I was on the phone to my Mum yesterday and we basically both ended up bitching about the NHS, particularly when we compare it to the South African medical landscape (which, to be fair, we paid for, but still found to be higher quality for less than 11% of our earnings).

What occurred to me when we were having this conversation, is that a lot of the NHS’s problems (e.g. treatment taking a long time, high cost, etc) come about as a result of emergent behaviours because of the rules put in place. For instance, the fact that every practice has been tasked with “keeping costs down” means that for anything expensive, GPs would rather refer someone to a hospital than treat them locally. That way, the eventual cost for the treatment lies in another cost centre.

Another obvious example is the ubiquitous treatment of budget allocation by most government departments — i.e. the “use it or lose it” principle. Because there is no generic, effective measure by which the GOOD use of a department’s budget has been used, the only real metric is whether it was used up/whether they ran out. This is what results in the emergent behaviour of the “last quarter scramble”, when departments will buy all sorts of shit, just to finish using their budget.

So what’s my point? My point is, that instead of employing all these management consultants who fail to build anything useful, the government/NHS should be employing some game designers/theorists. The important thing is not what the rules are, but what emergent behaviour they will result in.

DISCLAIMER: First, I am not a game designer. My knowledge of game theory is not extensive, but when I was doing AI-related research, I got enough of a taste to at least vaguely know what I’m on about. Second, I’m not a part of the NHS — and I apologise if I get some things wrong. My point is not to speak harshly about the PEOPLE in the NHS, but to question the structure/rules.




Our Site is on the New Menu!!!!

Originally uploaded by meriwilliams.

As some of you may have noticed, either from the link on the sidebar or through my Flickr photostream, Elly and I run a little tribute site on the side. As the tagline will tell you, it’s “Dedicated to the gastronomic decadence of Newcastle’s most wonderful cafe”. On it, we have been attempting to consume and document every item on the Belle and Herb’s menu — and making pretty good progress.

That is to say until last weekend, when we arrived at the cafe with my family, only to find a completely new menu! Not only had they completed revamped, adding a number of new items so that the goalpost is now FAR in the distance (yum!), but they’d also put our blog address on the new menus!

So, basking in this recognition, I thought I would encourage those of you who might not have seen it yet to go over and look at the site. Don’t worry if you don’t live anywhere near Newcastle — just view it as another reason to come and visit us sometime!

  • “A bit of a departure from what usually goes up around here, I know. But staying on-topic is so 2004.”
    Dave talks about his coffee-making obsession. He’s a little … obsessive. But it’s sweet really

Elaine has tagged me and so I feel I should complete the meme…

WHERE WAS I…

1 Year Ago?

This time last year I was busy writing up my dissertation, as part of my final year at Bath. Or to be a little more exact, I was struggling terribly with pain from my RSI and getting very very frustrated with NOT being able to finish all my code to my satisfaction, nor get through the dissertation fast enough.

I was also still reeling from my first SXSWi and really trying to understand how it had changed my outlook on life and (perhaps more severely) the impact that would have on my future job satisfaction.

5 Years Ago?

I was working punishingly long hours in a hotel near Leicester. I was averaging around 90 hours per week, starting a banqueting shift at 11am, working through until 3pm and then taking an hour off before starting a 12 hour bar shift (4pm-4am). All this was in aid of saving up money for university, which I would start in September. Given that it is Easter week, I was probably looking forward to working ridiculous hours and getting double-time on the public holidays. Also, at this time of the morning I had probably just arrived at work and was having a large coffee (made half milk, 4 sachets of coffee, 4 sachets of sugar) in a pint glass.

There were some good people there and I enjoyed working with them, but if I’m honest, at this stage I was probably still very home-sick and wishing I could be back in South Africa.

10 Years Ago?

I was a couple of months in to my first year of high school, at Rhenish. It was very exciting, not only because I was living away from home for the first time (as a weekly boarder), but also because I was being taught by English-speaking teachers for the first time. The primary school I had attended close to my parents’ house was overwhelmingly Afrikaans-speaking and so even the “English” classes tended to be taught by vaguely bilingual Afrikaners. This was not a problem, per se, except that it’s difficult to respect a teacher who can’t spell as well as you when you’re 10 ;-)

Things were generally going well, especially since the new school provided a chance to turn over a new leaf. I’d been a freak and particularly sullen in primary school; high school gave me the opportunity to be a little more positive and living with people day-in, day-out meant it was really difficult to keep up the angry/sullen facade all the time. This was really the beginning of my learning to talk to anybody, anywhere. A lot of the girls I was at school with I still regard as great friends, even if I am crap at keeping in touch now I’m out of the country, and I must say I miss them.

So Who Am I Tagging?

Like various other people, I’m participating in Naked Day.

Things I have learnt from this experience:

  1. I desperately need to put in a “Skip to Navigation” link
  2. Structurally we’re OK over here otherwise
  3. Flickr does include a lot of in-post CSS

Have a good one, folks!