Monthly Archives: December 2011

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Posted in Philosophy | Tagged , , | Leave a comment

The Fetishisation of Perfection

Beyond Anomie has commented: “The title of this post is a lament at how much of the world either cannot play, or refuses to play.  Instead, they focus on improving things in an endless search for perfection.  While superficially a laudable goal, the … Continue reading

Posted in Bureaucracy, Cartel, Management, Medicine, Philosophy, Practical problems, Psychology, Science | Tagged , , , , , , , | Leave a comment

Pareto approximately

Dr Gordon Brown thought investment meant expenditure of borrowed, fraudulent money. He “invested” copiously in the NHS amongst other places.  One aspect of it was the Private Finance Initiative (PFI). The concept was initiated by Conservatives to enable the current government … Continue reading

Posted in Bureaucracy, Economics, Management, Medicine, NHS, Politics | Tagged , , , , , , , , , , , , , | Leave a comment

The terrorist button

This terrorist button may not yet be connected.   Remember to finish your sandwich.

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Bureaucracy creation agencies

Lord Clement-Jones remarked in 2003 of the dismemberment of the long-established Public Health Laboratory Service (PHLS), “The suspicion is growing that the transfer plans are a pure cost-cutting measure by the Government, and yet, paradoxically, moving these laboratories to a more … Continue reading

Posted in Bureaucracy, Computing, Economics, Laboratory medicine, Management, Medicine, NHS | Tagged , , , , , , , , | Leave a comment

The end of quality improvement – again

This blog previously drew attention to Robert H. Brook’s article in JAMA regarding the end of quality improvement.   Value is replacing expensive dreams of quality.  Accreditation certificates paper over the loss of quality caused by management following plausible but wrong … Continue reading

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Not quite “the most anal-OCD masters of the universe” (with pictures)

Photographers don’t need the inspection cartel to make them obsessive, but they deal with it differently. “…’Bad lenses are rare, but the people who examine them with anal zeal are not and this article won’t cure them, sad to say.’ … Continue reading

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Sanctions

Between July and September 2011 UKAS imposed the following sanctions (non-payment of fees not counted). Imposed total suspensions: 1 lab, 2 inspection bodies. Imposed total withdrawal: 0. Quality remains high.  Income stream is steady.

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Protesting against rain

“We are all going to get poorer and poorer for the rest of our lives. This is because this country long ago chose to live beyond its means, and the blazing red Final Demands are now cascading on to the … Continue reading

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Harm is inevitable

When the inspectors come, one of their stock phrases is that the inspection is “just a sampling exercise” and cannot assure that absolutely everything is correct.  I never thought otherwise, though probably some do.  The disclaimer is important to their … Continue reading

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