Richard
@gardenrichard
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Straw bale builder. Works all day with good cheer if provided with flapjacks. Now in NHS day job, previous corporate career.
Joined March 2011
@OperaSocialist Heās consistent, proud of his Anglo Saxon heritage with the language of a Saxe Coburg as his head of state.
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@rorysutherland @michaelmiraflor Weāre not so different from our ancestors, Iām sure there will have been some very long form conversations about commissioning public art and the merits of performance art.
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@thomasforth Have you tried comparing those with a title that includes āof <place >ā with the registered address?
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RT @sturgios: When Meatloaf sang: āI will do anything for love (but I wonāt do that)ā I assumed at the time he was referring to some extremā¦
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RT @peaklass1: If you stand very still now on the lanes and in the woods, you can feel it. A slow awakening, reaching, uncurling, every tinā¦
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RT @VerityMilligan: After the light. Post-sunset colour over Luskentyre & Seilebost. Not a part of the day I often photograph but somethingā¦
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@medicaccountant @DrPeterWeeks1 @pulsetoday It is odd that they do keep referring to PCNs as if they were entities. A PCN is simply a contact for NHSE to pay cash to the signatories (ie practices) for achieving targets that are the sum of the individual practices.
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@medicaccountant @DrPeterWeeks1 @pulsetoday The DES is just a cash distribution mechanism for achievements and does not specify how an achievement is to be delivered. PCN practices are free to choose to do it themselves, or share their resources, or use external providers.
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@medicaccountant @DrPeterWeeks1 @pulsetoday āPCN level teamsā Your regular reminder that a PCN is a collection of practices who could choose to do the vaccination themselves just like they do at the moment.
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@_johnbye Can I join please? I once coauthored a couple of industry standards on an esoteric subject which means they are cited in every one of the 4 or 5 academic papers on the subject. That means Iām the top cited author in my specialist area in the whole world. š¤“š¤“
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@AlexTaylorNews Iām fuming that USAID $8bn dominate the supply of my favourite Germanic confectionery so it is only available at Christmas. Trump is the new Antoinette - LET THEM EAT STOLLEN !!!
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@Davemademedoit @dave_dlt This is microcosm of NHS productivity. The MCCD uses paper, not because it is an old legacy process due for modernising - it was renewed and launched last year. Also not because it canāt be online - some places have used online MCCD since 2020 š¤Æš¤Æš¤Æ
@dave_dlt They didnāt even change them just wanted to rearrange order. CAP vs HF (it was both) on bg of Ca. Semantics to the family but ME felt the need to reorder. Not even meaningful in stats collection. I was off on a weeks leave and lived 1hr+ away so couldnāt come in = long delay
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@TheHistoryMouse @DarrenMcLean_uk Iām with the mouse version. Merchants in C16 & C17 houses with dutch gables in English ports would know architecture of dutch ports. The fledgling C17 dutch colony 7,000 miles away copied the architecture from their home country.
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@aaron_lubeck @DarrenMcLean_uk @aaron_lubeck the UK regs are performance based (ie purpose) rather than prescription so give some scope for creative interpretation. We also donāt have as many local ordniances that caused my USA colleagues to complain the laws of physics change when you cross a state line.
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@DarrenMcLean_uk Stupid planning regulations. Itās been far too long since weāve had a decent cholera outbreak and thereās no point anymore in waiting in Pudding Lane to admire the fire. I hear theyāve even shut the bear baiting pits. Whatās the world coming to?
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RT @SebastianEPayne: The Times view on the Chagos Islands deal: Sir Keir Starmer and Lord Hermer appear to have completely lost their senseā¦
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@christogrozev Is that the Chuck Schumer born in New York in an American family who still lives in the prosperous city where he was born? Itās hard to spot the difference to refugee born in Gaza fleeing a city raised to the ground by war š¤¦āāļø
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