Blog · corpus.blog/blogs/nhsreality.wordpress.com/posts
nhsreality.wordpress.com
nhsreality.wordpress.com
2022
Depersonalised and undervalued – the juniors pay dispute is a reflection of a failure to cherish employees, and politicians and bosses to show they care.original ↗
4 Jul 2022
4 Jul 2022
2 Jul 2022
Innovation to replace diagnosticians? Some chance.. “almost inevitable decline” is correct.original ↗
2 Jul 2022
Dr Jones fortells a collapse. An experienced based near exit interview.. 8.5m people without a GP is incorrect. They have been allocated..original ↗
1 Jul 2022
Self determination in palliative care? “It is easier for both doctors and patients to launch into a conversation about the treatments available and how they will be given and then begin the treatment”…. than to talk honestly.original ↗
28 Jun 2022
A disastrous new contract is being used to whip, rather than stimulate and recruit, General Practitioners…original ↗
24 Jun 2022
Medical staff pension scheme is still exceptional. Threats to strike may harden the chancellor’s thinking…original ↗
24 Jun 2022
GPs planning to resign: “The intensity and complexity of our workload is escalating while numbers of fully qualified, full-time GPs are falling” RCGP chair.original ↗
23 Jun 2022
21 Jun 2022
We destroy the “gatekeeper”role of GPs at our peril. Will consultants be instructed to give lower priority to GP referrals when compared to pharmacist ones as the overloaded system collapses?original ↗
19 Jun 2022
Succdessive failure of regulators and governments over teratogenic Sodium Valproate. Genetic mutations put children at risk..original ↗
19 Jun 2022
Living in a “left behind” areas? Could we consider alternative models for health care? Diagnostic PET scans should be universally and speedily available.original ↗
19 Jun 2022
Our unethical (nurse and doctor) “dependency and recruitment from overseas” policy shames us all.original ↗
14 Jun 2022
A “shake up” without addressing the unsustainable nature of our health services? … Sajid is blind to the origin of today’s reality.original ↗
9 Jun 2022
“Fitbit Feedback Syndrome”: Using more and more tech and screening for more ilnesses has its own risks.original ↗
6 Jun 2022
Not enough doctors – denial and leaders unwilling to look at other systems mean a lot more people have to die…original ↗
5 Jun 2022
An unsustainable system – but no politician is willing to step out of line and advocate changing it.original ↗
28 May 2022
The facts on low staff numbers – even if we have a celestial 100% retention there wont be enough diagnosticians until 2030original ↗
23 May 2022
23 May 2022
The future is “fat”. A overweight nation needs to think about how to reverse the fattening process..original ↗
21 May 2022
“There needs to be a national debate about the structure and future of the NHS because it is s untenable in its present form”.original ↗
17 May 2022
We abandon the European Working Time directive at our peril. Going backwards… Populism and a bonfire of vanities..original ↗
12 May 2022
We cannot make up a shortage of people with money. NHSreality marks 10 years with no change in planning or ideology. Treat the staff like camels and they behave like camels..original ↗
12 May 2022
Tax breaks in a two tier system? A policy suggestion that helps some individuals, but not the population. It would not help waiting lists according to Nigel Edwards.original ↗
9 May 2022
The drug shortage now and in the future needs addressing. Time to act and form a national generic pharmaceutical company.original ↗
9 May 2022
Two tiers in vision and deafness. The elderly with money can buy better lenses and hearing aids than those who rely on the state.original ↗
9 May 2022
8 May 2022
8 May 2022
The “old farts” might be some use after all. Not enough staff, and no manpower planning. Is the reverence fading?original ↗
7 May 2022
Sodium Valproate: a tragedy yet to be played out in full.. The GP research database might help..original ↗
3 May 2022
The safety net is missing for most of us around the country, not just holed. It was privatised 35 years ago.original ↗
3 May 2022
Political carelessness. GPs are becoming short termist and the “continuing family and social care” has disintegrated. An unsustainable system now needs “defibrillation”…original ↗
3 May 2022
28 Apr 2022
“Britain’s bureaucratic model of healthcare needs reform to meet patients’ needs and be financially sustainable”. The Times (gently) advocates co-payments.original ↗
22 Apr 2022
The NHS needs a midlife crisis – but nobody is bold enough to conduct this. Unofficial exit interviews are all we occasionally have..original ↗
19 Apr 2022
Little we can do short term, but we could alter changeover day or restrict consultant leave. We could also aim to staff every day the same in the longer term.original ↗
19 Apr 2022
Are we heading for two tiers of health care in the UK. Surely yes, but after a few years, when the penny has dropped.original ↗
14 Apr 2022
Falling job satisfaction leads to GPs under 50 thinking to retire.. Lack of local political interest suggests public apathy..original ↗
13 Apr 2022
The Maternity care illness is systemic. Trying to “make this the last” scandal is like pissing into the wind, or farting in a thunderstorm. We need complete feforming, cultural change, and exit interviews.original ↗
13 Apr 2022
With no plan, the Commons reject the Lords’ suggestion that they review manpower frequently. Rejecting the advice of the experts..original ↗
10 Apr 2022
“Last man standing” anxiety will determine our future.. Most GPs have no long term perspective ; the GP college (RCGP) seems out of touch with reality.original ↗
9 Apr 2022
Its people we are short of and all are working as hard as they can or wish to. Tax relief on Private Medical Insurance won’t change anything.original ↗
8 Apr 2022
Good News for the long term – computerised records may become the great asset they should be – one day.original ↗
8 Apr 2022
Countries with higher levels of emergency presentations have lower survival. With a shortage of experienced GPs, doctors who know their patients, & increasing criticism no wonder cancer diagnoses are later, and outcomes are worse.original ↗
7 Apr 2022
The health divide in cancer survival will get worse. Manpower shortages and lack of planning cannot make up .. Interesting that we are unable to compare the 4 UK systems.original ↗
6 Apr 2022
The Health Service staff, from all 4 dispensations, need protecting and cherishing. They always did!original ↗
4 Apr 2022
4 Apr 2022
Increasing poverty (relative) will increase the health divide. ..this is just the thin edge of a very large wedge coming…original ↗
4 Apr 2022
We have, covertly, rationed out the disempowered and increasingly important children, and their families. Shame on the NHS’s 4 health services.original ↗
4 Apr 2022
3 Apr 2022
Tribalism was beginning when I trained in 1969-74. Its worse now than ever. Mix it with an unwillingness to speak up, and its “lethal”.original ↗
3 Apr 2022
If Mr Hunt truly relents – he could win the respect of the profession. But it will take decades for the culture to truly recover.. and for the manpower to be sufficient.original ↗
1 Apr 2022
NHS hits 25-year low in public satisfaction – private GP services are coming wherever you live. Support a 2 yearly review of manpower…original ↗
1 Apr 2022
Ockenden. Managers in the Health Services have learned to move on quickly. Rewards then arrive – for failure.original ↗
30 Mar 2022
Shrewsbury’s 600 deaths was more than a “fatal obsession”: more a long term tribal failure. It is an allegory for what is wrong with parts of all 4 health services.original ↗
27 Mar 2022
There is no workforce plan. There never was a plan based in reality, and any plan now will be 15 years to fruition.original ↗
26 Mar 2022
The hollow Russian system can be compared to the Health Services – they are both based on lies and have the capacity to collapse quicklyoriginal ↗
26 Mar 2022
26 Mar 2022
Mr Hunt finally seems to understand the problem of manpower shortages – 10 years too late.original ↗
26 Mar 2022
Years of health decline – and even more to follow. At least nobody is blaming the doctors!original ↗
16 Mar 2022
An allegory for the 4 health services, and General Practice in particular? When will private GPs thrive nationally as private dentists have since their failed contract?original ↗
15 Mar 2022
GMC attempts to address bullying: but without cultural & structural change and complete reform with zero budgeting this is odds on to fail.original ↗
15 Mar 2022
A newspaper’s critique of rural General Practice as exposed by countryfile reveals the denial of both our citizens and our politicians.original ↗
13 Mar 2022
12 Mar 2022
Yet another stupid target, One not agreed with the profession.. and which will be ignored.original ↗
12 Mar 2022
OK Sajid, don’t lie, be bold: tell us just how the foundations of the 4 health services need to change. The first to have the guts to tell the truth deserves to be listened to..original ↗
9 Mar 2022
Choose and book extends to Private Care option – in England only… The reality of a divided country for health.original ↗
6 Mar 2022
GPs may have to concentrate in old hospitals or larger surgeries… In West Wales tribalism complicates the issue..original ↗
28 Feb 2022
The baby shortage – will affect us all.. The midwives have lost the battle and consultant led care should be the norm.original ↗
28 Feb 2022
Time for the 4 health services to cough up for digital hearing aids, and abandon the old analogue ones.original ↗
28 Feb 2022
17 Feb 2022
Deborah Erskine in Fermanagh shows she is getting an understanding of the short term, but the long term need to ration overtly is not part of her brief…original ↗
14 Feb 2022
Running the profession like an engineering plant will not work. Doctors are not machines, and patients are all different. The problem is that politicians don’t see the problem! Its them.original ↗
9 Feb 2022
Populist Political activity: The perverse outcomes of open accesss cancer screening have not been discussed. The profession can advise but will be ignored..original ↗
8 Feb 2022
We’ve got death all wrong, say doctors. Too much health service money is spent on our last years on “treatments” and not enough on “caring”. Teamworking is key.. GPs or palliative care specialists should be present at oncology clinics..original ↗
6 Feb 2022
Drug addiction and attempted “deaths of despair” rising as causes for admission to hospital, and children are included.original ↗
6 Feb 2022