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At £17 to £18 per hr apparently Neil !!!

Or, even ... use of the Queen's English!

Transformalisation of the transactional, this is confusing me

It's an example of Baboon Speak. We get the odd attack of it on here from time to time.

Sorry chaps, what don't you understand!!
PCTs contract with hospitals for certain levels of activity at specified prices. Up until now, negotiations were held regarding the amount of activity and the price to be charged. This is transactional.
In the future, PCTs will negotiate with hospitals, GPs and community to look at clinical pathways and how best to commission them, whilst looking to increase efficiencies and save money. This is transformational because it will change the way that aptients are treated and services run.

Change the way patients are treated, does that mean no more nurses as they will be transformed?

Neil
No it means that thresholds will be raised and pathways changed. This will mean that instead of being referred immediately to see a consultant because your knee hurts and he ends up replacing it for you (within 18 weeks), you'll be given pain killers, a bit of physio and a walking stick and told to come back when you can't hobble around any more!!! Just like the good old days.

Good job I am here then mate! as I had my knee fixed last year and glad to say no more pain, even after playing football.

Just as long as it's not the thresholds which get changed, and the pathways that get raised, or else blokes with dodgy knees will really be in trouble!


The year before last, you mean?

No last March, Lateral meniscus removed after it had split in two pieces.