Showing posts with label NHS. Show all posts
Showing posts with label NHS. Show all posts

Thursday, 6 February 2014

Caring for Customers

The Media churn out another lazy rehash of the old familiar story, Mr Good trying to save money whilst Mr Bad wants to stop him firing all his workers, in this case all the London Underground Ticket Sales staff. If like me, you are an infrequent traveller to London, you always use the Underground as it is the only way to get about. As an aside, in fairness the Buses are getting better organised, (fantastic 'London Journey Planner' App)  but still the dilemma of  which Bus, where to get off and electronic display saying next due in 5 minutes whilst you wait for 25 minutes and still no Bus in sight. Back to my theme. A welter of overlapping tiers of travel options and an automatic ticket machine with an interface devised by the Devil himself, evil incarnate. I regard myself as reasonably technically competent, an average commuter, but my lack of routine familiarity with all the London travel options means I am defeated each and every time I attempt to use the automatic ticketing system. I need the human, even if scowling, face of the Ticket Sale Office to translate my simple travel plans into a sensible Ticket to Travel. Unless London has decided to commit suicide and turn its back on all those tourists that flood the Underground every day, what is it thinking.

Our Society is being driven top down by Accountant Rules. Sure, absolutely, the Money In has to exceed the Money Out, no argument. But Accountants do not have any formula to tell when Customers have had an unsatisfactory experience that they choose not to repeat. In the real commercial world out there, struggling to get by in the ongoing recession, they are highly tuned to the customer experience. They go out of their way to ensure the customer's residual recollection is favourable to them. Not that mistakes do not happen, of course they do, but it is someone's job to proactively respond with more than a smiley face and 'Have a Nice Day' to ensure any problem is fixed and they are left satisfied. Not so our quasi-private companies running our essential services. They are only in it for profit, customer, or consumer, satisfaction is of no account. Sure a stone-walling complaints procedure that at most logs the complaint then dead files it away. Their remit is not to provide a good quality service that meets the needs of the users, just to return a profit. Not just London Underground but a plethora of quasi-private service provider have all been hitting the news for failing to address their 'customers' needs. Take the water utility boards, responsible to safe discharge of sewerage, brushing aside one of several householders that have repeated (five times), raw sewerage flooding into their homes; or Environment Agency with responsibility to manage our natural resources, failing in their duty of care by allowing the Somerset Levels to be inundated for weeks on end; or our treasured NHS failing to provided basic care robbing their elderly patients of dignity; or Local Authorities not allocating sufficient Care Hours to enable carers provide a decent quality of assistance and so on, rail failings, postal failings and on and on. Staffed by dedicate people who joined to serve the public but in the end are undermined by administrations that can only see the profit line and have no motive to meet the needs.

As I argue elsewhere, (All Change)(Time to Stand Up) quasi-'competitive' private companies have no place in running essential services. The 'competition model' is an entirely false fabrication, no real viable alternate options exist, the customer is stuck and stuffed. Nothing wrong, in fact overwhelming reasons why, essential services should be State organised. Just a new leaner model of how to go about organising and arranging them and making them accountable. There is hope that we can get back to providing all the customers, that is us, with services that aim to at least meet the needs of its customers. Now that would be a refreshing change.








Saturday, 26 May 2012

A baby is for life

Caught a breakfast item the other morning about a girl bemoaning that the NHS will not fund her IVF treatment for the baby she so desperately wants with her new partner. The significance of the two children she successfully had but with a previous partner escape her self preoccupation. Babies are a necessary and an essential status image to show off to the world how successful you are. It is your right to have as and when you choose.

Maybe, just possibly there are other considerations that have got lost along the way and need to be taken down and dusted off. Yes, having a child is the single most important life event for man or woman. Our society needs strong healthy children to sustain its population, provide the labour and wealth generators to keep the social infrastructure rolling on. We need stable, well-rounded and confident children that fit easily into the established social networks and patterns. The few odd-ball adventurers or opportunists can be absorbed. We know that children with a single parent or possibly worse serial parents do not grow up to become stable, well-rounded and confident adults. The parenting skills or wants have a huge impact on how that child matures.

It is not about our self-centred personal whims and fancies. How lovely a baby would be. At its roots, it is only about ensuring a sound society can continue to grow and prosper. In the past sheer bloody economic necessity meant there was no option. You had to make do with the partner you ended up with. Woe betide you if you let your fancy wander to a peacock or a thrilling stud. Your life partner choice was critical. Get the best partner your circumstance gave you access to and your circumstance enabled you to seal against the competition. Choose well, then a well managed house and children with the best food from available resources and a regular income provider not tempted to dally elsewhere. Else you are stuck in all the flip sides. With a high mortality, where with luck three out of twelve children might survive into adulthood, unimpeded fecundity was the order of the day.

Not any more. We have to constrain our birthrate but a single child policy is not the answer either, as China's growing pool of 'Little Emperors' testifies. Our investment in marriage as a concept has to be overhauled. It used to signify family, the core and centre of society. Family, the start of the new generation and the handing on of all the inherited attributes. A big event where two gene lines meet, exchange and forge long term relationships. A hugely important event carrying the whole investment of the past and the hopes for some sort of future. Now sidelined as a show, a public display of current success, ephemeral, the oaths given as meaningless as the bouquet tossed aside. No wonder a gay marriage is on the agenda. A marriage is just a civil right, no more significant than casting a vote.

We have evolved, we have a plethora of weapons, so let us keep civic partnerships for all who want a legal sanction on their union, whether for one year or for life. Marriage needs to be upgraded given a special place. Marriage that is the rock bed of procreation and long relationships. Marriage only for couples willing to commit to stay together and bring up the direct results of their union, their children, no matter what.  Not an automatic right for all and sundry but a much sought after and highly regarded right only conferred on those able to demonstrate a long term commitment and likely to produce vigorous progeny.  A precious and hard-earned right then achieved only after passing a peer review and assessment on your suitability, your conformity and viable breeding. Your peers deciding whether you have what it takes to produce and hold a family together in your neighbourhood. With that granting, recognition by the State of that special status approved with additional health, housing, pension, tax rebate rights. Encouragement to provide that long term stable care that we all need our society to foster.

Nothing wrong with childbirth, fostering, IHV, adoption, whatever outside of 'marriage' but within a civic partnership, just lacking the state's sanctification and benefits. We must invest heavily into our future but be compassionate for the many that do not measure up.