Blog · corpus.blog/blogs/nhsreality.wordpress.com/posts
nhsreality.wordpress.com
nhsreality.wordpress.com
2022
De-prioritisation – exclusions, rationing: Why hernias, hands and varicose veins will usually not be treated on the NHSoriginal ↗
31 Jan 2022
30 Jan 2022
Its all spin. Are we run by reckless opportunists and is the agenda led by the media rather than our elected leaders? Not much hope for the 4 health services in this Book or it’s reviews..original ↗
28 Jan 2022
Will Wales and Scotland accept England’s rejected staff…? Vaccines are not a “silver bullet” and a balanced approach is problematic when a binary decision has to be made…original ↗
25 Jan 2022
The real debate has yet to start. Only when it does can we all help to save the health and social care service(s)….original ↗
25 Jan 2022
There are other systems, and other philosophies.. Sub-optimal care needs to be overt, and more open discussions and informed questioning is needed…. NHS dogma and cartoons…original ↗
23 Jan 2022
21 Jan 2022
21 Jan 2022
It looks like less rather than more GP staff: despite the need, the drop out rate, and the demand… The private health clinics will thrive…..original ↗
21 Jan 2022
How can we change the culture when the malaise in leadeship stems from the very top? There is no realistic plan for health recovery. The minister is impotent..original ↗
21 Jan 2022
The victimisation and attempted gagging of a whistlebower reveals exactly how much the culture needs to chaoriginal ↗
14 Jan 2022
How can we deliver “fairness” in a devolved nation with 4 health services… and 4 different sets of “rules of the game”.original ↗
13 Jan 2022
If births are falling, and deaths are rising, should the 4 health services change the ratio and means of funding from midwifery (state provision) towards terminal care (charity provided)?original ↗
13 Jan 2022
Act on workforce gaps, or the NHS will never recover. David Oliver. The rotten smell of a decaying system as standards fall. If we had the surgeons we would not have the anaethetists!original ↗
9 Jan 2022
Health, Wealth and Profits…. The BMA tries to open a site that, in the long term , improves all our lives.original ↗
8 Jan 2022
The battle for the soul of General Practice is all about “relationship based medicine” and continuity of care – which gives poetry to our lives.original ↗
8 Jan 2022
Ear Wax removal is privatised, and costly. But you can prevent by planning ahead and prophylaxis..original ↗
5 Jan 2022
Some 20 years after its invention, the English Health Service (Only) has Proton Beam Therapy.original ↗
3 Jan 2022
3 Jan 2022
2 Jan 2022
2021
The HSE document on workforce planning 2015 -2025 is a joke. Denial (see poem) is always prevalent in our 4 health services.original ↗
28 Dec 2021
Cynical medical professionals feel the future is one of managed health rundown…. And there are 4 unequal systems. This means more private care and more inequality – in standards and life expectancy..original ↗
28 Dec 2021
The pareto effect: Less than 10% give 40% and 20% give 80% of the work… In all 4 health servicesoriginal ↗
21 Dec 2021
Bullying in Scotland – as in the rest of the 4 services, is endemic. It could get even more expensive.original ↗
17 Dec 2021
ID cards and Godwin’s Law: lets have a reasonable debate about the options for the future of the UK’s 4 health systems.original ↗
17 Dec 2021
Being a GP was not a popularity contest in the “Good old days”: watch it become one in a private practice near you..original ↗
8 Dec 2021
7 Dec 2021
This is just the start of a demand for private care provision. The leafy shires of E Sussex are not full of avaricious doctors and rich retired citizens. This demand reflects the request of a large group of patients…original ↗
7 Dec 2021
Social Care risks being a complete failure – and with only private providers many elderly people could die alone and neglectedoriginal ↗
5 Dec 2021
The missing health safety net means more private care, and greater inequity. The anger is mounting – dangerously..original ↗
30 Nov 2021
Scrapping the cap on Medical School places: sensible. Reducing GP training time: senseless.original ↗
28 Nov 2021
There are too many perverse incentives for the new bill to work well. Continuing Health Care (for dementia) will still be a “Scancal”.original ↗
28 Nov 2021
26 Nov 2021
There will be multiple causes of “excess deaths” – due to long term underinvestment in people, plant and buildings, and mismanagement of manpower planning: cultural deficit and the short term politics.original ↗
26 Nov 2021
26 Nov 2021
Improving covid outcomes – vaccinations hold the key to prevention, but improved outcomes follow as well.original ↗
16 Nov 2021
Whole genome sequencing challenges universal health care systems – will it be only for the rich?original ↗
16 Nov 2021
We all need guidance for the utilitarian principle in social care…. A poll of voters is meaningless.original ↗
16 Nov 2021
The demographics affecting health in the future… honest debate is unlikely. No country is an island..original ↗
15 Nov 2021
The care crisis is National, made worse by Brexit, and many of those who voted to leave the EU will suffer.original ↗
13 Nov 2021
13 Nov 2021
A reversal of the target set by Mr Hunt. Politicians misunderstand the health service, and the only minister to face reality was Enoch Powell.original ↗
12 Nov 2021
A prolonged reduction in standards is predicted …. But politicians might finally realise the value of GPs, and proper manpower planning.. If only they had used Exit Interviews…original ↗
12 Nov 2021
11 Nov 2021
Looking at other systems: even Jersey is running out of money and is unsustainable. Waiting for access to a GP is a form of rationing, but much more cost-effective than allowing access direct to specialists. (As in the USA).original ↗
10 Nov 2021
8 Nov 2021
Covid superspreader event going to the rugby at the Millennium stadium. Transport for Wales at fault.original ↗
6 Nov 2021
Make a diagnosis Dr, but use of phone and video consultations is reasonable when staffing, risk, time and distance prohibit face to face. The Dr should be able to place the patient first, but the crisis of undermanning puts the system first..original ↗
5 Nov 2021
Cervical viral vaccines have done their job. Will be have the courage to disinvest and divert resources to help men?original ↗
4 Nov 2021
The continued threat of early retirement cannot be taken lightly. The shape of the job has changed so much, for both doctors and dentists..original ↗
2 Nov 2021
2 Nov 2021
Perverse behavious follow political bullying: watch how telephone and indirect contacts with patients become “appointments” as the profession “games” the system.original ↗
2 Nov 2021
Living near a tertiary care centre gives better access to new therapies and trials, as well as urgent care.original ↗
2 Nov 2021
Nudging politicians to be honest – probably too much to ask – there is no longer a “N” HS, other than it’s lottery. .original ↗
1 Nov 2021
Trying to find someone else to blame wont work unless Mr Sunak tells the hard truths about the manpower planning being hobbled by politicians over decadesoriginal ↗
29 Oct 2021
28 Oct 2021
Even the Times now agrees that Health Care needs to be rationed overtly. No way without debate, and the politicians are too scared.original ↗
27 Oct 2021
End of life care and the perverse behaviour of consultants who wont stop ” inappropriate investigations and futile treatments that prolong a patient’s suffering”.original ↗
27 Oct 2021
Money wont solve the Health problems. Long term planning is needed, but how do we retain and keep healthy the staff we have now…original ↗
26 Oct 2021
Medical Aptitude: A base level of knowledge, application and industry. good sense, empathy, stamina, communication skills and humilityoriginal ↗
26 Oct 2021
A GP rants his spleen: assertive (Amazon Prime) patients are a problem in a system that pretends not to be rationed. Co-payments please..original ↗
25 Oct 2021
Many GPs are retiring. If covid vaccinations are to be mandated for staff, so should exit interviews – the latter won’t happen – the opposite of a “learning organisation”.original ↗
25 Oct 2021
23 Oct 2021
The BMA may no longer oppose assisted dying but neither does the public. The post code lottery may persist even until death.original ↗
23 Oct 2021
13 New Medical Schools needed. Thats a 30% increase!! It reflects a system that fails to incentivise politicians to plan altruistically and long term?original ↗
20 Oct 2021
19 Oct 2021
18 Oct 2021
Pharmacists expanding their role…. Owned by private companies and capital, they will be more than willing. But just watch the perverse incentives and outcomes.original ↗
14 Oct 2021
We need to reform the law around clinical negligence. NHSreality wants our health system to be fixed, just and sustainable.original ↗
14 Oct 2021
Government panic shows lack of understanding of General Practice. “Penalties for seeing too few patients” and Locum subsidies will have perverse outcomes which have not been thought through.original ↗
14 Oct 2021