Nah, do it all. Improve cancer treatment, improve palliative care, provide great home care, let people die comfortably when there's nothing left.

No reason to mix these things up. We don't have to pick and choose.

And now since the tariffs, he's at 46% approval. We could waste a lifetime saying there's something wrong with Trump, but it's deeper than that.

46% of the USA thinks this is fine. Trump is an idiot but it only took normal people to willing give him this power.

I don't think I'm being too naive —I'm conscious of Wes's influences— but I still think he's right here.

I think he has exactly the same amount of power he had before. There's just one fewer manager his orders travel through.

I'm starting to feel like an apologist but this undoes the 2012(?) restructuring that never made sense to me. I haven't seen anything overtly bad, I'm cautiously optimistic.

Other than the political victory what's the benefit of a shutdown now?

Isn't it usually the Conservative goal to minimise government and doesn't that achieve it? If it is political, people who depend on these services won't thank Dems for stopping them.

Services won't want (or be able) to pay the 8D rate for band 7 work.

Some may find their regional role locally or in the DoH, some might accept a cut for clinical work, but it'd be interesting to see if (eg) more education and outreach programmes can be funded to make the most out of the situation.

I don't think this is a relevant argument. We should ask whether we should be paying five people to toss "the buck" between (eg) service, hospital, trust, icb, NHSE and the DoH.

Some duplication makes sense, but at the very top, NHSE seems like a 1:1 interface between the NHS and Government.

Nurses can move into management and governance as part of their natural job progression.

I'm saying nothing about those nurses or their roles, other than the work seem unnecessarily duplicated; doesn't need to exist at local, trust, ICB, NHSE and DoH levels simultaneously.

Many of the redundancies are nurses promoted up up up and out of clinical roles into 8D regional governance roles. I'd hope some of these find a way back to clinical work, where they're sorely needed.

NHS England does things that should be done by the Department of Health and Social Care. It's layers of governance and monitoring that should not exist between government and trusts.

Bringing these jobs further into government should make it harder to privatise.

But 43% approving feels worse.

He's only down 6 points from the election popular vote. Given the really awful things he's done since getting in, I'd have hoped his approval to be much lower.

I can barely believe you'd be so tone deaf to the feedback you've had so far, but I've since reviewed the privacy policy and it's insane how telemetry you think you think you have a legitimate interest in.

Wouldn't want to be your DPO this week.

www.mozilla.org/en-US/privac...

That's the problem: anyone can sue. If they have a hint of a case against you, and you can't afford to defence against WB's lawyers, you lose by default.

Yay, justice!

The best part is them coming to us, cap-in-hand to fund infrastructure improvements. It's water companies all over again.

We take all the risks, they take all the profits.