The Monday Morning Quote #163

 

“Your time is limited, so don’t waste it living someone else’s life.

Don’t be trapped by dogma – which is living with the results of other people’s thinking.

Don’t let the noise of others’ opinions drown out your own inner voice.

And most important, have the courage to follow your heart and intuition.”

Steve Jobs

Research – Heads you win…..

What’s a boy to believe?

Heads you win…

Gum Disease Not Found To Cause Heart Disease Or Stroke read more here

Tails you lose

Risk Of Blood-Vessel Constriction Linked To Gum Disease May Be Increased By Specific Protein read more here

And lose again..

Researchers Find Joint Failures Potentially Linked To Oral Bacteria read more here

And win again

Oral Cancer Detection Could Dramatically Increase With Saliva Test read more here

 

The Monday Morning Quote #162

“Hell isn’t merely paved with good intentions; it’s walled and roofed with them.

Yes, and furnished too.

Aldous Huxley

Looking Back on the Limits of Growth – the world is on track for disaster….

Recent research supports the conclusions of a controversial environmental study released 40 years ago: The world is on track for disaster. So says Australian physicist Graham Turner, who revisited perhaps the most ground breaking academic work of the 1970s,The Limits to Growth.

Written by MIT researchers for an international think tank, the Club of Rome, the study used computers to model several possible future scenarios. The business-as-usual scenario estimated that if human beings continued to consume more than nature was capable of providing, global economic collapse and precipitous population decline could occur by 2030.

However, the study also noted that unlimited economic growth was possible, if governments forged policies and invested in technologies to regulate the expansion of humanity’s ecological footprint. Prominent economists disagreed with the report’s methodology and conclusions. Yale’s Henry Wallich opposed active intervention, declaring that limiting economic growth too soon would be “consigning billions to permanent poverty.”

Turner compared real-world data from 1970 to 2000 with the business-as-usual scenario. He found the predictions nearly matched the facts. “There is a very clear warning bell being rung here,” he says. “We are not on a sustainable trajectory.”

Original story in Smithonian.com here.

The end of the diva paradox – Seth is right again

From Seth Godin – who is correct as usual.

The end of the diva paradox

Great surgeons don’t need to be respectful or have a talented, kind or alert front desk staff. They’re great at the surgery part, and you’re not here for the service, you’re here to get well (if you believe that the surgery part is what matters). In fact, gruffness might be a clue to their skill for some.

Great opera singers don’t have to be reasonable or kind. They sing like no one else, that’s why you hired them, and why they get to (are expected to) act like divas. Get over it.

So the thinking goes.

The traditional scarcity model implied some sort of inverse relationship between service and quality. Not for service businesses like hotels, of course, but for the other stuff. If someone was truly gifted, of course they didn’t have the time or focus to also be kind or reasonable or good at understanding your needs. A diva was great partly because, we decided, she was a jerk.

I think that’s changing, possibly forever, for a bunch of reasons:

  • The state of the art is now easier to find. Word spreads about behavior and service faster than ever. As a result, customers quickly become aware of what a raw deal they’re getting from this supposedly gifted individual.
  • It’s so much easier to deliver better service (Dr. Diva, please send me an email if you’re running late!) that we’re far less forgiving.
  • Since just about any intelligent and caring person can use technology and a bit of humility to deliver better service (see above), we start to wonder whether that diva provider actually is intelligent and caring. And if he isn’t, it doesn’t really matter if he has some sort of skill, because uncaring hands are worth avoiding.
  • With fewer great gigs available (even in opera), it’s not so easy act like a jerk (or be insulated and uncaring) and still get work.

Ther Monday Morning Quote #161

“The difference [between a good coach and an average coach] is knowing what you want, and knowing what the end is supposed to look like.

If a coach doesn’t know what the end is supposed to look like, he won’t know it when he sees it.”

Vincent Lombardi

The Monday Morning Quote #160

“Which of us is not saying to himself — which of us has not been saying to himself all his life: “I shall alter that when I have a little more time”?

We never shall have any more time. We have, and we have always had, all the time there is.”

Arnold Bennett in How to Live on 24 Hours a Day

The Monday Morning Quote #159

‘Those people who can stand at the intersection of the humanities and science, the liberal arts and technology, that intersection, are the people who can change the world’.”

Edwin Land to SteveJobs
As told to Walter Isaacson in his authorized Biography, Steve Jobs

One in four dentists suffer stress

From Dentistry online

How the silver haired, silver tongued Mr Lansley can effectively say “well that’s alright then” is beyond me. I have highlighted some of the figures that I find most disturbing. These findings are be unacceptable and the Secretary of State should say so.

Yet again is the use of “NHS” as a brand or badge.

Almost one in four NHS dentists has suffered from work-related stress in the last year, according to a new survey.
The annual NHS Staff Survey revealed 23% of respondents had endured the work-related illness.
In addition, 10% say they have been victims of discrimination and a further 13% endured harassment, bullying or abuse from patients in the past 12 months.
Five per cent of dentists had suffered physical violence from patients in the last year.
Working extra hours remains a problem with 87% working unpaid hours.
But it would appear most NHS dentists are happy in their jobs with 95% saying they believe they make a difference, and 89% valued by their colleagues.
However, they want to go further as just 73% are satisfied with the quality of work and patient care they deliver.
Work-related injuries were reported by 7% of the participants and 44% admitted to witnessing a potentially harmful error, near miss, or incident in the last month.
The staff poll questions workers in 38 key areas which also included work/life balance, work pressure felt, job satisfaction, support from management and training given.
Overall, the Department of Health said the results were the same or better in 25 out of 38 key measures compared with the previous year.
Health Secretary Andrew Lansley said: ‘This survey shows that NHS staff remain committed to providing the highest quality of care to their patients.
‘The number of staff happy with the standard of care remains stable, with some foundation trusts performing to a very high standard. Too many trusts continue to have less favourable levels of recommendation to family and friends. The NHS should use this as a basis for seeing improvement in the services we deliver for patients in the future.’
In total 250,000 NHS staff, including pharmacists, paramedics, and mental health workers, were sent a questionnaire and 134,967 responded.
The results are mainly used by NHS organisations to help them review and improve staff experience so that staff can provide better patient care.
Consultant doctors and dentists are grouped in the same category but does not include trainee dentists.
Author
Anika Bourley

Fits well with this from Jo Taylor

NHS Pension Changes 2015 – Proposed Final Agreement

From Financial Tips! – Published every 4 weeks by Rutherford Wilkinson Ltd, written by Financial Planners Ray Prince and Graeme Urwin.

NHS Pension Changes 2015 – Proposed Final Agreement

On March 9th the Department of Health released a Proposed Final Agreement document for the NHS Pension Scheme following many months of debate.

Basically, it’s the governments final offer on what the NHS pension scheme will look like after 1 April 2015. The headline contents haven’t changed at all since the previous iteration of December 2011 (which the government referred to as the ‘Heads of Agreement’).

In a nutshell, we are still looking at a CARE (Career Average Revalued Earnings) scheme with an accrual rate of 1/54 of pensionable pay, the linking of the Normal Pension Age with the State Pension Age, and increases to employee contributions of 6% over the next three years.

Let’s take a look at the main proposals:

  • A pension scheme design based on career average (keep in mind that the General Pratitioners and General Dental Practitioners currently accrue NHS pension benefits on a CARE basis)
  • An accrual rate of 1/54th of pensionable earnings each year
  • Revaluation of active members’ benefits in line with CPI plus 1.5% per annum
  • A Normal Pension Age equal to the State Pension Age, which applies both to active members and deferred members (new scheme service only). If a member’s SPA rises, then NPA will do so too for all post 2015 service. Pre-2015 accrued rights will continue to be related to existing NPAs as will any  benefits accruing post 2015 to protected members
  • Pensions in payment to increase in line with inflation (currently CPI)
  • Benefits to increase in any period of deferment in line with inflation (currently CPI)
  • Average member contributions of 9.8%, with tiered contributions
  • Optional lump sum commutation at a rate of £12 of lump sum for every £1 per annum of pension foregone in accordance with HMRC limits and regulations
  • The current flexibilities in the 2008 section: early/late retirement on an actuarially neutral basis, draw down of pension  on partial retirement and ability to retire and return to the pension scheme will be included in the 2015 scheme
  • Ill-health retirement pensions to be based on the current ill-health retirement arrangements but with enhancement for higher tier awards to be at the rate of 50% of prospective service to normal pension age
  • Spouse and partner pensions to continue to be based on an accrual rate of 1/160th. For deaths in retirement, spouse and  partner pensions will remain based on pre-commuted pension
  • The current arrangements for abatement (for service accrued prior to and post 2015) will be retained
  • Lump-sum on death in service will remain at two times actual pensionable salary
  • For members wishing to retire before their state pension age there will be an opportunity to pay additional contributions to fund earlier retirement of up to 3 years early without an actuarial reduction
  • Added Years contracts in the 1995 section will continue on compulsory transfer to the 2015 scheme
  • Additional pension arrangements will continue
  • The operation of the Public Sector Transfer Club will be subject to further consideration and discussion between schemes

Some of the transitional protection includes:

  • All accrued rights are protected and those past benefits will be linked to final salary when members leave the scheme. Existing arrangements with respect to the Uniform Accrual  Formula for Medical Health Officers (MHOs) will continue to apply for staff who move to the new arrangements
  • All active NHS Pension Scheme members in the 1995 arrangements with a pension age of 60 or 55 who, as of 1 April 2012, have 10 years or less to their current pension age, including MHOs and members of the special classes, will see no change in when they can retire, nor any decrease in the amount of pension they receive at their current Normal Pension Age. This will be achieved by allowing such members to remain in their current arrangements until they retire
  • The current rules requiring staff in the 1995 scheme to retire, take all benefits and be prohibited from further pension scheme membership will be retained but with the following changes. Staff on taking their 1995 benefits after the age of 55, will be able to defer their 2015 benefits but without the possibility of further accrual
    Indicative Contribution Rate Structure (before tax relief)

Earnings                        11/12     12/13   13/14   14/15

£48,983 to £69,931      6.5%      8.9       11.3     12.5
£69,932 to £110,273     7.5%      9.9       12.3    13.5
Over £110,273                8.5%    10.9       13.3    14.5

The Financial Tips Bottom Line

From April 2015 the NHS pension scheme will be changing for all members. We’re certain the government will stick to their guns with the Proposed Final Agreement, but it will also be interesting to see whether doctors do vote for industrial action.

Action Point

The BMA in particular have been quite vociferous about the proposed changes. Starting on Monday 19 March they are running a series of roadshows where doctors can find out more details about the proposed changes and how they will be affected.

You can also see how much you stand to lose by visiting the modeller on the BMA’s website. BDA members can read their views here.

You can download the full Proposed Final Agreement document here.