Health Service insanity

http://www.irishexaminer.com/pport/web/Full_Story/did-sgByRTLajgR3osgdq-nXlDAyFE.asp

Came across this on the Irish Examiner Website this afternoon.

Seems that our Health Service can’t make use of the charges it levies on people in hospitals because of a totally absurd accounting rule in the Dept of Finance.

Basically, hospitals/health boards have to predict at the start of a year how much revenue they will get from sick people turning up and availing of chargeable services. They are then entitled to hold on to that money to plough back into services and service provision. If they underestimate, any excess has to be forwarded to the Dept of Finance. This year that amounts to just under EUR70,000,000.

To put this another way: A business that exceeds its forecast turnover/profit target for the year is required to hand over those funds to another agency at a time when the quality of product/service offering available is falling rapidly behind expectation. Would you run a business on that basis? Maybe that is why we can’t get a Chairperson for the Health Services Executive?

The grinding sound you hear is Adam Smith rotating merrily in his grave and the knocking sound is Karl Marx smacking his head of his tombstone in Highgate. The pitter-patter is the sound of sane people with experience running as far as they can from the HSE Executive Directorship.

Of course, if the health boards/hospitals over-estimate the number of sick people who will walk through their doors, chances are that some other budget is squeezed by the bean-counters in Finance to conform to some arcane and inappropriate model or perception that is held about the health of the Irish people.

To paraphrase Don King — “Only in Ireland”.

Suggestion: Perhaps part of the financial planning for Healthboards or the HSE should be an outline plan on how they would invest any excess in funds from non-central government sources as part of a structured plan. IE: a prioritised, costed list of projects that would be funded in the next fiscal year starting at the top of the list and working down it until the windfall slush fund was exhausted.

Any thoughts from other tax paying punters?

What would the reasonable man on the Clapham Omnibus say?

http://breakingnews.iol.ie/news/story.asp?j=145594850&p=y45595556&n=145595610

Synopsis: National & International coverage of a school bus tragedy in Navan in which 5 school-children lost their lives and many more were seriously injured. Accident occurs 2 weeks before the State secondary school exams. In the first exam of the Junior Certificate the Department of Education asks students to write about “Travelling on a School Bus”. An alternate paper was available (always prepared in case of theft of exam papers). The Exams Commission defends running with the school bus question with a response I would paraphrase as “life sometimes sucks, so suck it up and get on with it”.

Comment:
As this is the FIRST exam in the Junior Cert, what impact would this have on the classmates of those who died or on those students who were injured in the bus crash over the course of the rest of their exams? What impact will this have on their performance?

The questions I pose are this…

  1. at what point does a lack of consideration and incomptence become negligent infliction of emotional distress?
  2. Should it have been reasonably foreseeable that the choice of question was likely to cause upset and distress to an identifiable group?
  3. would it have been reasonable for the Dept and the Exam Commission to have considered this identifiable group when deciding to act (or not to act) with regards to this particular question?
  4. Is it reasonably foreseeable that significant trauma revisited could impair exam performance in the identifiable group of students in question?
  5. What does this do for the ‘value for money’ analysis of the counselling services that the Dept of Education has been providing for those students involved in the horrific bus crash?

In the case where a single student would have suffered an injury or trauma in a private context, they would not be, ordinarily, identifiable to the Dept or the Exams Commission. As such, in that context, perhaps the “life sometimes sucks” defence from the Commission is valid.

However this situation is different. Dept. of Education penny-pinching on safety issues in school buses may have contributed to the scale of the injury that these students have experienced. With such a poor choice of question the Exams Commission has added insult to that, quite apart from the potential psychological and academic injury that this outright sloppyness (I hesitate to use the word negligence as it has a very distinct meaning) might have caused.

Yes, life does suck. And sometimes you just have to knuckle down and get on with things. But did the Dept have to rub salt into the still open wounds?

Honey, I’ve lost the kid!

Just spotted the attached story on http://www.examiner.ie
Potted synopsis: A refugee family in Kerry was rounded up to be deported. The authorities missed one of the children at their school (apparently the gardai arrived at the school after letting out time). The rest of the family was bundled off back to their country of origin… 7 year old kid left stranded without family.
7 year old kid = Senior Infants to First Class tops, so the end of day time is usually before 2pm. Any kid can tell you that (as they rush past you to get home to watch the Den).
The Dept of Justice are quoted in the article as saying:
“…it was generally up to the parents of a child to insist on a search for him. Parents were not forced to leave without children. Gardaí were not obliged to conduct a search if parents did not request them to do so. “
Apparently the Refugee Support Service is believes that no great attempt was made to locate the child before deporting his parents and the rest of his family.
In this case, the child was collected “most likely” by relatives…. but there was no guarantee at the time – no one knew where he was. Let’s repeat that… a 7 year old child was missing, was not where he was supposed to be… why did this not trigger some serious searching?
…if his name was Mícheal Óg Mac Dubhgaill chances are all hell would have broken loose until he was tracked down. I sincerely doubt that the parents would have had to insist on a search. Should we take it then that it is OK in the eyes of the Minister for Justice for the children of refugees to go missing without a trace?
If the parents weren’t forced to go without their child, why are they there and he here? Does the Dept of Justice want to make out that they were bad parents? Or that they actually lived in a converted shoe while in Ireland, on the grounds of having so many children they didn’t know what to do?
Right now I have a mental image of the Minister sitting at his desk, stroking a cat with a metal hand and saying “Next time, Refugee, I’ll get you next time!!!” – just like Dr. Claw in Inspector Gadget.
Of course, the solution would be for the Minister to hire the Child Catcher from Chitty-Chitty-Bang-Bang as a consultant.

…kicking and screaming into the Century of the Fruitbat…

Irish Republic to get post codes by 01/01/2008 – Film at 11.

The recent announcement by the Irish Department of Communications that the a post code system will be implemented in the Irish Republic has been met with howls of anguish from the incumbent postal operator (An Post, which is Irish for ‘The Post’, which sums up the level of ‘out of the box’ thinking that is sometimes displayed by this organ of the State) and reactionary soundbites from anti-postcode activists to the effect that the ‘probable increase in mail volumes’ actually means we’ll all be swept along on an avalanche of junk mail.

Somewhat perplexingly, the Department of Communications has not been quick to counter the knee-jerk junk-mail accusations with anything that points out the additional benefits that could accrue from a structured postal code system, which could include improved management of junk mail suppression files by companies and/or the Data Protection Commissioner as a result of easier matching and de-duplication of mailing lists and suppression lists. This would actually serve to reduce instances of unsolicited direct mail. The increase in mail volumes that the Department’s report into Post Codes could just as readily be attributed to the increased use of the postal service for transacting business such as mail-order retail (an industry that has struggled to succeed in Ireland due to our lack of post codes) or increased fulfilment of e-business transactions by mail.

An Post has pointed out that they have already invested millions in what they say is the most advanced postal sorting system in Europe and as such post codes aren’t needed for them to sort mail (this is an important point). Of course, just because we have the most advanced postal sorting system doesn’t mean that we have the levels of service efficiency that they have in other countries. Like those ones that have post codes. By investing in an over-engineered sorting system which is effectively a bespoke solution for Ireland, An Post would have preculded opportunities to achieve economies of scale through reuse of systems and processes implemented elsewhere in the world. What possible justification could there be for an ostensibly commercial organisation serving a small market (less than 5 million souls) to invest in a ‘once-off’ postal sorting system rather than adopt the standard approach used in other countries of having postal code system that other postal service operators could use easily? In effect, they decided to build a wood-burning car even though everyone else was using diesel for the simple reason that they thought they owned the forest.

The largest union in An Post has come out broadly in favour of the proposal. Hang on… isn’t it suppoed to be Government + Employer ganging up on the proletariat? What does it tell you when the UNION comes out in favour of the plan when the employer objects? Could it be that the union members are tired of getting splinters from fuelling up the wood-burning car and all they can see for miles around now are fields?

An Post claims it will cost €6million to overhaul their systems. Then again, this is the commercial enterprise who’s response to declining sales is to up their prices. If they dug up Adam Smith, wrapped him in copper wire and replaced his tombstone with a magnet that logic would make him spin so fast that they would soon outstrip the ESB as a supplier to Irish consumers. Speaking of which – how much did the ESB have to invest in changing its systems and processes to allow for market opening and deregulation? Quite a bit. And one of the things that cost the most amount of money to address in that process was the management of and standardisation of address data – which would have been made a lot easier if there had been postcodes.

The medium to long term benefits to the Irish economy of a proper post code system are immense. For a start, it would assist in reducing direct costs to businesses by reducing the time take by call-centre staff (for example) to handle enquiries. It would also allow for additional types of ‘geographic’ based services to be offered to Irish consumers – such as useful classified directory enquiries that could tell you where the nearest restraunt is to you rather than giving you a list of all those that are in the same county or postal sorting area.

Post Codes are about more than just mail sorting. In Ireland, we currently use postal zones. The Dublin ‘post code’ is actually a misnomer – it is a postal district identifier. The only national standard database for address data is produced by An Post and has been developed to suit the requirements of postal delivery in that it is built around the idea of postal zones. This gets to be a little bit crazy when the database of record decides that, to facilitate An Post, an entire town has to be moved to a different county. Ballyhaunis Co. Mayo is actually listed in the An Post address standard as being in Co. Roscommon.

For businesses (or political parties or charities or government agencies) trying to identify locations and perhaps trying to ensure that they have correctly identified a person in the context of a location the existing standard is not fit for purpose. A properly implemented postal code that relates to an actual location rather than an administrative office would greatly improve the situation and would make matters such as Data Protection compliance easier. Law enforcement and Emergency services functions would also improve due to an improvement in the quality of a critical piece of data.

Granted, not every country has a post-code system. The following countries don’t have post codes in operation at present:

  • Afghanistan
  • East Timor
  • Hong Kong (but there are plans to integrate HK into the Chinese post code system)
  • Macau (also to be integrated with the Chinese post code system)
  • Iraq (but implementation work started in 2003)
  • Colombia

Some people have argued that ’sure, isn’t Ireland too small to have a post code’. But coutries with post codes include :

  • Andorra
  • Christmas Island
  • The Cocos Islands
  • Luxembourg
  • Cuba
  • Nepal

Find out more about countries and their post codes HERE.

A proper post code system would represent an important piece of Information Infrastructure for Ireland. It would reduce barriers to entry in the mail-handling industry and would create new spin off industries dedicated to creating add-value products and services based around a post code system. That is why it is critical that the Minister and Government ensure that this is done PROPERLY and we avoid the errors of the e-Voting fiasco (also, unfortunately, something that happened under Minister Dempsey’s watch). The key lessons are that advice from industry groups should be sought and should be heeded. Short-term short cuts should be avoided at all costs. Wherever possible, economies of scale should be sought by leveraging the work which is on-going in other Government departments, state bodies and commercial environments to avoid reinventing a square wheel.


And An Post need to get ready to be dragged kicking and screaming into the Century of the Fruitbat.

Daragh O’Brien.