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3 yr. ago

  • But calling wait lists pointless is also pointless.

    This is going to be ultra pedantic but in case I was misunderstood: I'm saying that using wait times as a target is pointless. Obvs we do need wait lists themselves...

    What would you propose as a method for measuring NHS effectivness.

    First I know I'm not qualified in any way to answer this and there will be people with knowledge who can provide a far better answer. But if you do want my opinion then I'd say a reasonable place to start would be to simply ask the patient. The written answers will be subjective but you can collate all the [yes/no] answers together to see objective patterns of whether patient satisfaction is improving or getting worse.

    How long were you waiting? [Number of weeks] (Would be very interesting to compare this subjective answer to the actual recorded data)

    Was the wait time acceptable? [Yes/No/I don't know]

    -> Did your condition deteriorate as a result of the delay? [Yes/No/I don't know]

    -> How did you condition deteriorate? [Answer in as many words as you like, or possibly a tree of yes/no questions]

    Did you receive treatment? [Yes/No/I don't know]

    -> Did the treatment improve your condition? [Yes/No/I don't know]

    -> Why didn't the treatment help with your condition? [Answer in as many words as you like, or possibly a tree of yes/no questions]

    Were you referred to another service? [Yes/No/I don't know]

    -> Do you agree with the decision to refer you elsewhere? [Yes/No/I don't know]

    -> Why don't you believe the referral is correct? [Answer in as many words as you like, or possibly a tree of yes/no questions]

    Overall how satisfied were you satisfied? [0-10]

    -> How could we improve? [Answer in as many words as you like, or possibly a tree of yes/no questions]

  • Waiting lists are a fucking pointless target.

    It simply encourages organisations not to add people to the wait list or to find any excuse to remove people from them.

    • Speech and language therapists will remove patients from their wait list because the patient did not answer or return phone calls. Its an absolutely ridiculous system that will penalise patients with speech impediments for being unable to handle phone calls.

    • Mental health services will insist patients see a trainee in order to meet their wait list target. Then if the patient is not satisfied with the trainee's competence the patient is added back to the wait list. However because the patient has technically been seen the target is met and the patient will end up waiting indefinitely because the service prioritises other patients in order to meet the wait list target.

    The system is absolutely corrupt. Targets are fucking pointless.

  • Stop discriminating on pointless metrics that may actually be harmful

    • people from minority backgrounds are less likely to have had access to libraries and reading resources growing up. Thus less likely to read for pleasure.
    • Men are more likely to favour Sci fi than women.

  • Your employer doesn't give a fuck about you. You only exist to make them profit. Just pick the most talented individual and stop discriminating based on bullshit.

  • If everyone puts wind turbines on the balconies they might end up blowing the building over

  • Bevy is damn impressive. I can understand why it's not suitable for large projects yet but for anyone tinkering or projects willing to adapt to a rapidly iterate ecosystem is well worth a look.

  • It's easy to gamble if money isn't yours.

    To my knowledge Musk is gambling with his own money, not hedge fund capital or something.

    If your day to day survival depends on every dollar, then you don't have the freedom to dick around with investments.

    But, yes, this is correct. If you're extremely wealthy then you can keep gambling. If you fail you still have a million other chances. So you're kind of guaranteed to succeed eventually.

    Whereas the common person has one chance. If they fail that's it.

  • In fairness he was able to recognise which companies to buy

    I think this is just survivorship bias. There are millions of wealthy individuals investing in companies every single day. Occasionally these gambles pay off and make people extremely wealthy.

    Most of the time the people who succeed just spend their incredibe wealth and live a quiet happy life.

    But there are others who crave attention. These individuals bully their way into prestigious positions and pretend that they're leading the company.

    Elon is that kind of person. He started wealthy, bet his money on companies that succeeded. Then took the CEO role so he would get credit for the companys' successes.

    If ever people dare stop paying attention to him he'll do something drastic to recapture the spotlight on.

    He's the kind of person who will stand on stage and do a nazi salute just because he wants you to look at him.

  • That's actually insane.

    I wonder if they've just sent out a generic rejection without checking it.

  • operational issue

    Why be so vague? That's only ever going to frustrate people.

  • This is the first post I've seen where my app (Boost) has shown the vote score as simply: 1k

    Congrats guys. Lemmy is growing

  • If you're developing something that has been written a million times before such as a user authentication API then yes you can just let ChatGPT do it for you.

    But as soon as you're writing something new or niche any LLM is going to mostly spew useless nonsense.

    I've been working with Bevy a lot lately and because it's new and iterating quickly there are a lot of breaking changes between versions. AI simply isn't able to cope with that. It was trained with years old data and is incapable of adapting to the new way of doing things

  • I did.

    I also read a fair chunk of the article you linked and it didn't change my view.

    I disagree that employers fear litigation. Is there something else I missed?

  • It is very much true

    From the link you provided:

    This may come as a surprise to some: it is only after two years of continued service that employees have the right to request written reasons for their dismissal.

    Employers don't need to provide a reason for your dismissal.

    There are some exceptions but they're very specific and unlikely to relevant. If an employer wants rid of you they can do so at their whim.

    Even if you think you have a case, good luck finding a solicitor who will take on your case. They simply won't be interested because it's not easy to win without the rights you get after 2 years employment.

  • I live in the UK where it's practically impossible to get fired.

    In the UK you only get employment protections after working at a company for two years. Up until then you can be fired without reason

  • It might a also be worth clarify that by Z they presumably mean UP because Godot, Unity, and Bevy all use Y as up.

  • Have you ever tried Rider? I found it such a pleasure to use in place of Visual Studio and I've never looked back.

    Any times I've loaded VS since it just feels so slow in comparison.

  • Is it definitely the MP3 format at fault here? Was your MP3 from an official source or could it have been from a faulty source or improperly transcoded?