001-07:002015-07-28T23:24:22.831-07:00Plastic bags and GP appointments.<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiPuPoS4Ln_d3jeALjlMJxj1-P6uRF1zzIG2Cai2oSeIPlWLZpFmhdsjfTTGyKNHfgIT-Zcut_0oohFfB633IrTZevv74d-cN8Z8bmy_GzrCwZGWwu2qaqWQNbOO3afJlAo9BItYsy3cMA/s1600/Plastic+bag+mod+001.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiPuPoS4Ln_d3jeALjlMJxj1-P6uRF1zzIG2Cai2oSeIPlWLZpFmhdsjfTTGyKNHfgIT-Zcut_0oohFfB633IrTZevv74d-cN8Z8bmy_GzrCwZGWwu2qaqWQNbOO3afJlAo9BItYsy3cMA/s320/Plastic+bag+mod+001.jpg" width="320" /></a></div>
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<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">One
of the many complaints that patients have here in Northernshire is that they
can never get appointments.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">Now
this is not entirely true for whenever patients make this complaint they are
usually sitting with the doctor having made an appointment and more often than
not what they mean is I could not get an appointment 1) this instant or 2) to
suit me. They are more than happy to waste medical time whinging about rather
than dealing with matters medical which again adds to the backlog for appointments
but that is not my fault is it doctor :) . . .?</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">Indeed
some patients are compounding this problem by booking appointments “just in
case they get ill” or when the condition they booked the appointment for gets
better they still keep the appointment to tell the doctor that they are now
better. We jest not.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">Around
the time that some of the doctors here at ND Central qualified supermarkets
here in the UK came up with the wizzo wheeze of giving away free plastic bags
for shoppers. Prior to this you usually took your own bags to the shops with
you or you could buy stores’ own plastic bags. You might call this the self
care agenda whereby you looked after your<i style="mso-bidi-font-style: normal;">(self)</i>
own bags in a bygone age. Very quickly supermarket customers did what NHS
patients did, and still do, and took advantage of freebies.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">So
currently the world population is <a href="http://www.worldometers.info/world-population/">7.3 billion people</a> and yet last year alone a
population of 64 million people needed <a href="http://www.bbc.co.uk/news/uk-33647326">to use and mostly dispose of 8.5 billionplastic bags</a> or 132.8 bags for every man, woman and child in the UK and each
bag is used for just 20 minutes before being (mostly) disposed of.<span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;"> </span></span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;"><span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;">Now supermarkets can
afford to be this wasteful for the people who are paying for these freebies are
the customers themselves but most are not bright enough to realize this - they
just take the bags time and time again and most just bin them which is no
different to the way most NHS patients use the health service in the UK and
respect it as much as their
“free” plastic bag for there is always another plastic bag available free at
the point of abuse.</span> </span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">Now
some countries have imposed a small charge for plastic bags and can you guess
what has happened? Well look <a href="http://www.bbc.co.uk/news/uk-scotland-33644662">at the table in this piece</a> and see how much the
use of freebies has dropped after a small charge was introduced. Furthermore some
supermarkets have introduced bags for life and slowly one has noticed a gradual
return in some areas of what used to happen many decades ago with shoppers
taking their own bags with them and reusing them and no longer being looked at
like oddballs.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">So
how much does a plastic bag cost? Well from this source <a href="http://www.reuseit.com/facts-and-myths/learn-more-facts-about-the-plastic-bag-pandemic.html">here</a> it seems to be
about $ 0.04 or about 3p a punt although we have seen other figures from a few
years ago suggesting 0.5p a bag.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">Now
we are not rocket scientists at ND Central but if the imposition of a 5 pence charge
for a bag costing 0.5-3 pence can result after a few years in a c. 80%
reduction in demand can anyone think of some other areas where a small charge
could be used to reduce demand?</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">Now
if all those complaining that they cannot see their GP wanted to increase their
chances of doing so can anyone other than politician see how this might be
possible?</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">Like
plastic bags when they were charged for it made people think so perhaps asking
people to put their money where their mouth is now might make people think
about using the health service rather than regard it as just another Party
funded freebie?</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">And
who knows after a few years the use of GP appointments might follow the plastic
bag and people will be able to get appointments a bit easier than now?</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<br /></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;">Praise
be to the Party for valuing plastic bags more highly than medical care in the
United Kingdom and taking robust actions to ensure that none are disadvantaged
by a lack of resource to vital services.</span></div>
<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;"></span></div>
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<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;"></span></div>
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<div style="mso-layout-grid-align: none; text-autospace: none;">
<span lang="EN-US" style="color: black; mso-ansi-language: EN-US; mso-fareast-font-family: SimSun;"><span lang="EN-US" style="color: black; font-family: "Times New Roman",serif; font-size: 12.0pt; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: SimSun; mso-fareast-language: ZH-CN;"></span></span></div>
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<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="List Continue 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Message Header"/>
<w:LsdException Locked="false" Priority="11" QFormat="true" Name="Subtitle"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Salutation"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Date"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text First Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Note Heading"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Body Text Indent 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Block Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Hyperlink"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="FollowedHyperlink"/>
<w:LsdException Locked="false" Priority="22" QFormat="true" Name="Strong"/>
<w:LsdException Locked="false" Priority="20" QFormat="true" Name="Emphasis"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Document Map"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Plain Text"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="E-mail Signature"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Top of Form"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Bottom of Form"/>
<w:LsdException Locked="false" Priority="0" SemiHidden="true"
UnhideWhenUsed="true" Name="Normal (Web)"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Acronym"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Address"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Cite"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Code"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Definition"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Keyboard"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Preformatted"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Sample"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Typewriter"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="HTML Variable"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Normal Table"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="annotation subject"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="No List"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Outline List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Simple 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Classic 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Colorful 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Columns 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Grid 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 4"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 5"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 6"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 7"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table List 8"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table 3D effects 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Contemporary"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Elegant"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Professional"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Subtle 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 1"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 2"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Web 3"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Balloon Text"/>
<w:LsdException Locked="false" Priority="39" Name="Table Grid"/>
<w:LsdException Locked="false" SemiHidden="true" UnhideWhenUsed="true"
Name="Table Theme"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Placeholder Text"/>
<w:LsdException Locked="false" Priority="1" QFormat="true" Name="No Spacing"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading"/>
<w:LsdException Locked="false" Priority="61" Name="Light List"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 1"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 1"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 1"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 1"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 1"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 1"/>
<w:LsdException Locked="false" SemiHidden="true" Name="Revision"/>
<w:LsdException Locked="false" Priority="34" QFormat="true"
Name="List Paragraph"/>
<w:LsdException Locked="false" Priority="29" QFormat="true" Name="Quote"/>
<w:LsdException Locked="false" Priority="30" QFormat="true"
Name="Intense Quote"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 1"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 1"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 1"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 1"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 1"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 1"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 1"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 1"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 2"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 2"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 2"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 2"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 2"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 2"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 2"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 2"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 2"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 2"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 2"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 2"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 2"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 2"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 3"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 3"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 3"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 3"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 3"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 3"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 3"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 3"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 3"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 3"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 3"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 3"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 3"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 3"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 4"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 4"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 4"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 4"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 4"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 4"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 4"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 4"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 4"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 4"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 4"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 4"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 4"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 4"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 5"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 5"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 5"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 5"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 5"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 5"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 5"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 5"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 5"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 5"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 5"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 5"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 5"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 5"/>
<w:LsdException Locked="false" Priority="60" Name="Light Shading Accent 6"/>
<w:LsdException Locked="false" Priority="61" Name="Light List Accent 6"/>
<w:LsdException Locked="false" Priority="62" Name="Light Grid Accent 6"/>
<w:LsdException Locked="false" Priority="63" Name="Medium Shading 1 Accent 6"/>
<w:LsdException Locked="false" Priority="64" Name="Medium Shading 2 Accent 6"/>
<w:LsdException Locked="false" Priority="65" Name="Medium List 1 Accent 6"/>
<w:LsdException Locked="false" Priority="66" Name="Medium List 2 Accent 6"/>
<w:LsdException Locked="false" Priority="67" Name="Medium Grid 1 Accent 6"/>
<w:LsdException Locked="false" Priority="68" Name="Medium Grid 2 Accent 6"/>
<w:LsdException Locked="false" Priority="69" Name="Medium Grid 3 Accent 6"/>
<w:LsdException Locked="false" Priority="70" Name="Dark List Accent 6"/>
<w:LsdException Locked="false" Priority="71" Name="Colorful Shading Accent 6"/>
<w:LsdException Locked="false" Priority="72" Name="Colorful List Accent 6"/>
<w:LsdException Locked="false" Priority="73" Name="Colorful Grid Accent 6"/>
<w:LsdException Locked="false" Priority="19" QFormat="true"
Name="Subtle Emphasis"/>
<w:LsdException Locked="false" Priority="21" QFormat="true"
Name="Intense Emphasis"/>
<w:LsdException Locked="false" Priority="31" QFormat="true"
Name="Subtle Reference"/>
<w:LsdException Locked="false" Priority="32" QFormat="true"
Name="Intense Reference"/>
<w:LsdException Locked="false" Priority="33" QFormat="true" Name="Book Title"/>
<w:LsdException Locked="false" Priority="37" SemiHidden="true"
UnhideWhenUsed="true" Name="Bibliography"/>
<w:LsdException Locked="false" Priority="39" SemiHidden="true"
UnhideWhenUsed="true" QFormat="true" Name="TOC Heading"/>
<w:LsdException Locked="false" Priority="41" Name="Plain Table 1"/>
<w:LsdException Locked="false" Priority="42" Name="Plain Table 2"/>
<w:LsdException Locked="false" Priority="43" Name="Plain Table 3"/>
<w:LsdException Locked="false" Priority="44" Name="Plain Table 4"/>
<w:LsdException Locked="false" Priority="45" Name="Plain Table 5"/>
<w:LsdException Locked="false" Priority="40" Name="Grid Table Light"/>
<w:LsdException Locked="false" Priority="46" Name="Grid Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="Grid Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="Grid Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 4"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 4"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 5"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 5"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 5"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 5"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 5"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 5"/>
<w:LsdException Locked="false" Priority="46"
Name="Grid Table 1 Light Accent 6"/>
<w:LsdException Locked="false" Priority="47" Name="Grid Table 2 Accent 6"/>
<w:LsdException Locked="false" Priority="48" Name="Grid Table 3 Accent 6"/>
<w:LsdException Locked="false" Priority="49" Name="Grid Table 4 Accent 6"/>
<w:LsdException Locked="false" Priority="50" Name="Grid Table 5 Dark Accent 6"/>
<w:LsdException Locked="false" Priority="51"
Name="Grid Table 6 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="52"
Name="Grid Table 7 Colorful Accent 6"/>
<w:LsdException Locked="false" Priority="46" Name="List Table 1 Light"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark"/>
<w:LsdException Locked="false" Priority="51" Name="List Table 6 Colorful"/>
<w:LsdException Locked="false" Priority="52" Name="List Table 7 Colorful"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 1"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 1"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 1"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 1"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 1"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 1"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 2"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 2"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 2"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 2"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 2"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 2"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 3"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 3"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 3"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 3"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 3"/>
<w:LsdException Locked="false" Priority="51"
Name="List Table 6 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="52"
Name="List Table 7 Colorful Accent 3"/>
<w:LsdException Locked="false" Priority="46"
Name="List Table 1 Light Accent 4"/>
<w:LsdException Locked="false" Priority="47" Name="List Table 2 Accent 4"/>
<w:LsdException Locked="false" Priority="48" Name="List Table 3 Accent 4"/>
<w:LsdException Locked="false" Priority="49" Name="List Table 4 Accent 4"/>
<w:LsdException Locked="false" Priority="50" Name="List Table 5 Dark Accent 4"/>
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</xml><![endif]-->Northern Dochttp://www.blogger.com/profile/02204011079939445650noreply@blogger.com1