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author

Hi Pauline, thank you for query. The figures relate to whole time equivalents (WTEs) in England. The BMA gives a slightly lower estimate: "As of April 2024, there are 27,606 fully qualified full time equivalent GPs” but it makes no real difference. Your daughters can sleep well knowing that they are well looked after. We are delighted to hear that we keep you sane, in a strange world.

Best, Tom.

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Oct 11Liked by Tom Jefferson

If you two old geezers are looking for some warmth this coming winter, maybe you should put one of these on your list to Santa... or family/friends...

https://its.co.uk/workwear-ppe/heated-clothing/

Our mid-forties son spends a lot of time outside in the freezing cold. We bought him a heated hoodie jacket for his birthday expecting an oohh Daad! response. We were very surprised to get warm comments back... it's been well used. Needs a charger/battery plus the jacket.

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My mate has a zip up blanket with sleeves that she wears on an evening (her housing association flat has night storage heaters) and she swears by it.

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I have one too, very warm and comfortable, like a big long dress.

Maybe not really a thing for an old geezer ;)

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In your calculations of GP numbers you have said full time GPs With two daughters in GP I know there are huge numbers of part time GPs Were they included in your calculations. Thank you both for all the work you do Your common sense has kept me sane over last few years .

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author

Dear Dohh, we are grateful to you for pointing out yet another oddity. We could only find the NHS Innovation Service here: https://innovation.nhs.uk/about-the-service/

The website does not say whether it’s in a science park. We’ll add it to the list. Keep 'em coming....

Tom

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founding

Welcome Catherine. You might be a target for fleecing Tom but you are a wily old fox and not one of the sheeple.

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I did come across an odd bit of the NHS years ago. It was called NHS Innonvations, which sounded good. They had a guy with an office in a science park. I made him a coffee and asked what he did and how he could interact with other science companies. Apparently they only dealt with innovations from within the NHS. I have always wondered why he had an office in a science park.

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One of the things that irritates me is the insistence on pouring new funds into "prevention" to get waiting lists down. Prevention is important as a long term solution, but it doesn't help the poor people waiting in the queue for treatment. Because there is no visible effect, the NHS then screams for more money again. The two funding streams need to be ring fenced.

Unless things have changed, much public health money is also wasted on small local projects. I sat on a Professional Executive Committee of a Primary Care Trust some years ago, and we could bid for small pilot project money. These were vanity projects - if money was available, we had to think of a project so we could get our share. Public health and prevention should be done on a national scale.

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https://open.substack.com/pub/alexklaushofer/p/a-simple-persons-take-on-tax?r=ylgqf&utm_campaign=post&utm_medium=web

An excellent piece on taxation.

‘Where is all the money going?’ fits right into this investigation into NHS funding.

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As always, I read your suvstack and nodded my head in agreement. But your final sentence made me laugh out loud. A great way to start the day. Thank you.

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It's all in the numbers. High level Freemasons love to communicate with each other via numbers in the media. Their favourites are what they call Master Builder numbers 11, 22 and 33. They believe these numbers give them some sort of occult power, unfortunately over the people. 33 is their absolute favourite, presumably because at the 33rd degree you learn all the big secrets. It's one big club and I'm glad I'm not in it

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33 was the age of Jesus when he was crucified.

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Good point, their sworn enemy.

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Sorry for going a bit off piste here but I’ve sent you an email Tom which has likely got lost in the piles of messages I’m sure you receive. I’ve also written about it on my Substack. It’s about a rather concerning situation in Scotland in relation to masks and transmission routes. I’m sure you’ll know something more about it so I’d really appreciate your thoughts before I investigate it further.

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author

Hi Valerie, thanks for the prompt. I am having trouble in locating the comment. Can you please reshare it? My apologies

Thanks, Tom.

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Thanks so much Tom, I’ve emailed it again.

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