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Joined: Nov 2005
Posts: 85
Adept
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Adept
Joined: Nov 2005
Posts: 85 |
As an in house provider you become a soft target for hard nosed directorate managers, when it comes time to pay the bills you may find an "Oops we spent the maintenance budget on 2 more staff, because there was a clinical need. But never mind we're all in the NHS so I'm sure you can cope as it all comes out of the same budget in the end." Without the FULL support of the director of finance and a very good business manager you don't stand a chance and even then if the directorate has enough clout they just carry on regardless. At the end of the day no-one working for the NHS is going to stand still and watch patients suffer because of broken kit, just because the bills havn't been paid. Been there tried that, doesn't work
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Joined: Feb 2004
Posts: 14,798 Likes: 71
Super Hero
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OP
Super Hero
Joined: Feb 2004
Posts: 14,798 Likes: 71 |
Nice debate. The bottom-line appears to be that This House gives the thumbs-down to the idea of the Zero-Budget Department. Pity that. How about the idea of the Contracted-Out Department, then? 
If you don't inspect ... don't expect.
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Joined: May 2001
Posts: 457
Sage
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Sage
Joined: May 2001
Posts: 457 |
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Joined: Feb 2004
Posts: 14,798 Likes: 71
Super Hero
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Super Hero
Joined: Feb 2004
Posts: 14,798 Likes: 71 |
Latest news is that Kwik-Fit are bidding for a biomed department in the South West of England. 
If you don't inspect ... don't expect.
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Joined: Nov 2005
Posts: 85
Adept
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Adept
Joined: Nov 2005
Posts: 85 |
Contracted out is slightly different and would probably work a lot better since the money would go with the contract and be legally enforcible, and although a department wouldn't necessarily have the economies of scale of a big company it also wouldn't have shareholders demanding a cut of the funds.
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Joined: Jul 2002
Posts: 2,020
Hero
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Hero
Joined: Jul 2002
Posts: 2,020 |
"The government’s radical supply side reforms are incentivising trusts to explore opportunities to outsource clinical services and have led to the launch of a new conference." The Managed Services in the NHS conference is on 30th & 31st October and includes Ernie Thompson, Chairman, NHS Confederation Equipment Forum as a speaker. Watch you backs. It might be a zero department rather than a zero budget one. Robert
My spelling is not bad. I am typing this on a Medigenic keyboard and I blame that for all my typos.
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Joined: Feb 2004
Posts: 14,798 Likes: 71
Super Hero
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Super Hero
Joined: Feb 2004
Posts: 14,798 Likes: 71 |
No such word as incentivising (not on this side of the Atlantic, at any rate)! But, as I've said many times before, the kit will still need to be fixed (etc.) by somebody! 
If you don't inspect ... don't expect.
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Joined: Sep 2004
Posts: 15
Novice
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Novice
Joined: Sep 2004
Posts: 15 |
Our users are not being charged for any repair/ppm done on their machines regardless who damaged the unit. Result? More repairs because of carelessness!
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Joined: Jul 2002
Posts: 2,020
Hero
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Hero
Joined: Jul 2002
Posts: 2,020 |
Geoff, Does the word indicate whoch side of the Atlantic our leads are looking towards? Robert
My spelling is not bad. I am typing this on a Medigenic keyboard and I blame that for all my typos.
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Joined: Feb 2004
Posts: 14,798 Likes: 71
Super Hero
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OP
Super Hero
Joined: Feb 2004
Posts: 14,798 Likes: 71 |
So you also suffer a “no blame culture” where you are too, then, Yahya (... where are you, I wonder)? Rojo, I thought our leaders had their heads stuck up some other place! 
If you don't inspect ... don't expect.
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