Blog · corpus.blog/blogs/nhsreality.wordpress.com/posts
nhsreality.wordpress.com
nhsreality.wordpress.com
2023
The dental contract is derided. Descriptors include “A leaking bucket”, or “handcuffed to a sinking ship” by their contract and suggestions for reform are met with cynicismoriginal ↗
17 Jul 2023
What’s the cure for an ailing NHS? You won’t find it in birthday soundbites from politicians….. Why not tax obesity?original ↗
7 Jul 2023
We don’t believe any of you…! and many of us never will. “The rest is lies”. This is how we got here, and its probably too late to go back..original ↗
7 Jul 2023
“An unhealthy debate on a weaponised NHS” – has to morph into a healthy debate. Lets hope the politicians lose their fear of speaking out..original ↗
7 Jul 2023
BMJ letters. Generalism is important. Overseas doctor recruitment.. The ethics of encouraging private practice… Without “Exit Interviews” politics goes forward into the health minefield without a workforce plan….original ↗
24 Jun 2023
With standards so low, does “choice” simply reinforce regressive outcomes? Will we see more “decision regret”?original ↗
24 Jun 2023
23 Jun 2023
18 Jun 2023
16 Jun 2023
Unable to learn from its mistakes, the UK will drift along into millions more excess deaths.original ↗
14 Jun 2023
12 Jun 2023
The Economist attempts to diagnose and prescribe for an imploded and dying health system, but Syed has it correct. We need honest politicians first..original ↗
11 Jun 2023
NHS Digital strategy needs support. But rationing the money is not a good idea at a time when we need to think smarter, not work harder!original ↗
6 Jun 2023
New drugs will have to wait – until patents expire. No country can afford them all, and now we have voted to be poorer the implications are clear. In the end it is votes that matter, and cures win more votes than prevention and public health…original ↗
6 Jun 2023
The cost of being cared for…. We all need “family planning” to prevent our elderly becoming part of a dystopian societyoriginal ↗
30 May 2023
An organisation that does not learn, and fails to spread best practice. The UK helth service(s)original ↗
28 May 2023
Timid politicians: “Neither the Tories nor Labour will contemplate radical structural reforms …..or contemplate alternative funding models.original ↗
26 May 2023
We need to ration the number of physicians elibgable to diagnose ADHD. The overdiagnosis is costing us. Overtreatment could lead to population iatrogenesis.original ↗
18 May 2023
16 May 2023
There’s been no significant effort to tackle the GP crisis for at least 8 years…. in reality building up for 20 years. Should we start with integrated systems?original ↗
13 May 2023
Receptionists and pharmacists as “care navigators” without insurance cover will be a high risk strategy.original ↗
11 May 2023
The next epidemic is loneliness – and its already started. Assisted dying in Jersey may help reduce suicides…and improve autonomy & quality of life.original ↗
9 May 2023
The lure of Australia. Reflections on the start of the “culture of fear” – and lack of cherishing, feedback and honesty.original ↗
9 May 2023
Maternity leadership of a high order is needed if more disasters are not to follow. A declining birth rate in high risk older mothers means more interventions and we need every child for the future.original ↗
9 May 2023
Better manners, but what about diagnosis and planning? Chat GPT may suit the anxious more, but not for me..original ↗
30 Apr 2023
28 Apr 2023
We desperately need any form of Proportional Representation to save the next health serviceoriginal ↗
28 Apr 2023
26 Apr 2023
Apostacy? Labour begin to speak the truth… but think its still salvageable – whatever that means. (….More premature deaths…)original ↗
22 Apr 2023
Shortening medical training? – no good evidence, and the current loss of “goodwill” will accelerate. Australia beckons for patients as well as doctors..original ↗
17 Apr 2023
Medical training and burnout in the NHS – Listen to any questions and any answers on the BBC Radio4original ↗
15 Apr 2023
14 Apr 2023
Its a competitive world – created by the current party ..Doctors’ strike and the BMA pay demandsoriginal ↗
13 Apr 2023
Gambling: there is no strategy, no oversight, no evaluation and no unified front. Alexander Kallmanoriginal ↗
12 Apr 2023
£1,000,000 a week on losing legal battles with the bereaved. Its going to get worse. The perverse incentives for politicians to be short term are too strong to change the way we plan health care unless we change our political system.original ↗
12 Apr 2023
All GPs and Dentists needed to be involved in emergency and Out of Hours rotas….. Now they need to recover lost skills …. and feel and be looked after while they do it!!original ↗
12 Apr 2023
12 Apr 2023
Going privately – more and more of us are prepared to pay, and perpetuate the health divide. A GP strike in England is a real possibility.. The “honest debate” is still many years and many deaths away.original ↗
8 Apr 2023
Overseas doctors taken to solve the short term problem of under-capacity. The long term perverse outcomes are expensive and threatening!original ↗
8 Apr 2023
Dental contract and care are both eroded to a pont where we have a two tier system: professionalism is being degraded.original ↗
4 Apr 2023
The workforce plan that could be meaningless may arrive shortly. Political collusion and denial means many more deaths while the “honest debate” awaits..original ↗
1 Apr 2023
Climate change is biggest long-term risk to human health”… but …The political decisions need driving by younger people if we are to address the Global Warming issue speedily. Do we need votes weighted inversely by age?original ↗
31 Mar 2023
27 Mar 2023
Rugby players are taking their sport’s governing bodies to court, alleging harm – and they should winoriginal ↗
22 Mar 2023
Tribal loyalties and differences will make this forced West Wales marriage very difficult.original ↗
19 Mar 2023
Excess mortality: a 7% rise in mortality the UK compares favourably with the EU – which has a 19% riseoriginal ↗
19 Mar 2023
Strikes. Medical student and new doctors’ finances. A nightmare for the chancellor and an additional threat to sustainability.. The strikes are a symptom of unhappiness…original ↗
16 Mar 2023
15 Mar 2023
15 Mar 2023
14 Mar 2023
Looking forward to a meaningful and mutually agreed long term manpower policy… – some chanceoriginal ↗
14 Mar 2023
A workforce plan without numbers and time lines – will be meaningless. The plan needs to cherish to retain!original ↗
13 Mar 2023
Air pollution and water pollution. Politicians have escaped responsibility for the one, but cannot escape from the other!original ↗
13 Mar 2023
Could a combined joint approach on child care help unpopular areas to recruit and retain staff?original ↗
8 Mar 2023
Covid origins don’t really matter, because new pathogens are always a risk, and government reductions in Public Health expenditure mean they were unprepared.original ↗
6 Mar 2023
Threatening to strike – even the GPs! Incredible result of bullying and coercion, as well as creating a market without enough “product”… Diagnosticians. Beware the ides of march (15th) and don’t be ill.original ↗
5 Mar 2023
The non pharmaceutical options – GPs are reluctantly resorting to medications for patients desperate for an answer now. To change we need politicians with balls..original ↗
4 Mar 2023
A failure to act on surgical training standards and opportunities – over decades – now you see the result..original ↗
4 Mar 2023
A 3 year training for doctors needs to be graduate entry only.. It will be very tough… and is a risky form of rationing.. is Lord Darzi joining the gamblers and chancers who rule us today?original ↗
28 Feb 2023
Arguments for and against user fees – are academic because justice demands that users’ autonomy is encouraged.original ↗
27 Feb 2023
Unhealthy. The world ahead in UK Health. Will 1m extra deaths over the decade persuade us to change the service(s)?original ↗
27 Feb 2023
The idea that the miners of Tredegar should have the same standards of care as the b(w)ankers of London has been forgotten.original ↗
27 Feb 2023
The “risk gap”. Big pharma helps vaccines, but not drugs. The health of the population needs a good national & reliable generic supply chain, and antibiotics over the counter.original ↗
27 Feb 2023
25 Feb 2023
The long game needs our own medical students. Politicians’ failure to plan longer than 4 years..original ↗
25 Feb 2023
25 Feb 2023
23 Feb 2023
The shortage of Medical Diagnosticians ahead of us is scary… Let every graduate who wants to, do a medical degree.original ↗
23 Feb 2023