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	<title>Comments on: Dirty Welsh Laundry</title>
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	<link>http://diagnosisnfi.wordpress.com/2006/12/07/dirty-welsh-laundry/</link>
	<description>The musings and occasional rants of an Emergency Care Practitioner</description>
	<pubDate>Thu, 15 May 2008 17:53:38 +0000</pubDate>
	<generator>http://wordpress.org/?v=MU</generator>
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		<title>By: Genericr Valium</title>
		<link>http://diagnosisnfi.wordpress.com/2006/12/07/dirty-welsh-laundry/#comment-22122</link>
		<dc:creator>Genericr Valium</dc:creator>
		<pubDate>Tue, 08 May 2007 10:04:05 +0000</pubDate>
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		<description>This is really fresh idea of the design of the site! I seldom met such in Internet. Good Work dude!</description>
		<content:encoded><![CDATA[<p>This is really fresh idea of the design of the site! I seldom met such in Internet. Good Work dude!</p>
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		<title>By: Peni</title>
		<link>http://diagnosisnfi.wordpress.com/2006/12/07/dirty-welsh-laundry/#comment-22153</link>
		<dc:creator>Peni</dc:creator>
		<pubDate>Sat, 03 Mar 2007 11:34:01 +0000</pubDate>
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		<description>Your site best</description>
		<content:encoded><![CDATA[<p>Your site best</p>
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		<title>By: Vaha</title>
		<link>http://diagnosisnfi.wordpress.com/2006/12/07/dirty-welsh-laundry/#comment-22087</link>
		<dc:creator>Vaha</dc:creator>
		<pubDate>Thu, 21 Dec 2006 09:55:25 +0000</pubDate>
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		<description>just test soft-a :))))</description>
		<content:encoded><![CDATA[<p>just test soft-a :))))</p>
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		<title>By: ecparamedic</title>
		<link>http://diagnosisnfi.wordpress.com/2006/12/07/dirty-welsh-laundry/#comment-22091</link>
		<dc:creator>ecparamedic</dc:creator>
		<pubDate>Thu, 07 Dec 2006 21:21:42 +0000</pubDate>
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		<description>How long is a piece of string?

I suspect the problems are many and varied but at a rough guess i'd suggest any combination of the following.......

Spec changing during the procurement process.

Believing the reps at AMBEX.

Constantly trying to reinvent the wheel, not learning from others mistakes.

Descision making power being taken away from those closer to where the equipment will be used.

A 'Yes Man' culture, it's the only way to keep your job tolerable sometimes.

An apparently good purchasing budget being slashed/raided during the procurement process.

Key staff 'having problems' dealing with their colleagues.

Not listening to or even consulting with a broad spectrum of end users for equipment being purchased. Just asking the 'Yes men' might speed the process but it doesn't promote the chances of getting it right first time.

'Special purchases' that get under the wire when money needs to be spent quickly.

Kit speccing being done by non-clinical staff who have never used the kit they are replacing.

Procurement departments often being run on small numbers of staff, the quickest solution becomes the best.

Down speccing kit in order to save a few pennies, then having to buy either an upgrade or a separate bit of kit to make up the deficit.

Value being measured by cost rather than by performance over time.

Plenty more I'm sure......

SD
;-)</description>
		<content:encoded><![CDATA[<p>How long is a piece of string?</p>
<p>I suspect the problems are many and varied but at a rough guess i&#8217;d suggest any combination of the following&#8230;&#8230;.</p>
<p>Spec changing during the procurement process.</p>
<p>Believing the reps at AMBEX.</p>
<p>Constantly trying to reinvent the wheel, not learning from others mistakes.</p>
<p>Descision making power being taken away from those closer to where the equipment will be used.</p>
<p>A &#8216;Yes Man&#8217; culture, it&#8217;s the only way to keep your job tolerable sometimes.</p>
<p>An apparently good purchasing budget being slashed/raided during the procurement process.</p>
<p>Key staff &#8216;having problems&#8217; dealing with their colleagues.</p>
<p>Not listening to or even consulting with a broad spectrum of end users for equipment being purchased. Just asking the &#8216;Yes men&#8217; might speed the process but it doesn&#8217;t promote the chances of getting it right first time.</p>
<p>&#8216;Special purchases&#8217; that get under the wire when money needs to be spent quickly.</p>
<p>Kit speccing being done by non-clinical staff who have never used the kit they are replacing.</p>
<p>Procurement departments often being run on small numbers of staff, the quickest solution becomes the best.</p>
<p>Down speccing kit in order to save a few pennies, then having to buy either an upgrade or a separate bit of kit to make up the deficit.</p>
<p>Value being measured by cost rather than by performance over time.</p>
<p>Plenty more I&#8217;m sure&#8230;&#8230;</p>
<p>SD <img src='http://s.wordpress.com/wp-includes/images/smilies/icon_wink.gif' alt=';-)' class='wp-smiley' /></p>
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		<title>By: Scientist</title>
		<link>http://diagnosisnfi.wordpress.com/2006/12/07/dirty-welsh-laundry/#comment-22090</link>
		<dc:creator>Scientist</dc:creator>
		<pubDate>Thu, 07 Dec 2006 19:27:45 +0000</pubDate>
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		<description>Why is NHS procurement so rubbish?</description>
		<content:encoded><![CDATA[<p>Why is NHS procurement so rubbish?</p>
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	<item>
		<title>By: ecparamedic</title>
		<link>http://diagnosisnfi.wordpress.com/2006/12/07/dirty-welsh-laundry/#comment-22089</link>
		<dc:creator>ecparamedic</dc:creator>
		<pubDate>Thu, 07 Dec 2006 19:10:28 +0000</pubDate>
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		<description>Ah disciplinaries, the final result of crap leadership and non-existant supervision.....


How does the song go?


'There may be trouble ahead.............'</description>
		<content:encoded><![CDATA[<p>Ah disciplinaries, the final result of crap leadership and non-existant supervision&#8230;..</p>
<p>How does the song go?</p>
<p>&#8216;There may be trouble ahead&#8230;&#8230;&#8230;&#8230;.&#8217;</p>
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		<title>By: Kingmagic</title>
		<link>http://diagnosisnfi.wordpress.com/2006/12/07/dirty-welsh-laundry/#comment-22088</link>
		<dc:creator>Kingmagic</dc:creator>
		<pubDate>Thu, 07 Dec 2006 16:58:14 +0000</pubDate>
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		<description>I,ve noticed recently, or over the last year or so, that there appears to be a fair whack of disciplinarys and final written warnings flying about in my service.
Also the purge against sickness seems to be taking on a Stalinlist flavour.
We too are changing our rotas, yet again, to match resources. But we still cant get a second crew for our station as the figures say we dont need one! And theres me and my mate doing 9 jobs last night...again!</description>
		<content:encoded><![CDATA[<p>I,ve noticed recently, or over the last year or so, that there appears to be a fair whack of disciplinarys and final written warnings flying about in my service.<br />
Also the purge against sickness seems to be taking on a Stalinlist flavour.<br />
We too are changing our rotas, yet again, to match resources. But we still cant get a second crew for our station as the figures say we dont need one! And theres me and my mate doing 9 jobs last night&#8230;again!</p>
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