LondonMix

Prices had already started to increase by the end of 2009 so 2010-2011 was a rising market too, just not as intense. Its easy to say buy in 2010 but then the required deposits meant many people couldn't buy. That's why when deposit rates fell, the market went crazy. Plus people need to move when they need to move. Trying to wait for a crash when your life circumstances require more space isn't always possible.

There are stabbings in ED.

For anyone who is interested in the actual details of the proposals: https://www.gov.uk/government/speeches/nhs-7-day-services-and-the-junior-doctors-strike Secondly, there is concern that the government may want to see all NHS services operating 7 days. Let me be clear: our plans are not about elective care but about improving the consistency of urgent and emergency care at evenings and weekends. To do this, the Academy of Medical Royal Colleges has prioritised 4 key clinical standards that need to be met. These include making sure patients are seen by a senior decision maker no more than 14 hours after arrival at hospital; 7 day availability of diagnostic tests with a 1 hour turnaround for the most critically ill patients; 24 hour access to consultant directed interventions, such as interventional radiology or endoscopy; and twice daily reviews of patients in high dependency areas such as intensive care units. Thirdly, there is the concern that proper 7 day services need support services for doctors in the weekends and evenings as much as doctors themselves. Less than half of hospitals are currently meeting the standard on weekend diagnostic services, meaning patients needing urgent or emergency tests on a Saturday or Sunday, such as urgent ultrasounds for gallstones or diagnostics for acute heart failure, face extra hours in hospital at weekends or even days of anxiety waiting for weekday tests. Our new standards will change this, with senior clinician-directed diagnostic tests available 7 days a week for all hospitals by 2020.

The government don't actually want 7 day elective service though. They want 7 day emergency service with senior consultants carrying out diagnostic testing. I think the plan they have won't work but its important to be clear what they are actually hoping to achieve. heartblock Wrote: ------------------------------------------------------- > I was asked to formulate a plan to provide a 7 day > NHS service with the same amount of staff and at > the same cost by the senior management in a large > south London trust due to pressure from the DOH. > Of course this ask was completely ridiculous in > that if staff work a 37.5 hr week - they will > either have to work overtime that needs to be paid > or not work on one of the week days - which would > mean closing a diagnostic room down on a weekday > and cancelling a list of patients on a weekday. > Also patients prefer to be seen electively on a > weekday - I've asked patients and the vast > majority want urgent care over the weekend, but > really do not want to come in for routine care at > the weekend. Intellectually I cannot understand J. > Hunt's reasoning. If he wants elective cover > across 7 days then he needs to fund more doctors, > nurses, porters, laboratory staff, radiographers, > clinical scientists, physios etc. Doctors do not > work in isolation they are just one part of the > team - a 7 day elective non-emergency service > would be very expensive and I'm not sure it's > necessary. The weekend death rates the J H is > using for his argument is flawed - patients who > attend and are admitted to a hospital at the > weekend do so due to an urgent medical need - > obviously suffering from an issue that is life > threatening or serious in nature - therefore the > patient is at a higher risk of death due to the > nature of their illness.

I think more than that is necessary. To deal with the existing recruitment crisis in A&E and maternity, they needed to increase both base pay and the rate for unsociable hours,but only in those services where they are struggling to recruit. Once they can recruit staff in adequate numbers, the overtime issue will automatically resolve itself. The real crisis as concerns doctors is the recruitment crisis. Everything else can't be addressed without tackling that first. Otta Wrote: ------------------------------------------------------- > LondonMix Wrote: > -------------------------------------------------- > ----- > > The policy overall is bad but they are raising > > base pay for all junior doctors and trying to > > reduce overtime. The only difference is they > are > > lowering the supplementary pay doctors get for > > Saturday and evening work. > > > > What did you have in mind? > > > A higher offer. > > I basically think the idea of higher salary, less > overtime, and unsocial hours rate is good. And I > suspect the doctors would have stayed at the table > had there been continued negotiations over the > fine details and numbers.

The policy overall is bad but they are raising base pay for all junior doctors and trying to reduce overtime. The only difference is they are lowering the supplementary pay doctors get for Saturday and evening work. What did you have in mind?

I agree with rahrahrah that is the most severe outcome that's probable or that would be proportionate. Its worth noting what the Commission has said on this to the press: http://www.mirror.co.uk/news/uk-news/tory-mps-broke-election-laws-7467576 ...the Commission added: ?We?d usually consider a national bus tour paid for and authorised by a political party to constitute party campaign spending where it is intended to promote electoral success for the party by the election of candidates standing in the name of that party.? Given the above, I'd put the probability that this turns into anything at zero. That's probably explains the general silence you find so terrifying.

Agreed. The government have put aside funding for an additional d 11,000 doctors as part of the overall NHS proposal. However, the current pay package and the governments approach means they won't be able to get anywhere near those numbers. They already are heavily recruiting from abroad to make up some of the existing shortage.

http://www.bbc.co.uk/news/health-35667939 There is a 9% vacancy rate for nurses and a 7% vacancy rate for doctors. The government would much prefer to hire more staff and pay less overtime-- its much cheaper to do so. However, they simply cannot recruit enough people in the understaffed areas of the NHS (primarily A&E and maternity). If you can't fill existing positions, dropping pay in the areas where there are shortages is totally idiotic.

The government want to recruit more doctors! There are actually new restrictions on overtime some of which is governed by EU law. However, its all meaningless though as A&E and maternity are already understaffed. Working overtime and holidays (despite technically not being required / allowed) are endemic to deal with the pre-existing staff shortages. That's my issue with this policy. Working A&E etc is already awful because the T&C are worse than they legally should be because of major staff shortages. The government want to reduce pay for weekends and evenings, which will further exacerbate the recruiting crisis. I get what they are trying to do but it simply won't work.

Probably. I have a friend buying in the area at the moment. Initially people treat house buying like shopping for a wedding dress. Once the market has broken you down, people starting treating it like shopping for a sensible pair of work shoes for a job that requires you to be on your feet all day. Most of the houses around here are practically the same. Most special features you see can be recreated (including restoring original features) for less than the premium people pay for them in tact. By the end our house search we'd boiled down our list to these essentials: 1. Within a 10-12 min walk to the station 2. Close to Lordship Lane (no more than a few minutes to the shops / gym etc) 3. Within a 10-12 min walk to Dulwich Park 4. The potential to extend / convert the loft 5. In the catchment of at least one primary school, though preferably more than one. 6. Victorian or Edwardian I think if anyone's essentials list is longer than 5 or 6 realistic things, it will be impossible to buy.

The only way to set pay is to do so at a level at which you can recruit. It has nothing to do with any other consideration. The government's policy is wrong because even at current pay levels there is a recruitment crisis in emergency work and maternity services. Lowering pay (by reclassifying which hours attract extra pay) is idiotic under these circumstances. It will only make the shortage in these areas worse.

No one is asking junior doctors to work more rahrahrah! Doctors are being asked to work the same or fewer hours. However, more of the shifts on the rota would be weekends and evenings, when cover right now is comparably low. Because the NHS pay more for weekend and evening work under the old contract, the reduce the financial impact of this change, the NHS want to reduce pay for unsociable working times. They have redefined basically what's considered unsociable so they don't have to pay for early evening shifts and shifts on Saturdays.

Otta Wrote: ------------------------------------------------------- > Personally I think it's quite shocking how low the > pay is for people that have studied for years to > qualify as a doctor. But what I think they should > do is raise their basic salary, and reduce > opportunities to supplement with overtime rates. Otta, that's kind of what the government is doing. I actually don't agree with Hunt on this at all though. The basic salary for all junior doctors is going up, but pay for unsociable hours and opportunities for overtime are going down. 80% of junior doctors will be better off but the 20% who typically work lots of unsociable hours (A&E, maternity etc) will be worse off despite the pay rise. The government has guaranteed that those worse off based on the new rules will be guaranteed their current pay levels for 3 years. There are 2 problems with this: 1. What happens after 3 years? 2. A&E, maternity etc are already understaffed because the work is so unsociable. Decreasing the pay for unsociable work is only going to make it harder to recruit junior doctors in future. I don't think many existing doctors are going to leave the NHS. However, the impact on recruitment could be devastating and fairly immediate. I get the government needs to cut costs but you can't pay people less than they are willing to work for. The current recruitment crisis makes this abundantly clear and the quality of service will only deteriorate if few junior doctors go into emergency care. I think its more idiocy than a conspiracy though. Spiraling NHS costs are a real concern given the UK's demographics. Tough decisions need to be made about taxes or the level of service acceptable to the public.

Something else will come along and if their bid was close this time they'll eventually win. Blah Blah Wrote: ------------------------------------------------------- > But it's not as easy as just finding something > else LondonM. There's an asking price and then a > secret auction! This is always going to put people > at a disadvantage unless they bid stupidly over > the asking price. It's part of what is wrong with > the market. If a home is to go to the highest > bidder, then it should be in an open auction.

New construction is infinitely faster than adaptations to existing structures. Its not comparable.

Supposedly summertime around June but who knows if that's still the case.

I doubt it was down to a few hundred quid. The other bidder must have been in a better position-- all cash, no chain, larger deposit or whatever. The homes is this area are largely a dime a dozen architecturally. Unless you were bidding on one of the more unusual houses, you'll find something else similar that you can make into whatever you liked about the house you lost. Good luck

It's not a cafe or fast food. Meat Liquor is moving on to Lordship Lane though if you want a fancy burger.

You can move. You'll need to provide evidence that you don't own your old home anymore and that you are living where you say you are but beyond that you should be fine I think. Renata might be able to provide more practical advice so try to PM her. She is very responsive.

I was going to come on and recommend melange as well but I see you've been and decided they didn't have the packaging you wanted. One idea for future would be to buy a nice box to put the chocolate bars in and tie it with some ribbon. I'm sure the various gift shops would have something suitably posh looking.

Yes, I know but I take the chance to say that on every thread like this in case Nando's corporate are monitoring mentions of their name online. Just putting it out into the universe! Jeremy Wrote: ------------------------------------------------------- > It obviously won't be a Nando's - although we'd > certainly use it...

Also Joe Leg, I think there are a lot of restaurants and coffee shops because other retailing is moving heavily online. That means experienced based retailing is what will dominate, particularly in an area like this that has good but not city center type footfall. I'm actually surprised that Sweaty Betty, Question Air, Oliver Bonas, White Stuff, ED Warehouse, Mrs Robinson and the smaller clothing boutiques (I can think of 5 but don't know all their names) make sense in this area. Perhaps we are just far enough away from a major shopping area (high or low end) with just the right amount of footfall to make it work. However, with so much retailing closing down to online competition, I'm still happily surprised this area can support such a large cluster of different types of shops. We've got a few jewelry stores, galleries, florists and garden shops, a cinema, 11 pubs, a toy store, clothing and shoe stores, ceramics places, captured on the rye, and two bookstores. This is in addition to all the restaurants, cafes, deli's and bakeries. On the practical side, we've got a large locksmith, two DIY shops, various corner shops, the paint shop, two bathroom and kitchen suppliers, pharmacies, a joiner, a roofer, window and door shops, picture framers, hair dressers, dry cleaners, the cobbler, fishmonger, butcher, independent grocers, two vets, acupuncturists, beauty salons, beauty shops, the library, estate agents (too many), barbers, two gyms, physiotherapists, yoga and Pilates studios, paid squash courts, tennis clubs, baby classes, the kitchen supply store, gift shops, home decor shops etc etc etc

I use that Londis fairly regularly. It has the widest magazine selection of the various shops. That is all I go in there for though. I'd love a Nandos! Looking at how small this is though, I'm not sure its large enough for most chain restaurants like that. Maybe a Ping Pong-- I've been in a really tiny one of those on Oxford St. Probably just another small group though like ToastED, Blue Mountain or the Flying Pig that have a few restaurants (sometimes under different names) in London.

What makes this look like a fast-food store or coffee shop? I'm not saying it isn't (I don't know) but the drawings clearly state its a restaurant and there are no ordering counters in the internal layout. Without an ordering counter I can't see how or why anyone would think this was a fast food restaurant or a coffee shop rather than just a restaurant.