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Messages - weareros

#16
General discussion / Re: Oasis
September 06, 2024, 04:22:55 PM
#17
Well?
Do we have any chance at all tomorrow? Can Hallgrimsson get his second most famous win against England?
#18
IT had a good article back in April of doctors moving to HSE for better pay and better work conditions. Behind a paid wall so posting below.


Health
'Northern Ireland is broken': how a 'toxic' culture and better pay is enticing North's doctors across the Border
Doctors in the North can earn two and a half times what they make with the NHS in the health service in the South

Dr Peter Maguire, from Newry, who works one or two days a week in St Luke's hospital in Rathgar, Dublin. Photograph: Dara Mac Dónaill
Seanín Graham's picture
Seanín Graham
Sun Apr 21 2024 - 06:00

When Peter Maguire works a shift at a hospital in Dublin, he earns as much in one day as he would in a week in Northern Ireland's NHS.

The anaesthetist quit his consultant's job in the North five years ago. A "toxic" NHS culture, Stormont's collapse and Brexit led to his decision. He began working part-time in the Republic.

"Best thing I ever did," he says of the move.

Maguire, who has 30 years' experience, is one of a growing number of senior doctors from the North who are working in locum and full-time posts in the South.

Oncologists, gynaecologists, radiologists and emergency department consultants are among those who have recently made the move, says a leading figure within the North's main doctors' union, the British Medical Association (BMA). Those taking up permanent positions can expect to more than double – and in some cases triple – their NHS salaries.

Some GPs, including those starting out in their careers, are also leaving. A workforce report published this week warned the profession was "struggling to the point of collapse" and demanded urgent action to prevent further departures.

"While the grass is not entirely greener in the Republic, if you speak to anyone there, it's probably not as frantic. They're not dealing with the fallout of the crumbling NHS," says Belfast GP Michael McKenna.

"Lots of junior GPs are making the move but we're also losing a lot of older consultants who are just fed up. The worrying thing is that half the GP trainees they're putting through in the North don't want to stay; they're training here and going back down South."

A GP starting out in the South would be earning "two-and-a-bit times" more than the same GP in the North, where the average salary is about £92,000 (€107,000), he says.

"We can't get anywhere near those salaries," says Alan Stout, co-chair of the BMA's GP committee.

"It's Enniskillen, it's Armagh ... it's those Border areas that doctors are leaving and [the money] makes it such an easy decision. It's no coincidence that those are the areas where we're struggling to recruit people".

Consultants in Northern Ireland have a starting salary of £88,000, which tops out at £118,00 for a 40-hour week. This compares with a baseline salary of €217,325-€261,051 in the South for a 37-hour week
Ireland is now third to Australia and New Zealand as the most popular destinations for UK doctors planning to practise elsewhere, according to the General Medical Council (GMC), the UK regulator for doctors.

For Northern doctors, who earn less than their British counterparts, the lure of enhanced pay packages in better staffed hospital departments is "super attractive", one senior medic said.

Consultants in Northern Ireland have a starting salary of £88,000 annually, which tops out at £118,00 for a 40-hour week. This compares with a baseline salary of €217,325 to €261,051 in the South for a 37-hour week under the Sláintecare contract introduced last year.

"Things are so much better and different in the South for consultants," says Maguire, who was based at Newry's Daisy Hill Hospital for 16 years.

"Only yesterday, I took the train down from Newry to Dublin and worked in St Luke's in Rathgar. I did my shift and came home and never found the work so satisfying in my life. It's what I trained to do, look after people.

"It's far better paid and there's far less bureaucracy."


Dr Peter Maguire at St Luke's hospital in Rathgar, Dublin. Photograph: Dara Mac Dónaill
After tax, he was earning around £4,500 a month from his NHS consultant job.


"I'm not comfortable talking about money but I was asked to go up to Letterkenny to cover for holidays last June and took home €9,600 for a week.

"Let's even park the money. When you can come home and say, 'Wasn't that a brilliant day's work?' I would never dream of returning to the NHS."

While no firm data exists on the number of medics from Northern Ireland working in the South, information provided to The Irish Times by the GMC is an indicator of what appears to be happening on the ground.

The regulator confirmed a spike in requests for a document that enables UK-based doctors to practise in the South; figures show the number of Certificate of Good Standing (CGS) applications rose from 507 in 2022 to 804 last year.

The GMC cautions that the requests "do not necessarily mean the doctor has definitely left the country – rather, it may show an intention". Of those who applied in 2023, 632 were still registered and licensed to practice in the UK.

Pay parity, staff shortages and the North's deteriorating health service – it has consistently recorded the highest NHS waiting lists over the past decade – are undoubtedly factors for those moving.


[ Striking junior doctors warn more medics will leave North's health service without pay riseOpens in new window ]

The impact of Brexit, Covid and a two-year political vacuum have also been felt, with junior doctors striking for the first time over pay last month.

Since Stormont's restoration in February, Northern Ireland's Health Minister Robin Swann has pledged to build the GP workforce and retain more experienced doctors.

But he has yet to stop the exodus.

Anne Carson is a consultant radiologist who left her NHS job after 25 years for locum work in Letterkenny and Portlaoise.

"I choose to go down South because as a senior radiologist walking into any NHS department in Northern Ireland, I would be flogged to death. That's the bottom line.

"There has been a complete reversal; it used to be the Southerners came up to work in the North and now it's very much the other way round because of terms and conditions and pay, and pressure of work."



Dr Anne Carson, consultant radiologist
However, Carson says it's "not all roses" for doctors in the South. "Southern consultants have their own issues and it can be very stressful for those in permanent jobs," she says.

"But Northern Ireland is broken. It's so broken I don't know what the answer is."

Asked if it was concerned about the movement south, the Department of Health confirmed that discussions were under way with consultants' representatives on pay issues.

The Northern Ireland health service continues to "actively recruit clinicians regionally, nationally and internationally", says a department spokesman.

"While a small number of medical staff may have chosen to take up work in the Republic of Ireland or other jurisdictions, it should also be acknowledged that our workforce across the health service continues to grow."

David Farren, chairman of the BMA consultants' committee in Northern Ireland, takes issue with the department's view, saying vacancy figures for consultants "tell a very different story" – there were 182 unfilled posts in September last year, an increase of 80 per cent since March 2017.

"Every consultant I chat to in a health trust in Northern Ireland is now telling me they know someone who is leaving to work in the South," says Farren, a consultant medical microbiologist at Antrim Area Hospital.

He has been inundated with calls from English colleagues asking "What it's like to live in Ireland?"


Dr David Farren: 'It wouldn't surprise me particularly if staff keep moving across the Border'
Some colleagues in Antrim have recently left for Dublin – and he says he was about to quit himself, but decided not to move for family reasons.

"We've lost a couple of radiologists, a couple of obstetrics and gynaecology consultants and there's a few people who have gone part-time, who are doing a few days a week in Antrim and a few in Dublin," he says.

Farren says he could earn double what he makes a week for a 37-hour week in the North "with no on-call". There are other benefits; he lives in Lisburn and has a 40-minute driving commute, but could be in Dublin in less than two hours on the train.

"I don't have to drive, I can work on the train or read a book or even do a crossword. Simple things like that," he says.

Northern doctors believe there could be more cross-Border health services, beyond cancer treatment and children's heart surgery that is already provided, if the trend continues.

"It wouldn't surprise me particularly if staff keep moving across the Border," says Farren.

Alan Stout believes "one of the biggest drivers towards an all-island health service" would be if "a large majority" of Northern Ireland's doctors end up working in the Republic.

"So if our doctors are in the South, we're going to end up having to share services anyway," he says.
#19
General discussion / Re: The Fine Gael thread
September 03, 2024, 03:27:13 PM
Quote from: Snapchap on September 03, 2024, 02:21:22 PMAnd the gall of Simon Harris to stand in front of the TV cameras talking about how shocked he is about it, as though he's not the f**king Taoiseach, and as though his party wasnt behind the new Childrens Hospital on track to become the most expensive hospital ever built in the world.

More neck than the giraffe enclosure at the zoo.

Sure at least they have the money to squander with another €8bn+ surplus again this year, while in the North they will have to cut heating allowance to pensioners, Stormont getting reprimanded for water pollution, and Starmer across the water telling UK get ready for pain. The shed will a lovely facility for the Blueshirts to park their bicycles.

https://www.ft.com/content/bda76023-5cc2-404a-8ad0-c9cba8af4f88
#20
Will You be There (the Free Willy Theme)
Billie Jean
Thriller
#21
Quote from: EmeraldOpal on August 31, 2024, 08:02:39 PMhow long before mcdonald is forced to stand down

A leader satisfaction rating of only 31% in tomorrow's Ireland Thinks Indo Poll and party down to 18%. Only O'Gorman behind McDonald. Still time to recover before an election next year but it's been a rapid fall.
#22
General discussion / Re: The DUP thread
August 30, 2024, 03:42:30 PM
Quote from: Orior on August 30, 2024, 02:29:04 PM
Quote from: Rossfan on August 30, 2024, 01:14:45 PMHave DUPUDA and TUV sent in their complaints yet?


https://www.gaa.ie/article/gaa-representatives-meet-psni-chief-constable

And while they're at it, how about this?

https://www.belfasttelegraph.co.uk/news/courts/orange-order-chief-provides-character-reference-for-top-loyalist-accused-of-inciting-religious-hatred-court-told/a579803475.html


The amount of ironies in that one beats the band.
Stitt sends a facebook post calling Loyalists to rise up and defeat the spread of evil Islam. Meanwhile he got his own shining white chompers done in Turkey, a muslim country. Old Whiskey Nose then comes to give Turkey Teeth a character reference. And to cap it all off, his solicitor John Larkin who Bryson, Allister and unionists have been using to get rid of EU law in North is claiming UK law should not apply to Turkey teeth because he was out sunning himself for six weeks in Spain when he sent the facebook post.
They are some shower.


#23
General discussion / Re: The SDLP
August 29, 2024, 02:51:00 PM
Quote from: Saffrongael on August 29, 2024, 02:29:01 PM
Quote from: weareros on August 29, 2024, 02:22:17 PM
Quote from: Pub Bore on August 29, 2024, 01:16:03 PM
Quote from: JPGJOHNNYG on August 29, 2024, 01:06:59 PMNationalism still needs the SDLP. If the SDLP finished then yes some more votes would go to SF but even more would would go to Alliance who will not forward the UI project one bit. People hoping for the SDLp demise are as daft as the unionists calling for unionist unity or a single party it will only result in a decrease in return

Those SDLP voters who go to Alliance wouldn't vote for a UI anyway.  This can only be good news for SF.  Claire Hanna is about as interested in a UI as Jim Allister.  Her Belfast centric approach may actually attract a few Alliance voters in the short term but will push places like Foyle, East Derry and Upper Bann towards SF.

Is it good news for SF? In the recent Lucid poll, the combined SF/SDlP vote in the 18-24 age group was only 30%. Alliance was at 20% in that grouping. The two parties look like they will struggle to maximize the nationalist gene pool vote and those other right or left parties Aontu and PBP will not secure it either. 5% was going to Green in that age group so old nationalist parties not appealing to younger voters on issues like climate, and SF siding with Unionism and Tory policy to block trans medication won't help them with astute younger voters either.

I would probably take issue with that, plenty of "astute" younger voters will be fine with the arrangements on "trans medication", you make it sound like it's a course of antibiotics.

Maybe I should have used empathetic. I see my own teenage children. They are totally empathetic to the plight of young trans community. My parents generation mostly are not. Alliance will be on right side of history on this one with I'd say the younger demographics.
#24
General discussion / Re: The SDLP
August 29, 2024, 02:22:17 PM
Quote from: Pub Bore on August 29, 2024, 01:16:03 PM
Quote from: JPGJOHNNYG on August 29, 2024, 01:06:59 PMNationalism still needs the SDLP. If the SDLP finished then yes some more votes would go to SF but even more would would go to Alliance who will not forward the UI project one bit. People hoping for the SDLp demise are as daft as the unionists calling for unionist unity or a single party it will only result in a decrease in return

Those SDLP voters who go to Alliance wouldn't vote for a UI anyway.  This can only be good news for SF.  Claire Hanna is about as interested in a UI as Jim Allister.  Her Belfast centric approach may actually attract a few Alliance voters in the short term but will push places like Foyle, East Derry and Upper Bann towards SF.

Is it good news for SF? In the recent Lucid poll, the combined SF/SDlP vote in the 18-24 age group was only 30%. Alliance was at 20% in that grouping. The two parties look like they will struggle to maximize the nationalist gene pool vote and those other right or left parties Aontu and PBP will not secure it either. 5% was going to Green in that age group so old nationalist parties not appealing to younger voters on issues like climate, and SF siding with Unionism and Tory policy to block trans medication won't help them with astute younger voters either.
#25
General discussion / Re: The SDLP
August 29, 2024, 12:33:56 AM
Probably the one man band TUV relegating SDLP to 6th in latest opinion poll was end for Colum. Wasn't making any headway in support even when the only party doing the right thing - ie boycotting Genocide Joe and the Saint Paddy's cringefest at White House.
#26
General discussion / Re: The far right
August 26, 2024, 01:44:16 PM
Quote from: burdizzo on August 26, 2024, 09:41:34 AMInterestingly, yet another poll this morning shows immigration is the number one concern for the electorate, and 75% have a negative perception of the government's handling of same. So, yes, it is important to people.

I don't think that is quite right.
The first question was:
What is getting voters attention - key themes August 2024
Immigration 21%
Housing 19%
Social Policies 5%
Healthcare 4%
Cost of living/inflation 3%
Budget/Spending 3%
Crime/Gardai 3%
Education 3%
Taxes 3%
Employment/Econony at bottom at 2%

Then they looked at percentage positive/negative in the themes and 76% was negative around immigration and housing.

So that is really 76% of the 21% - the way I read it anyway.

#27
Quote from: Sportacus on August 23, 2024, 07:12:44 PMMeanwhile
https://x.com/BBCSportScot/status/1827029227868192781


Capacity for 12,500.
UeFA requires 35,000 all-seater. If GAA wants to host Ulster Finals in Casement, would want to be 30,000 although they plan to eventually remove some seating and create standing terrace area.
#28
Quote from: RedHand88 on August 20, 2024, 06:56:40 PMUnattractive - nobody seems to know what potato bread is.

Loathe as I am to wade into a controversial topic like "The Fry", certainly in west of Ireland no fry ever had potato bread or soda farls. What is all that about? The Ulster Fry to certain people seems to be the sine qua non of the fry with this extra thing. I don't know. Think I'd rather have an extra rasher on the plate. For fried potato pancake stick with the auld Boxty.
#29
General discussion / Re: The DUP thread
August 19, 2024, 04:10:34 PM
Portrayed himself as moderate but then again he had an urgent meeting with the Chief Constable over the one handed driving, joyriding PSNI offer with the Armagh flag. He wasn't afraid to be Paddy Irishman but his inner William Ulsterman was always lurking in the shadows.
#30
General discussion / Re: Olympics Paris 2024
August 12, 2024, 03:01:56 PM
Quote from: dec on August 12, 2024, 02:36:56 PM
Quote from: blanketattack on August 12, 2024, 12:36:27 PMUzbekistan dominates boxing.
Cuba seems to have fallen away, they were the top or close to top country for most of my memory.

And boxing was always a good source of medals for Ireland but may not even be part of the next Olympics.

Cuba got only the one gold in boxing, but the lightweight contest between Alvarez and Oumiha of France was some fight. Still producing fine fighters.