41554 blogs · [ { "id": "01a0da28-6041-73f7-b13a-a786a0afd85e", "title": "Using AI in Medicine and Martha’s Rule in A&E ( England ) Post code rationing of this option will be the reality.", "url": "https://nhsreality.wordpress.com/2026/09/24/using-ai-in-medicine-and-marthas-rule-in-ae-england-post-code-rationing-of-this-option-will-be-the-reality/", "published_at": "2026-09-24T11:53:28+00:00" }, { "id": "01a0da28-6041-73f7-b13a-a786a15fa1f5", "title": "Poor schooling and parenting – More mental health issues, ADHD, and NEETs. Young people leaving care are predicted to die early, probably because they are poorer..", "url": "https://nhsreality.wordpress.com/2026/09/23/poor-schooling-and-parenting-more-mental-health-issues-adhd-and-neets-young-people-leaving-care-are-predicted-to-die-early-probably-because-they-are-poorer/", "published_at": "2026-09-23T09:32:16+00:00" }, { "id": "01a0da28-6041-73f7-b13a-a786a21b8686", "title": "Leadership void: “How do we get to X?” , and the answer is “I would not start from here”.", "url": "https://nhsreality.wordpress.com/2026/09/23/leadership-void-how-do-we-get-to-x-and-the-answer-is-i-would-not-start-from-here/", "published_at": "2026-09-23T09:10:20+00:00" }, { "id": "01a0da28-6041-73f7-b13a-a786a2a04db2", "title": "Maternity could be just the touchpaper …", "url": "https://nhsreality.wordpress.com/2026/09/23/maternity-could-be-just-the-touchpaper/", "published_at": "2026-09-23T08:46:36+00:00" }, { "id": "01a0c746-6432-7072-af66-32d8a00eb962", "title": "The past and the future of the Nursing profession – an open book…", "url": "https://nhsreality.wordpress.com/2026/09/17/the-past-and-the-future-of-the-nursing-profession-an-open-book/", "published_at": "2026-09-17T10:52:00+00:00" }, { "id": "01a0c746-6432-7072-af66-32d8a0da9e72", "title": "The Family Doctor is a “dodo” now. The tragedy that is the NHS fiasco has yet to play out fully.", "url": "https://nhsreality.wordpress.com/2026/09/13/the-family-doctor-is-a-dodo-now-the-tragedy-that-is-the-nhs-fiasco-has-yet-to-play-out-fully/", "published_at": "2026-09-13T11:05:11+00:00" }, { "id": "01a0c746-6432-7072-af66-32d8a16b4bae", "title": "Cornwall shows the cyber way, and good sense. IT in the 4 health services is out of date and is not safe.", "url": "https://nhsreality.wordpress.com/2026/09/13/cornwall-shows-the-cyber-way-and-good-sense-it-in-the-4-health-services-is-out-of-date-and-is-not-safe/", "published_at": "2026-09-13T10:10:23+00:00" }, { "id": "01a0952c-2bd4-707b-b688-eaf36c8e54f2", "title": "The shrinking GP budget – goes against the idea of training the best GPs.. Burnout risk is getting higher…", "url": "https://nhsreality.wordpress.com/2026/09/11/the-shrinking-gp-budget-goes-against-the-idea-of-training-the-best-gps-burnout-risk-is-getting-higher/", "published_at": "2026-09-11T21:10:09+00:00" }, { "id": "01a0952c-2bd4-707b-b688-eaf36c9ed98c", "title": "The Nuffield Trust tries to be optimistic…. My personal waiting time option reveals the post code rationing..", "url": "https://nhsreality.wordpress.com/2026/09/11/the-nuffield-trust-tries-to-be-optimistic-my-personal-waiting-time-option-reveals-the-post-code-rationing/", "published_at": "2026-09-11T20:55:53+00:00" }, { "id": "01a0952c-2bd4-707b-b688-eaf36cdbbb62", "title": "Social justice demands that the elderly pay whilst they are alive, and according to their means. Why shouldn’t Social care and Health care be funded by co-payments ? Because there’s no leadership, or honesty…", "url": "https://nhsreality.wordpress.com/2026/09/11/social-justice-demands-that-the-elderly-pay-whilst-they-are-alive-and-according-to-their-means-why-shouldnt-social-care-and-health-care-be-funded-by-co-payments-because-theres-no-leadership-o/", "published_at": "2026-09-11T20:42:29+00:00" }, { "id": "01a087ae-f881-706b-92dc-274e32d3561f", "title": "Maternity service degeneration and implosion. A cultural failure and contagion", "url": "https://nhsreality.wordpress.com/2026/09/05/maternity-service-degeneration-and-implosion-a-cultural-failure-and-contagion/", "published_at": "2026-09-05T16:36:42+00:00" }, { "id": "01a087ae-f882-7254-a33b-1ace1d94d1db", "title": "All GP trainees should do a psychiatric spell post grad before completing training", "url": "https://nhsreality.wordpress.com/2026/09/05/all-gp-trainees-should-do-a-psychiatric-spell-post-grad-before-completing-training/", "published_at": "2026-09-05T16:25:08+00:00" }, { "id": "01a087ae-f882-7254-a33b-1ace1e793bac", "title": "There’s a new threat from Mosquito born diseases and global warming", "url": "https://nhsreality.wordpress.com/2026/09/05/theres-a-new-threat-from-mosquito-born-diseases-and-global-warming/", "published_at": "2026-09-05T16:22:07+00:00" }, { "id": "01a087ae-f882-7254-a33b-1ace1f24e087", "title": "Your records are at risk. Photograph them? There is a significant and enlarging cybersecurity risk..", "url": "https://nhsreality.wordpress.com/2026/08/31/your-records-are-at-risk-photograph-them-there-is-a-significant-and-enlarging-cybersecurity-risk/", "published_at": "2026-08-31T03:21:10+00:00" }, { "id": "01a087ae-f882-7254-a33b-1ace1f73f850", "title": "Reform wants women to conceive more, and earlier. Conception incentives have never worked, and the mind boggles at the possible incentives and hurdles… Over 20 years it means 28 more prime ministers at todays rate of change..", "url": "https://nhsreality.wordpress.com/2026/08/31/reform-wants-women-to-conceive-more-and-earlier-conception-incentives-have-never-worked-and-the-mind-boggles-at-the-possible-incentives-and-hurdles-over-20-years-it-means-28-more-prime-ministers/", "published_at": "2026-08-31T03:03:27+00:00" }, { "id": "01a087ae-f882-7254-a33b-1ace2031d40c", "title": "Tax simplification could be linked to health provision and funding… A new Fiscal contract is needed for young people", "url": "https://nhsreality.wordpress.com/2026/08/31/tax-simplification-could-be-linked-to-health-provision-and-funding-a-new-fiscal-contract-is-needed-for-young-people/", "published_at": "2026-08-31T03:01:35+00:00" }, { "id": "01a087ae-f882-7254-a33b-1ace20fedac8", "title": "The US Drug Deal could cost lives as well as money. Open government demands that we know the detail. Covertly spending badly is as bad as covert rationing.", "url": "https://nhsreality.wordpress.com/2026/08/31/the-us-drug-deal-could-cost-lives-as-well-as-money-open-government-demands-that-we-know-the-detail-covertly-spending-badly-is-as-bad-as-covert-rationing/", "published_at": "2026-08-31T02:45:33+00:00" }, { "id": "01a087ae-f882-7254-a33b-1ace21557e95", "title": "Denigration of GPs. Change of name description needed for “consultants”? Attending Physician/Surgeon? Leaving ladies.. Health Care Systems need to change and only honesty will succeed..", "url": "https://nhsreality.wordpress.com/2026/08/31/denigration-of-gps-change-of-name-description-needed-for-consultants-attending-physician-surgeon-leaving-ladies-health-care-systems-need-to-change-and-only-honesty-will-succeed/", "published_at": "2026-08-31T02:36:52+00:00" }, { "id": "01a087ae-f882-7254-a33b-1ace21b5ac75", "title": "Losing the records – conveniently. Every Trust is a Nottingham in waiting…", "url": "https://nhsreality.wordpress.com/2026/08/27/losing-the-records-conveniently-every-trust-is-a-nottingham-in-waiting/", "published_at": "2026-08-27T10:42:54+00:00" }, { "id": "01a087ae-f882-7254-a33b-1ace22136a11", "title": "Dentistry – over-management is similar to that of GPs and doctors. A public health future of a “growing cavity” and “slow decay”…..", "url": "https://nhsreality.wordpress.com/2026/08/27/dentistry-over-management-is-similar-to-that-of-gps-and-doctors-a-public-health-future-of-a-growing-cavity-and-slow-decay/", "published_at": "2026-08-27T07:47:54+00:00" }, { "id": "01a0bb9a-daa2-7011-a19b-bfe5f506334a", "title": "Any “new strategy” has to be fundable – within our means. And it needs tacit agreement of the citizens…", "url": "https://nhsreality.wordpress.com/2026/08/24/any-new-strategy-has-to-be-fundable-within-our-means-and-it-needs-tacit-agreement-of-the-citizens/", "published_at": "2026-08-24T20:53:50+00:00" }, { "id": "01a0bb9a-daa2-7011-a19b-bfe5f5e5a4e0", "title": "Gender operations and reassignments – recurrent scandalous damage to children and minors. Wales is worse than the rest of the UK, It is wasting more money….", "url": "https://nhsreality.wordpress.com/2026/08/24/gender-operations-and-reassignments-recurrent-scandalous-damage-to-children-and-minors-wales-is-worse-than-the-rest-of-the-uk-it-is-wasting-more-money/", "published_at": "2026-08-24T20:41:23+00:00" }, { "id": "01a0bb9a-daa2-7011-a19b-bfe5f5eacd56", "title": "Advice and Guidance as a rationing model.", "url": "https://nhsreality.wordpress.com/2026/08/19/advice-and-guidance-as-a-rationing-model/", "published_at": "2026-08-19T13:31:17+00:00" }, { "id": "01a0bb9a-daa2-7011-a19b-bfe5f69b0b4d", "title": "Downgrading mothers and babies in Barnstable will be followed by strokes, as in Hywel Dda, thus increasing the “health divide”. Dumbing down of life expectancy will apply equally in Wales to parts of England. – and Causeway moving to Antrim N I", "url": "https://nhsreality.wordpress.com/2026/08/17/maternity-deserts-and-the-dumbing-down-of-life-expectancy-apply-equally-in-wales-to-england-downgrading-in-barnstable-will-be-followed-by-strokes-as-in-hywel-dda-thus-increasing-the-health-divi/", "published_at": "2026-08-17T19:05:20+00:00" }, { "id": "01a0bba1-1b32-713f-b433-150c3dbfdb74", "title": "Managers and sludge make sure that many cancer and other deserving patients never reach the consultant in time. Rationing referrals….", "url": "https://nhsreality.wordpress.com/2026/08/17/managers-and-sludge-make-sure-that-many-cancer-patients-never-reach-the-consultant-in-time/", "published_at": "2026-08-17T18:28:17+00:00" }, { "id": "01a0bba1-1b32-713f-b433-150c3e342d91", "title": "Staff feeling invisible and unimportant. External exit interviews might really help expose the “invisible” people …", "url": "https://nhsreality.wordpress.com/2026/08/17/staff-feeling-invisible-and-unimportant-external-exit-interviews-might-really-help-expose-the-invisible-people/", "published_at": "2026-08-17T18:02:07+00:00" }, { "id": "01a0bba1-1b32-713f-b433-150c3f315ece", "title": "The current situation regarding the rationing and uneven post coded distribution of social care is explained in part 1. Listen to part 2 to be fully informed.", "url": "https://nhsreality.wordpress.com/2026/08/17/the-current-situation-regarding-the-rationing-and-uneven-post-coded-distribution-of-social-care-is-explained-in-part-1-listen-to-part-2-to-be-fully-informed/", "published_at": "2026-08-17T18:01:09+00:00" }, { "id": "01a0bba1-1b32-713f-b433-150c3faece8a", "title": "In most respects, especially fiscally, devolution has failed its children, especially in Wales where more parochial behaviour is encouraged and choices and opportunities are limited. We are in a “national multi-issue denial…", "url": "https://nhsreality.wordpress.com/2026/08/14/in-most-respects-especially-fiscally-devolution-has-failed-its-children-especially-in-wales-where-more-parochial-behaviour-is-encouraged-and-choices-and-opportunities-are-limited-we-are-in-a-nat/", "published_at": "2026-08-14T17:03:20+00:00" }, { "id": "01a0bba1-1b32-713f-b433-150c3fefa5e5", "title": "Politicians are sighting on GP pay in their desire to cut costs.. And the spectre of a 10 year course to be a consultant GP", "url": "https://nhsreality.wordpress.com/2026/08/13/politicians-are-sighting-on-gp-pay-in-their-desire-to-cut-costs-and-the-spectre-of-a-10-year-course-to-be-a-consultant-gp/", "published_at": "2026-08-13T08:23:32+00:00" }, { "id": "01a0bba1-1b32-713f-b433-150c407d764b", "title": "My local rationing . An example and a challenge for local politicians to admit that Enoch Powell was right…", "url": "https://nhsreality.wordpress.com/2026/08/10/my-local-rationing-an-example-and-a-challenge-for-local-politicians-to-admit-that-enoch-powell-was-right/", "published_at": "2026-08-10T16:50:47+00:00" }, { "id": "01a0bba1-1b32-713f-b433-150c40b3c135", "title": "Running out of food? Not impossible in a warming world where nations are not prepared to act together…. A strategic food supply plan is needed… for the UK", "url": "https://nhsreality.wordpress.com/2026/08/09/running-out-of-food-not-impossible-in-a-warming-world-where-nations-are-not-prepared-to-act-together-a-strategic-food-supply-plan-is-needed/", "published_at": "2026-08-09T17:26:37+00:00" }, { "id": "01a0bba1-1b32-713f-b433-150c4173429d", "title": "Still using paper notes – after all this time!", "url": "https://nhsreality.wordpress.com/2026/08/08/still-using-paper-notes-after-all-this-time/", "published_at": "2026-08-08T18:07:39+00:00" }, { "id": "01a0bba1-1b32-713f-b433-150c41cf2241", "title": "A possible template for a plan for the future of General Practice – who wants to be the fall guy?", "url": "https://nhsreality.wordpress.com/2026/08/08/a-possible-template-for-a-plan-for-the-future-of-general-practice-who-wants-to-be-the-fall-guy/", "published_at": "2026-08-08T17:51:24+00:00" }, { "id": "01a0bba1-1b32-713f-b433-150c4291a3a2", "title": "The management of the crumbling NHS Estate… Mistakes compounded on mistakes", "url": "https://nhsreality.wordpress.com/2026/08/08/the-management-of-the-crumbling-nhs-estate-mistakes-compounded-on-mistakes/", "published_at": "2026-08-08T17:46:52+00:00" }, { "id": "01a0bba6-9e30-7263-9f53-8f26e836477f", "title": "Equitable funding of social care – and the choices we all have to make. “Denying nursing home residents equitable access to NHS community services increases pressure on care providers and contributes to avoidable hospital admissions”.", "url": "https://nhsreality.wordpress.com/2026/08/08/equitable-funding-of-social-care-and-the-choices-we-make/", "published_at": "2026-08-08T17:31:35+00:00" }, { "id": "01a0bba6-9e30-7263-9f53-8f26e882ab6d", "title": "Is the unfair funding of GP practices ( And NHS Dentists ) a scandal yet to be exposed? Is the word profit unethical/ banned / a “vice”?", "url": "https://nhsreality.wordpress.com/2026/08/07/is-the-unfair-funding-of-gp-practices-and-nhs-dentists-a-scandal-yet-to-be-exposed-is-the-word-profit-unethical-banned-a-vice/", "published_at": "2026-08-07T19:11:51+00:00" }, { "id": "01a0bba6-9e30-7263-9f53-8f26e8a0ef34", "title": "As access gets worse, and waits lengthen, referrals increase, and complaints rise, the waiting list could be solved especially in the rural areas where there will be the most excess deaths", "url": "https://nhsreality.wordpress.com/2026/08/03/as-access-gets-worse-and-waits-lengthen-referrals-increase-and-complaints-rise-the-waiting-list-could-be-solved-especially-in-the-rural-areas-where-there-will-be-the-most-excess-deaths/", "published_at": "2026-08-03T13:40:45+00:00" }, { "id": "01a0bba6-9e30-7263-9f53-8f26e992965f", "title": "The antisocial NHS on BBC Radio4 confirms rationing, reflects on the longstanding poor manpower planning, and hosts an interesting conversation between David Shipley, and Dr Oyindahola from Nigeria", "url": "https://nhsreality.wordpress.com/2026/08/02/the-antisocial-nhs-on-bbc-radio4-confirms-rationing-reflects-on-the-longstanding-poor-manpower-planning-and-hosts-an-interesting-conversation-between-david-shipley-and-dr-oyindahola-from-nigeria/", "published_at": "2026-08-02T19:20:32+00:00" }, { "id": "01a0bba6-9e30-7263-9f53-8f26ea7fb091", "title": "The unfairness of infertility treatment access", "url": "https://nhsreality.wordpress.com/2026/08/01/the-unfairness-of-infertility-treatment-access/", "published_at": "2026-08-01T15:02:51+00:00" }, { "id": "01a0bba6-9e30-7263-9f53-8f26eaf02e6d", "title": "Social Care – Burnham is asking the wrong question.", "url": "https://nhsreality.wordpress.com/2026/07/30/social-care-burnham-is-asking-the-wrong-question/", "published_at": "2026-07-30T09:56:36+00:00" }, { "id": "01a0bba6-9e30-7263-9f53-8f26eafa70ff", "title": "The NHS is fundamentally dishonest – and its a Ponzi scheme", "url": "https://nhsreality.wordpress.com/2026/07/29/the-nhs-is-fundamentally-dishonest-and-its-a-ponzi-scheme/", "published_at": "2026-07-29T08:32:07+00:00" }, { "id": "01a0bba6-9e30-7263-9f53-8f26eb4fcd84", "title": "Welfare reform and building resilience. Co-payments with “a cap on individual costs and means-testing offers a fairer solution”…..", "url": "https://nhsreality.wordpress.com/2026/07/28/welfare-reform-and-building-resilience-co-payments-with-a-cap-on-individual-costs-and-means-testing-offers-a-fairer-solution/", "published_at": "2026-07-28T13:32:16+00:00" }, { "id": "01a0bba6-9e30-7263-9f53-8f26ebc68535", "title": "Suppression of feedback is a symptom of a deeper malaise throughout and is evidence of the conspiracy of denial, and the collusion of anonymity endemic in all 4 UK health dispensations.", "url": "https://nhsreality.wordpress.com/2026/07/28/suppression-of-feedback-is-a-symptom-of-a-deeper-malaise-throughout-and-is-evidence-of-the-conspiracy-of-denial-and-the-collusion-of-anonymity-endemic-in-all-4-uk-health-dispensations/", "published_at": "2026-07-28T13:00:46+00:00" }, { "id": "01a0bba6-9e30-7263-9f53-8f26ebd7e30e", "title": "Against a wealth tax? France’s experience. Its our productivity, especially in Hospitals and State run departments that needs a miracle…. And its across the G8", "url": "https://nhsreality.wordpress.com/2026/07/26/against-a-wealth-tax-frances-experience-its-our-productivity-especially-in-hospitals-and-state-run-departments-that-needs-a-miracle-and-its-across-the-g8/", "published_at": "2026-07-26T14:57:25+00:00" }, { "id": "01a0bbab-a42e-7398-996a-0762bc9ad865", "title": "Hospitals after covid are on deaths door in all the G8 countries: As standards fall – are they stuck in a doom loop?", "url": "https://nhsreality.wordpress.com/2026/07/26/hospitals-after-covid-are-on-deaths-door-in-all-the-g8-countries-as-standards-fall-are-they-stuck-in-a-doom-loop/", "published_at": "2026-07-26T14:20:42+00:00" }, { "id": "01a0bbab-a42e-7398-996a-0762bd3d97c0", "title": "Just another set of NHS cover-ups – an Economist summary of a dire and shaming situation", "url": "https://nhsreality.wordpress.com/2026/07/26/just-another-set-of-nhs-cover-ups-an-economist-summary-of-a-dire-and-shaming-situation/", "published_at": "2026-07-26T13:53:10+00:00" }, { "id": "01a0bbab-a42e-7398-996a-0762bde1ae15", "title": "A genie has been released – A pity but we cannot go back now. The reality of the work done by General Practice", "url": "https://nhsreality.wordpress.com/2026/07/26/a-genie-has-been-released-a-pity-but-we-cannot-go-back-now-the-reality-of-the-work-done-by-general-practice/", "published_at": "2026-07-26T13:42:15+00:00" }, { "id": "01a0bbab-a42e-7398-996a-0762be866657", "title": "The perpetual crisis: Royal College of emergency medicine UK says that waits are getting too long and longer! This is the core of the safety net that was the NHS, and its holed badly.", "url": "https://nhsreality.wordpress.com/2026/07/26/the-perpetual-crisisroyal-college-of-emergency-medicine-uk-says-that-waits-are-getting-too-long-and-longer-this-is-the-core-of-the-safety-net-that-was-the-nhs-and-its-holed-badly/", "published_at": "2026-07-26T13:37:09+00:00" }, { "id": "01a0bbab-a42e-7398-996a-0762bea072e9", "title": "The continuing and accelerating Brain Drain – the profession have pride and Advice and Guidance (A&G) is another driver to try “overseas”.", "url": "https://nhsreality.wordpress.com/2026/07/26/the-continuing-and-accelerating-brain-drain-the-profession-have-pride-and-advice-and-guidance-ag-is-another-driver-to-try-overseas/", "published_at": "2026-07-26T13:28:23+00:00" }, { "id": "01a0bbab-a42e-7398-996a-0762bf9819f8", "title": "A&E waiting lists – and the deskilling of a well trained workforce.", "url": "https://nhsreality.wordpress.com/2026/07/26/ae-waiting-lists-and-the-deskilling-of-a-well-trained-workforce/", "published_at": "2026-07-26T13:16:11+00:00" }, { "id": "01a0bbab-a42e-7398-996a-0762bfea52f4", "title": "Social Care, its reform, and VAT. Steering the state into the right places..", "url": "https://nhsreality.wordpress.com/2026/07/25/social-care-its-reform-and-vat-steering-the-state-into-the-right-places/", "published_at": "2026-07-25T13:21:32+00:00" }, { "id": "01a0bbab-a42e-7398-996a-0762c0269cfa", "title": "Forever chemicals, and other pollutants in our water, food, environment… Algal growth from over fertilisation is a real issue", "url": "https://nhsreality.wordpress.com/2026/07/25/forever-chemicals-and-other-pollutants-in-our-water-food-environment-algal-growth-from-over-fertilisation-is-a-real-issue/", "published_at": "2026-07-25T12:04:33+00:00" }, { "id": "01a0bbab-a42e-7398-996a-0762c1164fa1", "title": "Fampridine: An example of fiscal failure due to distorted devolution rules and funding and lack of SIPG policies..", "url": "https://nhsreality.wordpress.com/2026/07/25/fampridine-an-example-of-fiscal-failure-due-to-distorted-devolution-rules-and-funding-and-lack-of-sipg-policies/", "published_at": "2026-07-25T11:49:43+00:00" }, { "id": "01a0bbab-a42e-7398-996a-0762c131a93d", "title": "Diagnosing Presidents, Prime Ministers and leaders in general. Trump: “…his behaviour showed that he may be a danger to the American public”.", "url": "https://nhsreality.wordpress.com/2026/07/22/diagnosing-presidents-prime-ministers-and-leaders-in-general-trump-his-behaviour-showed-that-he-may-be-a-danger-to-the-american-public/", "published_at": "2026-07-22T16:03:50+00:00" }, { "id": "01a0bbb0-9d70-70c1-a8a3-f0d7174302f6", "title": "Its a world wide market for Medical Specialist Staff. The competition is hotting up….", "url": "https://nhsreality.wordpress.com/2026/07/22/its-a-world-wide-market-for-medical-specialist-staff-the-competition-is-hotting-up/", "published_at": "2026-07-22T10:59:20+00:00" }, { "id": "01a0bbb0-9d70-70c1-a8a3-f0d717df6a6f", "title": "Just below a letter on the funding of Hospices, which is equally unfair rationing by post code.. Women’s Health", "url": "https://nhsreality.wordpress.com/2026/07/20/just-below-a-letter-on-the-funding-of-hospices-which-is-equally-unfair-rationing-by-post-code-womens-health/", "published_at": "2026-07-20T16:46:30+00:00" }, { "id": "01a0bbb0-9d70-70c1-a8a3-f0d7188449f2", "title": "Unfair and uneven funding of terminal and palliative care", "url": "https://nhsreality.wordpress.com/2026/07/20/unfair-and-uneven-funding-of-terminal-and-palliative-care/", "published_at": "2026-07-20T16:41:52+00:00" }, { "id": "01a0bbb0-9d70-70c1-a8a3-f0d7197e37e9", "title": "Seedy deal on pills and treatments – trying to kid us all that everything is available to us all for free…", "url": "https://nhsreality.wordpress.com/2026/07/17/seedy-deal-on-pills-and-treatments-trying-to-kid-us-all-that-everything-is-available-to-us-all-for-free/", "published_at": "2026-07-17T11:39:06+00:00" }, { "id": "01a0bbb0-9d70-70c1-a8a3-f0d71a3acf41", "title": "Some aggressive brain tumours have not been subject to improved outcomes – as yet.", "url": "https://nhsreality.wordpress.com/2026/07/17/some-aggressive-brain-tumours-have-not-been-subject-to-improved-outcomes-as-yet/", "published_at": "2026-07-17T11:34:09+00:00" }, { "id": "01a0bbb0-9d70-70c1-a8a3-f0d71afb6530", "title": "The “rearranging” of the Dental Operating chairs is bound to fail without a long term and ethical consensus. It will be easier to do nothing…", "url": "https://nhsreality.wordpress.com/2026/07/17/the-rearranging-of-the-dental-operating-chairs-is-bound-to-fail-without-a-long-term-and-ethical-consensus-it-will-be-easier-to-do-nothing/", "published_at": "2026-07-17T07:59:48+00:00" }, { "id": "01a0bbb0-9d70-70c1-a8a3-f0d71b4f3cf0", "title": "Manpower planning in Health Services remains vague and inadequate", "url": "https://nhsreality.wordpress.com/2026/07/16/manpower-planning-in-health-services-remains-vague-and-inadequate/", "published_at": "2026-07-16T19:46:37+00:00" }, { "id": "01a0bbb0-9d70-70c1-a8a3-f0d71b872b8b", "title": "A real exit interview on assisting the dying. The problem of inadequate pain relief for the dying stems from “appalling leadership by consultants”…", "url": "https://nhsreality.wordpress.com/2026/07/16/a-real-exit-interview-on-assisting-the-dying-the-problem-of-inadequate-pain-relief-for-the-dying-stems-from-appalling-leadership-by-consultants/", "published_at": "2026-07-16T19:34:55+00:00" }, { "id": "01a0bbb0-9d70-70c1-a8a3-f0d71c3253de", "title": "Pricey cures, especially for large numbers, have to be rationed…. until patent expires", "url": "https://nhsreality.wordpress.com/2026/07/16/pricey-cures-especially-for-large-numbers-have-to-be-rationed-until-patent-expires/", "published_at": "2026-07-16T19:23:48+00:00" }, { "id": "01a0bbb0-9d70-70c1-a8a3-f0d71cc3c681", "title": "Don’t have a stroke in a remote rural area. Taking over 60 mins to get to assessment means worse outcomes as rural hospitals are coalesced…….", "url": "https://nhsreality.wordpress.com/2026/07/16/dont-have-a-stroke-in-a-remote-rural-area-taking-over-60-mins-to-get-to-assessment-means-worse-outcomes-as-rural-hospitals-are-coalesced/", "published_at": "2026-07-16T19:21:52+00:00" }, { "id": "01a0bbb6-474a-7037-b5e4-09a35dd06265", "title": "Patients must endure tougher rationing, or else debt must spiral to pay for it. The choice is political…… so is how to deny it!", "url": "https://nhsreality.wordpress.com/2026/07/16/patients-must-endure-tougher-rationing-or-else-debt-must-spiral-to-pay-for-it-the-choice-is-political-so-is-how-to-deny-it/", "published_at": "2026-07-16T17:05:48+00:00" }, { "id": "01a0bbb6-474a-7037-b5e4-09a35e9fbbca", "title": "Rationing of new drugs is inevitable, and the new deal on Big Pharma with the USA threatens us all.", "url": "https://nhsreality.wordpress.com/2026/07/16/rationing-of-new-drugs-is-inevitable-and-the-new-deal-on-big-pharma-with-the-usa-threatens-us-all/", "published_at": "2026-07-16T16:25:36+00:00" }, { "id": "01a0bbb6-474a-7037-b5e4-09a35f38d286", "title": "Only in private will MPs tell you the truth.. How about an “experienced oldie” party?", "url": "https://nhsreality.wordpress.com/2026/07/16/only-in-private-will-mps-tell-you-the-truth-how-about-an-experienced-oldie-party/", "published_at": "2026-07-16T16:02:38+00:00" }, { "id": "01a0bbb6-474a-7037-b5e4-09a35f729f7d", "title": "The duty of candour could make little difference for our health administrators.. Without no fault compensation its under threat of being ignored. What about our politicians?", "url": "https://nhsreality.wordpress.com/2026/07/15/the-duty-of-candour-could-make-little-difference-for-our-health-administrators-without-no-fault-compensation-its-under-threat-of-being-ignored/", "published_at": "2026-07-15T20:04:29+00:00" }, { "id": "01a0bbb6-474a-7037-b5e4-09a3602fefe5", "title": "A Reform Minister of impotence? and Ministerial Churn in general…", "url": "https://nhsreality.wordpress.com/2026/07/15/a-reform-minister-of-impotence-and-ministerial-churn-in-general/", "published_at": "2026-07-15T19:52:15+00:00" }, { "id": "01a0bbb6-474a-7037-b5e4-09a360b1680f", "title": "The end of the Community Health Councils 2003", "url": "https://nhsreality.wordpress.com/2026/07/15/the-end-of-the-community-health-councils-2003/", "published_at": "2026-07-15T19:43:06+00:00" }, { "id": "01a0bbb6-474a-7037-b5e4-09a360f70e01", "title": "No denial. Do we need a new party? The “NEXTGEN” party to take the Moral High Ground.", "url": "https://nhsreality.wordpress.com/2026/07/08/no-denial-do-we-need-a-new-party-the-nextgen-party-to-take-the-moral-high-ground/", "published_at": "2026-07-08T14:55:37+00:00" }, { "id": "01a0bbb6-474a-7037-b5e4-09a36129e250", "title": "Giving patients information in real time is important in todays world. But it is equally important to tell citizens the truth. All 4 UK systems are unsustainable.", "url": "https://nhsreality.wordpress.com/2026/07/04/giving-patients-information-in-real-time-is-important-in-todays-world-but-it-is-equally-important-to-tell-citizens-the-truth-all-4-uk-systems-are-unsustainable/", "published_at": "2026-07-04T12:54:17+00:00" }, { "id": "01a0bbb6-474a-7037-b5e4-09a3612a2c5e", "title": "Impossible to achieve celestial social care system. Some form of satisficing is essential for us all…", "url": "https://nhsreality.wordpress.com/2026/07/02/impossible-to-achieve-celestial-social-care-system-some-form-of-satisficing-is-essential-for-us-all/", "published_at": "2026-07-02T09:43:54+00:00" }, { "id": "01a0bbb6-474a-7037-b5e4-09a3614b0772", "title": "Laser driven radiotherapy – for those lucky enough to live in the right dispensation or post code.", "url": "https://nhsreality.wordpress.com/2026/07/02/laser-driven-radiotherapy-for-those-lucky-enough-to-live-in-the-right-dispensation-or-post-code/", "published_at": "2026-07-02T08:29:46+00:00" }, { "id": "01a0bbba-e14c-731d-8ebe-b29ecef16cba", "title": "Unintended consequences of Maternity Care implosion", "url": "https://nhsreality.wordpress.com/2026/06/28/unintended-consequences-of-maternity-care-implosion/", "published_at": "2026-06-28T19:48:01+00:00" }, { "id": "01a0bbba-e14d-717d-bef7-e812c0ed6a9f", "title": "The limits of Artificial Intelligence: Judgement, Especially when not to operate", "url": "https://nhsreality.wordpress.com/2026/06/28/the-limits-of-artificial-intelligence-judgement-especially-when-not-to-operate/", "published_at": "2026-06-28T19:45:29+00:00" }, { "id": "01a0bbba-e14d-717d-bef7-e812c0fe68bd", "title": "Informed media letters and comment on Ockenden Report. Its a repetition of failure – Tribalism….. again and again and again…. NHSreality suggests the key changes needed..", "url": "https://nhsreality.wordpress.com/2026/06/26/informed-media-letters-and-comment-on-ockenden-report-its-a-repetition-of-failure-tribalism-again-and-again-and-again-nhsreality-suggests-the-key-changes-needed/", "published_at": "2026-06-26T11:11:00+00:00" }, { "id": "01a0bbba-e14d-717d-bef7-e812c187e1fe", "title": "The nations wealth – in managed decline after the 10 year anniversary of Brexit. “We are stuck now”….. and we will have to ration more.", "url": "https://nhsreality.wordpress.com/2026/06/26/the-nations-wealth-in-managed-decline-after-the-10-year-anniversary-of-brexit-we-are-stuck-now-and-we-will-have-to-ration-more/", "published_at": "2026-06-26T07:30:28+00:00" }, { "id": "01a0bbba-e14d-717d-bef7-e812c194acd8", "title": "Flawed dying bill?", "url": "https://nhsreality.wordpress.com/2026/06/23/flawed-dying-bill/", "published_at": "2026-06-23T13:45:49+00:00" }, { "id": "01a0bbba-e14d-717d-bef7-e812c2656c15", "title": "A debate on the future rationing of healthcare is coming… The Liberal suggestion is not a vote winner..", "url": "https://nhsreality.wordpress.com/2026/06/23/a-debate-on-the-future-rationing-of-healthcare-is-coming-the-liberal-suggestion-is-not-a-vote-winner/", "published_at": "2026-06-23T10:28:01+00:00" }, { "id": "01a0bbba-e14d-717d-bef7-e812c2a416b0", "title": "Two tier health service? Its a world wide problem.", "url": "https://nhsreality.wordpress.com/2026/06/21/two-tier-health-service-its-a-world-wide-problem/", "published_at": "2026-06-21T05:55:35+00:00" }, { "id": "01a0bbba-e14d-717d-bef7-e812c30d82ff", "title": "Why does my GP only work part-time? Learned helplessness in a job they don’t enjoy enough … and an unsustainable system they cannot change", "url": "https://nhsreality.wordpress.com/2026/06/21/why-does-my-gp-only-work-part-time-learned-helplessness-in-a-job-they-dont-enjoy-enough-and-an-unsustainable-system-they-cannot-change/", "published_at": "2026-06-21T05:45:53+00:00" }, { "id": "01a0bbba-e14d-717d-bef7-e812c3a7f346", "title": "The robotic doctor", "url": "https://nhsreality.wordpress.com/2026/06/19/the-robotic-doctor/", "published_at": "2026-06-19T11:32:10+00:00" }, { "id": "01a0bbba-e14d-717d-bef7-e812c49ae95f", "title": "The golden hour for strokes…", "url": "https://nhsreality.wordpress.com/2026/06/09/the-golden-hour-for-strokes/", "published_at": "2026-06-09T19:50:54+00:00" }, { "id": "01a0bbbf-53e8-72f2-83c8-03d207a29e48", "title": "Follow the money – stupid. The Makerfield and other by-elections are not even going to discuss the fact that we are bust and have been living on “tick” for more than 2 decades ..", "url": "https://nhsreality.wordpress.com/2026/06/08/follow-the-money-stupid-the-makerfield-and-other-by-elections-are-not-even-going-to-discuss-the-fact-that-we-are-bust-and-have-been-living-on-tick-for-more-than-2-decades/", "published_at": "2026-06-08T08:06:06+00:00" }, { "id": "01a0bbbf-53e8-72f2-83c8-03d2089b79fc", "title": "Integrated IT systems need to have patient confidence, and Times letters suggest the way", "url": "https://nhsreality.wordpress.com/2026/06/08/integrated-it-systems-need-to-have-patient-confidence-and-letters-suggest-the-way/", "published_at": "2026-06-08T07:51:21+00:00" }, { "id": "01a0bbbf-53e8-72f2-83c8-03d2094c3bc3", "title": "Back to 1985. Plus ca change…", "url": "https://nhsreality.wordpress.com/2026/06/07/back-to-1985-plus-ca-change/", "published_at": "2026-06-07T14:41:05+00:00" }, { "id": "01a0bbbf-53e8-72f2-83c8-03d209a1b395", "title": "The young mentally ill don’t vote, but they are growing in numbers and importance… One day their votes might count…", "url": "https://nhsreality.wordpress.com/2026/06/06/the-young-mentally-ill-dont-vote-but-they-are-growing-in-numbers-and-importance-one-day-their-votes-might-count/", "published_at": "2026-06-06T15:46:42+00:00" }, { "id": "01a0bbbf-53e8-72f2-83c8-03d20a49f1c2", "title": "No amount of leadership or management can help unless the rules of the game are changed. The HealthCare Leader is beholden to government for its funding.", "url": "https://nhsreality.wordpress.com/2026/06/04/no-amount-of-leadership-or-management-can-help-unless-the-rules-of-the-game-are-changed-the-healthcare-leader-is-beholden-to-government-for-its-funding/", "published_at": "2026-06-04T18:16:59+00:00" }, { "id": "01a0bbbf-53e8-72f2-83c8-03d20a4ca005", "title": "We need to ration health care. Daraxonrasib and Wegovy etc are examples of why – because other more important treatments will be cut if we don’t. Until patents expire…", "url": "https://nhsreality.wordpress.com/2026/06/04/we-need-to-ration-health-care-daraxonrasib-and-wegovy-etc-are-examples-of-why-because-other-more-important-treatments-will-be-cut-if-we-dont-until-patents-expire/", "published_at": "2026-06-04T18:03:06+00:00" }, { "id": "01a0bbbf-53e8-72f2-83c8-03d20a854fc8", "title": "Screening a selective group is right thinking rationing… Those speaking against are wrong…", "url": "https://nhsreality.wordpress.com/2026/06/03/screening-a-selective-group-is-right-thinking-rationing-those-speaking-against-are-wrong/", "published_at": "2026-06-03T18:58:01+00:00" }, { "id": "01a0bbbf-53e8-72f2-83c8-03d20ac9fd82", "title": "Doctors are like Pat McFadden: they will be sacked for telling the truth", "url": "https://nhsreality.wordpress.com/2026/06/03/doctors-are-like-pat-mcfadden-they-will-be-sacked-for-telling-the-truth/", "published_at": "2026-06-03T18:44:57+00:00" }, { "id": "01a0bbbf-53e8-72f2-83c8-03d20b4fd132", "title": "Patients : prepare for private care. BMA fund targets “practices ‘outside the NHS’”…. & A load of “accident departments” waiting to happen wrong…", "url": "https://nhsreality.wordpress.com/2026/06/03/patients-prepare-for-private-care-bma-fund-targets-practices-outside-the-nhs-a-load-of-accident-departments-waiting-to-happen-wrong/", "published_at": "2026-06-03T18:39:15+00:00" }, { "id": "01a0bbbf-53e8-72f2-83c8-03d20bfbddf9", "title": "Don’t believe the press releases of governments when they involve IT. In the UK they repeat their mistakes. Fewer lies please!", "url": "https://nhsreality.wordpress.com/2026/06/02/dont-believe-the-press-releases-of-governments-when-they-involve-it-in-the-uk-they-repeat-their-mistakes/", "published_at": "2026-06-02T17:18:24+00:00" }, { "id": "01a0bbc3-c1c8-7108-9a16-1f104a3b0cb7", "title": "Just a General Practitioner. How the job has changed and considerations for potential applicants..", "url": "https://nhsreality.wordpress.com/2026/05/29/just-a-general-practitioner-how-the-job-has-changed-and-considerations-for-potential-applicants/", "published_at": "2026-05-29T19:21:24+00:00" }, { "id": "01a0bbc3-c1c8-7108-9a16-1f104aff7872", "title": "We need to change the rules: by-pass the politicians, and “acknowledge” the need to ration drugs overtly, and transfer the spend to therapists, sport and cultural activities.", "url": "https://nhsreality.wordpress.com/2026/05/20/we-need-to-change-the-rules-by-pass-the-politicians-and-acknowledge-the-need-to-ration-drugs-overtly-and-transfer-the-spend-to-therapists-sport-and-cultural-activities/", "published_at": "2026-05-20T08:55:13+00:00" }, { "id": "01a0bbc3-c1c8-7108-9a16-1f104bde6965", "title": "The profession losing compassion in A&E – the managerial emphasis is on speed and flow …", "url": "https://nhsreality.wordpress.com/2026/05/16/the-profession-losing-compassion-in-ae-the-managerial-emphasis-is-on-speed-and-flow/", "published_at": "2026-05-16T10:03:47+00:00" }, { "id": "01a0bbc3-c1c8-7108-9a16-1f104cab0471", "title": "Yes .. Waiting lists should fall as death rates rise. Perversely, the politicians might succeed after all – given time!", "url": "https://nhsreality.wordpress.com/2026/05/16/yes-waiting-lists-should-fall-as-death-rates-rise-perversely-the-politicians-might-succeed-after-all-given-time/", "published_at": "2026-05-16T09:57:15+00:00" }, { "id": "01a0bbc3-c1c8-7108-9a16-1f104cf4b4e6", "title": "Rationing of weight reducing drugs is appropriate – until patents expire", "url": "https://nhsreality.wordpress.com/2026/05/15/rationing-of-weight-reducing-drugs-is-appropriate-until-patents-expire/", "published_at": "2026-05-15T20:57:06+00:00" }, { "id": "01a0bbc3-c1c8-7108-9a16-1f104dc4b0dc", "title": "“Showing you care” is part of good medicine and nursing. Empathy, Compassion, and Continuity….. Where next?", "url": "https://nhsreality.wordpress.com/2026/05/15/showing-you-care-is-part-of-good-medicine-and-nursing-empathy-compassion-and-continuity-where-next/", "published_at": "2026-05-15T17:31:31+00:00" } ] posts Claim your blog

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2026

Using AI in Medicine and Martha’s Rule in A&E ( England ) Post code rationing of this option will be the reality.original ↗

24 Sept 2026

Poor schooling and parenting – More mental health issues, ADHD, and NEETs. Young people leaving care are predicted to die early, probably because they are poorer..original ↗

23 Sept 2026

Leadership void: “How do we get to X?” , and the answer is “I would not start from here”.original ↗

23 Sept 2026

Maternity could be just the touchpaper …original ↗

23 Sept 2026

The past and the future of the Nursing profession – an open book…original ↗

17 Sept 2026

The Family Doctor is a “dodo” now. The tragedy that is the NHS fiasco has yet to play out fully.original ↗

13 Sept 2026

Cornwall shows the cyber way, and good sense. IT in the 4 health services is out of date and is not safe.original ↗

13 Sept 2026

The shrinking GP budget – goes against the idea of training the best GPs.. Burnout risk is getting higher…original ↗

11 Sept 2026

The Nuffield Trust tries to be optimistic…. My personal waiting time option reveals the post code rationing..original ↗

11 Sept 2026

Social justice demands that the elderly pay whilst they are alive, and according to their means. Why shouldn’t Social care and Health care be funded by co-payments ? Because there’s no leadership, or honesty…original ↗

11 Sept 2026

Maternity service degeneration and implosion. A cultural failure and contagion original ↗

5 Sept 2026

All GP trainees should do a psychiatric spell post grad before completing training original ↗

5 Sept 2026

There’s a new threat from Mosquito born diseases and global warming original ↗

5 Sept 2026

Your records are at risk. Photograph them? There is a significant and enlarging cybersecurity risk..original ↗

31 Aug 2026

Reform wants women to conceive more, and earlier. Conception incentives have never worked, and the mind boggles at the possible incentives and hurdles… Over 20 years it means 28 more prime ministers at todays rate of change..original ↗

31 Aug 2026

Tax simplification could be linked to health provision and funding… A new Fiscal contract is needed for young people original ↗

31 Aug 2026

The US Drug Deal could cost lives as well as money. Open government demands that we know the detail. Covertly spending badly is as bad as covert rationing.original ↗

31 Aug 2026

Denigration of GPs. Change of name description needed for “consultants”? Attending Physician/Surgeon? Leaving ladies.. Health Care Systems need to change and only honesty will succeed..original ↗

31 Aug 2026

Losing the records – conveniently. Every Trust is a Nottingham in waiting…original ↗

27 Aug 2026

Dentistry – over-management is similar to that of GPs and doctors. A public health future of a “growing cavity” and “slow decay”…..original ↗

27 Aug 2026

Any “new strategy” has to be fundable – within our means. And it needs tacit agreement of the citizens…original ↗

24 Aug 2026

Gender operations and reassignments – recurrent scandalous damage to children and minors. Wales is worse than the rest of the UK, It is wasting more money….original ↗

24 Aug 2026

Advice and Guidance as a rationing model.original ↗

19 Aug 2026

Downgrading mothers and babies in Barnstable will be followed by strokes, as in Hywel Dda, thus increasing the “health divide”. Dumbing down of life expectancy will apply equally in Wales to parts of England. – and Causeway moving to Antrim N I original ↗

17 Aug 2026

Managers and sludge make sure that many cancer and other deserving patients never reach the consultant in time. Rationing referrals….original ↗

17 Aug 2026

Staff feeling invisible and unimportant. External exit interviews might really help expose the “invisible” people …original ↗

17 Aug 2026

The current situation regarding the rationing and uneven post coded distribution of social care is explained in part 1. Listen to part 2 to be fully informed.original ↗

17 Aug 2026

In most respects, especially fiscally, devolution has failed its children, especially in Wales where more parochial behaviour is encouraged and choices and opportunities are limited. We are in a “national multi-issue denial…original ↗

14 Aug 2026

Politicians are sighting on GP pay in their desire to cut costs.. And the spectre of a 10 year course to be a consultant GP original ↗

13 Aug 2026

My local rationing . An example and a challenge for local politicians to admit that Enoch Powell was right…original ↗

10 Aug 2026

Running out of food? Not impossible in a warming world where nations are not prepared to act together…. A strategic food supply plan is needed… for the UK original ↗

9 Aug 2026

Still using paper notes – after all this time!original ↗

8 Aug 2026

A possible template for a plan for the future of General Practice – who wants to be the fall guy?original ↗

8 Aug 2026

The management of the crumbling NHS Estate… Mistakes compounded on mistakes original ↗

8 Aug 2026

Equitable funding of social care – and the choices we all have to make. “Denying nursing home residents equitable access to NHS community services increases pressure on care providers and contributes to avoidable hospital admissions”.original ↗

8 Aug 2026

Is the unfair funding of GP practices ( And NHS Dentists ) a scandal yet to be exposed? Is the word profit unethical/ banned / a “vice”?original ↗

7 Aug 2026

As access gets worse, and waits lengthen, referrals increase, and complaints rise, the waiting list could be solved especially in the rural areas where there will be the most excess deaths original ↗

3 Aug 2026

The antisocial NHS on BBC Radio4 confirms rationing, reflects on the longstanding poor manpower planning, and hosts an interesting conversation between David Shipley, and Dr Oyindahola from Nigeria original ↗

2 Aug 2026

The unfairness of infertility treatment access original ↗

1 Aug 2026

Social Care – Burnham is asking the wrong question.original ↗

30 Jul 2026

The NHS is fundamentally dishonest – and its a Ponzi scheme original ↗

29 Jul 2026

Welfare reform and building resilience. Co-payments with “a cap on individual costs and means-testing offers a fairer solution”…..original ↗

28 Jul 2026

Suppression of feedback is a symptom of a deeper malaise throughout and is evidence of the conspiracy of denial, and the collusion of anonymity endemic in all 4 UK health dispensations.original ↗

28 Jul 2026

Against a wealth tax? France’s experience. Its our productivity, especially in Hospitals and State run departments that needs a miracle…. And its across the G8 original ↗

26 Jul 2026

Hospitals after covid are on deaths door in all the G8 countries: As standards fall – are they stuck in a doom loop?original ↗

26 Jul 2026

Just another set of NHS cover-ups – an Economist summary of a dire and shaming situation original ↗

26 Jul 2026

A genie has been released – A pity but we cannot go back now. The reality of the work done by General Practice original ↗

26 Jul 2026

The perpetual crisis: Royal College of emergency medicine UK says that waits are getting too long and longer! This is the core of the safety net that was the NHS, and its holed badly.original ↗

26 Jul 2026

The continuing and accelerating Brain Drain – the profession have pride and Advice and Guidance (A&G) is another driver to try “overseas”.original ↗

26 Jul 2026

A&E waiting lists – and the deskilling of a well trained workforce.original ↗

26 Jul 2026

Social Care, its reform, and VAT. Steering the state into the right places..original ↗

25 Jul 2026

Forever chemicals, and other pollutants in our water, food, environment… Algal growth from over fertilisation is a real issue original ↗

25 Jul 2026

Fampridine: An example of fiscal failure due to distorted devolution rules and funding and lack of SIPG policies..original ↗

25 Jul 2026

Diagnosing Presidents, Prime Ministers and leaders in general. Trump: “…his behaviour showed that he may be a danger to the American public”.original ↗

22 Jul 2026

Its a world wide market for Medical Specialist Staff. The competition is hotting up….original ↗

22 Jul 2026

Just below a letter on the funding of Hospices, which is equally unfair rationing by post code.. Women’s Health original ↗

20 Jul 2026

Unfair and uneven funding of terminal and palliative care original ↗

20 Jul 2026

Seedy deal on pills and treatments – trying to kid us all that everything is available to us all for free…original ↗

17 Jul 2026

Some aggressive brain tumours have not been subject to improved outcomes – as yet.original ↗

17 Jul 2026

The “rearranging” of the Dental Operating chairs is bound to fail without a long term and ethical consensus. It will be easier to do nothing…original ↗

17 Jul 2026

Manpower planning in Health Services remains vague and inadequate original ↗

16 Jul 2026

A real exit interview on assisting the dying. The problem of inadequate pain relief for the dying stems from “appalling leadership by consultants”…original ↗

16 Jul 2026

Pricey cures, especially for large numbers, have to be rationed…. until patent expires original ↗

16 Jul 2026

Don’t have a stroke in a remote rural area. Taking over 60 mins to get to assessment means worse outcomes as rural hospitals are coalesced…….original ↗

16 Jul 2026

Patients must endure tougher rationing, or else debt must spiral to pay for it. The choice is political…… so is how to deny it!original ↗

16 Jul 2026

Rationing of new drugs is inevitable, and the new deal on Big Pharma with the USA threatens us all.original ↗

16 Jul 2026

Only in private will MPs tell you the truth.. How about an “experienced oldie” party?original ↗

16 Jul 2026

The duty of candour could make little difference for our health administrators.. Without no fault compensation its under threat of being ignored. What about our politicians?original ↗

15 Jul 2026

A Reform Minister of impotence? and Ministerial Churn in general…original ↗

15 Jul 2026

The end of the Community Health Councils 2003 original ↗

15 Jul 2026

No denial. Do we need a new party? The “NEXTGEN” party to take the Moral High Ground.original ↗

8 Jul 2026

Giving patients information in real time is important in todays world. But it is equally important to tell citizens the truth. All 4 UK systems are unsustainable.original ↗

4 Jul 2026

Impossible to achieve celestial social care system. Some form of satisficing is essential for us all…original ↗

2 Jul 2026

Laser driven radiotherapy – for those lucky enough to live in the right dispensation or post code.original ↗

2 Jul 2026

Unintended consequences of Maternity Care implosion original ↗

28 Jun 2026

The limits of Artificial Intelligence: Judgement, Especially when not to operate original ↗

28 Jun 2026

Informed media letters and comment on Ockenden Report. Its a repetition of failure – Tribalism….. again and again and again…. NHSreality suggests the key changes needed..original ↗

26 Jun 2026

The nations wealth – in managed decline after the 10 year anniversary of Brexit. “We are stuck now”….. and we will have to ration more.original ↗

26 Jun 2026

Flawed dying bill?original ↗

23 Jun 2026

A debate on the future rationing of healthcare is coming… The Liberal suggestion is not a vote winner..original ↗

23 Jun 2026

Two tier health service? Its a world wide problem.original ↗

21 Jun 2026

Why does my GP only work part-time? Learned helplessness in a job they don’t enjoy enough … and an unsustainable system they cannot change original ↗

21 Jun 2026

The robotic doctor original ↗

19 Jun 2026

The golden hour for strokes…original ↗

9 Jun 2026

Follow the money – stupid. The Makerfield and other by-elections are not even going to discuss the fact that we are bust and have been living on “tick” for more than 2 decades ..original ↗

8 Jun 2026

Integrated IT systems need to have patient confidence, and Times letters suggest the way original ↗

8 Jun 2026

Back to 1985. Plus ca change…original ↗

7 Jun 2026

The young mentally ill don’t vote, but they are growing in numbers and importance… One day their votes might count…original ↗

6 Jun 2026

No amount of leadership or management can help unless the rules of the game are changed. The HealthCare Leader is beholden to government for its funding.original ↗

4 Jun 2026

We need to ration health care. Daraxonrasib and Wegovy etc are examples of why – because other more important treatments will be cut if we don’t. Until patents expire…original ↗

4 Jun 2026

Screening a selective group is right thinking rationing… Those speaking against are wrong…original ↗

3 Jun 2026

Doctors are like Pat McFadden: they will be sacked for telling the truth original ↗

3 Jun 2026

Patients : prepare for private care. BMA fund targets “practices ‘outside the NHS’”…. & A load of “accident departments” waiting to happen wrong…original ↗

3 Jun 2026

Don’t believe the press releases of governments when they involve IT. In the UK they repeat their mistakes. Fewer lies please!original ↗

2 Jun 2026

Just a General Practitioner. How the job has changed and considerations for potential applicants..original ↗

29 May 2026

We need to change the rules: by-pass the politicians, and “acknowledge” the need to ration drugs overtly, and transfer the spend to therapists, sport and cultural activities.original ↗

20 May 2026

The profession losing compassion in A&E – the managerial emphasis is on speed and flow …original ↗

16 May 2026

Yes .. Waiting lists should fall as death rates rise. Perversely, the politicians might succeed after all – given time!original ↗

16 May 2026

Rationing of weight reducing drugs is appropriate – until patents expire original ↗

15 May 2026

“Showing you care” is part of good medicine and nursing. Empathy, Compassion, and Continuity….. Where next?original ↗

15 May 2026