maxxi

In response to emails I sent to healthwatch Southwark and NHS England I've had the following in reply (from the latter via the former) In reply to my asking why the practice was closing rather than being taken up by another GP: Dr Sarma holds a PMS contract this is the (provision of a set of services which are specified in the actual GP contract ), which is commissioned under a local arrangement. GPs that hold a PMS contact may ask NHS England, upon retirement, to take on a partner as part of their retirement plan. This allows a single handed GP practice to be maintained in the longer term. Dr Sarma did not request to take on a partner at the East Dulwich Medical Centre, and handed back his contract to NHS England. And in reply to why patients were being palmed off onto other practices with no say in the matter despite local information seeming to stress these other practices were over-subscribed and waiting times for appointments and/or getting phone calls answered were already excessive: NHS England looked at three options for the contract and patient list: whether there is sufficient capacity and interest in the local area for patients to register with neighbouring GP practices to procure the existing patient list to place the list under temporary arrangements In this case, a review found that there were eleven alternate GP practices that were within 1.2 miles of East Dulwich Medical Centre. All of these practices had capacity for additional patients and wished to accept Dr Sarma?s patients. So it would appear that the eagerness of the other practices to 'accept' a large influx of new patients was the deciding factor. Makes you wonder how 'capacity' is decided and how many patients these practices have to have before they consider themselves full.

El Pibe Wrote: ------------------------------------------------------- > > I'm hoping today should deliver the most > satisfying set of matches so far. I'm quietl;y > confident for Spain which is usually the kiss of > death. Agreed - and shall be rooting for Chile so consider your k.o.d. cancelled out.

or call it Morning Glory and just keep it trimmed/trained back and remove the flowers before they seed - it can be attractive

"How are you?" is surely a question we hope not to get a full and frank answer to; "Well, actually, I'm a little bit low right now, you see I've been having these....." So I'd happily accept "Good" "Fine" "Top hole" or any answer of similar brevity. My OH (and her family/friends) more often put the emphasis on the first rather than second word (and often use the previously mentioned archaic "ye" for "you") so it becomes "How are ye?" Which I think always sounds more like a greeting (than an enquiry)

first mate Wrote: ------------------------------------------------------- > Note that on the list of alternative GP practices, > up first (by virtue of proximity) is the disaster > that is MGMP- I'm sure Concordia/MGMP would love > to plump up their numbers since, or so it would > seem, patients have been leaving in their droves > over the years. Hmmm. Just to reiterate - I left MG to go to Dr Sarma and would rather have a monkey with a stick try to cure my ailments than go back there. When and if the axe falls that is the LAST place anyone who cares about their health should think of.

M?llered

Blowers had me convinced he'd gone on the second to last ball - exciting but oh, for a class spinner.

Sabrina - people already aware and more discussions here - check out this thread http://www.eastdulwichforum.co.uk/forum/read.php?5,1335717,1339467,page=2#msg-1339467

It's ITV so you could always watch ITV+1 for a 6pm kick-off and live your life an hour in the past for an hour or two - as long as you don't meet yourself hurrying home from work you'll be fine.

Otta Wrote: ------------------------------------------------------- > Another "tred" surely? At least you didn't say "to be sure?"

El Pibe Wrote: ------------------------------------------------------- > uncleglen was just showing us how to talk absolute > shite. selfelss my friend ;) Now EP, you know there's a difference between absolute shite and absolute bollix (as your new neighbours would probably call it). That is quite another trehad.

Parkdrive Wrote: ------------------------------------------------------- > maxxi Wrote: > -------------------------------------------------- > ----- > > You're probably only thinking of French > > footballers - in which case I waive my > objection > > In comparison to the Irishman Roy Keane who is a > model of professionalism and a nice man to boot. > Boot being the operative word. Agreed - but he wasn't boring the arse off me with his monotonous deadpan observations on the game. Henry on the other hand....

Whilst we're on the subject - I have a new culinary love - the nduja salami from the young couple who have the olives and salami stall on NthX market. Had it a couple of weeks ago and ate most of it raw (delicious) but on their advice heated up small portions of the second one to dip into with bread etc, and/or use as pasta sauce - DELICIOUS.

only here to bump this thread - the way things are going it may soon be the only sanctuary left for the terminally bewildered

DaveR Wrote: ------------------------------------------------------- > So maybe SJ can explain the morally sound > circumstances in which someone can end up owning > two houses and renting one out? Like if your gran > (who was lovely to everyone) dies and you inherit > her house, and then you decide to keep it and rent > it out, though of course you charge less than > market rent, and make sure you rent it out to > lovely people, and if god forbid you make any > money via capital appreciation you only keep a bit > and donate the rest to poor Guardian readers (if > you can find any). > > Is that how it goes? methinks the money grabbing, poor-exploiting, nest-feathering bastard doth protest too much - nah, I'm only kidding.

Viva japan! sorry..... 日本の長いライブ ！

You're probably only thinking of French footballers - in which case I waive my objection

Loz Wrote: ------------------------------------------------------- > maxxi Wrote: > -------------------------------------------------- > ----- > > That DOES kinda stick in the craw - the energy > sapping, mind numbingly dull and too-slowly > > delivered observations of a confirmed cheat > lighting up the studio. > > Oh, please - show me a professional footballer and > I'll show you a confirmed cheat. Ah, of course! They all cheat so let it go. Why didn't I think of that? And so if I name a few you will have the evidence to back this up?

The post-match comments by Hodgson & Gerrard should be written on stiff parchment and rammed down their throats with a starched otter. eta: I am staying the course in the hope of some footballing entertainment from Ivory Coast and Japan. (Asahi and Bangui - keep up)

That DOES kinda stick in the craw - the energy sapping, mind numbingly dull and too-slowly delivered observations of a confirmed cheat lighting up the studio. And you're right - England DO have the players; what is unfortunately evident is they don't have the manager/coach to take advantage of that fact. Oh, and can someone shoot Danny Mills, PLEASE.

That was an inevitability that just took too much time happening. Sterling was the only one who gave it a go - the rest were in Hodgson's image - conservative, timid, clueless, stifled, lacklustre and just plain DULL. He was always going to produce a side of supply-teachers and that's what we have. Back off and do nowt until it's too late. Same old feckin' same old. I was enjoying the football up to this game but this game was poor - Italy won easily but they aren't that good - that's how bad it was.

StraferJack Wrote: ------------------------------------------------------- > Saw it more as a father ted ref maxxi Ah, okay. It was the lack of a "so" at the end that threw me.

The Italian sub is a big girl!* *La Donna e Immobile.... I'll get my cloak

StraferJack Wrote: ------------------------------------------------------- > Even more shocking mick, is the fact I'm up at > half past the midnight There's the giveaway - there be dragons.

Otta Wrote: ------------------------------------------------------- > I blame Phil Neville for everything. I've never wanted to punch a voice before...