NGMsGhost wrote on Dec 1
st, 2007 at 7:29pm:
Of course it is overtly the government's fault. They should have only entered a contract giving them restrictions on maximum call prices and no one in their right mind in government should have agreed to more than 10p per minute.
To the best of my knowledge the charges are limited in the contracts, and the cost of calls to patients have only gone down since the earliest systems were deployed. However, a major flaw in the arrangement is that when Patientline is breach of a contract there's virtually nothing that can be done about it.
Quote:But Patientline must have spectacularly inept political judgement if it did not realise charging 49p per minute for incoming calls would hole its repuation below the waterline.
At the time the charge for incoming calls was set (at 50p per minute at all times) it did not seem excessively high. The charges have to be seen in context of the time - phone calls generally cost more than they do now, especially in real terms - there were no discounts and inclusive calls schemes, and it was a facility that had never been available before, so it seemed reasonable to have to pay a premium rate for it. The perception at that time was that the cost was high but not overly so. The charge for outgoing calls was around 10% less than on BT payphones which was the only means of contact up to that time. Any negative press coverage during the first few years of Patientline's operation was centered around hospital staff's objection to the principle of systems being run for profit (or not, as it turns out), rather than by the NHS with surplusses being put into the hospital services. But as years went by, phone calls generally became cheaper and discounts and inclusive schemes came along, making Patientline's charges seem higher in comparison. But the Patientline's main costs did not reduce - staff and debt repayment.
Quote:Not to mention paying for 2 minutes before you are even connected.
Don't forget that it was at Ofcom's insistance that the wealth warning was introduced. I don't know how long the announcement is now, but there seems to be have been no need for a wealth warning since 1st September. Perhaps the company would say they need to provide an accurate announcement of cost to counter the "misleading" general pre-announcement (on the line I have here, it says "up to 50p per minute
or more" (my emphasis), so not very helpful).
Quote:The bedside terminals should never have been anywhere near as expensive to buy or maintain.
That's easy to say, but how could they have been less expensive? You can't buy hospital bedside TV/phone/internet terminals off the shelf in Dixons. The current price of a flat screen monitor is irrelevant - it doesn't include the PC, the tuner, the phone, the card reader, and the custom software to drive it all. As with all electronic equipment the costs were much higher when the system was first developed a decade and a half ago, and they had to use the technology and materials available at that time. And terminals didn't just plug into handy mains sockets - the hospital had to be cabled up to connect the whole system together, with a control room for the phone exchange and all the other control apparatus, and each terminal installed on the wall along with its PC, and power distribution provided for them all. Even compared to consumer electronics of the time, bedside terminals were a very low volume production item, and they had to be custom designed and developed especially for the hospital enviroment. Newer terminals have been developed and deployed since then, no doubt at lower cost, but development costs are themselves high, so whilst technical advances are rapid, the costs of incoporating them can exceed the savings if changes are made too frequently.
Quote:As to the television side so long as the system is based on FTA channels then with the price of monitors these days patients shouldn't need to pay more than £5 per week to fund a profitable system.
Again you ignore the costs of installing the unit, cabling infrastructure including r.f. and a safe power supply (ie, not mains), maintenance, and some means of collecting the charge and preventing use by those who don't pay. And I doubt that FTA would be free.
Quote:Or they could bring in their own small portable handheld Freeview tvs.
Yes they could, but most would be watching the "No Signal" message most of the time, as anyone that has tried to use a TV or radio with its own aerial in a hospital ward will tell you. They'd do better to take a portable DVD player. With headphones. And a large supply of batteries. And - in some hospitals - be prepared for it to disappear whilst they're in the bathroom or operating theatre. But that would be the same with a handheld TV.
Quote:What about shares though? Or did he [Derek Lewis] sell all of those long ago too realising the writing was on the wall for Patientline?
Well at the time he left, he owned just under 2% of the issued shares, but he could have sold them since then of course.