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well a really gutsy decision by KIA
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starmer announced today to abolish NHS
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England now before anybody panics and
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thinks that this is closing down the NHS
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and we lose the NHS that's obviously not
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the case NHS England is the management
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body set up under conservative
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government in 2013 so over 12 years
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we've seen probably not the best
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management of our Health Care system
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that we could possibly imagine and with
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a spend of200
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billion it really doesn't need some good
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management so I've got a few thoughts
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about that in this video but first of
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all if you are new to me I'm Daniel
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shens Smith a barrister of England and
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Wales and I like to give you my honest
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views on these things sometimes and yes
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some people don't like personal opinions
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but uh if they are personal opinions
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I'll make them known but otherwise just
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an objective View and saying things that
00:00:50
the mainstream media generally won't say
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so please do subscribe to the channel if
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you like this neutral independent
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objective approach with a sprinkling of
00:00:59
my own personal opinion now again and
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I'll make that clear so what are we
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talking about here well K starm among a
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lot of different things that he said it
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was a it was a long um conference news
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conference and among those he said that
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they're going to demolish um abolish
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demolish frodi and slip uh the NHS
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England and bring it back under
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Democratic management now this could
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either turn out to be one of the most
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genius things that he's ever done and
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further down the line we'll look back
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and think well now we have a fantastic
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Health Care Service that is operating
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smoothly under efficient management
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saving money uh not wasting money or it
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could be the Catalyst to destroying the
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NHS entirely now where do we stand on
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this right well let's look at um a lot
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of criticism the the NHS has had over
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recent Years first of all and uh if we
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start going back in time this is not um
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out of the blue announcement from Kia
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starma there's been lots of more than
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hints about this over previous months in
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fact if we go back to
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October I can show you this press
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release Here major Crackdown on NHS
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waste this was obviously this new uh
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labor government's approach to healthc
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care and a major Crackdown on the waste
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in the NHS because actually the the
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numbers are quite staggering and now
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this is not some people will be pleas a
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few of you will be pleased to know this
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is not a labor session um but a major
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wastage in the NHS all under the
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management of NHS England and you'll
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recall that I had my own criticisms of
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data sharing plans and all of this sort
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of stuff which um I'll try and find on L
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previous videos but if we look here and
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this is going back to this is a Daily
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Mail of all articles boot to December
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2022 for some context uh so this has
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been um the reason for the old article
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is to show that this has been ongoing
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for some time where the money goes and
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where the money is wasted now um they
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were talking even then about clinical
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negligence uh waste SLS spend of 2
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billion pounds and a prescription of
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what would otherwise be over-the-counter
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medicine such as paracetamol paracetamol
00:03:17
if you insist um but the the wastage of
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a prescription on something that would
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otherwise be straightforward over- the
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counter stuff is actually quite
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staggering now what's also quite
00:03:29
staggering for a quick little story is
00:03:30
what's happening with my ex mobile phone
00:03:32
provider because they sent me another
00:03:34
bill even though I've already left them
00:03:37
now this is not to be confused with an
00:03:38
overlap bill or a transition bill or
00:03:40
anything the dates coincided perfectly
00:03:42
and they told me so my contract finished
00:03:44
the day my number moved to the other
00:03:46
company the bill was for another month
00:03:49
and so when I queried it they said well
00:03:50
you'll get a refund at the end of this
00:03:53
month when the final bills produced and
00:03:55
it will discount this month's money and
00:03:57
I said well what's the point in that why
00:03:59
should I pay then to wait for a refund
00:04:01
and he said don't worry about it it will
00:04:02
be refunded and whatever so all the more
00:04:04
reason it was a sensible idea to move to
00:04:06
another network but very shortly I'm
00:04:08
going to be traveling far far from here
00:04:11
so I need reliable internet access and
00:04:14
so I'm going to use S because when I
00:04:18
first had these problems I connected
00:04:19
with s to partner for my channel because
00:04:21
s is an eim data provider for your
00:04:24
mobile phone you download the app you
00:04:27
buy a plan for your destination and
00:04:29
you'll get SE seamless internet access
00:04:30
on connection when you arrive s Works in
00:04:33
hundreds of countries then you don't
00:04:35
need to wait for a plastic Sim to arrive
00:04:36
in the post you just download it and
00:04:38
install the Sim on your phone or your
00:04:40
device and it will give you seamless
00:04:42
access to the internet and because it's
00:04:44
provided to you by nordvpn you get many
00:04:47
security features that you might expect
00:04:48
as well such as a virtual location so
00:04:51
you can prevent all the hiccups that you
00:04:53
might get being in another country when
00:04:55
you access banking apps and things like
00:04:57
that but also you can block intrusive
00:04:59
ads and of course you get web protection
00:05:01
to protect you from malicious websites
00:05:03
malicious downloads which is all the
00:05:06
more important when you go to another
00:05:07
country you're not familiar with the
00:05:08
destination and you're certainly not
00:05:10
familiar with the Wi-Fi networks or even
00:05:12
any other networks that you might
00:05:13
connect to while you're out there and of
00:05:15
course as a partner to my channel you
00:05:16
get a great discount which is 15% off
00:05:18
any plan you choose to buy using the
00:05:20
code black belt barister at the checkout
00:05:23
so you can download the app immediately
00:05:24
so it's ready for when you do travel
00:05:26
then when you are traveling you can pick
00:05:27
a plan for your destination pay for it
00:05:30
remembering to use the code black belill
00:05:31
bar to get 15% off the plan and then it
00:05:34
will activate seamlessly when you arrive
00:05:36
at your destination giving you safe and
00:05:37
secure access to the internet with the
00:05:39
virtual location so that it will prevent
00:05:42
all these problems you get from being in
00:05:43
another country so I'm definitely going
00:05:44
to use S for seamless internet I'll
00:05:46
report on it when I'm out there check it
00:05:48
out in the description below don't
00:05:49
forget the discount with black belt
00:05:50
barister and thank you to s for
00:05:52
sponsoring this video so for instance
00:05:53
people are coming in with aches and
00:05:54
pains and being prescribed paracetamol
00:05:57
which is available obviously over the
00:05:59
counter within certain age limits and
00:06:01
purchase limits and so on this is not
00:06:03
medical advice you understand um but
00:06:05
they've been prescribed paracetamol for
00:06:07
general aches and pains and that has
00:06:09
cost the Health Service 74 million and
00:06:13
this is just the the statistic for 2021
00:06:15
to
00:06:16
2022 um not only that um on completely
00:06:19
separate things gas and electricity it
00:06:21
was researched and reported the
00:06:23
taxpayers allian analyzed that for uh
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2019 to 2020 they were wasting huge
00:06:31
amounts of money and wasting nearly 220
00:06:35
million pound a year on overpriced gas
00:06:37
and electricity fast forward to December
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2023 so a bit of a timeline going here
00:06:42
and this is just the last few years it
00:06:45
was reported in the BBC uh the NHS spent
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more than
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£384 million on agency staff in the
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north west of England over the last 3
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years all according to statistics from
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the rural College of Nursing so why is
00:06:58
that important it may not be obvious to
00:07:00
you that agency staff is obviously going
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to be more expensive than full-time
00:07:04
staff so Ergo there is um a lack of
00:07:07
management of the staff that they
00:07:09
actually need and so to plug shortages
00:07:13
of Staff because either they haven't
00:07:16
planned for the staff they need or they
00:07:18
get what they call a regrettable
00:07:20
turnover which is u a churning over
00:07:23
staff leaving and staff coming in and
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there's a gap in between and so they
00:07:26
need agency staff to fill those gaps and
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potentially they need a huge amount of
00:07:30
money £384 million for that for those
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three years uh to plug these gaps of
00:07:38
staff and this was criticized as a false
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economy because they could have employed
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over 4,000 full-time staff instead of
00:07:46
employing these agency staff now the
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Crackdown on wasted expenditure was uh
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announced by this government in October
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2024 and included things such as waste
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of disposable medical devices and single
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use items which aside from the cost
00:08:05
alone was contributing to
00:08:08
156,000 tons of clinical waste produced
00:08:11
every year alone other examples quoted
00:08:14
included the mid Yorkshire trust using
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330,000 single-use torices in a year but
00:08:21
a single reusable Toray can be used
00:08:24
10,000 times in a one-year trial
00:08:27
reusable Alternatives save £20,000 in
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procurement and that's just for one
00:08:31
simple item in Northampton Hospital's
00:08:34
NHS trust a single Opthalmology
00:08:36
Department saved 1,000 pair of
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disposable scissors and £12,000 in one
00:08:40
year just by switching to reusable pairs
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of scissors these are the kind of things
00:08:45
that we're talking about here using
00:08:47
reusable items as opposed to single use
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items and saving thousands of pounds of
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money now I've had people within the NHS
00:08:54
talking to me recently and you might be
00:08:57
aware that certain people get criticized
00:08:59
for whistleblowing and things like that
00:09:01
but I've had people talk to me telling
00:09:03
me that they have thousands of pounds
00:09:06
wastage almost daily in their everyday
00:09:09
work because somebody might open the
00:09:12
wrong item but because it's a very
00:09:14
expensive single value item and single
00:09:17
use item that is then just going
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straight in the bin because it was the
00:09:21
wrong thing and when you multiply this
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across thousands and thousands of items
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across all the trusts across the country
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it is quite obvious that how much of
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this money can then get wasted now it
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will be interesting to see whether there
00:09:34
is cross-party collaboration and
00:09:36
agreement on this because as I said at
00:09:38
the outset and it's not just
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scaremongering this could either be the
00:09:42
most genius plan moving forward because
00:09:44
I know a lot of people within the NHS
00:09:46
say that the management of the NHS is
00:09:49
just not up to scratch and it really
00:09:51
needs to be revamped or it could be the
00:09:54
thing that leads to the destruction of
00:09:56
the NHS breaking it apart selling it off
00:09:59
uh privatizing certain areas of it and
00:10:01
the reality is something we will only
00:10:03
discover much later on either when it's
00:10:05
worked or when it's too late to do
00:10:07
anything about it but the real question
00:10:09
here is probably one of control and as
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with anything that is under somebody's
00:10:15
control you need to ask yourself do you
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trust the people in control now to be
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fair I know a lot of people do trust
00:10:23
that this is a sensible Way Forward a
00:10:25
sensible decision and it's under strong
00:10:27
leadership and so on but equally I
00:10:30
understand that there are a lot of
00:10:31
people that are very concerned and don't
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think that this is under strong
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leadership and don't think that this is
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proper management now Kama today uh was
00:10:40
saying that he's bringing the management
00:10:43
of the NHS as a whole back into
00:10:46
Democratic control so that should really
00:10:49
mean that there are different voices
00:10:50
heard there are different ideas heard
00:10:52
they are debated properly and ultimately
00:10:54
it is a fair and well-managed and
00:10:56
balanced system he said that this move
00:10:59
will put the NHS back at the heart of
00:11:01
government where it belongs he says
00:11:04
freeing it to focus on patience less
00:11:06
bureaucracy with more money for nurses
00:11:09
he says that the NHS will refocus on
00:11:11
cutting waiting times in your hospital
00:11:14
you the viewer wherever you live but
00:11:16
another very important point is that
00:11:17
because NHS is a devolved matter
00:11:20
obviously this can only pertain to
00:11:22
England because as the name suggests NHS
00:11:25
England is responsible for England and
00:11:28
the it'll be separate matter for
00:11:30
Scotland Wales and Northern Ireland and
00:11:33
finally one question I would have if it
00:11:35
were posed to government is what about
00:11:38
patient data because you you might
00:11:40
remember from nearly 3 years ago now uh
00:11:43
I did a video on NHS digital which has
00:11:46
now been merged with NHS England and
00:11:48
they were making your data available to
00:11:51
third parties and this was an opt out as
00:11:54
opposed to an opt in so you had to go
00:11:57
through the process of opting out to
00:11:58
prevent them for sharing your data
00:12:01
rather than opt in to allow them to
00:12:02
share your data now there were
00:12:05
counterarguments to that because
00:12:07
obviously to do research and to find new
00:12:10
cures and things like that they do need
00:12:12
data to work with but at the same time
00:12:14
the data was what they called
00:12:16
pseudonymized rather than anonymized so
00:12:19
with some work you could trace the
00:12:21
information back to the original person
00:12:23
so it wasn't entirely Anonymous so there
00:12:25
were criticisms with that so there were
00:12:26
counterarguments to it but a lot of
00:12:28
people that they didn't want their data
00:12:30
shared with third parties which
00:12:31
ultimately might end up the data might
00:12:33
be sold to other parties and this is a
00:12:36
concern that I have here because if the
00:12:38
NHS management is brought back under
00:12:41
what they call Democratic control which
00:12:43
is back into government how do we know
00:12:45
and how can can we be assured that
00:12:47
decisions made for the NHS the
00:12:49
management of the NHS and ultimately you
00:12:51
and your data your patient data and what
00:12:53
what's going on with you how can we be
00:12:55
sure that that is always going to be in
00:12:58
your interest and is not going to be
00:13:00
sort of sliced and carved up in order to
00:13:02
sell it on to third parties that is a
00:13:04
concern that I would have and something
00:13:06
that certainly needs to be monitored to
00:13:09
make sure that doesn't happen to the
00:13:10
detriment of the general public that is
00:13:12
certainly something I'll be keeping my
00:13:14
eye on so for that alone please
00:13:15
subscribe to the channel because I will
00:13:17
come back and talk to you about that if
00:13:18
I find anything going on about that but
00:13:20
I hope that is a broad overview of
00:13:22
what's going on the NHS isn't suddenly
00:13:24
disappearing as I think at least some
00:13:26
people will probably think um but
00:13:27
certainly the management of it it is
00:13:30
going to be abolished and brought back
00:13:32
under government which is either a
00:13:34
genius thing or a recipe for disaster
00:13:36
let me know which side of the fence you
00:13:37
fall there I think this is a very very
00:13:40
difficult one to call let me know your
00:13:42
thoughts in the comments below if you've
00:13:43
had experience you can email me
00:13:44
anonymously I will keep your anonymity
00:13:47
absolutely but share any messages that
00:13:49
you might have if you wish me to let me
00:13:51
know what your position is what your
00:13:53
views are if you're working particularly
00:13:55
if you're working within the NHS let me
00:13:57
know how it is for you I know some
00:13:58
people have done already um you know who
00:14:00
you are and so let me know what you
00:14:02
think do subscribe to the channel thank
00:14:04
you for watching and I'll see you next
00:14:05
time
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