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	<title>Comments on: Choose and Book in reality</title>
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	<link>http://idealgovernment.com/2008/07/choose_and_book_in_reality/</link>
	<description>What do we want from Internet-age government? Wouldn&#039;t it be better if...</description>
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		<title>By: Ruth Kennedy</title>
		<link>http://idealgovernment.com/2008/07/choose_and_book_in_reality/comment-page-1/#comment-2453</link>
		<dc:creator>Ruth Kennedy</dc:creator>
		<pubDate>Mon, 28 Jul 2008 20:01:35 +0000</pubDate>
		<guid isPermaLink="false">choose_and_book_in_reality#comment-2453</guid>
		<description>James - happy to do so. Anywhere in particular?</description>
		<content:encoded><![CDATA[<p>James &#8211; happy to do so. Anywhere in particular?</p>
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		<title>By: alex</title>
		<link>http://idealgovernment.com/2008/07/choose_and_book_in_reality/comment-page-1/#comment-2452</link>
		<dc:creator>alex</dc:creator>
		<pubDate>Mon, 21 Jul 2008 20:56:17 +0000</pubDate>
		<guid isPermaLink="false">choose_and_book_in_reality#comment-2452</guid>
		<description>Ruth,

The point you seem to have missed is that the NHS is now a technocratic nightmare, rather than a bureacratic one ?

We are piling bad processes designed with bad technology onto ( normally ) helpful employees. Where they then have to go to help the patient is around the system.

This happened on the Siberian tundra and Georgian steppe in the early 20 century as well.</description>
		<content:encoded><![CDATA[<p>Ruth,</p>
<p>The point you seem to have missed is that the NHS is now a technocratic nightmare, rather than a bureacratic one ?</p>
<p>We are piling bad processes designed with bad technology onto ( normally ) helpful employees. Where they then have to go to help the patient is around the system.</p>
<p>This happened on the Siberian tundra and Georgian steppe in the early 20 century as well.</p>
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		<title>By: James Munro</title>
		<link>http://idealgovernment.com/2008/07/choose_and_book_in_reality/comment-page-1/#comment-2451</link>
		<dc:creator>James Munro</dc:creator>
		<pubDate>Sun, 20 Jul 2008 00:54:53 +0000</pubDate>
		<guid isPermaLink="false">choose_and_book_in_reality#comment-2451</guid>
		<description>Great story. And a nice example of how easy it is to design systems which are supposed to solve one problem, but create another. The &quot;advanced access&quot; system for seeing your GP faster (but actually often slower) is another.
Do you feel up to posting this account on Patient Opinion? We have a growing collection of Choose and Book tales there.</description>
		<content:encoded><![CDATA[<p>Great story. And a nice example of how easy it is to design systems which are supposed to solve one problem, but create another. The &#8220;advanced access&#8221; system for seeing your GP faster (but actually often slower) is another.<br />
Do you feel up to posting this account on Patient Opinion? We have a growing collection of Choose and Book tales there.</p>
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