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Sunday, 31 October 2010

The CQC....... AGAIN!

Hello again
As you may be aware, the CQC will soon descend upon us. Unfortunately for you lot, I have a small problem with the CQC. Whilst I admire the idea logic behind protecting the public, the CQC in my eyes is not about protection, Quangos never are. It is about increasing the power of government and those connected to government, whilst tightening the regulatory noose around the neck of the profession even further. I say government, I doubt those we elected actually know what is going on. The wheels of the civil service are just rolling on from the last administration regardless. I would like to think that the present administration would stop this juggernaut in its tracks if it new the truth.

You have to remember, this isn’t just us this is happening to. Virtually every industry is having regulation after regulation dumped on it from a great height. And I don’t even blame the CQC. From where I’m standing, they are as much a victim as anyone here. They have been tasked with something they are ill prepared for, and have little in the way of understanding about what dentistry actually entails, non of which is their fault. Much of the problems that will arise will do so because they don’t understand what it is exactly that we do, but the registration rolls out regardless. They, in their eyes, have a job to do and the growing aggression and resentment from the profession will only harden their stance. And they haven’t even gotten to the doctors yet.

However, with that being said, there is something you have to remember. The government doesn’t care about you, it only cares about itself. It only cares about feathering it’s own nest and about justifying itself by exerting more and more control to counter perceived threats.  This is the way of all governments, it is to be expected.

And despite my mention of growing aggression from the profession, really most of us do nothing. We bend over and take it. Some of even ask for more.

But let us for a moment look at the big picture. There are 600 people who are signed up to my newsletter, most of them being dentists. And I am talking to you all when I ask the following question, as well as the growing following of my blog.

What kind of a country do you want your children to grow up in?

Do you want a country where they are free to speak their minds, to express their ideas, to go about their business with the minimum hassle from government pen pushers and their lackeys? Or do you want them tagged, monitored, cowed and conformative, where they dread the day agents of the state knock on their door and say “Citizen, your papers please”?

Which do you want?

Because now it’s time to choose. Yes that’s right, you have a choice in the matter. You can bow down to the CQC and let them descend upon you twice a year like locusts, or you can tell them NOW that their regulation is not needed. You can let them know what you think, they are after all inviting you to do this. So have you? Have you been to their website and told them what you think, given them your ideas?

So here is a proposed action plan:
  • Write to your MP and tell him/her that the CQC is unwanted, dangerous to the public and an unnecessary burden
  • Contact Tony Jacobs at http://www.gdpuk.com/ who wants a list of names to go along with a letter to the editor of one of the big newspapers.
  • Read the Health and Social Care Act 2008
  • Take their issued guidance and ask for them to send you a copy in a form of English you can understand. It is incomprehensible.
  • Research what they are proposing. Does it breach anti competition rules? Does it breach the EU human rights legislation?
  • Write to the head of the CQC and tell them that much of their proposed regulations are already covered by our existing regulator the GDC. Ask for clarification on whatever points you do not like.
  • Write the GDC and tell them the same.
  • Go onto the CQC website and engage them in their consultations.
  • Go to the upcoming meetings and ask the CQC representatives questions.
  • Write to the newspapers, to Private Eye, and let them know that the CQC are a risk to the public and will reduce access to dentistry.
  • Write to the BDA and insist they do more to counter the CQC or you will cancel your membership
Or you can sit on your hands, and moan into your beer in a years time

And now here is your warning. The proposed actions, if done as an individual will put a big spotlight on you, and you do them at your own risk (see the disclaimer below). You will be noticed. Files may well be opened on you, and you may come under scrutiny. You may even go to the first in the line when it comes to inspections and investigation. Men in overcoats and hats may follow you down the street when you pop for a chip butty (ok, ok, that won’t happen). Who can say? What I can say is that sitting on your hands doing nothing is the safer, and easier option..... at least for you, at least initially.

But what about your children? What about ten years from now when there are two more regulatory bodies just as damaging, just as unwarranted and just as expensive? When the regulation affects other aspects of your life and the life of those around you.

“Oh come off it Steve, the CQC are hardly the Stasi”.

No they aren’t. Many of the people working there are decent, honest individuals who are just trying to make their way through life (as evidenced by the low satisfaction ratings people have with working for the CQC). They are not the Stasi, the KGB or the CIA. They are, to some, a symbol.

A symbol?

A symbol of what this country has become. A symbol of where this country is going. It is a symbol of where you as an individual can make a stand, now, in this instant. A stand for yourself, a stand for those around you, a stand for your children. As an individual your stand will feel meaningless, an ant against a Lion.

But together, your voices will be heard, and the Lion will run. You will be able to shout from the rooftops and hear the quivering of those in power. They do not care if you stand alone. They do mind if you stand on masse, if you shine a spotlight on the darkness of their proposals.

Together we can bring some sanity to this and send a message that this tightening of the noose stops NOW. You send a message that you have had ENOUGH. Yes the CQC might get through, but at the very least your legal, non-violent rebellion will instigate concessions, and give them pause. It will make them think “if this is the rejection we get from the dentists............”

Now some of you won’t see what all the fuss is about. Some of you won’t have a problem with the CQC or what they represent. Some of you may even see it as a good thing. Perhaps it is, who am I to say otherwise?

And you know what, I have no challenge with that. If that is your belief then I respect it.

If however you feel in your heart what i feel, if you see with your eyes what I see, then how can you roll onto your back and expose your belly? How can you look yourself in the mirror knowing what you know?

Fear is no longer an excuse. Fear is their weapon, their power, but only if you let fear control you. The choice is yours. You have a moral right, no a moral duty to act with your beliefs. What does you heart say? Find out and act accordingly.

Just keep it polite, civil and legal.  That's not too hard to ask now is it.

Yours in commerce

Stephen: Hudson the authorised representative for the legal fiction Dr Stephen Hudson BDS, MFGDP, DRDP

Please help support the Sick Dentist Scheme and the BDA Benevolent fund by buying my book at Choose Your Reality. A proportion of the profits from its sale are split equally between these two charities

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Disclaimer: S.Hudson or SNH Publications will not be held liable for any actions taken based on the information provided in this newsletters. This information is for entertainment only.

Wednesday, 27 October 2010

Perception

Hello again
There is a perception that the UK is a first world country. We have running water, indoor plumbing, street lighting and a welfare system. We have a system of laws and a deep cultural history that is the envy of most other countries. The country is an infinitely complex network of businesses, services and infrastructure.
It works, but underneath the polished facade we see that the system appears to be straining. This is because it has become too complex. As our population and technology grows, we find more and more ways to remove the simplicity from our lives. This does not make our lives any easier, despite the perception that it does.
Take the I-phone. It couldn’t be easier to use, and yet I challenge any of you to tell me how it actually works. I know how a normal bog standard telephone works, and if one broke I might even be able to fix it. But an I-phone, hell I haven’t got a clue.
Take my car. A few months ago a little orange light lit up on the dashboard. I phoned up the garage to ask what it meant...........

Oh, that means that a little orange light has come on. Bring it in and we’ll let the computer diagnose it.”

They needed a computer to tell us what was wrong with my car...... what happens when something goes wrong with the computer? How do they diagnose that, another computer? Now I remember my dad fixing his own car years ago............ no chance of doing that these days, not unless you like driving around in classic cars.
I bought a pair of shoes the other day. Remember those tags that were placed on clothing so that it couldn’t be nicked from the shop without the alarm going off.......... well in this case the tag was (and still is) inside the shoes. RFID technology. Marvellous............ and also unsettling.

Now there is a danger to all this. As technology advances it makes old technology obsolete. The old technology is replaced and becomes a curiosity residing in museums and the garages of eccentrics and collectors. It becomes more and more difficult to go back to that old technology. And have you noticed that as technology progresses it becomes more and more fragile. It also tends to make us more reliant on said technology. (If a major Coronal Mass Ejection from the sun hits us in the future, the books in the library will still be there. Probably won’t be able to say the same for much of the digital recording media we like to use.)

“The things you own end up owning you” – Tyler Durden

As an example, take the I-phone again. My first mobile phone allowed me to ring people and send these amazing things called text messages. My I-phone allows me to take pictures, view my bank accounts, read my emails, watch TV, plan my whole life and there is probably even an App that allows me to control satellites. And if you lose it you better hope you have it all backed up.

There is also the view that this technological advance actually holds back our advancement as a species. In 1969 some chaps went to the moon using the computing power of today’s pocket calculators. Unfortunately we no longer go to the moon because it is too expensive and too complicated. We now have a situation where we are surrounded by electromagnetic radiation, where unhappiness is rampant and where cancer strikes one in two. Cancer used to be a rare curiosity. I would argue that technology is not benefiting us as much as we think it is.

And speaking of NASA, there is a story that explains my point quite nicely. NASA spent about a billion dollars inventing a pen that could write in zero gravity. It could write upside down, under water and in a vacuum. It was a very impressive achievement.............. but you know what, the Russians didn’t have that problem.

They used pencils.

We are now creating technology for the sake of creating technology. And all this technology requires more technology to make it work. And in a time when the earths resources are beginning to disappear like draught beer at a student party.......... that’s not wise.

In fact, it’s complete insanity.

And look at dentistry as another example. Care to tell me how many different types of composite there are on the market. How many different bonding systems are there? Oh is that one stage, two stage or three stage? Do we remove or keep the smear layer? And let’s just go through all the different porcelains shall we.

It’s enough to make you head spin. And yet you the technology that was available when I qualified in the 90’s is more than adequate to restore the majority of the population’s dentition. And it’s not just technology that is becoming more complicated, it’s also a mindset. Let me explain the mindset as I see it. I’m not saying this is the truth, it’s the truth “as I see it”. Many of you will disagree with me, and I would be upset if you didn’t. I bring you ideas but I don’t expect you to accept them blindly. After all, I’m not some Guru in an Ashram.

Speaking of Gurus, there are a collection of so called “Dental Gurus” who preach a message of excellence. Excellence in clinical dentistry, in customer service and in service delivery. Much of what they preach is valid, valuable and useful, and unfortunately they have started preaching a message that is also damaging, at least in my mind. There is now a growing perception that unless you have super high tech, professionally designed dental practices with flashing lights and interactive websites, that you are somehow not a “successful” dentist. Don’t get me wrong, there is nothing wrong with this kind of practice. I just don’t think it is the model for most of us. Let me explain.

All this costs money. The marble floors and 50 inch plasma screens in every room requires a significant investment. This means the person sitting in your chair needs to pay more... a lot more. My question is really, is it necessary? Is this what the patients want.......... or is it what our EGO’s want? And it also means that you, as the dentist, are snared by that practice, you become locked in. Your investment actually limits your options and brings considerable, and I would say unnecessary risk. I think there is an easier way. The key is not what the premises look like, not the fancy gadgets you buy to complicate your life even more. I have to question the concept of getting oneself into massive debt to deliver what are effectively the same services.

Dentists seem to have an amazing ability to spend money. In Texas, they have a saying for it

“Big hat, but no cattle”.

They also seem to have an amazing ability to work more hours than they should....... “because they have to”. Unless you are one of the rare breed that absolutely live for your job (you know, the type of person that eats lives and breathes dentistry) I think it is important to remember that there is a life to be had outside the dental surgery. I know of a private dentist working a 6 day week because he’s so busy with new patients. To me, that’s no different than the old NHS treadmill that killed so many of us. He and the many like him are too busy making a living to actually take the time out to design a life.
I’ll put it this way. If on your death bed you complain that you didn’t do enough crown preps in your career, then please work as long and as hard as you like. If you are an entrepreneur who wants to be the next James Hull, then please burn that midnight oil, create your legacy. You are to be commended. For the rest of us, just concentrate on the basics. Keep it simple, keep it safe and keep them smiling.

You can do good dentistry from basic premises. They just need to be:
  • Clean
  • Comfortable
  • Welcoming

You put good staff and ethical, caring and skilled dentists in there, and you will have a successful business. “You should go and see my dentist, he’s really nice”. THAT is the key in my view. And there is nothing to stop you making the place look nice aesthetically, but do you really need to take out a loan the equivalent to the national debt to do it? When I bought my practice I put in wooden floors. It cost about £3k, and I paid for it from the profits of the business. A very basic thing to replace the manky tiled carpets that were there previously, but even to this day the patients comment.

In my opinion, ONE of the reasons to be in primary care is to make a living sufficient enough so that you can earn your financial independence. This way you can reach a point where you are working because you want to, not because you have to. And that point should come well before retirement age. That way, when life comes along and drops a bombshell at your feet (and it will) you can deal with it without the added pressure of worrying about your finances.

You shouldn’t be working in your 50’s because you have to. You should be working because you WANT to.

The old model of treadmilling didn’t allow this. And the way I see the economy heading over the next 5-10 years, putting a huge financial monkey on my back is perhaps not the way i want to go.
Regards

Stephen Hudson BDS, MFGDP, DRDP

Please help support the Sick Dentist Scheme and the BDA Benevolent fund by buying my book Choose Your Reality. A proportion of the profits from its sale are split equally between these two charities


Disclaimer: S.Hudson or SNH Publications will not be held liable for any actions taken based on the information provided in this newsletters. This information is for entertainment only.

Monday, 25 October 2010

The Prussian School

Hello again

In the days of the Prussian Empire, schooling was mandatory. Every child went through the system which attempted to instil obedience through indoctrination. The schools of the country were separated into 2 different categories, partially based on the principles of Plato’s “The Republic”.
  • The schools of the elite
  • The schools of the middle class and the under classes
  • The Elite schools taught the children attending to be leaders. They would all generally go on to be high ranking military officers, politicians or Captains of industry.
The other schools taught the children that would go on to be civil servants, doctors, lower ranking military and the working population. Passing the high-school graduation examinations was a pre-requisite to entering the learned professions and the civil service, and generally the schools for the middle classes were separate and more exclusive than those for the lower classes.
The result was a highly trained and highly demarcated population resulting in a strong and effective military. It also resulted in a system that trained the majority of the young to be worker drones.
We used to have a similar system.
  • Boarding schools and private schools for the rich
  • Grammar schools for the brightest of the middle and lower classes
  • Comprehensives for everyone else
If you looked at the differences in teaching methods, one of the primary things that stands out is the elite schools taught their students the art of debate and public speaking. The ability to coherently and effectively put forward a point of view, even against opposition, is a powerful tool that generally only the children of the elite were and are taught. (By the way, when I say elite it is merely a word. I don’t think there is anything elite about these people...... quite the opposite actually)
There was of course a reason for this. Only those people with such skills really had any chance of making it into governmental leadership rolls, thus ensuring that the “elite” maintained control of the making of policy.
Nowadays it’s a little different. Anyone can learn these skills, but few do. Despite the lack of such activities in most schools, groups like Toastmasters allow anyone to become competent at public speaking. And many people take it upon themselves to learn these skills resulting in the ability of people from working class backgrounds to make it to the top of society. Where once there were gentleman’s clubs filled with rich and powerful Caucasian males, now the ranks of the rich and powerful are filled with every sex, race, creed and background.
It would seem that the idea of the Prussian schooling system is no longer prevalent in our society. I would disagree.  And I would argue that, whilst success has become more attainable to the majority, the actual education being received by the majority of our children has been gutted. The present schooling system is a diseased shadow of its former self.
The old system prepared people for a lifetime of work, depending on their “status” in society. The present system doesn’t prepare anyone for anything. We now have a core of young and disenfranchised who just do not want to work, do not want to take responsibility, and whose self worth is non existence. There are hundreds of thousands of them who would rather sit at home drawing benefits than go out and make a living. This is partly because the schools for the majority have failed. And of course it ignores the fact that there are plenty young men and women out there who are industrious honest and morally grounded......... you just don’t hear about them in our misery driven media. But the core is growing, and it is spreading into other generations too as the Social Contract disintegrates.
50 years ago the major complaints by teachers regarding their pupils were “Chewing gum”, “running in the corridors” and “talking in class”. Now its “Assault”, “Rape” and “drugs” due to our schools being unable to sanction bad behaviour. I personally don’t think its because the young are any worse, they just don’t have the strict boundaries that were imposed on us. So they are seen to run amok, and are now seen to rebel against the figures of authority that at one time were a target off limits to them.
So what’s caused this? Well if you look at society on the whole, the morality of our culture has improved in some areas, whilst declining in others. Racism is now not acceptable, which is a good thing resulting in a more equal society. But conversely our society is all about material wealth, greed and instant gratification, and is slowly being ground under the oppressive boot of conformity and suppression. If it continues, the next generation will be living in a police state............ and they will be so dumbed down they won’t even notice or care. That’s if our present path continues...... and I don’t think it will. I think change is around the corner.
The youth of today are considered to be the most drunk, immoral, violent and apathetic the world has ever seen. But go back through history, and you will hear similar things said about previous generations. I think you will find they surprise you over the next 10 years.
So, I get to the cause at last. Is it a secret cabal of evil men, in dark rooms? Is it the Bilderbergers or the stifling regulations of the growing EU Super State? Nope. They are not the cause, merely a symptom.
It’s because of cycles. And I’m not talking about those things that let you travel from A-B, I’m talking generational cycles. Time and again, we see a four generation cycle happening, usually with the same generations making the same mistakes. I would encourage you to visit the following website http://www.fourthturning.com/ which explains the theory better than I can. Basically, every cycle has 4 stages, each stage dominated by 1 of 4 generational archetypes. The cycle goes from growth to destruction, as an example the fourth part of the last cycle was the 2nd world war and the Great Depression.
According to this theory (and really that’s all it is until proven) we are now in the fourth stage (the fourth turning) of our cycle. Whilst this means we have some very challenging times ahead, the next cycle to follow promises untold opportunity. Look at how the world grew in the 1950’s and 1960’s. Over the next few years when the economy is in the toilet and the world seems to be collapsing around our ears, remember that winter always turns into spring eventually. Summer is coming, you just have to wrap up warm and make it through the winter first. Hell, we’ll even get chance to have some fun on the way.
”Whatever happens, happens....... and cannot happen any other way” - Morpheus
Regards
Stephen Hudson BDS, MFGDP, DRDP
Please help support the Sick Dentist Scheme and the BDA Benevolent fund by buying my book  Choose Your Reality. A proportion of the profits from its sale are split equally between these two charities
PS: Please feel free to pass this newsletter onto anyone you feel may be interested in it
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Disclaimer: S.Hudson or SNH Publications will not be held liable for any actions taken based on the information provided in this newsletters. This information is for entertainment only.

Saturday, 23 October 2010

CQC costs

Costs of Setting Up and Running The Dental Section of CQC
Summary

The figures quoted relate to work that is specific to setting up and preparing registration for Primary Dental Providers. The system used to register and monitor Dentists has been built to regulate all providers who have to be regulated. None of this is included in these costs.

Year 2009-10
No specific costs were incurred on Dental Registration.

Year 2010-11
Expected Capital costs to be incurred in building the system to support Dentists in registering will come to £1.3million of Capital costs and £1.7million revenue costs.

Year 2011-12Estimated Costs of running the system for the year are £15.8million. This will be reviewed during the year as this will be the first time that this is operated and so we currently have no actual costs to measure against

Thursday, 21 October 2010

Science

Hello again

History is the story of science and invention. Take the rise of the British navy in the late 1700’s for example. This was all down to the discovery that lining the hulls of ships with copper made them faster, so fast in fact that the French navy of the time were completely outclassed, even though they had superior numbers. Britain was the only country of the day (due to its infrastructure and resources) able to do this on a mass scale. That one invention pretty much helped put the Great into Britain and made us a world power. We took control of the seas, and kept control resulting in a quarter of the globe being conquered. By the way, if anyone knows where the Great has gone, please drop me a line.

Science moves ever forward. However, the rate of advance is slowing. If you look at the age of Nobel Prize winners, you will see that they are getting older. So much has been discovered, more needs to be learnt before new discoveries can be made. On a general scale, we are reaching the limits of human discovery.
However, discovery will continue due to the fact that every once in a while the human race throws out a genius who takes science in a completely different direction, down a path never before considered. There have been many in the past. Tesla, Einstein, Faraday, all changed the way we look at the world. And all challenged conventional wisdom. And this is where we discover the point of this newsletter.
The problem with science is that some people think they know everything. We often hear that “the evidence behind X is settled”. Really? Anytime you hear a scientist say that something is proven and that no more research needs to be done, he has ceased to be a scientist. He has instead turned into an evangelist, a cult member who has closed off his thinking to other possibilities.

A classic example is Global Warming. Man Made Global Warming advocates like to tell us the science is settled. Now I’m not arrogant enough to say whether MMGW is fact or fiction. They might be right, they might be wrong, I don’t know. What I do know is that the science is never settled, and their refusal to accept the possibility that another viewpoint might be valid is damaging their own cause. Just look at ClimateGate. That was a problem created by their own arrogance.

But back to science. I know what you are saying. “But Steve, things are so much better now. Computers are getting faster. Cars are getting slicker. We’ll be flying around in jet cars before we know it”. I disagree. Are people happier now than they were 20 years ago? No. If anything, technological advances are sending us in the opposite direction. 30 years ago if my car broke down I would probably have been able to fix it myself. Can’t do that now. No, now if I’m driving along and a light comes onto the dashboard, I have to take it to the garage to get a COMPUTER to analyse it. Things are so complex now that we need other machines to determine what went wrong.

“If I gave you an axe and dumped you in the middle of a forest, how long before you could send me an e-mail?” – Joe Rogan
I’m typing this on a computer. I don’t have a clue how it works. If it breaks down I have to get someone in to fix it, who usually then has to ask other people who draw on knowledge held on huge databases. All that information stored on hard drives across the planet leaves us with a slight problem......... hard drives were not designed for long term storage. A book can last a thousand years, but digital information is a very fragile thing. What if the lights went out?
There is something that we have forgotten, and it is crippling our society. That thing is SIMPLICITY. You remember the way cars used to be? The other day I saw a 1967 Chevy Impala. Absolutely gorgeous car, and over 40 years old. Do you think anyone will be driving around in one of today’s cars in 40 years? No, neither do I. And why? Because they are too complex, too hard to maintain and no way near as durable. I know a guy who still has a working Atari games console. Do you think 30 years from now someone will still be playing on a PSP2? I don’t. Things just aren’t built to last anymore....... which in a planet of dwindling resources is absolute madness. We should go back to simplicity........ and I can see it happening in my lifetime.
We have created a complex throw away society with a “just in time” stock delivery system that keeps the supermarket shelves full............ unless it snows. Then you see how people react. They panic buy, creating a shortage where none actually existed. Do you think a Mormon would panic buy? Of course not, because it’s part of their religion that they plan ahead and have food stored away.
We could learn something from that.

When Katrina happened, there were three types of people. Those who could look after themselves, those who had nothing and who relied on the federal government and FEMA, and then there was the rest of us who watched on in disbelief as everything fell apart. It displayed just how fragile our society actually is. And yet people ignore this “elephant in the room” completely. They pretend it’s not there, which is like looking at your garden shouting “there’s no weeds, there’s no weeds, there’s no weeds”. Yeah, that’s positive thinking, but you’ll have a garden full of weeds.

So what weeds are you ignoring?

In a crisis situation, you can only rely on yourself and those you have gathered around you. Don’t look to the government, because they won’t be there. It’s the same with everything in life. You are responsible for your health, your relationships, your finances and your own safety. Nobody else can do that for you.
If you want to give all your money to a Fund manager, then fine. But if he loses it all, it’s your fault, not his.......... because you gave him the money in the first place. If you want to smoke, eat too much and drink to excess, then that’s fine. But don’t expect the doctors to be able to fix things when it all goes to pot.

At the end of the day, it’s all down to you. Take responsibility, stop blaming other people, and remember........... let’s be careful out there.
Regards
Stephen Hudson BDS, MFGDP, DRDP
Please help support the Sick Dentist Scheme and the BDA Benevolent fund by buying my book atChoose Your Reality. A proportion of the profits from its sale are split equally between these two charities

Disclaimer: S.Hudson or SNH Publications will not be held liable for any actions taken based on the information provided in this newsletters. This information is for entertainment only.

Wednesday, 20 October 2010

The problem with the CQC

I am in favour of the idea behind the CQC.  I am not in favour of the way the CQC operates, nor the way it chooses to regulate us.

I object because it is another layer of unwaranted box ticking whch will do little to help the public.
 
I object because their publications are written in "NVQ" English which I find incomprehensible.

I object because the agency that is supposed to look after the public cannot look after its own staff.

I object because I have a relative who worked for a care home, and the interactions people there had with CQC staff were unfavourable......"they were right little Nazis", one senior staff member was heard to comment about the inspectors.

I object because the people who inspect YOU are unlikely to know anything about dentistry

I object because it will cost me significant sums of money with no real benefit to anyone except the CQC

And most of all I object because IT WILL NOT STOP HERE.  There will be more regulation, more red tape, more forms, more winding of your sanity around some bureaucrats middle finger..... which he will then use to wipe his arse whilst honouring you with a bill for doing so. 

At some point we have to make a choice.  Do we stand up for ourselves, for our principles, for what we know is right, fair and just......... or do we lie down, and kiss and polish the boots that ever increasingly stamp on our faces.  To choose the former may not be easy, but it will be right.  To choose the latter may be easy (at least to begin with) but it will be the act of shameful cowards who deserve the Orwellian/Huxley world some maniac seems to have in store for us.

The CQC will stay in existence so long as it serves the purpose for which it was created.  As soon as it consistently causes more pain, and embarrassment than the government can stand, it will disappear.  The machine must be made to stop by whatever legal, non violent means are available to us.

What say you?

Sunday, 17 October 2010

Fear is the mind killer

My opinion:

If you look throughout history, most revolutions and political unrest have been fermented by the middle classes.

The middle classes are angry, seeing their country bombed by a constant FEAR, FEAR, FEAR, CONFORM, CONFORM, CONFORM mantra that comes from government through its placid minions in the media.

Any respite, any relaxation of the pressure (red tape, box ticking, regulation, bin overfilling punishments, PCN's, fear mongering, Community wardens etc) will allow the middle classes to THINK, to QUESTION and to practice the fine art of non compliance.

They have to keep us in fear.

Fear of terrorists
Fear of losing our jobs
Fear of losing our money
Fear of the opinions of others
Fear of arrest and prosecution.


Without the fear, they have no control.  Without control, the system they have developed unravels.  They are ramping up the fear and the pressure because of what is coming.  They are trying to get a situation where the middle classes feel so overwhelmed they will by psychologically broken, bend over and just take it willingly.  What is coming is the very real risk of an economic and financial tsunami of epic proportions.

Unfortunately for TPTB, the more they squeeze, the more people stand up and shout F*CK IT.  You get to a point where the ethical individual, the conscious soul can take no more.  You sit down and refuse to take any further part in the system, and by your peaceful non cooperation you clog up the system, you throw yourself upon the wheels and the gears and the levers, until the system no longer works. 

I believe they have misjudged their psychological tactics.  They have pushed too hard, too fast and the cognitive dissonance is now overwhelming.  We are now asking how this great fecking elephant got into the living room.

This is one of the reasons I keep going on about attaining financial Independence.  Imagine the power you would have, under the threat of all these regulations, box ticking exercises and barbed wire masquerading as red table to be able to look calmly at your financial statement and laugh because you knew you no longer NEEDED to work.

You could wave at TPTB with one finger and walk away if you wanted to.

Thursday, 14 October 2010

Gold

Gold is at an all time high

it is telling you one of two things:

1) It is the next bubble and will pop monumentally
2) We are about to see the start of a currency war

And what, I hear you ask, is a currency war?

Western countries have significant amounts of debt.  By devaluing their currencies (making them weaker) countries can effectively reduce the amount of debt they have to repay.  The next major candidate for this is the USA who is a gnats wing from engaging in a trade war (probably then followed by a conventional war) with China.

China has vast holdings of US debt.
The US devalues its currency in revenge for China's own currency manipulation.
China's holdings of US debt reduce in value, and their exports to the US increase in price making them less competitive.

But back to Gold.

Whilst not giving financial advice, I see Gold continue its monumental rise.

You might therefor want to raise your prices for any metal work you do in your practice.

Just a thought

Monday, 11 October 2010

Life is...

Hello again
We like to think that we are conscious individuals. We have hopes, dreams and fears, and most of us have a moral compass that we do our best to follow.
We also live our life guided by a set of beliefs, beliefs that we formed and honed as we travelled on the path of life.

Unfortunately most of our beliefs are confused, even conflicting.
  • The devout catholic who has an affair
  • The hard working business owner who neglects his family
  • The “law abiding” individual who goes at 35mph in a 30 zone
  • The doctor who smokes
  • The dentist with a mouth full of fillings
  • The self help guru on Prozac
If you look at the way science has developed over the centuries, you can see examples of beliefs that were once sacrosanct.
  • The world used to be flat
  • Witches used to float
  • Leaches cured all ills
  • If it didn’t rain it was because the Gods were angry
  • Man would never fly
  • Man would never break the speed of sound
All beliefs that we laugh at now. But what global beliefs that people hold will be mocked 200 years from now?

And what about your beliefs. What did you believe 10 years ago that you no longer believe? Well, let’s look at some of mine.
  • I USED to believe that justice was easily attainable in this country
  • I USED to believe that America was the land of the free
  • I USED to believe that the capitalist system could work without regulation
  • I USED to believe everything happened for a reason
  • I USED to believe we live in a democracy
  • I USED to believe the news media told us the truth
Beliefs change. Beliefs are fluid, and constantly in flux........ and yet people have been known to die for their beliefs. Worse, people have been known to kill for them.

And most people’s beliefs aren’t even their own............ they were given them by their peers, parents, teachers and the MSM. The beliefs form a filter through which our everyday experiences are sieved. Your beliefs create your reality tunnel, through which you travel through life. People actually ignore and filter out the stuff that contradicts their beliefs.

“It is the nature of the human species to reject that which is true but unpleasant and to embrace what is obviously false but comforting” – H.L.Mencken

There are many people now who are struggling with their belief systems. They have seen the banks unleash a financial nightmare on the world, and then they have seen those same banks bailed out and rewarded with tax payers money. They have seen “irresponsible” lending paraded as the cause of the financial crisis, whilst the fact that oil hit $150 a barrel is seemingly ignored. We see our politicians promising to cut waste and reduce Quangos, only to see them unleash a great beast called the CQC upon us.

What if I told you this year’s election wasn’t about democracy, but about voting for the corporate and banking lackey’s who will be out for themselves, and keep the country in national bankruptcy. I’m not saying it’s true, I just want to see what your belief system has to say.

And besides, we aren’t even a democracy, we are a Constitutional Monarchy. A vast difference understood by so few.

Do you think the fact that this country is home to one quarter of the worlds surveillance cameras is a good thing? What about biometrics, and the growing use of fingerprints and electronic ID’s in schools? Do you value freedom over security, or are you willing to accept that your children will grow up without the childhood innocence that most of us had. Surveillance and suspicion will be the norm for them. Will our concepts of freedom and rights be a belief system akin to a flat earth in 100 years?

Citizen, your papers please – Is that the world you want for your children? How does that fit in with your belief systems?

Do you believe that if you have nothing to hide, then you have nothing to fear? It’s a perfectly reasonable belief system........... but why should we even have to go there. I grew up with the notion that the politicians and the police were our servants, that they were there to protect us and serve our needs. Maybe it’s just me, but it doesn’t feel like that now.

You know, over the past months and years, many of you will have had an itch, like a splinter in your mind. Psychologists call it cognitive dissonance, the uncomfortable feeling of holding two conflicting viewpoints. You live in a free country, and yet you are monitored, herded and recorded more than any other population on the planet. You invested in the stock market for the “long haul”, and yet it’s still below where it was in the year 2000.

So finish these statements.
  • Life is........?
  • Money is.......?
  • Men are.......?
  • Women are.......?
  • The rich are.......?
  • The poor are.......?
Now look at your life.

Time for a change?

Regards

SH

Please help support the Sick Dentist Scheme and the BDA Benevolent fund by buying my book atChoose Your Reality. A proportion of the profits from its sale are split equally between these two charities

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Sunday, 10 October 2010

A letter to the CQC

Understanding that everything is all due to contracts, this is the kind of letter one might send to that fine institution, the CQC

11.10.10
Dear Jo Williams
                It would appear that in April of next year I will be given the opportunity to enter into contract with you.  I would like to thank you for this opportunity, and so that our contract together can run smoothly under admiralty, I would like to draw your attention to a number of factors that will be a threat to the legal fiction (body corporate) that is your organisation.  These factors may put you in default under admiralty jurisdiction, which may compel vessels such as myself to seek remedy under contract law.  As I am sure you will agree, this should be avoided. 
You may be unaware of the following, as large organisations often fail to report the minutia of daily events to those at the top of the hierarchical pyramid.  It has however been made plainly clear to dentists, through meetings  across the country that there are unlikely to be dentally qualified individuals involved in the inspection process or the appeals process.  This I feel is a monumental error.  What you may also not be aware of is that, in my time working in the profession, nothing has caused more outrage or indignation than the proposed CQC registration.  If nothing else, the CQC has united the profession like never before, and I have never seen so many so upset. 
Please take notice of the following affidavit (if any of the points outlined are false, you should reply to me within 10 days of the date of this letter, outlining the reasons why).   Remember that under contract law, s/he who does not rebut accepts.

Affidavit of truth
1)  There is some question mark as to the appeals process open to dental practices that fall foul of CQC regulations, and according to my reading of the Health and Social Care Act 2008, the CQC appeals process is to the CQC itself and not an independent third party. 
2)  The CQC give 28 days to appeal
3)  The Health and Social care act is not written in language the average layman can understand
4)  The CQC on these 3 points alone contravenes article 6 of the Human Rights Act 1998
To clarify (see underlined)
Right to a fair trial
1)  In the determination of his civil rights and obligations or of any criminal charge against him, everyone is entitled to a fair and public hearing within a reasonable time by an independent and impartial tribunal established by law. Judgment shall be pronounced publicly but the press and public may be excluded from all or part of the trial in the interest of morals, public order or national security in a democratic society, where the interests of juveniles or the protection of the private life of the parties so require, or to the extent strictly necessary in the opinion of the court in special circumstances where publicity would prejudice the interests of justice..
2)  Everyone charged with a criminal offence shall be presumed innocent until proved guilty according to law.
3) Everyone charged with a criminal offence has the following minimum rights:.
(a)to be informed promptly, in a language which he understands and in detail, of the nature and cause of the accusation against him;.
(b) To have adequate time and facilities for the preparation of his defence;.
(c) To defend himself in person or through legal assistance of his own choosing or, if he has not sufficient means to pay for legal assistance, to be given it free when the interests of justice so require;.
(d) To examine or have examined witnesses against him and to obtain the attendance and examination of witnesses on his behalf under the same conditions as witnesses against him;.
(e)To have the free assistance of an interpreter if he cannot understand or speak the language used in court.

The above needs to be addressed as I feel it threatens to make the lawyers a significant sum of money.
I am also giving you notice that a different approach than the one you are presently adopting is needed.  This is of course just my opinion, one that is probably biased.  You do know however that you face the prospect of dozens, if not hundreds if practice owners utilising their practice legal expense cover in a variety of ways against your organisation.
My proposal
1)  There is no need for CRB checks for dentists.  Dentists are registered with the GDC, who are instantly informed by the police should a registrant break the law.  By removing this requirement, you will deflate much of the rebellion that is brewing.
2)  The CQC should work with the profession, and not impose itself upon the profession.  If you work with dentists, and employ dentists in the inspection and regulatory checks you will obtain balance.  Not to do so will see bad publicity and obstacles put in your path.  I remind you that Statutes only apply when they have the consent of the governed.
3)  The CQC guidance is wishy washy, and written in a manner that the majority cannot understand and decipher.  It thus endangers the public.  The guidance should be concise, preferably in bullet form and give definitive pointers on how to reach compliance.
4)  The staff of the CQC are unfortunately not singing off the same song sheet.  They frequently give conflicting advice/answers.  This again endangers the public.
5)  You MUST work with the GDC, BDA and DPA to remove duplication of reporting requirements.  They should be your partners, not your understudy.
Get it right and you will be praised.  Get it wrong and you will likely find your photo on the front page of the Daily Mail, thus is the nature of our society today.  I hope this helps you in your future endeavours, and if I can be of any assistance. 
And I hope you choose wisely
Yours in commerce

Tuesday, 5 October 2010

Over 90% of people can access NHS dentistry


 Feel free to revel in the following meaningless statisitcs........ the most striking aspect of which is that over a 1000 people didn't even know why they made an appointment with a dentist !!!!!!!

The results of latest the quarterly GP Patient Survey (March-Jun 2010) have been published. Headline results include: 93% of respondents who tried to obtain an appointment within the past 2 years were successful, but 42% of respondents did not try to get an appointment with an NHS dentist in the last 2 years. 82% of the most recent appointments sought were with the dental practice previously attended. In these cases, the successful percentage over the past 2 years was 95%.

Main results
  • 140,700 responses, 35% of the 400,000 people contacted.
  • 58% of adults in the survey tried to obtain an appointment with an NHS dentist in the 2 year period before April to June 2010 quarter;
  • 93% of respondents who tried to obtain an appointment within the past 2 years were successful. 7% were unsuccessful (Success percentages exclude those who didn't remember the outcome, unless stated otherwise).
  • Respondents who have tried more recently are more successful. 95% of respondents trying within the past three or six months were stated they were successful.
  • For 79% of adults the last appointment sought was for routine dentistry; 17% were seeking an urgent appointment, 3% other type of appointment and 1% could not remember.
  • 82% of the most recent appointments sought were with the dental practice previously attended. In these cases, the successful percentage over the past 2 years was 95%*.
  • For the 15% of patients who sought appointments with a new dental practice in the last two years, 77% were successful, 21% they were unsuccessful and 2% couldn't remember the outcome.
  • North East SHA area had the largest percentage of the adult population seeking an NHS dental appointment in the last 2 years, at 65%, whilst London SHA had the smallest, where 52% sought an NHS appointment.
  • Success in getting an appointment. North East and West Midlands SHAs had the largest percentage, with 95% successful over the last 2 years, compared to South Central SHA with the smallest (91%).
  • For patients seeking an appointment in the last 2 years at a practice they had not been to before, South East Central and West Midlands had the largest percentage successful, with 82%* and South Central the smallest (68%*);




Adults who have not tried to get an NHS appointment in the last 2 years:

  • 42% of respondents did not try to get an appointment with an NHS dentist in the last 2 years,
  • The most frequent reason for not trying for an NHS dental appointment in the previous 2 years was 'l stayed with my dentist when they moved from NHS to private' which was mentioned by 22% of adults. The next reason 'l have not needed to visit a dentist' was 18% of responses.
  • 17% had not tried because they thought they would not be able to find an NHS dentist