Current Affairs Coronavirus Thread - Serious stuff !!!

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Who is blaming NHSX, except for the Tories in a couple of weeks when the app doesn’t live up to their promises? In fact is it that implausible to suggest that ministers and SPADs might have been busily demanding repeated changes to the app, leading to these delays?

The failures we are seeing seem to come, directly or indirectly, from the leadership. That is what should be criticised because they’ve been awful.

That's the nature of NHS IT projects. They have a long and illustrious history of going wrong, with political interference certainly not helping.
 
That's the nature of NHS IT projects. They have a long and illustrious history of going wrong, with political interference certainly not helping.
I assume you know more than most, but why exactly? It seems the NHS and IT failure are almost synonymous. Diseconomies of Scale? Shifting priorities? Investment?
 
Because unless you are having a party every time something doesn’t go right you obviously pleasure yourself to thoughts of Boris.

The mass roll out of telemedicine is perhaps a good example. It's a technology that's been dragging its feet in the NHS for years, and yet since the pandemic hit, it's been rolled out en masse in super fast time, such that around 90% of primary care consultations are now done remotely, thus enabling the NHS to maintain the kind of service we're not seeing in schools at the moment. It's a considerable success. It's largely got bugger all to do with the government, and none of the Tory bashers has mentioned it at all. Tribalism is fine and dandy, but at least accept that you're looking for any opportunity to say how crap the government are and you'd no more praise them than you would the RS for winning the league.
 
I assume you know more than most, but why exactly? It seems the NHS and IT failure are almost synonymous. Diseconomies of Scale? Shifting priorities? Investment?

There's no single reason in my experience. The institution is hugely complex, which would make implementing change hard enough, but it's also running to stand still, which leaves little capacity to devote to change. There was a study done by the academic health science networks a few years ago that said just a few percent of the overall tech budget is devoted to rolling out new technologies at scale, hence why a common saying in the service is that it has more pilots than British Airways. They're great at pilots, just not so good at scaling them up. Throw in the politicized nature of the beast, and the fact that every Tom, Dick, and Harry thinks they know what it should be doing, and it's just very hard. Oh, and things like data literacy are notoriously low among staff, which doesn't help the rollout of new technologies, and the pay levels for core IT staff tends to lag considerably behind industries such as finance and technology, so the best talent isn't always available.
 
As an aside, it seems common on Twitter for there to be 90 second clips of interviews with various people (ministers usually) on various topics, after which people usually get very animated. I was a judge on a startup competition yesterday, where we had 3 minutes to question the startups before making our decision. You could argue I'm not as cutting as Piers Morgan, but you gain practically no insight whatsoever in such a short space of time, and to all intents and purposes, the affair was largely pointless in terms of truly understanding the situation, and the way that business was tackling it.

These media vignettes are just the same. They're designer to elicit an emotional response based upon your existing predilection. The following is a good example. At no point do we learn why such a decision was made, what considerations went into it, and we leave the vignette really none the wiser about the situation, yet it allows that person to claim that the government murdered lots of old folk and go about their day safe in the knowledge that they're righteous and other people are horrid blighters.

 
As an aside, it seems common on Twitter for there to be 90 second clips of interviews with various people (ministers usually) on various topics, after which people usually get very animated. I was a judge on a startup competition yesterday, where we had 3 minutes to question the startups before making our decision. You could argue I'm not as cutting as Piers Morgan, but you gain practically no insight whatsoever in such a short space of time, and to all intents and purposes, the affair was largely pointless in terms of truly understanding the situation, and the way that business was tackling it.

These media vignettes are just the same. They're designer to elicit an emotional response based upon your existing predilection.
People get emotional cos they wont answer the damned questions.
 
That's a basic trust policy. A Czech nurse from, I think Imperial, gave interviews to the Czech media where the situation was described in terms that would make Florence Nightingale flinch. Any organisation of note will have social media policies for staff, just as many will have whistle-blower policies. The NHS is no exception.

True, but I am not sure the whistle-blowing policies have proved that effective (as MD in Private Eye has catalogued for about 15 years now) and the line between reminding staff of their responsibilities and threatening people not to contradict lies told by their betters is one that has been repeatedly crossed lately.

Don’t forget at one stage Hancock was telling us there would be enough PPE whilst changing the definition of when it should be used. NHS staff were the only ones in a position to call him out on that.
 
Serco - the taker of public money is still incompetent.

"Outsourcing firm Serco has apologised after accidentally sharing the email addresses of almost 300 contact tracers, the BBC reports.

The company is training staff to trace cases of Covid-19 for the UK government. It made the error when it emailed new trainees to tell them about training.

Serco said it had apologised and would review its processes “to make sure that this does not happen again”.

The BBC says it understands that at least one employee has complained to the information commissioner about the breach. They report:

The error did not involve patients’ data but will be unhelpful for a contact tracing project that is set to ask many thousands of people who have fallen ill to share the details of their friends and acquaintances.
Serco wrote the email to tell new trainees not to contact its help desk looking for training details.
But the staff member who sent it put their email addresses in the CC section of the email, rather than the blind CC section - revealing them to every recipient".
 
People get emotional cos they wont answer the damned questions.

They're not designed to receive an answer, lets be honest. I dare say behind many of the decisions made during this pandemic have been 100s of pages of evidence and deliberation, and we expect all of that to be shrunk down into a 30 second soundbite. It's daft. That's not to say that politicians aren't slimy, self-interested people, but if we expect to be informed by these sections I'm not sure that's at all realistic. Because a proper answer can't be delivered, we enter into a maddening game of the journo trying to trip up the politician, and the politician desperately not trying to be tripped up. It's all the sections are good for.

True, but I am not sure the whistle-blowing policies have proved that effective (as MD in Private Eye has catalogued for about 15 years now) and the line between reminding staff of their responsibilities and threatening people not to contradict lies told by their betters is one that has been repeatedly crossed lately.

Don’t forget at one stage Hancock was telling us there would be enough PPE whilst changing the definition of when it should be used. NHS staff were the only ones in a position to call him out on that.

Aye, it's quite possible that the whistle-blowing policies aren't as effective as they might be, but it's also important to understand the limited perspective of staff. A frontline worker knows their [Poor language removed] inside out, but they typically only know what's relevant for their individual domain. Those in @JEBUS_LIVES position have tens of thousands of people to think about, and a whole range of factors to consider. That's not to say that frontline staff shouldn't be listened to, not at all, but merely that they almost certainly won't be privvy to all of the information that affects them and their work. Of course, the reverse is also true, which is why it's so important that there is effective communication, but I feel we put doctors on a pedestal and believe they know everything about the operation of their trust, or even the NHS as a whole, just because they're doctors and we always trust doctors.
 
My point which you missed was that in your response to @ramacca you adopted a similar dismissive tone as Hancock did in his reply to the Labour MP...

I don't know the history of exchanges between the Labour MP and Hancock, but I suspect if any of us worked with someone who was moaning and complaining every day for the past three months our patience would wear thin. It's possible that Ramacca has posted some happy thoughts at some point and I've missed them, but it seems to be a daily feed of this being crap, that being rubbish.
 
This was what the DoPH and PHE suggested would be the methodology early in January. I had assumed that the thinking had changed to a degree, but until quite recently the thought was possibly 3 instances of lockdown.
 
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As an aside, it seems common on Twitter for there to be 90 second clips of interviews with various people (ministers usually) on various topics, after which people usually get very animated. I was a judge on a startup competition yesterday, where we had 3 minutes to question the startups before making our decision. You could argue I'm not as cutting as Piers Morgan, but you gain practically no insight whatsoever in such a short space of time, and to all intents and purposes, the affair was largely pointless in terms of truly understanding the situation, and the way that business was tackling it.

These media vignettes are just the same. They're designer to elicit an emotional response based upon your existing predilection. The following is a good example. At no point do we learn why such a decision was made, what considerations went into it, and we leave the vignette really none the wiser about the situation, yet it allows that person to claim that the government murdered lots of old folk and go about their day safe in the knowledge that they're righteous and other people are horrid blighters.



There was a really good example of that on, of all places, Fox a couple of days ago. Two of the pro-Trump clowns spent two minutes boosting him taking hydroxychloroquine and that was the clip that ended up being praised / slammed online. Watching it, it seemed deliberately done too - like they were making a highlight reel.

However the interesting bit was the whole piece had that bit followed by them all rowing back, saying that yes it was dangerous and that people shouldn’t do what the President was doing because of the risk. Obviously they’d been encouraged to do that because they’d get sued to oblivion, but it was an eye opener.
 
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