#rsch

[bomber-jackets-usa]

Men Black Shearling Leather Jacket With Hoodie

[emigrantcathy]

🚗💨💨💨⁣⁣⠀ ⁣⁣⠀ Ох, уж эти узкие улицы и маленькие машины.⁣⁣⠀ ⁣⁣⠀ Я сама вожу машину и достаточно хорошо для девочки, спасибо Папе.⁣⁣⠀ ⁣⁣⠀ Но буду ли я водить машину здесь, даже представить не могу.⁣⁣⠀ Надеюсь мой страх узких улиц и водителей которые не знают, что такое дистанция и сидят у тебя на #опе, когда-нибудь пройдёт.⁣⁣⠀ Пока я остаюсь пешеходом!⁣⁣⠀ ⁣⁣⠀ Ну не ездить ведь мне мне специально в Россию, чтобы покататься на машине 🤣⁣⁣⠀ ⁣⁣⠀ 🇩🇪🅳🅴://⁣⁣⠀ ⁣⁣⠀ Oh, diese engen Gassen und kleinen Autos.⁣⁣⠀ ⁣⁣⠀ Ich fahre selbst Auto und dank Papa gut genug für ein Mädchen.⁣⁣⠀ ⁣⁣⠀ Aber werde ich hier fahren, kann ich mir echt nicht einmal vorstellen.⁣⁣⠀ Ich hoffe, dass meine Angst vor engen Gassen und Fahrern, die die Distanz nicht kennen und immer auf Ihrem #rsch hängen, vergeht.⁣⁣⠀ Bis dahin bis ich ein Fußgänger!⁣⁣⠀ ⁣⁣⠀ Oder, ich kann extra nach Russland fahren, um ein Auto zu fahren 🤣⁣⁣⠀ ⁣⁣⠀ #emigrantcathy #cathyнасицилии #катятакаякатя #русскиенасицилии #русскиевиталии #siciliabella #сицилия #улицыиталии #aufdeutsch #autofahrer⁣⁣⠀ #car #instagramanet #instatag #instacar #instacars (at Ortigia Island) https://www.instagram.com/p/CFw_Bvbj6Ys/?igshid=1wcb100trxq7q

[alexey-petrik-blog]

Вместе весело шагать... и кушать 🥗🌮🥘 #motofamily #chopper #hdcveles #rsch #нямням (at Moscow, Russia) https://www.instagram.com/p/BqmsPqcAOoi/?utm_source=ig_tumblr_share&igshid=hc2401c99tmn

[ultraracrovredwing-blog]

@Regranned from @jalz58 - #redwings #denimstyle #darahkubiru #sageseesmore #pahi_id #boots #redwing #redwingstyle #redwingheritage #redwing10875 #mensstyle #rsch #all_shotsregran by redwing micmel

[anggietwyka]

Mlongo 😂 juru 📸 @yogabani #AW #2013 #instaku #rsch #ouvalresearch #ekpresi (di Big Dam Bridge)

[riandyaditya-blog]

Moving across the landscape 🚶 #holiday #happyweekend #ouvalresearch #rsch

[oneminutemoneymagazine]

NHS Efficiency

This post does not cover the controversial issues of funding levels, use of A & E departments, relationships with social services, whether Wales (under the Labour Assembly) has underperformed England (under the Conservative and Coalition Governments) etc. etc.  It does, however, look at one example of gross inefficiency at local level.

Last February, I stood in at short notice to take an old lady to the Royal Surrey County Hospital, Guildford (the RSCH).  She had an appointment letter and two forms.  The letter said that one of the forms should be handed in at Main Reception in the RSCH foyer (as opposed to the desk in the clinic).  It seemed strange, but Main Reception said it was right and took one of the forms.  Maybe there’s a central scanner as part of a new computer system, I thought.

I took the old lady to the clinic and then into the doctor’s room.  Everyone said I should stay and we were introduced to a young nurse who would be there as part of her training.  “Have you got the appointment letter and forms?” asked the doctor.  I gave the letter and one of the forms and explained about the other one.  The trainee nurse was sent to Main Reception to retrieve the form, but it had disappeared without trace.  The doctor then had to ask us all of the questions on the missing form.

Our appointment over-ran and the nurse missed out on some of her training.  A wrong instruction in the letter had wasted valuable NHS resources.  When NHS efficiency is discussed, it is usually in terms of spending £millions on new computer systems.  There are, however, quick and easy common sense changes which can be implemented at almost zero cost.  In this case, the appointment letter should simply have asked us to bring both forms to the clinic with us.

(16/01/2017)