April 30, 2005
Targets
Lots of talk about these recently.
Young Toni was totally flumoxed by a question about the 48 hour waiting list target for General Practitioner appointments. Apparently what happens is that you can't book an appointment MORE than 48 hours in advance as a result of this. This is because the days might get full up, and then, when someone calls they have to be put off, thus missing the target. So what they do is have a very narrow window for booking the appointment, and keep the diary as open as possible.
This is precisely the sort of thing that always happens. Philip Johnston wrote a most interesting article on the subject which you can read here. (You may find you need to sign up for membership; if that's a problem read a copy here.)
My take on this goes like this.
Around ten years ago, in one of the hubs served by United Airlines, it was common for the last short haul plane out to wait for the (frequently) delayed incoming connecting flights. Passengers didn't mind, most were business travellers who knew that the next week the plane could be waiting for them, and were just glad to get home in the evening rather than the next day. The day came when my then chairman, after sprinting to make his connection, found the gate closed and the departing aircraft pushed back about 20 yards. This was bad enough, but worse followed as the plane remained in that position for around 45 minutes before finally resuming the push back and taxiiing for takeoff.
He made enquiries.
United had set a target of improving push back times. Not take off, not landing, but push back. So the plane had met it's target and the employees concerned could bask in the warm glow of self satisfaction and management appreciation that comes when you hit a management target. The problem, it hardly needs stating, is that the target had absolutely no relevance to the airline's customers. They care about arriving safely and early enough to get to their hotels, homes, or appointments. When on an evening flight even arriving on time comes a poor third to those two requirements.
So it's not, as Toni thinks,about setting more detailed targets, it's about setting more sensible targets which relate to end users' experiences.
Here's a nice picture of an Anti-target.

Incidentally, and this is completely off topic, this picture came from a very heavyweight scientific paper. You'll get a feel for this just from the abstract: -
We study pattern formation arising from the interaction of the stationary Turing and wave ~oscillatory Turing! instabilities. Interaction and competition between these symmetry-breaking modes lead to the emergence of a large variety of spatiotemporal patterns, including modulated Turing structures, modulated standing waves, and combinations of Turing structures and spiral waves. Spatial resonances are obtained near codimension-two Turing-wave bifurcations. Far from bifurcation lines, we obtain inwardly propagating spiral waves with Turing spots at their tips. We demonstrate that the coexistence of Turing spots and traveling waves is a result of interaction between Turing and oscillatory modes, while the inwardly propagating waves ~antispirals! do not require this interaction; they can arise from the wave instability combined with a negative group velocity. © 2002 American Institute of Physics. @DOI: 10.1063/1.1507110#
If you're in a really masochistic frame of mind the full paper is available here.
Health
Apparently John Reid is going to do great things for the health service if ZNL get reelected.
Mr Reid said if Labour was re-elected next week,
"the party would ensure that all women would have the choice over where and how they had their babies by 2009."He also told a news conference that a Labour Government would also
double the investment going into palliative care, to help more people "die with dignity at home if that is what they choose".
It's hard to understand why some of these wonderful things couldn't have happened in the last 8 years.
Reid is a bruiser, visibly happy in debate when anyone else is getting uncomfortable. A most unpleasant man. It's hard to imagine him as some sort of friendly, concerned local GP.

15 Minutes of Fame
Gillian Ferguson is standing in North Tyneside. We should praise and support her to the utmost extent since she's standing against "Bozo" Byers, the man, you'll recall, who stole Railtrack from its shareholders and ensured that Rover died. Apparently he is lined up for high office again if ZNL win, so make sure you don't have anything he might want. And if you see him with shitty, run.
Anyway, this is what happened last time, so Gillian has a mountain to climb.
| Candidate | Party | Votes | Share | Change | |
| Stephen Byers * | Lab | 26,027 | 69.50% | -3.30% | |
| Mark Ruffell | Con | 5,459 | 14.60% | 0.90% | |
| Simon Reed | LDem | 4,649 | 12.40% | 1.90% | |
| Alan Taylor | UKIP | 770 | 2.10% | ||
| Pete Burnett | SA | 324 | 0.90% | ||
| Kenneth Capstick | SLP | 240 | 0.60% | ||
| Turnout | 37,469 | 57.70% | -10.20% | ||
| Majority | 20,568 | 54.90% |