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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
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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
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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
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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
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staggering for a quick little story is
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what's happening with my ex mobile phone
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provider because they sent me another
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bill even though I've already left them
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now this is not to be confused with an
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overlap bill or a transition bill or
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anything the dates coincided perfectly
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and they told me so my contract finished
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the day my number moved to the other
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company the bill was for another month
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and so when I queried it they said well
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you'll get a refund at the end of this
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month when the final bills produced and
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it will discount this month's money and
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I said well what's the point in that why
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should I pay then to wait for a refund
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and he said don't worry about it it will
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be refunded and whatever so all the more
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reason it was a sensible idea to move to
00:04:06
another network but very shortly I'm
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going to be traveling far far from here
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so I need reliable internet access and
00:04:14
so I'm going to use S because when I
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first had these problems I connected
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with s to partner for my channel because
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s is an eim data provider for your
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mobile phone you download the app you
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buy a plan for your destination and
00:04:29
you'll get SE seamless internet access
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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
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as well such as a virtual location so
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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
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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
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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
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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
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which is available obviously over the
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counter within certain age limits and
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purchase limits and so on this is not
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medical advice you understand um but
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they've been prescribed paracetamol for
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general aches and pains and that has
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cost the Health Service 74 million and
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this is just the the statistic for 2021
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to
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2022 um not only that um on completely
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separate things gas and electricity it
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was researched and reported the
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taxpayers allian analyzed that for uh
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2019 to 2020 they were wasting huge
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amounts of money and wasting nearly 220
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million pound a year on overpriced gas
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and electricity fast forward to December
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2023 so a bit of a timeline going here
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and this is just the last few years it
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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
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that important it may not be obvious to
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you that agency staff is obviously going
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to be more expensive than full-time
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staff so Ergo there is um a lack of
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management of the staff that they
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actually need and so to plug shortages
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of Staff because either they haven't
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planned for the staff they need or they
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get what they call a regrettable
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turnover which is u a churning over
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staff leaving and staff coming in and
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there's a gap in between and so they
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need agency staff to fill those gaps and
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potentially they need a huge amount of
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money £384 million for that for those
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three years uh to plug these gaps of
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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
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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
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alone was contributing to
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156,000 tons of clinical waste produced
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every year alone other examples quoted
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included the mid Yorkshire trust using
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330,000 single-use torices in a year but
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a single reusable Toray can be used
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10,000 times in a one-year trial
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reusable Alternatives save £20,000 in
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procurement and that's just for one
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simple item in Northampton Hospital's
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NHS trust a single Opthalmology
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Department saved 1,000 pair of
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disposable scissors and £12,000 in one
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year just by switching to reusable pairs
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of scissors these are the kind of things
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that we're talking about here using
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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
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talking to me recently and you might be
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aware that certain people get criticized
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for whistleblowing and things like that
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but I've had people talk to me telling
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me that they have thousands of pounds
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wastage almost daily in their everyday
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work because somebody might open the
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wrong item but because it's a very
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expensive single value item and single
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use item that is then just going
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straight in the bin because it was the
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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
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is cross-party collaboration and
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agreement on this because as I said at
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the outset and it's not just
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scaremongering this could either be the
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most genius plan moving forward because
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I know a lot of people within the NHS
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say that the management of the NHS is
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just not up to scratch and it really
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needs to be revamped or it could be the
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thing that leads to the destruction of
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the NHS breaking it apart selling it off
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uh privatizing certain areas of it and
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the reality is something we will only
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discover much later on either when it's
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worked or when it's too late to do
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anything about it but the real question
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here is probably one of control and as
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with anything that is under somebody's
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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
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that this is a sensible Way Forward a
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sensible decision and it's under strong
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leadership and so on but equally I
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understand that there are a lot of
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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
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saying that he's bringing the management
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of the NHS as a whole back into
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Democratic control so that should really
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mean that there are different voices
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heard there are different ideas heard
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they are debated properly and ultimately
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it is a fair and well-managed and
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balanced system he said that this move
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will put the NHS back at the heart of
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government where it belongs he says
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freeing it to focus on patience less
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bureaucracy with more money for nurses
00:11:09
he says that the NHS will refocus on
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cutting waiting times in your hospital
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you the viewer wherever you live but
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another very important point is that
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because NHS is a devolved matter
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obviously this can only pertain to
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England because as the name suggests NHS
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England is responsible for England and
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the it'll be separate matter for
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Scotland Wales and Northern Ireland and
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finally one question I would have if it
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were posed to government is what about
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patient data because you you might
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remember from nearly 3 years ago now uh
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I did a video on NHS digital which has
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now been merged with NHS England and
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they were making your data available to
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third parties and this was an opt out as
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opposed to an opt in so you had to go
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through the process of opting out to
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prevent them for sharing your data
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rather than opt in to allow them to
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share your data now there were
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counterarguments to that because
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obviously to do research and to find new
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cures and things like that they do need
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data to work with but at the same time
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the data was what they called
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pseudonymized rather than anonymized so
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with some work you could trace the
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information back to the original person
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so it wasn't entirely Anonymous so there
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were criticisms with that so there were
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counterarguments to it but a lot of
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people that they didn't want their data
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shared with third parties which
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ultimately might end up the data might
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be sold to other parties and this is a
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concern that I have here because if the
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NHS management is brought back under
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what they call Democratic control which
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is back into government how do we know
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and how can can we be assured that
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decisions made for the NHS the
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management of the NHS and ultimately you
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and your data your patient data and what
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what's going on with you how can we be
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sure that that is always going to be in
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your interest and is not going to be
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sort of sliced and carved up in order to
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sell it on to third parties that is a
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concern that I would have and something
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that certainly needs to be monitored to
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make sure that doesn't happen to the
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detriment of the general public that is
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certainly something I'll be keeping my
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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
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I hope that is a broad overview of
00:13:22
what's going on the NHS isn't suddenly
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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
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under government which is either a
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genius thing or a recipe for disaster
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let me know which side of the fence you
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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