idrsunny.bsky.social
Ex NHS š©ŗ. But still fighting for the NHS and social care
50 posts
1,778 followers
61 following
Getting Started
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Sorry I didnāt actually get this. Maybe me being slow.
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šÆ
Itās predetermined
The real truth will only come out 20 years later
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Too tired of all this Anthoulla. Just wish there was some honesty and integrity in the system
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ā¤ļø
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Hello :)
You lead the way here buddy - Iām super tired of it all over on X.
Just send me dog photos here and Iām happy :)
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šÆ
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Well that ship is sinking. I wonder if this will become similar.
I wonder if nonsensical folk will come here too.
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Too kind šš½
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lol Iāve said I wonāt talk about this issue on this platform :)
But ā¦ š
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Thanks Charlie :) šš½
Fresh air is needed indeed.
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@megsenmumdr.bsky.social
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You make hugely valid points.
That is a real risk yes.
I know someone will answer this - in fact Iāll point a couple of the right people to do so
But I think I just realised I donāt want to talk about the death of the NHS on here
But Richard- you get it - itās crazy
bsky.app/profile/idrs...
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But Iām pretty exhausted from it all
And this platform - the way I want to use it is to help enable growth for myself and others.
The writing is on the wall for the healthcare system (unless thereās a massive public uprising)
But I will keep out of the PA conversation on this platform šš½
(4/4)
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I hope the public do the right thing
As for me - Iām absolutely drained from the duplicitous nature of gov and various NHS bodies and the corrupt nature of it all that weāve witnessed
The sheer disdain for society leaders are showing
(3/4)
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My hope is that the public are more aware.
They need to decide for themselves what sort of healthcare system they want.
As an informed member of the public - Iām petrified for the future of U.K. healthcare
(2/4)
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To you it felt like a triage - I was trying to understand what was triage like about it.
And if it truly was that or was it something else.
Anyway honestly Iām not on Sky to talk about this issue.
I wish you the best in health and thank you for sharing.
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And if thatās the case - Iām wondering why that wasnāt an SHO (but sounds more like a reg clinic) but possibly on the SHO side
The future generation of doctors would be desperate to get such experience
Without giving them this - we eventually kill the healthcare system going forward
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Fair. Sorry I wasnāt trying to be invasive.
Thank you for sharing and I hope you are well.
Iām trying to understand what the purpose was of the clinic
It sounds like it was then possibly used to think about management plans going forward whether that was surgical management or otherwise etc
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Was there any other purpose to the clinic?
Or that was the singular question?
What was the outcome and did they then create a plan?
What did that look like and what were next steps for your care journey? (As much or as little as you can/want to say)
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Odd.
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Itās more than that Richard
Starting with the criteria used to recruit them here
The curriculum (itās essentially a PgDip not a masters - the masters component is a dissertation)
How they are being used to replace doctors
Intentionally being left unregulated for 20 years etc etc
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I think you need to follow the AMA more closely.
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And here is an example of what definitely should not be happening
:(
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Glad to hear that response - sounds like a great PA there who truly wants excellence for patients
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2) was the original referral from your GP?
3) was any consent etc taken during the consultation?
Many more questions but would be interesting to know some of this
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Thatās definitely a key part of the issue re the consent and understanding of whom someone is speaking to and their skillset and remit/role etc
Iām intrigued to understand more about this specialist triage that was felt appropriate-
1) was this the first time you were seeing the āsurgical teamā ?
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But then with the Ā£60 mil in commercial EBITDA - depending on what you are doing could be anything between Ā£4.5 mil through to Ā£9 mil.
S&P isnāt giving that.
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Also - leveraging I could do Ā£120-150 mil in BTL/residential real estate
But thereās a reason we choose to do Ā£60 mil in commercial instead.
You are absolutely right about the returns.
EBITDA with BTL etc will be Ā£1.5 mil for that letās say
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And yes sure some property may be easier - depending how you do it.
But commercial property and business is tough lol - however now it seems easy - all about hindsight I guess
But itās fully worth it
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Iāve seen ridiculously painful times financially and Iāve seen amazing Financial Times.
Maybe thatās what helps :)
But money comes and goes and I think building a brand and property business for oneself is a fun thing to do in life :)
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lol kids and lambos etc interesting.
Iāve had my fair share of exotics and a couple on order now.
But I have also sold them when I think I want to double down on building stuff
Think thatās just how you build the mentality of your kids and help them see value of money
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Diversification is critical.
The more you put in the more you get out (may not always be financially but the skills Iāve learnt are huge - and continue to learn) - to me I would add another Ā£50 mil to the portfolio value just for that for the learnings Iāve had and what I can use them for
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I hear you.
I donāt do much residential. Itās just 5% of our property portfolio.
Mainly itās commercial.
Love the thrill of building a great company and business with property as a component of it.
Love building things rather than just passive income etc.
S&P is great of course :)
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But there is a reason 35% of rich list cite property as their main stream of income/net worth
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But yes the doubling of property values which a lot of investors keep talking about is just wrong
Property prices havenāt even doubled in the last 20 years let alone 10 (across most of the U.K.)
Yes they have in certain parts for sure.
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Commercial property is giving a much better return than stock markets in general (itās also a lot more in your own control)
I think a balanced portfolio should have all sorts of investments and property is a crucial part of it - but definitely wouldnāt make it all of it.
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I wouldnt say thats the only good thing about property.
I think its obviously a tangible asset (hence the leverage)
There is only so much land in the world and property will generally typically rise. But most people miscalculate this.
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You too Erin :)
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Honestly crazy. Good to see you here :)
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Too kind of you to say.
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Thanks that was super helpful :)
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Oh Iāll check it out thank you
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:)
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Hello :)