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Do try to understand the motivation of companies who choose to outsource.Admittedly in the majority of cases it is simple profit (or greed depending on your perspective); however many companies are motivated by the need to deliver our (often unrealistic) expectations of customer service without raising prices to pay for 'enhanced' service.May I cite an example. A certain national service has a legal obligation to provide responses to travellers enquries. When it did so in the UK, each call cost it over £1.00 to service during office hours. The cost of moving to a 24 hour service would have seen the cost of meeting some calls double with particularly intransigent unions seeing to preserve and enhance slaries at seemingly any cost. These are not complex jobs and often involve simply reading information from a screen.Guess who pays for such intrasigence; you do in your ticket price. The decision was taken to move the bulk of the calls to India where the cost of handling the call (incuding getting it to India in the first place) was under £0.40 irrespective of time of day.Largely, it worked out but unfamiliarity with UK geography and complexity of some ticketing arrangements meant that some jobs had to be shifted back to the UK. Great, the jobs came back to areas of unemployment, in purpose built centres and provided salaries and benefits that the unions could not have secured in years of negotiations.If those working in the industry and those who claimed to offer them union representation had been a lot more flexible then the job would never have gone overseas in the firt place. Incidentally, the offices in India were all unionised and the salaries were well above the median for local graduates.

Nigel Brooks ● 5524d

I believe that Unemployment among the Non-white citizens of The United Kigdom is the Highest compared to the Population as a whole. On Health Issues too their needs are said to be the greater. If the NHS is changing drastically and budget cuts are inevitable should we concentrate on providing some respite to them as a vulnerable group ?Sickly immigrants add £1bn to NHS billby STEVE DOUGHTY, Daily Mail    * Comments (0)    * Add to My StoriesThe health service faces a bill of an extra £1billion every year to treat immigrants and asylum seekers, medical analysts warned yesterday.Taxpayers are likely to face a huge and ever-increasing burden because of the growing flow of migrants from countries where complex infectious diseases are common, they said.Their report highlighted Aids, hepatitis B and C and tuberculosis as diseases that are spreading fast in countries from which large numbers of immigrants come to Britain.The cost to the NHS of treating new arrivals with Aids alone threatens to amount to £900million each year, according to the analysis for the Migrationwatch UK think tank.It called for screening of immigrants before they leave their home countries to stop those with infections coming to Britain.Asylum seekers should be given health tests on arrival to reduce the risk of spreading infection, the report added.Roger Williams, professor of hepatology at University College London and a Migrationwatch adviser, said: "The potential cost to the NHS is enormous in both financial and staff terms. It is absolutely essential that firm action be taken to prevent any further increase in this growing pool of potential infection."Even a fraction of the money spent in the UK would treat a far larger number of patients in their own countries."A breakdown of potential costs carried out for the report examined the prevalence of serious infectious diseases in countries from which many immigrants come.Based on 2002 Home Office immigration figures and World Health Organisation estimates of the prevalence of disease, it calculated that immigrants brought in 25,000 cases of hepatitis B, 10,000 of hepatitis C and around 8,500 Aids cases.Analysts left dependants out of the reckoning and excluded students on the grounds that they are likely to return to their home countries before developing full symptoms of diseases.Nevertheless, the report said the cost of treating those with work permits and asylum seekers would be £300million a year for hepatitis B and £90million for hepatitis C.Treatments for both cost the NHS between £10,000 and £12,000 a year for each case. Every case of Aids costs £15,000 a year.The report assumed immigrants with Aids will be treated for ten years, which means 6,000 cases arriving each year will cost the taxpayer £900million.It said: "Adding these sums together would suggest that each year's intake of asylum seekers and work permit holders could involve a potential cost to the NHS of £1,290million."Such calculations cannot be precise but they certainly indicate that the potential costs are huge. This suggests an urgent need to introduce testing, at the very least for those, including students, who come from areas of high risk for those diseases."The report said tuberculosis is becoming a major health problem in some areas by transmission from immigrants to the local population.The growing numbers of health care workers recruited from abroad should also be tested for infections, the report said.Migrationwatch UK chairman Sir Andrew Green said: "It is clear that the introduction of pre-entry checks for work permit applications and students is an urgent priority. There are few other countries in the world where they are not already in place."Last week senior doctors warned that hospitals in some parts of the country are being overwhelmed by asylum seekers with HIV.The Department of Health has said it is reviewing the need for compulsory screening of immigrants from countries with high levels of Aids. Explore more:People:    Andrew Green Places:    United Kingdom Organisations:    University College London,     Department of Health,     World Health OrganisatioRead more: http://www.dailymail.co.uk/health/article-185768/Sickly-immigrants-add-1bn-NHS-bill.html#ixzz1EEzizDva

Os. A. Whittle ● 5529d