Blog · corpus.blog/blogs/nhsreality.wordpress.com/posts
nhsreality.wordpress.com
nhsreality.wordpress.com
2023
16 Feb 2023
Its a competitive world. How to attract from too few doctors … Lostwithoel tries an unlikely method..original ↗
15 Feb 2023
Citizens are living in fear again. If we are unable to live with any uncertainty and “trust” the current health system(s) are doomed to fail.original ↗
10 Feb 2023
“I have now stopped talking about reforming the system. It’s now about reinventing it.” Alan Milburn, minister of health 1997-8 original ↗
10 Feb 2023
10 Feb 2023
Communities are going to have to “rally round” if the health services are to survive the next decade.. The unintended consequences of every change need pre-empting..original ↗
6 Feb 2023
A health secretary gives an exit interview: Sajid Javid believes in “extending the contributory principle”…. Its not rejected but simply denied by Brits!original ↗
6 Feb 2023
Nurse and Doctor burnout at “all time high”, 1,500 extra deaths in a week, and a lot more sick leave and burnout.original ↗
4 Feb 2023
Bureaucratic blocks to services – which are all free anyway! The service fails on the one metric that really matters ; financial knowledge and control.original ↗
4 Feb 2023
Can rugby survive the information age: when parents can find out what the risks are and what alternative sports can offer safely? Its Injury Time agasin..original ↗
4 Feb 2023
Liberal party health policy (England only?). Liberals the first to acknowledge (by inference only) unsustainability….original ↗
4 Feb 2023
No continuity of care means expensive care. The whole system is imploding, and “special measures” will inevitably become the norm.original ↗
3 Feb 2023
27 Jan 2023
Sodium valproate almost certainly has a transgenerational effect. The evidence should be available from the GP databases.original ↗
22 Jan 2023
Older mothers need protecting. Consultant care is an imperative – for all.. Midwifery led care should only be in Consultant led units..original ↗
21 Jan 2023
Examine your patient – too much telephone triage risks our profession being debased and no longer trusted…original ↗
21 Jan 2023
21 Jan 2023
21 Jan 2023
One big reason for the extra 50,000 deaths – delays in diagnosing and treating cardiac disease..original ↗
19 Jan 2023
18 Jan 2023
Millions of Britons now doubt they can rely on the NHS for good quality and timely treatment, even in an emergency. The Times Health Commission asks for your suggestions.original ↗
16 Jan 2023
This year is (could be) the Year of Action – Lets hope the UK politicians are bold enough to take it..original ↗
16 Jan 2023
16 Jan 2023
16 Jan 2023
Amanda Pritchard’s poisoned chalice: Junior doctors have often travelled. Now even more are planning to ..original ↗
15 Jan 2023
14 Jan 2023
13 Jan 2023
Your safety net A&E: “the ante-room to hades”… No wonder we have lost trust/faith in the system.original ↗
12 Jan 2023
12 Jan 2023
A possible (unethical) way to tie doctors down? If we wrote off the student debt for nurses and doctors this would really be a message they could appreciate.original ↗
12 Jan 2023
A bipartisan (depoliticised) solution – no chance in today’s polarised politics. NHSreality describes my own suggestions if it did..original ↗
11 Jan 2023
What, no crisis? Its a crisis of trust in all politicians – of all parties – most members of the professions will not engage. The omens look bad for all 4 health services..original ↗
9 Jan 2023
Mark Britnell asks for a “tech revolution”. The culture has to change at the same time, and litigation fear has to diminish.original ↗
8 Jan 2023
Who will we be able to blame after the next election? Not the next cabinet, but all the cabinets and Secretaries of State for Health and Social Security since Labour won the 1997 election…original ↗
7 Jan 2023
5 Jan 2023
Its not failing because of lack of money. Its because of lack of long term planning and caring for staff. Numerous reports, and changes of philosophy mean a disengaged staff.original ↗
5 Jan 2023
Assisted dying needs common sense: not religious fundamentalism. Is assisting in an extra 500 deaths per week corporate manslaughter?original ↗
2 Jan 2023
If deaths are as high as 500 per week, we can assume that less than speedy attention causes substantial morbidity, as well as mortality….original ↗
2 Jan 2023
2022
MPs must be free to tell uncomfortable truths. This is unlikely until we change our political system.original ↗
29 Dec 2022
Coercion. Primary care networks are forced marriages? We all know the games that are played therein…original ↗
28 Dec 2022
Who has the courage to fix our failing NHS? Health and Social Care reform will probably have to wait until things get even worse. I do hope I am wrong..original ↗
28 Dec 2022
Still much better than America. Politicians in the UK can learn very little about population health from across the pond.original ↗
28 Dec 2022
Proactive planning for eg. “A bed blocking cure” is beyond the 4 health services…. Not a “learning organisation”….original ↗
28 Dec 2022
Post code rationing – the inevitable price of devolution and decentralisation, may bring back fear.original ↗
27 Dec 2022
Increasing locum and agency fees simply reflect the short termism of a distorted market for nurses, GPs and specialists.original ↗
24 Dec 2022
Is the old partnership model doomed? Will it be every woman & man for themselves? The first duty of a doctor was to put the patient at the centre of their concern. Should it now be themselves?original ↗
17 Dec 2022
Go abroad young man/woman: 85 per cent of UK medical applicants turned away. The treasury blocks sufficient training places.. and the nation pays for this in litigation and mistakes. Doctors are “thwarted” by politicians’ mismanagement of the NHS, say junior leadersoriginal ↗
17 Dec 2022
Are Doctors losing trust in their patients….? How many of those we train from abroad are going to leave owing to “worsening performance”?original ↗
17 Dec 2022
While it could get away with it. The government insists on rationing for children’s testing…original ↗
15 Dec 2022
It is market forces at work that lets nurses opt to be long term locums and agency workers. Who can blame them?original ↗
14 Dec 2022
No quick fix on waiting lists. Falling standards mean no fault compensation is urgently needed on the statute book.original ↗
14 Dec 2022
What is their future? Are some nurses and physiotherapists doing themselves out of a job by striking? Or will the latter simply “go private” like the dentists? Nurses may opt to be “long term locums”on much higher pay..original ↗
13 Dec 2022
Worsening health ahead for the UK – A population in denial.. And it’s going to get worse still..original ↗
2 Dec 2022
Make the wealthy pay …. Populism means disagreeing with expertise, and rejecting the advice given.original ↗
30 Nov 2022
Taking more risks is incompatible with getting it right first time! The real question is “how do we change electoral system so that we get the right people?”original ↗
29 Nov 2022
Neglect of maintenance and repair. Who would do it to their own home? Ireland pay system encourages autonomy, and justifies the expense of managing payments.original ↗
28 Nov 2022
NHS at risk of “complete collapse” – that was a month ago – but nothing will be done. Deliberate self-harm on a national demographic basis?original ↗
28 Nov 2022
Failing IT infrastructure threatens patient care, and management information remains inadequate. Carry your own notes.original ↗
27 Nov 2022
The Manpower Planning or Workforce plan has an impossible short-term task…. Let’s hope it inspires ..original ↗
27 Nov 2022
Fixed hours for self-employed people? A sure way to de-professionalise GPs? Which health region will take the hit, and salary GPs first?original ↗
26 Nov 2022
The Health Services should not have to bear the full costs of some services – Gambling and inevitable head injury related dementia for starters..original ↗
25 Nov 2022