Totally Share Discussion Threads

[macthepak] 02/11/2017 12:04

grahamwales comments 1725 and 1726

Your ignorant reviews are not warranted.

Your first comment on shoulder pain, now shoulder pain can potentially be a sign of heart disease depending on the origin, quality and type of pain it is.

Your second comment on "terrible headache", now there are several serious causes of "terrible headaches" include burst blood vessels in the brain, carbon monoxide poisoning, meningitis, stroke etc It simply not a question of a drug interaction that your query was about!!

[sikhthetech] 02/11/2017 09:59

riverway,

isn't that true of any business, regardless of whether it's private or public sector?


riverway2 Nov '17 - 07:59 - 1712 of 1726 1 1 Moderate | Ban
At the very least the article shows that the urgent care and 111 business is dependent on the quality of people employed.

[grahamwales] 02/11/2017 09:51

Headache pmsl Take some paracetamol ffs

Called up because of terrible headache, The operator was very nice and helpful, The callback was terrible, I knew more then the person and just repeated what I said. I wanted to know about a simple drug interaction.
Very disappointing, I will take my chances until Monday

[grahamwales] 02/11/2017 09:50

One review of the 111 service.

Some people are so pathetic. Sent an ambulance for a pain in the shoulder. No wonder the health service is going down the pan.

I had agonising pain from a shoulder operation which was major surgery. They told me to wait for my doctor to open four hours later!!!
I rang 999 and although the first operator hung up on me as not urgent enough the second one sent an ambulance.
Twice I have used 111. Absolute rubbish both times.

[sikhthetech] 02/11/2017 09:44

I don't think anyone within govn, NHS/Private health companies or shareholders of any health companies seriously believes that the health system is perfect...

There are lots of issues with the ENTIRE health system, from GP to ambulance to Hospital, which is why major changes are needed to processes as well as the way healthcare is implemented...

The govn came up with a plan, inc STPs, UCC... I happen to think it is a good way forward to ease pressure off A&E hospitals and GPs... At least give it a try and iron out any issues before the entire health system collapses and we're left without any GPs....

[pugugly] 02/11/2017 09:18

Nobby - Agreed - Which is while I am still watching but BH does not always walk on water - Just a couple of reasons to be cautious - Lakehouse and AMP - Could go futher back but that si enough for now.

[grahamwales] 02/11/2017 09:17

AS you state this is not a get rich quick share more of a longer term investment. Even Bob is looking at his future SIPP investment, there will be savings and QCC must have been more than happy to see Totally take over what was a poor Vocare business.

Bob no doubt got it cheap because of these failings and sure his and Wendy's knowledge and experience in management will put the right people in place to make improvements.


I believe there will be more smaller bolt on acquisitions in the near future to enhance the profitability of the now enlarged group.

[sikhthetech] 02/11/2017 09:15

Riverway,

so was Hull & Leeds Hospital responsible, lack of medical info???...


'the coroner has confirmed that there was no evidence of negligence or incompetence."
The inquest was told that Kyle was born 14 weeks premature and weighing just 1lb 7oz,

in October 2014, suffering from medical problems including three holes in his heart and intestinal difficulties, which required repeated surgery at hospitals in Hull and Leeds.

[nobbygnome] 02/11/2017 08:53

I have been holding off posting recently for a variety of reasons but feel compelled to make a comment at this point.

We currently have a business which is valued at about a quarter times turnover which clearly on the face of it is ridiculous. The reason for that is the recent problems at Vocare and the lack of profitability, although we are told that should resolve in the second half.

So if the Vocare business was slimmed down by losing some of the non profitable problem parts over the coming months and years surely that is a good thing. I remind you that the valuation is currently a quarter times turnover. If the turnover was halved but that resulted in the company being comfortably profitable, I suggest that the share price would be much higher than now. In addition, there will be the inevitable cost savings when you combine businesses. There are always some back office functions which can be shared and will lead to the loss of a number of people, which will help profitability.

I have met Bob Holt on a couple of occasions and questioned him in detail, although not since this acquisition. These interactions have led me to put a lot of faith in his judgement. His recent large purchases are encouraging because he is prepared to put his money where his mouth is. The fact that there is rumblings about the increasing privatisation of the NHS is a red herring IMHO. Where greater value can be extracted by contracting services out, there is no doubt it will continue. We all know that large publicly run organisations are notoriously inefficient, which is why there is the scope for profit making efficient companies to step in to provide cheaper services.

So I place my faith in Bob Holt to reform Vocare and turn TLY into a sustainably profitable company. In addition, we can expect further acquisitions in the future which will further expand the company and lower the risk.

At this level it is a stonking buy IMHO, although experience tells me it may well go lower before we get the inevitable rerating.

GLA

Nobby

[grahamwales] 02/11/2017 08:14

River

Sick and twisted no other words for you.

[riverway] 02/11/2017 08:10

Here are the links-

The Vocare logo is in the top right hand corner:

hxxp://www.yorkshiredoctorsurgentcare.nhs.uk/centres.php

And here is the Daily Mail article:

[riverway] 02/11/2017 08:07

Graham Wales - the article is in todays Daily Mail. Are they deramping Totally? You should get onto the editor.

Go and do a google search for Yorkshire Doctors Urgent Care centre and you will find it says on the first line that it is part of Vocare.

[grahamwales] 02/11/2017 08:06

River

Sick and twisted like I said what will you post next to make money.

Sad very sad

[riverway] 02/11/2017 08:04

Graham Wales - the 111 call handler passed the case onto a GP from the out of hours service. This GP from the Yorkshire Doctors Urgent care centre (Vocare) sent the baby home, completely missing the bowel obstruction that killed him.

The article focuses on the changes to the 111 service, but it also highlights the problems of running both 111 and urgent care centres.

[grahamwales] 02/11/2017 08:02

River

Which part of software changes didn't you understand. Also de ramping based on a baby's death is sick and twisted.

Your a sad case.

[grahamwales] 02/11/2017 08:00

No you didn't you changed the article wording and put Vocare's name in there which wasn't mentioned and failed to post the complete sentence. Genuine question are you shorting TLY? If not what is your purpose here.

Dr Mike Harrison, of Yorkshire Doctors Urgent Care, offered its sincere condolences to the family and said: 'In line with our own internal investigation, the coroner has confirmed that there was no evidence of negligence or incompetence.

[riverway] 02/11/2017 07:59

At the very least the article shows that the urgent care and 111 business is dependent on the quality of people employed.

As to the time of the incident - 2015- I believe Vocare was a not for profit at this time. There is likely to have been far more goodwill and less impetus for legal action if the company was thought to be a not for profit. Attitudes may be different towards a private company.

By the way there is a timeframe of up to three years to claim for medical negligence.

This is one case that has made the newspapers; how many others are out there?

[riverway] 02/11/2017 07:51

Graham Wales - I let the article stand for itself. People can form their own opinions.

[grahamwales] 02/11/2017 07:35

River

This was a national issue with all providers not just the region, hence why Vocare was not to blame for this incident. But hey keep on de ramping mate Bob is loving these prices so am I. :-)

Yorkshire Ambulance Service, which delivers NHS 111 across the region, confirmed that national changes had already been made to the telephone triage software used by the NHS 111 service, in regard to issues highlighted by the coroner

[grahamwales] 02/11/2017 07:32

Savage

So I gather by your post you work for the NHS. Well even you must realise that its failing big time and needs help. Don't you think a filtering system to ease the burden on hospitals is a good idea?

[grahamwales] 02/11/2017 07:30

river

Shame you didn't mention the fact that there was no blame placed on Vocare. Anyway how long ago was it, was it before Totally took over by any chance.