text:
Q: How to select not null datas using whereHas in LARAVEL Let me make it simple, In my models, I have countries and cities. My goal is, I want to select and display only the cities that has shops and it should also have datas and the employees should not be NULL
In the below given array, my city has two shops where id - 13 that doesn't have any datas and id - 19 which is having data.
[
    {
    "id": 1,
    "created_at": "2022-06-02T06:07:31.000000Z",
    "updated_at": "2022-06-02T06:07:31.000000Z",
    "name": "Niue",
    "cities": [
                {
                "id": 13,
                "created_at": "2022-06-02T06:07:44.000000Z",
                "updated_at": "2022-06-02T06:07:44.000000Z",
                "country_id": 1,
                "name": "North Michealbury",
                "shops": [] //empty
                },

                {
                "id": 19,
                "created_at": "2022-06-02T06:07:44.000000Z",
                "updated_at": "2022-06-02T06:07:44.000000Z",
                "country_id": 1,
                "name": "Millsmouth",
                "shops": [
                            {
                              "id": 1,
                              "created_at": "2022-06-02T06:14:37.000000Z",
                              "updated_at": "2022-06-02T06:14:37.000000Z",
                              "city_id": 19,
                              "name": "Roberts-Okuneva",
                              "employees_count": 146
                            }
                        ]
                }
            ]
    }
]

This is the code that, I have written in my controller. The goal is, I want to select and show only those cities that has shops with employees.
   return Country::with(['cities','cities.shops'=>function($employee){
        $employee->withCount('employees')->where('city_id',19);
    }])->whereHas('cities',function($city){
        $city->where('cities.id',19);
    })->get();

These are my models, each of them has a hasMany relationship
Country model
 public function Cities(){
        return $this->hasMany(City::class);
    }

City model
public function shops(){
    return $this->hasMany(Shop::class);
}

Shop model
   public function employees(){
        return $this->belongsToMany(User::class,'shop_employees','shop_id','employee_id');
    }

A: You can try
//Get all cities which have shops having at least one employee
return Country::with([
    'cities',
    'cities.shops' => function($query) {
        $query->withCount('employees');
    }
])
->whereHas('cities', function($query) {
    $query->whereHas('shops', function($query) {
        $query->has('employees');
    });
})
->get();

A: i found another solution querying with clause.
 return Country::whereHas('cities',function($cities){
        $cities->where('country_id',1);
    })->with(['cities'=>function($shops){
        $shops->has('shops')->where('cities.country_id',1);
    },'cities.shops'=>function($employee){
        $employee->withCount('employees');
    }])->get();


Knob CreekI've had this 50ml bottle of Knob Creek sitting on my desk for some time.
I've had this 50ml bottle of Knob Creek sitting on my desk for some time. I believe I purchased it to take to a leadership course that had an "adventure" planned for the great outdoors. Well, being that the temperatures were hovering around freezing, I thought I might need a little something by the campfire that night, hence the small bottle (travels easy).
As far as tasting notes, I do love bourbon, and this is a worthy contender in the "above-average" group of bourbons from Kentucky. It is aged 9 years which is on the high side of good bourbons. Many good bourbons can be brought to market after seven evidently. I particularly like the packaging also. I'm not usually a fan of more than two fonts on anything but somehow it works on this "aged" paper.
As far as color, its a nice medium amber. As far as the nose goes, I picked up vanilla and a slight sweetness that reminded me of a charcoal barrel. After adding a touch of water, the sweeter smells moved to the rear so I didn't waste anymore time on that. As far as the taste, a very nice honey taste with vanilla notes. Maybe toffee, I've got to have some toffee again to be sure.
In short, I did like this bourbon and wouldn't hesitate to recommend it to anyone.


ROME (IDN) – Civil society advocates from around the world are urging newly-appointed UN Secretary-General António Guterres to be a "champion for civil society and take concrete steps to build a more inclusive United Nations".
In a new report entitled Strengthening Civil Society Engagement with the United Nations, four of the founding members of the 1 for 7 Billion campaign – which led calls for the United Nations to reform the selection process for one of the world's most important jobs – have collected a range of proposals from its global network of civil society organisations on how this could be achieved.
The four – the United Nations Association-UK (UNA-UK), the Friedrich-Ebert-Stifting (FES) New York Office, CIVICUS and Avaaz – present a series of practical recommendations on ways in which the United Nations can improve multilateralism, not just among governments but by involving community leaders, civil society organisations and activists.
In its introduction, the report stresses that "the world's seven billion people remain the Organisation's most important stakeholders and beneficiaries. It is through their eyes that the UN's record should be measured".
It also warns that at a time of global uncertainty, people are increasingly losing faith in institutions and political leadership, while nationalistic trends represent a serious threat to the international system.
The report recalls that prior to his appointment as UN Secretary-General, Guterres (former UN High Commissioner for Refugees and Prime Minister of Portugal) had promised the General Assembly that "dialogue and cooperation with civil society will be a central aspect of the activities of the UN in the next few years".
Taking Guterres up on his promises, the report's authors – including youth activists, NGO directors and policy experts – call on the new Secretary-General to broaden relationships with civil society on a wide spectrum of common interests touching on young people, the Sustainable Development Goals (SDGs), gender and peacebuilding, among others.
Chebbi notes that in its past dealings with civil society, the United Nations has tended to listen to large, well-funded organisations that do not necessarily reflect reality at a community level, "while the voices of the citizens who are most in need are not heard". She also says that the new UN agenda for the SDGs "provides an opportunity to re-balance power relations between civil society in the global North and South".
On the youth front, Kazi Ateea, a youth climate change activist and co-signatory of The Future Is Ours climate change campaign, calls for young people – "those with the biggest stake in the future" – to be represented in future negotiations on climate change talks.
Noa Gafni Slaney, founder and CEO of Impact Squared, a community-building consultancy, takes up the call for engaging millenials in achievement of the UN's ambitious agenda.
The issue of SDGs is also addressed by Farooq Ullah, a director of Stakeholder Forum and co-chair of UK Stakeholders for Sustainable Development (UKSSD), who argues that public policy alone cannot achieve these goals and that they must be aligned with action at the local level. .
Another of the report's contributors is Melina Lito, a programme officer with Equality Now, which is working towards a just world for women and girls. Equality Now has been campaigning for the election of a woman UN Secretary-General for the last 20 years and is concerned about the under-representation of women in the United Nations itself.
Although she expresses her organisation's disappointment that a woman was not appointed in the recent elections for the top UN position, Lito encourages Guterres "to become an unswerving supporter of a feminist agenda, including by ensuring gender parity among staff and prioritising the prevention of violence and discrimination against women and girls around the world".
According to Lito, there is an urgent need for UN leadership on women's rights, including through better incorporation of civil society voices working on gender issues in the highest policy forums.
"At a time when the political pushback against women's rights will only increase, supporting women's civil society voices also includes the UN showing leadership with Member States and their commitments to champion these issues within the Sustainable Development Goals and existing UN human rights frameworks," she says.
Meanwhile, with the international community facing increasing demands on its peacebuilding capacity, Rachel Madenyika, a UN representative at the Quaker United Nations Office (QUNO), argues that the UN Peacebuilding Commission (PBC) would benefit from more systematic engagement with civil society.
"It is clear that strengthened and institutionalised engagement with civil society will be required as the PBC takes the next steps towards implementing the new 'sustaining peace' agenda," according to Madenyika.
Summing up the report's call for supporting civil society across the UN system and beyond, Ben Donaldson, head of campaigns at UNA-UK and a co-founder of the '1 for 7 Billion' campaign, says that the United Nations must provide concerted support to help protect civil society space in order to realise Guterres' vision of "dialogue and cooperation with civil society".
Donaldson recalls the words of UN Special Rapporteur Maina Kiai, who wrote in 2016 that "in the last decade we have seen an unprecedented wave of repressive laws and practices sweep across the world, all designed to prevent people from organising, speaking out, and engaging in democratic rights and duties".


The Trade Desk (TTD -0.5%) has expanded its Connected TV product, adding audience targeting and attribution to its platform targeting cord-cutters.
Advertisers gain the ability to target consumers in a CTV environment using first- and third-party data, The Trade Desk says, and they can measure effectiveness using both digital and traditional metrics (such as video completion rate, gross ratings points and attributed view-through conversions).
They can also retarget commercials across viewers' other devices.
The Trade Desk expects 22M U.S. cord-cutters in 2017, up 33% Y/Y.


After a lifetime of being protected and sheltered by her parents, Kate is thrown into a state of turmoil after their sudden death. With nowhere else to turn, she finds herself living with her fiancé, a conniving businessman who is well on his way to becoming a corrupt super-lawyer. At the same time, Kate's father's law firm houses more secrets than a politician's hard drive. Later, she receives a shocking surprise when a long-lost half-brother enters her life. Can Kate rise to these challenges, discover the truth and re-emerge as a stronger, smarter version of herself?


text:
Сахтыш — село в Тейковском районе Ивановской области России, входит в состав Крапивновского сельского поселения.

География
Село расположено в 19 км на юго-восток от центра поселения села Крапивново и в 13 км на юго-запад от райцентра города Тейково.

История
Во второй половине XVIII столетия в селе были две деревянные церкви: теплая и холодная. Согласно указу Суздальской духовной консистории от 1785 года епархиальное начальство разрешило вместо деревянных церквей построить каменные. Каменная тёплая церковь была построена в 1794 году и освящена во имя Святителя и Чудотворца Николая. Другая деревянная церковь в конце XVIII столетия сгорела от неосторожного обращения с огнём. С разрешения епархиального начальства новая каменная церковь на месте сгоревшей была заложена в бо́льших размерах, однако строительство замедлилось из-за недостаточности материальных средств прихожан. Лишь через 15 лет в 1810 году она была достроена и освящена в честь Архистратига Божия Михаила. Архангельская церковь была пятиглавая: в ней, кроме главного престола в честь Архистратига Божия Михаила, имелись два придельных: в честь Святой Животворящей Троицы и святой великомученицы Екатерины. Колокольня при церкви была также каменная, обе церкви обнесены каменной оградой. В 1893 году приход состоял из села (44 двора), селец Бирюково, Блошкино, Мыльново, Тредьяково, деревень Пайдово, Мишнево. Всех дворов в приходе было 136, мужчин — 402, женщин — 496. В 1890 году в селе была открыта церковно-приходская школа, помещавшаяся в отдельном здании, построенном на средства попечителя школы Топоркова.

В конце XIX — начале XX века село являлось центром Сахтышской волости Суздальского уезда Владимирской губернии.

С 1929 года село являлось центром Сахтышского сельсовета Тейковского района, с 2005 года — в составе Крапивновского сельского поселения.

Население

Достопримечательности
В селе находятся недействующая церковь Михаила Архангела (1795—1810) и действующая церковь Николая Чудотворца (1785—1794).

Примечания

Населённые пункты Тейковского района

redpajama_set_name: RedPajamaWikipedia


Sometimes finding that last song to fill the gap between the first and second parts of the show is MURDER, and I just go with the flow. That happened this week, and I'm betting you can tell which song was a "to hell with this, I think this will mix" moment. I've also been meaning to mix in the Dream Theater track for a while, since it's a long-time favorite. Hope you like it.
Enigma – Sadeness – MCMXC a.D.
Reverend Horton Heat – Johnny Quest – Psychobilly freakout!


The reproductive and feeding ecology of Anops kingii was studied at the pampas mountain range of Argentina. Reproduction occurred from late winter (July) to early summer (December). Mean clutch size, based on the number of oviductal eggs, ranged from 2 to 4 eggs (x¯= 3), whereas mean clutch size based on the number of yolked follicles was 2.2 eggs. Adult females were significantly larger than males and all male individuals had conspicuous precloacal pores, whereas all females lacked them. Diet was not diverse and consisted mainly of coleopteran larvae. Foraging activity decreased during the coldest months of the year. Individuals were found under large rocks predominantly during winter and spring. This seasonal pattern of activity near the surface would seem to be related more to thermoregulatory than to trophic requirements.


February 11, 2016 by wpblogmichelle.
At Trigg Banquet Center, Tom and Terry Wilkerson have been helping customers celebrate the special events in their lives for forty years. They specialize in delivering the perfect wedding and wedding reception to match your unique vision and budget. The state of the art banquet facilities are also perfect for your family or holiday party, corporate event, fund raiser, or awards banquet. All the delicious menu and bar selections can be prepared fresh, delivered and served by our professional staff to any location in the Greater St. Louis area.
The chandelier ed banquet rooms accommodates 40 to 450 guests. They are decorated with white linen tablecloths with your choice of colored overlay, real china and silverware, beautiful candlelight table centerpieces, and a 1,000 square foot wood parquet dance floor.
The state of the art banquet center provides ample, convenient parking, and the covered entrance provides a convenient drop-off spot for your guests in case of inclement weather.
I officiate weddings all year long at Trigg Banquet Center. Tom and Terry will take great care of you. Give them a call and see if your date is available.


text:
Home » Politics » Mike Pence was livid 'after all the things I've done' for Trump, according to Oklahoma senator who spoke with the VP
Mike Pence was livid 'after all the things I've done' for Trump, according to Oklahoma senator who spoke with the VP
Vice President Mike Pence became uncharacteristically angry on Wednesday during the siege on the Capitol, according to Republican Sen. Jim Inhofe of Oklahoma.
"I've known Mike Pence forever," Inhofe told reporters on Capitol Hill Wednesday night. "I've never seen Pence as angry as he was today."
"I had a long conversation with him. He said, 'After all the things I've done for [Trump]," Inhofe added.
In another sign of Vice President Mike Pence's fraying relationship with President Donald Trump, a Republican senator told reporters the VP was the most angry he's ever seen him.
"I've known Mike Pence forever," Sen. Jim Inhofe of Oklahoma told reporters on Capitol Hill Wednesday night. "I've never seen Pence as angry as he was today."
"He was very upset," Inhofe said of Pence at another point, according to a pool report compiled by Congressional reporters.
Inhofe indicated Pence's frustration was aimed at his boss, particularly given the VP's notoriously unflinching loyalty to Trump.
"I had a long conversation with him," Inhofe said. "He said, 'After all the things I've done for [Trump].'"
Pence is not known for his displays of emotion.
Since taking office, Pence has demonstrated consistent loyalty no matter what controversies Trump has gotten himself into. Until Inhofe spoke on the record about Pence's feelings toward Trump on the day of the siege, the only other widely reported instance of Pence breaking from Trump in a substantive way was in the aftermath of the infamous "Access Hollywood" tape.
Trump went after Pence during his speech preceding the storming of the Capitol on Wednesday. The president's main contention was that Pence could refuse to certify the results of the Electoral College while presiding over the joint session of Congress, even though such a move would not be legally binding or have any impact on President-elect Joe Biden's victory.
"And Mike Pence is gonna have to come through for us," Trump said as the crowd jeered. "And if it doesn't, that will be a sad day for our country."
Even while the siege was happening, Trump was focused on going after Pence once again on Twitter instead of urging his supporters to stop attacking Capitol Police officers and back away from storming the building.
« Photos show the trail of destruction inside the US Capitol following an attempted coup by pro-Trump supporters
Biden to name Boston's Walsh for Labor, Raimondo of Rhode Island for Commerce »

redpajama_set_name: RedPajamaCommonCrawl


text:
Q: Determining of tangent space in spaces of matrices Let M be a set of all matrices that have determinant equal to one. If we see all matrices $M_{n,n}$ of dimensions $n \times n$ as a manifold over $R^{n^2}$, then our M is submanifold. Now, let A be arbitrary element of M. Determine $T_A M$. Now, I tried to set $T_A M$ as something diffeomorphic to $R^{n^2}$ but I don't know if it is true, I am truly unconfident.

A: It's not really necessary to think about group stricture: multivariable calculus is enough. When $F:\mathbb{R}^N\to \mathbb{R}$ is a smooth function such that $\nabla F$ does not vanish on the set $F^{-1}( 1 )$, the set $F^{-1}(1)$ is a submanifold of dimension $N-1$ with the tangent space being the orthogonal complement of $\nabla F(x)$.
Here $N=n^2$ and $F$ is the determinant function. To find $\nabla F$, suppose $\det A=1$ and the entries of $B$ are small. Then
$$\det (A+ B) = \det (I+ A^{-1}B)$$  where the contribution of off-diagonal entries of $A^{-1}B$ is of second order of magnitude in $B$ (because when an off-diagonal entry appears in the computation of determinant, it is multiplied by another such entry). Therefore, the linear approximation to $\det (I+A^{-1}B)$ is just $1+\operatorname{tr}(A^{-1}B)$. Conclusion:
$$
T_AM = \{B : \operatorname{tr}(A^{-1}B) = 0\}
$$

redpajama_set_name: RedPajamaStackExchange


text:
APPG HiAP
All-Party Parliamentary Group for Health in All Policies
APPG HiAP Officers and Members
APPG HiAP Minutes of Meetings
All Party Parliamentary Group Health in All Policies 2019 (current) Inquiry
Blog / Health
How much of the NHS in England has already been privatised?
October 8, 2019 - by Deborah Harrington - 5 Comments.
The question, 'How much of the NHS has already been privatised?' popped up in a Facebook group this week (it's a frequently asked question). The answer that Deborah gave seems to have developed a life of its own and has been shared quite widely on Facebook and Twitter. At the request of several people to make it into a more easily shareable blog, we are copying it here, slightly modified. At its heart it really poses another question: 'what are we talking about when we talk about the privatisation of the NHS?' We think the usual answer is limited – as it only includes clinical services, as if all the supporting and ancillary services aren't 'the NHS'. We do include them, which is why our answer to the question asked on Facebook 'How much of the NHS has already been privatised?' is…. 'pretty much all of it'.
While all eyes are on companies like Virgin, the NHS itself has been broken up into over 500 'provider bodies'. These are a mix of arms' length public companies (Foundation Trusts are not under the direction of the Secretary of State for Health), private health and the voluntary sector.
The 'NHS' Foundation Trusts are set up in law under the Health and Social Care (Community Health and Standards) Act 2003 as legally independent organisations called Public Benefit Corporations which can and do: compete with one another and with the private and voluntary sectors for contracts; sub-contract to the private sector for 'extra capacity'; and set up their own subsidiary companies (either wholly owned or part owned with the private sector).
They are now merging with other organisations to form Integrated Care Systems to lower their financial 'risk' of insolvency but also to profit share and some have already created 'special purpose vehicles' (the kind of company with multiple partners used in PFI) . That will move them from public companies into private ones and some of the 'collaboratives', as they are also known, have the private sector in the new systems with them.
That's absolutely the case in the first groups of mental health providers because the private sector is such a huge player in mental health.
Clinical Commissioning Groups (CCGs) don't have the same function as a public sector planning body would have. The government provides the money for what has become in all but name a state insurance scheme, rather than funding for comprehensive public provision. CCGs aren't obligated to provide the same level of care as each other. They have core services they must provide but, rather like health insurance companies, they can ration or refuse to provide a lot of other things.
That includes cataracts, hip and knee replacements, hernias and varicose veins, unless they have thrombosed, prolapsed or otherwise create an immediate danger.
Other treatments such as IVF and vasectomy are also on the reduced or removed list. Of course this creates a market for those who can afford to pay outside the NHS or, alternatively, you can be an 'NHS private' patient.
Some hospitals have greatly increased their private patients and some others have formed joint companies with US hospital groups like HCA to provide private health care. The newest of these is the US Mayo Clinic's first clinic in the UK in partnership with Oxford University Clinic – a partnership itself between Oxford University and Oxford University Hospitals NHS Foundation Trust.
Many hospitals, clinics and GP surgeries which used to be publicly owned or owned by the GP partners have been sold or taken into ownership of NHS Property Services and have had to move either into PFI buildings or otherwise rent in purpose built accommodation owned and provided by the private sector (and very profitable business it is too…). Offshore funds have bought up about half of the equity in PFI and PF2 projects so that the projects' owners are increasingly remote from the public service being delivered. In addition, offshore owners of these projects pay little tax.
Maintenance, cleaning, hospitality and portering services, plus ambulances and patient transport started moving over to the private sector decades ago, sometimes with serious consequences. Those that remain are being subjected to their Trusts forming Subsidiary Companies which will over time erode their terms and conditions of service as much as any other private company would.
Until recently Centene, a major US insurance company, owned The Practice – the largest GP group in the country which spreads from Birmingham up to the North East and down to London – but it has now sold it to a US private equity group. Optum, the UK subsidiary of US giant United Health, provides services to the second largest GP group, Modality, and is the fund holder for the new GP Primary Care Networks.
Optum also runs referral checking services in various parts of the country where it decides whether your GP's referrals for tests or to see a consultant are permitted or not.
GPs are 'losing NHS business' – as are community pharmacies in rural areas – to large pharmacy chains like US-owned Boots and supermarkets, through competition for profitable work or through withdrawal of essential funding.
With the increased complexity of operating all the billing systems and new legal arrangements to make, not to mention the backroom services such as developing and running IT systems (and patient facing ones too like the GP at Hand app) there's a lot of lucrative work for major accountancy, legal and management consultancy companies to be had too.
There is vested interest in promoting the idea that 'privatisation' means the private sector taking over the whole of the NHS, as happened to the utility companies, (rather than profitable sections like property and certain significant sectors like community care, mental health and GPs) with private health insurance replacing 'free at the point of need'. It deflects from the real extent of what's happening. It's more the case that the NHS has multiple layers of profit opportunity within it – and the problem is that the more sectors of the NHS are thinking about money, the less they are thinking about care.
What we don't have anymore is the NHS as a unified provider of universal and comprehensive services. Funding the NHS to provide what is needed, where it's needed, is no longer the prime objective. We are half way to Medicare (which will be and may already be, depending where you live, the second tier of a two tier system) with all the right business processes, billing systems, etc, already in place. #Medicare4All might be a huge step up for America, but it's a big step down for the NHS in England.
The Centre for Health in the Public Interest (CHPI) did a study of privatisation in social care which parallels what is happening in the NHS. They said "Worryingly, the early talk of a 'mixed economy of care' with local authorities, private and voluntary sector competing on a level playing field rapidly disappeared from political discourse." Its statistics show the extent of the takeover by the private sector from local authority and NHS provision, "In 1979 64% of residential and nursing home beds were still provided by local authorities or the NHS; by 2012 local authority share was 6%; in the case of domiciliary care 95% was directly provided by local authorities as late as 1993; by 2012 it was just 11%."
Have we defined privatisation in a way that makes sense? We think so. It spreads to every part of the NHS in England – and we haven't even included here the clinical services or pathology lab services which tend to be everyone else's focus. That's why Professor Allyson Pollock wrote her NHS (Reinstatement) Bill. Not just to get rid of the likes of Virgin (which it will also do) but to return the whole of the NHS to public service.
We need to talk about 'Integrated Care' in the NHS
Dear Dr Williams, Primary Care Networks aren't really nationalising GPs, are they?
Another 'fudge' for the NHS as Simon Stevens takes over NHS Improvement
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5 Comments on "How much of the NHS in England has already been privatised?"
Gordon Keegan says:
Brilliant article as ever.
Deborah Harrington says:
Udi says:
Thank you for researching and articulating something that I have intuitively understood for ages. The bastards have been chipping away at this and many other public resources for ages. As soon as someone starts mentioning cooperation between the public and private sectors, we know they are about to slip their hands in our pockets and steal what they can. Now, I just wish someone could work out how to resist these rape and pillage raids.
wilfulsprite says:
A reasonable explanation which soon spirals out of control, as is often the case.
'Offshore funds have bought up about half of the equity in PFI and PF2 projects so that the projects' owners are increasingly remote from the public service being delivered. In addition, offshore owners of these projects pay little tax.'
What 'Offshore funds'? Who are the 'offshore owners who pay little tax'? It may well be true – but without specifics, who can tell?
Is 'NHS property services' a private business?
How are GP's 'losing NHS business to pharmacies'?
'and the problem is that the more sectors of the NHS are thinking about money, the less they are thinking about care.'
Why would you say that? Do you say that private healthcare providers who provide quality healthcare aren't thinking about money? Or that the care they provide is inadequate? Why can the NHS not think about healthcare and money at the same time? The more efficient they are with money, the more healthcare they can afford to provide.
There may be strong arguments against allowing private companies to play any part in the NHS, but there are few on this page, unfortunately. You need to make your case more strongly.
Fair enough questions
If you look at our other articles where we deal with specific areas of privatisation you will see they have links and are referenced throughout. This piece is a blog which really is designed to be a 'bullet point' speedy read which we would hope might lead people into looking at the issues more in depth.
Taking your points in order: the offshore accounts comes from this report https://www.european-services-strategy.org.uk/news/2017/new-evidence-of-the-scale-of-uk-pfippp-equity-offshoring-and-tax-avoidance
NHS Property Services (the PropCo) is a private Ltd company https://beta.companieshouse.gov.uk/company/07888110 It caused concern in the Commons and the National Audit Office when it was created in December 2011 in advance of the Act which gave it its powers because public ownership was not even considered as an option. The NAO remarked that there was a real possibility of it being sold off at a later date. Although it is currently wholly owned by the SoS Health there is precedence for these companies being created and sold off later as portfolios. It happened both to the DWP's JobCentres and to HMRC's tax offices – the latter, unfunnily, owned by Mapeley whose parent company is registered in the Bermudas https://www.mapeley.com/OurApproach/Customers/HMRC.aspx. Ian Ellis is Chair of the Board of the PropCo. He was previously a director of Telereal Trillium. Trillium is owned by the William Pears Group which owns the property portfolios of the DWP, British Telecom and the BBC. The Sunday Times reported on the running of the PropCo. This link is to a blog site which shows the text in full, as the Times article is behind a paywall https://eastdevonwatch.org/2017/04/02/nhs-property-services-threatens-gps-with-closure/
GPs losing NHS business to pharmacies is illustrated by the flu vaccine. The vaccines have to be ordered in advance at the beginning of the season. Pharmacies can now offer a range of NHS advisory and treatment options which would previously have been the remit of GPs. One of these is the flu vaccine. https://healthclinics.superdrug.com/services/flu-vaccine GPs are finding that their patients who would normally have the vaccine at the surgery are being asked if they would like to have it whilst they are at the pharmacy for some other issue. This is wasteful (over ordered vaccines have to be thrown away) and damaging to general practice finances. http://www.pulsetoday.co.uk/clinical/immunisation/practice-challenges-nhs-chief-over-4m-wasted-flu-vaccine/20030344.fullarticle
You ask if we are saying that private providers provide inadequate care. In fact they might (https://www.theguardian.com/society/2014/oct/16/leaked-report-cataract-surgery-revealed ) but more to the point the care they provide is not comparable with NHS care. They do not provide acute and emergency medicine, for example, as it is high risk and expensive. If patients become critically ill whilst in their care they will be transferred to the NHS and if they become critically ill after discharge as a result of something going wrong with an intervention again they will be directed to go to NHS A&E, not come back to the private provider. This leaves the NHS with the high risk and high cost. As NHS funding has not kept pace with inflation over the last 10 years and NHS Trusts can now earn up to 49% of their income from private sources there are instances where the NHS is building facilities on its premises in order to house the private sector providers as the rent they can charge 'improves' their accounts (without adding to their ability to provide NHS care). Research showed that the early privatisations of cleaning services had a direct correlation with the rise of MRSA and c.dificil. (http://www.ox.ac.uk/news/2016-12-21-nhs-hospitals-outsource-cleaning-'linked-higher-rates-mrsa' ) Low cost healthcare can be the result of well planned services (the public sector traditionally did well at this pre-marketisation). However under the current financial restrictions and in the face of having to direct resources into ever more complicated accounting procedures lower costs are more likely to be the result of cost cutting exercises. These might be employing fewer staff than is safe and reducing the number of highly qualified staff as a proportion of the total. This means not being able to have as many beds available which puts pressure on at all levels to increase waiting lists. It makes transferring patients from A&E to in patient beds difficult. It may also mean people whose recovery would benefit from slightly longer in patient stays being discharged in order to create bed space. The idea that the private sector is somehow endowed with a super-power that means they can both save money (or make profit) and provide universal, comprehensive, accessible, high quality care is not borne out anywhere in the world.
For further reading on this site we suggest Privatisation from the top down https://publicmatters.org.uk/2018/06/05/privatisation-from-the-top-down-the-corporate-sector-and-decision-making/ and Privatisation from the ground up https://publicmatters.org.uk/2018/05/22/privatisation-from-the-ground-up-property-sales-and-rich-nhs-trusts/


It works a lot like a public transportation system. There are daily, weekly, and monthly cards. You can get a card right at the kiosk. Then you enter in your card number and then pick what number bike you want. When you pull the bike out of the rack, it's yours. Here's Emily taking a bike out this morning.
When you are at your desination, you just put the bike back in the rack and it locks itself. That's it. Totally self serve.
The bikes are super sturdy, have a built in lock/key system so you can lock it up somewhere ohter than a Velib rack, and a seat that moves up and down. They've got three gears, a bell to ring when you need to alert someone to your presence, and a basket for carrying around purses and groceries. It's the perfect urban bike.
We went for an early morning bike ride along the Seine and then rode back from the Pompidou Center this afternoon. I always thought the Metro was the best way to get around Paris, but I think the Velib might just be even better.
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