41554 blogs · [ { "id": "01a0bbc3-c1c8-7108-9a16-1f104dd808a1", "title": "At last – Integrated IT system – but only for England", "url": "https://nhsreality.wordpress.com/2026/05/12/at-last-integrated-it-system-but-only-for-england/", "published_at": "2026-05-12T18:40:41+00:00" }, { "id": "01a0bbc3-c1c8-7108-9a16-1f104ec51c0f", "title": "A letter from 1985 shows how little has changed..", "url": "https://nhsreality.wordpress.com/2026/05/10/a-letter-from-1985-shows-how-little-has-changed/", "published_at": "2026-05-10T19:06:10+00:00" }, { "id": "01a0bbc3-c1c8-7108-9a16-1f104ee161ea", "title": "Honesty about death – impossible without structural changes", "url": "https://nhsreality.wordpress.com/2026/05/10/honesty-about-death-impossible-without-structural-changes/", "published_at": "2026-05-10T08:24:30+00:00" }, { "id": "01a0bbc3-c1c8-7108-9a16-1f104f30e67e", "title": "What difference will the local elections make to Health?", "url": "https://nhsreality.wordpress.com/2026/05/09/what-difference-will-the-local-elections-make-to-health/", "published_at": "2026-05-09T07:57:45+00:00" }, { "id": "01a0bbca-b5f3-7170-a0a4-0ef3992a8085", "title": "When will the BMA lead the way, and offer Private Medical Group insurance for its members? It could be the catalyst that starts the honest debate that has never happened.", "url": "https://nhsreality.wordpress.com/2026/05/07/when-will-the-bma-lead-the-way-and-offer-private-medical-group-insurance-for-its-members-it-could-be-the-catalyst-that-starts-the-honest-debate-that-has-never-happened/", "published_at": "2026-05-07T11:26:33+00:00" }, { "id": "01a0bbca-b5f3-7170-a0a4-0ef39975f164", "title": "Some sports may be thought stupid in a few years", "url": "https://nhsreality.wordpress.com/2026/05/06/some-sports-may-be-thought-stupid-in-a-few-years/", "published_at": "2026-05-06T21:28:47+00:00" }, { "id": "01a0bbca-b5f3-7170-a0a4-0ef399c10cd2", "title": "Meeting face to face means better communication and trust. It seems we can no longer afford the quality it gives, or provide the manpower?", "url": "https://nhsreality.wordpress.com/2026/05/06/meeting-face-to-face-means-better-communication-and-trust-it-seems-we-can-no-longer-afford-the-quality-it-gives-or-provide-the-manpower/", "published_at": "2026-05-06T21:19:59+00:00" }, { "id": "01a0bbca-b5f3-7170-a0a4-0ef39a809867", "title": "A bad death? We are by-passing the truth, we are not collecting the correct data, and we are perpetuating our denial … By colluding in this sham we fail to learn..", "url": "https://nhsreality.wordpress.com/2026/05/06/a-bad-death-we-are-by-passing-the-truth-we-are-not-collecting-the-correct-data-and-we-are-perpetuating-our-denial-by-colluding-in-this-sham-we-fail-to-learn/", "published_at": "2026-05-06T16:51:26+00:00" }, { "id": "01a0bbca-b5f3-7170-a0a4-0ef39b28fc1b", "title": "Assisted dying: how can learning from other countries inform what happens next?", "url": "https://nhsreality.wordpress.com/2026/05/03/assisted-dying-how-can-learning-from-other-countries-inform-what-happens-next/", "published_at": "2026-05-03T16:04:13+00:00" }, { "id": "01a0bbca-b5f3-7170-a0a4-0ef39c16e062", "title": "Is 24 stroke thrombotic removal centres enough? The 4 Health Services have covert unacknowledged rationing.", "url": "https://nhsreality.wordpress.com/2026/05/03/is-24-stroke-thrombotic-removal-centres-enough-the-4-health-services-have-covert-unacknowledged-rationing/", "published_at": "2026-05-03T15:36:16+00:00" }, { "id": "01a0bbca-b5f3-7170-a0a4-0ef39c9d5aec", "title": "Our rationing of miscarriage support reveals our poor choice of priorities.", "url": "https://nhsreality.wordpress.com/2026/05/01/our-rationing-of-miscarriage-support-reveals-our-poor-choice-of-priorities/", "published_at": "2026-05-01T16:48:59+00:00" }, { "id": "01a0bbca-b5f3-7170-a0a4-0ef39cd8a100", "title": "The long view: Medical schools: What’s happening with the planned expansion of places in England? Are we going to rely on overseas trained doctors for the foreseeable future?", "url": "https://nhsreality.wordpress.com/2026/04/30/the-long-view-medical-schools-whats-happening-with-the-planned-expansion-of-places-in-england-are-we-going-to-rely-on-overseas-trained-doctors-for-the-foreseeable-future/", "published_at": "2026-04-30T14:07:10+00:00" }, { "id": "01a0bbca-b5f3-7170-a0a4-0ef39d1fd402", "title": "Not enough diagnosticians…. in the form of radiologists", "url": "https://nhsreality.wordpress.com/2026/04/30/not-enough-diagnosticians-in-the-form-of-radiologists/", "published_at": "2026-04-30T13:58:47+00:00" }, { "id": "01a0bbca-b5f3-7170-a0a4-0ef39e104306", "title": "Back to 1980? A virtually unanimous rejection of a contract change makes government change its mind on reducing referrals.. The risk of increased litigation might have influenced DOH!", "url": "https://nhsreality.wordpress.com/2026/04/30/back-to-1980-a-virtually-unanimous-rejection-of-a-contract-change-makes-government-change-its-mind-on-reducing-referrals-the-risk-of-increased-litigation-might-have-influenced-doh/", "published_at": "2026-04-30T12:58:56+00:00" }, { "id": "01a0bbcf-bd20-739a-abd8-3528707dd143", "title": "Life expectancy falls – and will fall further", "url": "https://nhsreality.wordpress.com/2026/04/30/life-expectancy-falls-and-will-fall-further/", "published_at": "2026-04-30T10:25:50+00:00" }, { "id": "01a0bbcf-bd20-739a-abd8-3528713006a5", "title": "Assisted Dying: A travesty of democracy exposes the weaknesses in our society where tolerant and logical debate seems impossible.", "url": "https://nhsreality.wordpress.com/2026/04/26/assisted-dying-a-travesty-of-democracy-exposes-the-weaknesses-in-our-society-where-tolerant-and-logical-debate-seems-impossible/", "published_at": "2026-04-26T11:34:14+00:00" }, { "id": "01a0bbcf-bd20-739a-abd8-352871ad37e5", "title": "History of Haverfordwest and Pembrokeshire medical care….", "url": "https://nhsreality.wordpress.com/2026/04/21/history-of-haverfordwest-and-pembrokeshire-medical-care/", "published_at": "2026-04-21T16:26:35+00:00" }, { "id": "01a0bbcf-bd20-739a-abd8-35287231b083", "title": "NHS ‘second worst in developed world for avoidable deaths’…. For richer for poorer, in sickness and in ill health .. ….", "url": "https://nhsreality.wordpress.com/2026/04/20/nhs-second-worst-in-developed-world-for-avoidable-deaths-for-richer-for-poorer-in-sickness-and-in-ill-health/", "published_at": "2026-04-20T16:09:58+00:00" }, { "id": "01a0bbcf-bd20-739a-abd8-35287231bfb1", "title": "Paying for defence at the same time as refashioning health. Write a letter to your MP about Palantir. Mr Tufnell does have an influential vote on Palantir – but on no other health issues in Wales and Pembrokeshire", "url": "https://nhsreality.wordpress.com/2026/04/20/paying-for-defence-at-the-same-time-as-refashioning-health-write-a-letter-to-your-mp-about-palantir-mr-tufnell-does-have-an-influential-vote-on-palantir-but-on-no-other-health-issues-in-wales-and/", "published_at": "2026-04-20T15:55:16+00:00" }, { "id": "01a0bbcf-bd20-739a-abd8-352872b328d9", "title": "Politicians have ignored Pembroke Dock and it’s “relatives” throughout the country for too long.", "url": "https://nhsreality.wordpress.com/2026/04/20/politicians-have-ignored-pembroke-dock-and-its-relatives-throughout-the-country-for-too-long/", "published_at": "2026-04-20T15:11:35+00:00" }, { "id": "01a0bbcf-bd20-739a-abd8-352872e5482f", "title": "A lack of candour in politicians. On line Hospitals and the risks of not examining the patient", "url": "https://nhsreality.wordpress.com/2026/04/16/a-lack-of-candour-in-politicians-on-line-hospitals-and-the-risks-of-not-examining-the-patient/", "published_at": "2026-04-16T08:22:13+00:00" }, { "id": "01a0bbcf-bd20-739a-abd8-3528739be683", "title": "Empathy and compassion is almost impossible to be “trusted” without continuity of care. A relationship matters, and there are limitations to Artificial Intelligence", "url": "https://nhsreality.wordpress.com/2026/04/16/empathy-and-compassion-is-almost-impossible-to-be-trusted-without-continuity-of-care-a-relationship-matters-and-there-are-limitations-to-artificial-intelligence/", "published_at": "2026-04-16T07:31:54+00:00" }, { "id": "01a0bbcf-bd20-739a-abd8-352873a0ea8d", "title": "Is a fair mental health budget too hard for us to discuss? The Times leader exposes a systemic failure.", "url": "https://nhsreality.wordpress.com/2026/04/15/is-a-fair-mental-health-budget-too-hard-for-us-to-discuss-the-times-leader-exposes-a-systemic-failure/", "published_at": "2026-04-15T09:03:18+00:00" }, { "id": "01a0bbcf-bd20-739a-abd8-3528742e6624", "title": "Care in Europe is safer than NHS. It looks as if the EU health systems are better planned and have better outcomes simply because they are all in some form of Proportional Representation, and the focus of NHS England is not what the voting elderly want.", "url": "https://nhsreality.wordpress.com/2026/04/14/care-in-europe-is-safer-than-nhs-it-looks-as-if-the-eu-health-systems-are-better-planned-and-have-better-outcomes-simply-because-they-are-all-in-some-form-of-proportional-representation/", "published_at": "2026-04-14T12:20:22+00:00" }, { "id": "01a0bbd3-9dfa-712e-b9a7-a4f717caefe0", "title": "Care in Europe is safer than NHS, death rates reveal", "url": "https://nhsreality.wordpress.com/2026/04/13/care-in-europe-is-safer-than-nhs-death-rates-reveal/", "published_at": "2026-04-13T15:44:50+00:00" }, { "id": "01a0bbd3-9dfa-712e-b9a7-a4f717f15013", "title": "The expansion of false widow spiders since 1959, and their potentially lethal bites.", "url": "https://nhsreality.wordpress.com/2026/04/13/the-expansion-of-false-widow-spiders-since-1959-and-their-potentially-lethal-bites/", "published_at": "2026-04-13T15:38:22+00:00" }, { "id": "01a0bbd3-9dfa-712e-b9a7-a4f718283542", "title": "Polarisation of the profession – has led to silos and more tribalism.", "url": "https://nhsreality.wordpress.com/2026/04/10/polarisation-of-the-profession-has-led-to-silos-and-more-tribalism/", "published_at": "2026-04-10T20:40:03+00:00" }, { "id": "01a0bbd3-9dfa-712e-b9a7-a4f718e3f370", "title": "Along with all students, a cap on debt could well help the medics with their lengthy course.", "url": "https://nhsreality.wordpress.com/2026/04/10/along-with-all-students-a-cap-on-debt-could-well-help-the-medics-with-their-lengthy-course/", "published_at": "2026-04-10T20:16:33+00:00" }, { "id": "01a0bbd3-9dfa-712e-b9a7-a4f7195401b9", "title": "A poem – and Jess’s rule: the value of continuity of care", "url": "https://nhsreality.wordpress.com/2026/04/09/a-poem-and-jesss-rule-the-value-of-continuity-of-care/", "published_at": "2026-04-09T20:15:49+00:00" }, { "id": "01a0bbd3-9dfa-712e-b9a7-a4f719d2b5f3", "title": "The perverse outcomes of the enthusiastic state support for a particular diagnosis.. ADHD", "url": "https://nhsreality.wordpress.com/2026/04/09/the-perverse-outcomes-of-the-enthusiastic-state-support-for-a-particular-diagnosis-adhd/", "published_at": "2026-04-09T20:01:20+00:00" }, { "id": "01a0bbd3-9dfa-712e-b9a7-a4f71a39faa8", "title": "The Cadfael GP physician, diagnostician and pathologist – a jack of all trades with built in insurance and a feeling of being valued – contrast with todays resident..", "url": "https://nhsreality.wordpress.com/2026/04/09/the-cadfael-gp-physician-diagnostician-and-pathologist-a-jack-of-all-trades-with-built-in-insurance-and-a-feeling-of-being-valued-contrast-with-todays-resident/", "published_at": "2026-04-09T19:36:03+00:00" }, { "id": "01a0bbd3-9dfa-712e-b9a7-a4f71b027b6f", "title": "Midwifery training declining standards.. In praise of generalists…", "url": "https://nhsreality.wordpress.com/2026/04/09/midwifery-training-declining-standards-in-praise-of-generalists/", "published_at": "2026-04-09T10:06:49+00:00" }, { "id": "01a0bbd3-9dfa-712e-b9a7-a4f71bca3f8e", "title": "It could be residents and GPs striking together before long… The “dying swan” may be put out of its misery by the profession rather than the politicians.", "url": "https://nhsreality.wordpress.com/2026/04/08/it-could-be-residents-and-gps-striking-together-before-long-the-dying-swan-may-be-put-out-of-its-misery-by-the-profession-rather-than-the-politicians/", "published_at": "2026-04-08T17:39:11+00:00" }, { "id": "01a0bbd3-9dfa-712e-b9a7-a4f71c3b90d2", "title": "No wonder medical graduates leave… “Graduates are paying bill for more spending on the health service”. The potential perverse outcomes…..? The shape of the job is changing, and not for the better.", "url": "https://nhsreality.wordpress.com/2026/04/08/no-wonder-medical-graduates-leave-graduates-are-paying-bill-for-more-spending-on-the-health-service-the-potential-perverse-outcomes-the-shape-of-the-job-is-changing-and-not-for-the/", "published_at": "2026-04-08T15:46:24+00:00" }, { "id": "01a0bbd7-6316-713e-a6ac-2bc476d6eb8b", "title": "The problem of Palantir. Big Pharma and Public Health both want bid accurate data of this type. And we GPs created it..", "url": "https://nhsreality.wordpress.com/2026/04/08/the-problem-of-palantir-big-pharma-and-public-health-both-want-bid-accurate-data-of-this-type/", "published_at": "2026-04-08T15:11:19+00:00" }, { "id": "01a0bbd7-6316-713e-a6ac-2bc477305456", "title": "Maternal Deaths increase, as the system implodes.", "url": "https://nhsreality.wordpress.com/2026/04/06/38004/", "published_at": "2026-04-06T09:18:43+00:00" }, { "id": "01a0bbd7-6316-713e-a6ac-2bc4780dcf93", "title": "Time for a mutualised not for profit generic drug manufacturer – owned by us the citizens", "url": "https://nhsreality.wordpress.com/2026/04/05/time-for-a-mutualised-not-for-profit-generic-drug-manufacturer-owned-by-us-the-citizens/", "published_at": "2026-04-05T18:16:42+00:00" }, { "id": "01a0bbd7-6316-713e-a6ac-2bc4785a4c2a", "title": "Striking Residents – other countries are recruiting our young doctors. There is no “Hypocritical Oath”.", "url": "https://nhsreality.wordpress.com/2026/04/04/striking-residents-other-countries-are-recruiting-our-young-doctors/", "published_at": "2026-04-04T20:50:41+00:00" }, { "id": "01a0bbd7-6316-713e-a6ac-2bc478e4b52e", "title": "Why not outsource the training of all doctors, nurses and paramedics? We might be able to afford to ration places less if we trained med students abroad wherever was cheapest!", "url": "https://nhsreality.wordpress.com/2026/04/04/why-not-outsource-the-training-of-all-doctors-nurses-and-paramedics-we-might-be-able-to-afford-to-ration-places-less-if-we-trained-med-students-abroad-wherever-was-cheapest/", "published_at": "2026-04-04T20:37:57+00:00" }, { "id": "01a0bbd7-6316-713e-a6ac-2bc478e5ec08", "title": "A new government led system will only foster and encourage private GP care – and disillusion more families. Rationing by refusing referral rights is unethical.", "url": "https://nhsreality.wordpress.com/2026/04/04/a-new-government-led-system-will-only-foster-and-encourage-private-gp-care-and-disillusion-more-families-rationing-by-refusing-referral-rights-is-unethical/", "published_at": "2026-04-04T11:53:50+00:00" }, { "id": "01a0bbd7-6316-713e-a6ac-2bc479257cec", "title": "Martha’s rule pays dividends… It applies in England…", "url": "https://nhsreality.wordpress.com/2026/04/04/marthas-rule-pays-dividends-it-applies-in-england/", "published_at": "2026-04-04T11:42:44+00:00" }, { "id": "01a0bbd7-6316-713e-a6ac-2bc47a11edf3", "title": "With the Regional and Local elections pending it is really important to vote. The turnout has been as low as 40% in the past, and lower in 18-24 yr olds.. Any form of PR makes every vote count.", "url": "https://nhsreality.wordpress.com/2026/04/04/with-the-regional-and-local-elections-pending-it-is-really-important-to-vote-the-turnout-has-been-as-low-as-40-in-the-past-and-lower-in-18-24-yr-olds-any-form-of-pr-makes-every-vote-count/", "published_at": "2026-04-04T11:41:22+00:00" }, { "id": "01a0bbd7-6316-713e-a6ac-2bc47ab54dda", "title": "The definition of corridor care – almost inevitable for all of us with less than 10 years life expectancy left", "url": "https://nhsreality.wordpress.com/2026/04/04/the-definition-of-corridor-care-almost-inevitable-for-all-of-us-with-less-than-10-years-life-expectancy-left/", "published_at": "2026-04-04T11:12:52+00:00" }, { "id": "01a0bbd7-6316-713e-a6ac-2bc47b9de691", "title": "Distortions and perverse outcomes of the social societal contract? The intolerance of youth described by the Times leader should be seen as a cry for help.. Politicians need to speak truth to power and challenge the financial unreality of the institutions of the state…. & they need to listen and understand the young people, and both need to display tolerance and honesty..", "url": "https://nhsreality.wordpress.com/2026/04/03/distortions-and-perverse-outcomes-of-the-social-societal-contract-the-intolerance-of-youth-described-by-the-times-leader-should-be-seen-as-a-cry-for-help-politicians-need-to-speak-truth-to-power-an/", "published_at": "2026-04-03T17:54:40+00:00" }, { "id": "01a0bbdb-075b-7045-9087-ba95e875e7ee", "title": "Two successive parties in power, with record making majorities, have been unable to face the reality of the dying health services.", "url": "https://nhsreality.wordpress.com/2026/04/01/two-successive-parties-in-power-with-record-making-majorities-have-been-unable-to-face-the-reality-of-the-dying-health-services/", "published_at": "2026-04-01T16:55:56+00:00" }, { "id": "01a0bbdb-075b-7045-9087-ba95e940cb82", "title": "French mental health update: the power of the profession and Big Pharma have modified the best of intentions..", "url": "https://nhsreality.wordpress.com/2026/04/01/french-mental-health-update-the-power-of-the-profession-and-big-pharma-have-modified-the-best-of-intentions/", "published_at": "2026-04-01T16:39:34+00:00" }, { "id": "01a0bbdb-075b-7045-9087-ba95e98c9fa3", "title": "A&G and new contract offer as “an existential threat” to General Practice. Now that the flow of trained doctors is reversed, are we going to cry “foul”? NHSreality wonders if Wales and Scotland will make the same mistake as England?", "url": "https://nhsreality.wordpress.com/2026/03/31/ag-and-new-contract-offer-as-an-existential-threat-to-general-practice-now-that-the-flow-of-trained-doctors-is-reversed-are-we-going-to-cry-foul-nhsreality-wonders-if-wales-and-scotlan/", "published_at": "2026-03-31T14:04:36+00:00" }, { "id": "01a0bbdb-075b-7045-9087-ba95e9af1ed5", "title": "Whatever you think about cancer treatments, they are effectively rationed.", "url": "https://nhsreality.wordpress.com/2026/03/27/whatever-you-think-about-cancer-treatments-they-are-effectively-rationed/", "published_at": "2026-03-27T14:32:09+00:00" }, { "id": "01a0bbdb-075b-7045-9087-ba95e9e827fa", "title": "Remote ( non examining ) doctors", "url": "https://nhsreality.wordpress.com/2026/03/27/remote-non-examining-doctors/", "published_at": "2026-03-27T14:24:41+00:00" }, { "id": "01a0bbdb-075b-7045-9087-ba95eaba0521", "title": "We have lost control of our destiny, including the reality of our health system….", "url": "https://nhsreality.wordpress.com/2026/03/27/we-have-lost-control-of-our-destiny-including-the-reality-of-our-health-system/", "published_at": "2026-03-27T14:20:09+00:00" }, { "id": "01a0bbdb-075b-7045-9087-ba95eac99368", "title": "No long term thinking on manpower has resulted in the ongoing crisis. The “inactions of politicians” have meant that the 4 health services are in a perpetual one.", "url": "https://nhsreality.wordpress.com/2026/03/27/no-long-term-thinking-on-manpower-has-resulted-in-the-ongoing-crisis-the-inactions-of-politicians-have-meant-that-the-4-health-services-are-in-a-perpetual-one/", "published_at": "2026-03-27T07:22:23+00:00" }, { "id": "01a0bbdb-075b-7045-9087-ba95eb12e9f2", "title": "Devolution failures… Populism and lack of trust mean civil unrest is possible…", "url": "https://nhsreality.wordpress.com/2026/03/24/devolution-failures-populism-and-lack-of-trust-mean-civil-unrest-is-possible/", "published_at": "2026-03-24T11:19:52+00:00" }, { "id": "01a0bbdb-075b-7045-9087-ba95eb95ebd0", "title": "PSA screening remains a probabilistic gamble. “The overdiagnosis burden rarely justifies the benefit”.", "url": "https://nhsreality.wordpress.com/2026/03/24/psa-screening-remains-a-probabilistic-gamble-the-overdiagnosis-burden-rarely-justifies-the-benefit/", "published_at": "2026-03-24T10:24:12+00:00" }, { "id": "01a0bbdb-075b-7045-9087-ba95ec150aac", "title": "Action on rare cancers – Dr Scott Arthur tries to resist the covert rationing…", "url": "https://nhsreality.wordpress.com/2026/03/23/action-on-rare-cancers-dr-scott-arthur-tries-to-resist-the-covert-rationing/", "published_at": "2026-03-23T18:57:51+00:00" }, { "id": "01a0bbde-aa29-704c-ba92-46f6557d5c77", "title": "Health and Education are so linked together… The health of Wales is in decline, along with its educational system..", "url": "https://nhsreality.wordpress.com/2026/03/23/health-and-education-are-so-linked-together-the-health-of-wales-is-in-decline-along-with-its-educational-system/", "published_at": "2026-03-23T10:15:49+00:00" }, { "id": "01a0bbde-aa29-704c-ba92-46f65658e92d", "title": "No trust and no continuity means more populist postings and more complaints.", "url": "https://nhsreality.wordpress.com/2026/03/17/no-trust-and-no-continuity-means-more-populist-postings-and-more-complaints/", "published_at": "2026-03-17T17:51:05+00:00" }, { "id": "01a0bbde-aa29-704c-ba92-46f6574a32e6", "title": "Private Dentisry now dominates the UK", "url": "https://nhsreality.wordpress.com/2026/03/17/private-dentisry-now-dominates-the-uk/", "published_at": "2026-03-17T17:47:06+00:00" }, { "id": "01a0bbde-aa29-704c-ba92-46f6576a5e95", "title": "The epidemic of Private Medical / Health Insurance advertising….", "url": "https://nhsreality.wordpress.com/2026/03/12/the-epidemic-of-private-medical-health-insurance-advertising/", "published_at": "2026-03-12T17:02:23+00:00" }, { "id": "01a0bbde-aa29-704c-ba92-46f657ccfc1b", "title": "The value and the risks of water quality – the worst privatisation has led to a Public Health crisi in waiting..", "url": "https://nhsreality.wordpress.com/2026/03/09/the-value-and-the-risks-of-water-quality-the-worst-privatisation-has-led-to-a-public-health-crisi-in-waiting/", "published_at": "2026-03-09T11:15:46+00:00" }, { "id": "01a0bbde-aa29-704c-ba92-46f658b2e861", "title": "We have to accept non diagnosticians and telephone triage instead of what we came to expect, especially if we are poor, elderly, in a home, or have no assertive rich children / relatives/ advocates. Physician Assistant risks…", "url": "https://nhsreality.wordpress.com/2026/03/08/we-have-to-accept-non-diagnosticians-and-telephone-triage-instead-of-what-we-came-to-expect-especially-if-we-are-poor-elderly-in-a-home-or-have-no-assertive-rich-children-relatives-advocates-p/", "published_at": "2026-03-08T21:49:05+00:00" }, { "id": "01a0bbde-aa29-704c-ba92-46f658b67ab5", "title": "The rucurrent NHS tragedies – there are many more than Shakespeare wrote, some Obstetric, and many more are to come…..", "url": "https://nhsreality.wordpress.com/2026/03/08/the-rucurrent-nhs-tragedies-there-are-many-more-than-shakespeare-wrote-some-obstetric-and-many-more-are-to-come/", "published_at": "2026-03-08T21:21:48+00:00" }, { "id": "01a0bbde-aa29-704c-ba92-46f658e9d2c8", "title": "The new imposed GP contract…. is a foretold symptom of decline and fall..", "url": "https://nhsreality.wordpress.com/2026/03/07/37589/", "published_at": "2026-03-07T21:09:09+00:00" }, { "id": "01a0bbde-aa29-704c-ba92-46f659190f99", "title": "The question is unnecessary. All of us in the profession know Streeting can only delay the inevitable refinancing – and some has to come directly from users…", "url": "https://nhsreality.wordpress.com/2026/03/07/the-question-is-unnecessary-all-of-us-in-the-profession-know-streeting-can-only-delay-the-inevitable-refinancing-and-some-has-to-come-directly-from-users/", "published_at": "2026-03-07T20:54:31+00:00" }, { "id": "01a0bbde-aa29-704c-ba92-46f659be5d58", "title": "Is re-nationalisation coming back? We need to start with water, and health….", "url": "https://nhsreality.wordpress.com/2026/03/05/is-re-nationalisation-coming-back-we-need-to-start-with-water-and-health/", "published_at": "2026-03-05T17:58:32+00:00" }, { "id": "01a0bbe1-f832-71fe-bd19-d50425a44a07", "title": "Should some conditions stop you from being a doctor?", "url": "https://nhsreality.wordpress.com/2026/03/05/should-some-conditions-stop-you-from-being-a-doctor/", "published_at": "2026-03-05T17:23:39+00:00" }, { "id": "01a0bbe1-f832-71fe-bd19-d50425add042", "title": "“Scotland (and Wales) has been divided into those who can afford private healthcare and those languishing on ever longer NHS waiting lists”.", "url": "https://nhsreality.wordpress.com/2026/03/02/scotland-and-wales-has-been-divided-into-those-who-can-afford-private-healthcare-and-those-languishing-on-ever-longer-nhs-waiting-lists/", "published_at": "2026-03-02T10:12:02+00:00" }, { "id": "01a0bbe1-f832-71fe-bd19-d504260ac1b5", "title": "Why don’t reporters get access to comparable data so that the Devolved nations can be compared to England? Four fifths of England’s integrated care boards would need to at least double their number of general practitioners to meet staffing standards considered safe for patients….", "url": "https://nhsreality.wordpress.com/2026/03/01/why-dont-reporters-get-access-to-comparable-data-so-that-the-devolved-nations-can-be-compared-to-england-four-fifths-of-englands-integrated-care-boards-would-need-to-at-least-double-their/", "published_at": "2026-03-01T17:38:37+00:00" }, { "id": "01a0bbe1-f832-71fe-bd19-d504269f99fc", "title": "The dying of an important bill will reflect badly on our democracy and trust in politicians..", "url": "https://nhsreality.wordpress.com/2026/03/01/the-dying-of-an-important-bill-will-reflect-badly-on-our-democracy-and-trust-in-politicians/", "published_at": "2026-03-01T16:51:39+00:00" }, { "id": "01a0bbe1-f832-71fe-bd19-d50426f7ea94", "title": "Should we screen all children for heart disease? If we don’t then the rich families may do so privately.", "url": "https://nhsreality.wordpress.com/2026/02/27/should-we-screen-all-children-for-heart-disease-if-we-dont-then-the-rich-families-may-do-so-privately/", "published_at": "2026-02-27T12:56:07+00:00" }, { "id": "01a0bbe1-f832-71fe-bd19-d50427deec8d", "title": "The ultimate perverse outcome ? Stillbirths overstated so that inquests are not done, and the “learning opportunity” is missed.", "url": "https://nhsreality.wordpress.com/2026/02/26/the-ultimate-perverse-outcome-stillbirths-overstated-so-that-inquests-are-not-done-and-the-learning-opportunity-is-missed/", "published_at": "2026-02-26T17:48:53+00:00" }, { "id": "01a0bbe1-f832-71fe-bd19-d504285de5e6", "title": "Another imposed GP “contract” and the start of a “complaints and replies arms race” as patients and doctors use Artificial Intelligence in their letters. Trust is disappearing…", "url": "https://nhsreality.wordpress.com/2026/02/26/another-imposed-gp-contract-and-the-start-of-a-complaints-and-replies-arms-race-as-patients-and-doctors-use-artificial-intelligence-in-their-letters-trust-is-disappearing/", "published_at": "2026-02-26T15:09:54+00:00" }, { "id": "01a0bbe1-f832-71fe-bd19-d50428c56378", "title": "Health Insurance reflections after overt rationing by AXA. “..such situations are going to become more common”. The idea of insurance is to “share the risk” – preferably as a “nation”, but technological advance is faster than we can adjust to.", "url": "https://nhsreality.wordpress.com/2026/02/26/health-insurance-reflections-after-overt-rationing-by-axa-such-situations-are-going-to-become-more-common/", "published_at": "2026-02-26T05:58:44+00:00" }, { "id": "01a0bbe1-f832-71fe-bd19-d504292bf59e", "title": "Has UK reached its apex in funding provision for health and social care and the pressure on the budget for SEND indicative of the whole?", "url": "https://nhsreality.wordpress.com/2026/02/24/has-uk-reached-its-apex-in-funding-provision-for-health-and-social-care-and-the-pressure-on-the-budget-for-send-indicative-of-the-whole/", "published_at": "2026-02-24T18:02:30+00:00" }, { "id": "01a0bbe1-f832-71fe-bd19-d50429a9656f", "title": "Are the UK citizens heading for “a global majority whose economic prospects, healthcare access and political power have been curtailed.”", "url": "https://nhsreality.wordpress.com/2026/02/19/are-the-uk-citizens-heading-for-a-global-majority-whose-economic-prospects-healthcare-access-and-political-power-have-been-curtailed/", "published_at": "2026-02-19T18:11:49+00:00" }, { "id": "01a0bbe5-29d8-706d-b121-1341b65b4d0a", "title": "Time for No Fault compensation to be reconsidered? “There is no legal basis to deny lost years damages to a claimant injured in early childhood”. This will be expensive and could brake all 4 systems .. Add the warnings from Dex Hunter-Terricke and the future looks bleak", "url": "https://nhsreality.wordpress.com/2026/02/19/time-for-no-fault-compensation-to-be-reconsidered-there-is-no-legal-basis-to-deny-lost-years-damages-to-a-claimant-injured-in-early-childhood-this-will-be-expensive-and-could-brake-all-4-systems/", "published_at": "2026-02-19T18:00:55+00:00" }, { "id": "01a0bbe5-29d8-706d-b121-1341b6a9042f", "title": "The training of doctors , once qualified, before registration, is declining in both standard and experience. Similar in ST1-ST3 (years 1-3) in the specialities. Bring back firms, and “hot review” / immediate feedback…", "url": "https://nhsreality.wordpress.com/2026/02/19/the-training-of-doctors-once-qualified-before-registration-is-declining-in-both-standard-and-experience-similar-in-st1-st3-years-1-3-in-the-specialities-bring-back-firms-and-hot-review/", "published_at": "2026-02-19T17:24:03+00:00" }, { "id": "01a0bbe5-29d8-706d-b121-1341b6c0d46b", "title": "Doctors are at high risk of “complexity fatigue”, despite our diversity. Patients need to listen to good advice… Unlike the USA. Otherwise its “Back to the 3rd world for the uninformed and the guillible?”", "url": "https://nhsreality.wordpress.com/2026/02/17/doctors-are-at-high-risk-of-complexity-fatigue-despite-our-diversity-patients-need-to-listen-to-good-advice-unlike-the-usa-otherwise-its-back-to-the-3rd-world-for-the-uninfo/", "published_at": "2026-02-17T16:45:48+00:00" }, { "id": "01a0bbe5-29d8-706d-b121-1341b7736d9d", "title": "If you have never met your doctor before, should you ask for Identification?", "url": "https://nhsreality.wordpress.com/2026/02/15/if-you-have-never-met-your-doctor-before-should-you-ask-for-identification/", "published_at": "2026-02-15T10:06:43+00:00" }, { "id": "01a0bbe5-29d8-706d-b121-1341b85d4de6", "title": "The greatest flaw in clinical medicine might be our desire to banish uncertainty. A “no blame” culture is desperately needed to remove the “tyranny of clinical fear”…", "url": "https://nhsreality.wordpress.com/2026/02/15/the-greatest-flaw-in-clinical-medicine-might-be-our-desire-to-banish-uncertainty-a-no-blame-culture-is-desperately-needed-to-remove-the-tyranny-of-clinical-fear/", "published_at": "2026-02-15T10:05:03+00:00" }, { "id": "01a0bbe5-29d8-706d-b121-1341b92ccf50", "title": "These are desperate times for UK health care provison. We cant be made “April Fools” – can we?", "url": "https://nhsreality.wordpress.com/2026/02/15/these-are-desperate-times-for-uk-health-care-provison-we-cant-be-made-april-fools-can-we/", "published_at": "2026-02-15T09:47:52+00:00" }, { "id": "01a0bbe5-29d8-706d-b121-1341ba0e703a", "title": "Once doctors in Primary Care are no longer self-employed, but as in OOH care, are salaried, there will need to be more pay for Friday afternoons and the antisocial shifts.. Why do doctors choose General Practice today?", "url": "https://nhsreality.wordpress.com/2026/02/09/once-doctors-in-primary-care-are-no-longer-self-employed-but-as-in-ooh-care-are-salaried-there-will-need-to-be-more-pay-for-friday-afternoons-and-the-antisocial-shifts-why-do-doctors-choose-gene/", "published_at": "2026-02-09T20:18:15+00:00" }, { "id": "01a0bbe5-29d8-706d-b121-1341bad2161b", "title": "Westminster needs to move if Politicians are to recognise the truth about the 4 Health Services", "url": "https://nhsreality.wordpress.com/2026/02/09/westminster-needs-to-move-if-politicians-are-to-recognise-the-truth-about-the-4-health-services/", "published_at": "2026-02-09T20:07:22+00:00" }, { "id": "01a0bbe5-29d8-706d-b121-1341bb0e2526", "title": "Measles is back, and it kills", "url": "https://nhsreality.wordpress.com/2026/02/09/measles-is-back-and-it-kills/", "published_at": "2026-02-09T20:06:04+00:00" }, { "id": "01a0bbe5-29d8-706d-b121-1341bb35b15a", "title": "Poverty and child poverty update", "url": "https://nhsreality.wordpress.com/2026/02/08/poverty-and-child-poverty-update/", "published_at": "2026-02-08T20:27:38+00:00" }, { "id": "01a0bbe8-780e-70b3-8b07-cf83ee46dbc0", "title": "Looking at other systems. India and those patients “Below the Poverty Line” (BPL)", "url": "https://nhsreality.wordpress.com/2026/02/08/looking-at-other-systems-india-and-those-patients-below-the-poverty-line-bpl/", "published_at": "2026-02-08T20:27:13+00:00" }, { "id": "01a0bbe8-780e-70b3-8b07-cf83eed0f77e", "title": "The Karr-Hill formula is being reviewed in the Welsh Health Service for GPs, and Hywel Dda is downgrading Withybush", "url": "https://nhsreality.wordpress.com/2026/02/08/the-karr-hill-formula-is-being-reviewed-in-the-welsh-health-service-for-gps/", "published_at": "2026-02-08T17:49:37+00:00" }, { "id": "01a0bbe8-780e-70b3-8b07-cf83ef7c1f71", "title": "Deteriorating mental health – for many patients who get worse, and not better, under Darwinian “care”….", "url": "https://nhsreality.wordpress.com/2026/02/04/deteriorating-mental-health-for-many-patients-who-get-worse-and-not-better-under-darwinian-care/", "published_at": "2026-02-04T09:02:28+00:00" }, { "id": "01a0bbe8-780e-70b3-8b07-cf83efcc87ed", "title": "Paying to doctor the figures. “Artificially reducing hospital waiting lists creates a misleading impression of the NHS’s overall performance. It is a new low for a government that has squandered much public trust in such a short time”.", "url": "https://nhsreality.wordpress.com/2026/02/03/paying-to-doctor-the-figures-artificially-reducing-hospital-waiting-lists-creates-a-misleading-impression-of-the-nhss-overall-performance-it-is-a-new-low-for-a-government-that-has-squand/", "published_at": "2026-02-03T19:59:08+00:00" }, { "id": "01a0bbe8-780e-70b3-8b07-cf83f08751ad", "title": "The increasingly catastrophic UK Health Services, and their inability to change – a result of our dishonest debate, and a collusion of denial.", "url": "https://nhsreality.wordpress.com/2026/02/03/the-increasingly-catastrophic-uk-health-services-and-their-inability-to-change-a-result-of-our-dishonest-debate-and-a-collusion-of-denial/", "published_at": "2026-02-03T17:00:12+00:00" }, { "id": "01a0bbe8-780e-70b3-8b07-cf83f152e8f3", "title": "The next generation medics have no trust in their politicians. NHSreality does not blame them for being “Lightweights”….", "url": "https://nhsreality.wordpress.com/2026/01/29/the-nextgen-medics-have-no-trust-in-their-politicians-nhsreality-does-not-blame-them-for-being-lightweights/", "published_at": "2026-01-29T12:05:44+00:00" }, { "id": "01a0bbe8-780e-70b3-8b07-cf83f1c3cc89", "title": "The locum GP – Dr Burntout and reflection on what we are losing", "url": "https://nhsreality.wordpress.com/2026/01/27/the-locum-gp-dr-burntout-and-reflection-on-what-we-are-losing/", "published_at": "2026-01-27T16:41:33+00:00" }, { "id": "01a0bbe8-780e-70b3-8b07-cf83f2321679", "title": "The disaster of increasing maternal deaths “. “We live collectively in a deadly lulling denial when it comes to sending women and babies into increasingly unsafe wards to be injured, traumatised or worse.” Please sign the petition…", "url": "https://nhsreality.wordpress.com/2026/01/27/the-disaster-of-increasing-maternal-deaths-we-live-collectively-in-a-deadly-lulling-denial-when-it-comes-to-sending-women-and-babies-into-increasingly-unsafe-wards-to-be-injured-traumatised-or/", "published_at": "2026-01-27T16:37:17+00:00" }, { "id": "01a0bbe8-780e-70b3-8b07-cf83f2b0e63e", "title": "A low quality doctor is worse than no doctor at all, and perhaps the same with Hospitals?", "url": "https://nhsreality.wordpress.com/2026/01/23/a-low-quality-doctor-is-worse-than-no-doctor-at-all-and-perhaps-the-same-with-hospitals/", "published_at": "2026-01-23T15:59:27+00:00" }, { "id": "01a0bbe8-780e-70b3-8b07-cf83f3531876", "title": "Training of doctors – its a long term issue but its a great time to get a place in Medical School", "url": "https://nhsreality.wordpress.com/2026/01/21/training-of-doctors-its-a-long-term-issue-but-its-a-great-time-to-get-a-place-in-medical-school/", "published_at": "2026-01-21T16:44:52+00:00" }, { "id": "01a0bbec-9bff-704c-b815-77ebd9ed3f12", "title": "Our midwifwery advice in training evidently missed out the Paediatrician and Obstetrician readers – the evidence is that cousin marriages takes liberty too far…", "url": "https://nhsreality.wordpress.com/2026/01/19/our-midwifwery-advice-in-training-evidently-missed-out-the-paediatrician-and-obstetrician-readers-the-evidence-is-that-cousin-marriages-takes-liberty-too-far/", "published_at": "2026-01-19T17:02:39+00:00" }, { "id": "01a0bbec-9bff-704c-b815-77ebdad18d26", "title": "Update on the other systems we might compare with… All are under pressure. Germany, Spain, Holland, Luxemburg, France, Denmark", "url": "https://nhsreality.wordpress.com/2026/01/18/update-on-the-other-systems-we-might-compare-with-all-are-under-pressure-germany-spain-holland-luxemburg-france-denmark/", "published_at": "2026-01-18T14:39:24+00:00" }, { "id": "01a0bbec-9bff-704c-b815-77ebdb974ba2", "title": "As the NHS disintegrates further – the example of an Iraqi immigrant family strikes a chord", "url": "https://nhsreality.wordpress.com/2026/01/18/as-the-nhs-disintegrates-further-the-example-of-an-iraqi-immigrant-family-strikes-a-chord/", "published_at": "2026-01-18T14:24:50+00:00" }, { "id": "01a0bbec-9bff-704c-b815-77ebdc44147f", "title": "Devolution has failed. Scotland and Wales and Northern Ireland are basket cases which could weaken the UK to the point of break up..", "url": "https://nhsreality.wordpress.com/2026/01/18/devolution-has-failed-scotland-and-wales-and-northern-ireland-are-basket-cases-which-could-weaken-the-uk-to-the-point-of-break-up/", "published_at": "2026-01-18T09:14:24+00:00" }, { "id": "01a0bbec-9bff-704c-b815-77ebdcbbbf85", "title": "How do we change the toxically ill cultures of our Trusts? Its a slow process to demonstrate trustworthiness…", "url": "https://nhsreality.wordpress.com/2026/01/16/how-do-we-change-the-toxically-ill-cultures-of-our-trusts-its-a-slow-process-to-demonstrate-trustworthiness/", "published_at": "2026-01-16T15:40:58+00:00" }, { "id": "01a0bbec-9bff-704c-b815-77ebdce183bf", "title": "Lets commit to ID cards – like the rest of Europe. Populations of babies and young earning people need to rise but no inducements seem to work…", "url": "https://nhsreality.wordpress.com/2026/01/16/lets-commit-to-id-cards-like-the-rest-of-europe-populations-of-babies-and-young-earning-people-need-to-rise-but-no-inducements-seem-to-work/", "published_at": "2026-01-16T09:30:27+00:00" } ] posts Claim your blog

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2026

At last – Integrated IT system – but only for England original ↗

12 May 2026

A letter from 1985 shows how little has changed..original ↗

10 May 2026

Honesty about death – impossible without structural changes original ↗

10 May 2026

What difference will the local elections make to Health?original ↗

9 May 2026

When will the BMA lead the way, and offer Private Medical Group insurance for its members? It could be the catalyst that starts the honest debate that has never happened.original ↗

7 May 2026

Some sports may be thought stupid in a few years original ↗

6 May 2026

Meeting face to face means better communication and trust. It seems we can no longer afford the quality it gives, or provide the manpower?original ↗

6 May 2026

A bad death? We are by-passing the truth, we are not collecting the correct data, and we are perpetuating our denial … By colluding in this sham we fail to learn..original ↗

6 May 2026

Assisted dying: how can learning from other countries inform what happens next?original ↗

3 May 2026

Is 24 stroke thrombotic removal centres enough? The 4 Health Services have covert unacknowledged rationing.original ↗

3 May 2026

Our rationing of miscarriage support reveals our poor choice of priorities.original ↗

1 May 2026

The long view: Medical schools: What’s happening with the planned expansion of places in England? Are we going to rely on overseas trained doctors for the foreseeable future?original ↗

30 Apr 2026

Not enough diagnosticians…. in the form of radiologists original ↗

30 Apr 2026

Back to 1980? A virtually unanimous rejection of a contract change makes government change its mind on reducing referrals.. The risk of increased litigation might have influenced DOH!original ↗

30 Apr 2026

Life expectancy falls – and will fall further original ↗

30 Apr 2026

Assisted Dying: A travesty of democracy exposes the weaknesses in our society where tolerant and logical debate seems impossible.original ↗

26 Apr 2026

History of Haverfordwest and Pembrokeshire medical care….original ↗

21 Apr 2026

NHS ‘second worst in developed world for avoidable deaths’…. For richer for poorer, in sickness and in ill health .. ….original ↗

20 Apr 2026

Paying for defence at the same time as refashioning health. Write a letter to your MP about Palantir. Mr Tufnell does have an influential vote on Palantir – but on no other health issues in Wales and Pembrokeshire original ↗

20 Apr 2026

Politicians have ignored Pembroke Dock and it’s “relatives” throughout the country for too long.original ↗

20 Apr 2026

A lack of candour in politicians. On line Hospitals and the risks of not examining the patient original ↗

16 Apr 2026

Empathy and compassion is almost impossible to be “trusted” without continuity of care. A relationship matters, and there are limitations to Artificial Intelligence original ↗

16 Apr 2026

Is a fair mental health budget too hard for us to discuss? The Times leader exposes a systemic failure.original ↗

15 Apr 2026

Care in Europe is safer than NHS. It looks as if the EU health systems are better planned and have better outcomes simply because they are all in some form of Proportional Representation, and the focus of NHS England is not what the voting elderly want.original ↗

14 Apr 2026

Care in Europe is safer than NHS, death rates reveal original ↗

13 Apr 2026

The expansion of false widow spiders since 1959, and their potentially lethal bites.original ↗

13 Apr 2026

Polarisation of the profession – has led to silos and more tribalism.original ↗

10 Apr 2026

Along with all students, a cap on debt could well help the medics with their lengthy course.original ↗

10 Apr 2026

A poem – and Jess’s rule: the value of continuity of care original ↗

9 Apr 2026

The perverse outcomes of the enthusiastic state support for a particular diagnosis.. ADHD original ↗

9 Apr 2026

The Cadfael GP physician, diagnostician and pathologist – a jack of all trades with built in insurance and a feeling of being valued – contrast with todays resident..original ↗

9 Apr 2026

Midwifery training declining standards.. In praise of generalists…original ↗

9 Apr 2026

It could be residents and GPs striking together before long… The “dying swan” may be put out of its misery by the profession rather than the politicians.original ↗

8 Apr 2026

No wonder medical graduates leave… “Graduates are paying bill for more spending on the health service”. The potential perverse outcomes…..? The shape of the job is changing, and not for the better.original ↗

8 Apr 2026

The problem of Palantir. Big Pharma and Public Health both want bid accurate data of this type. And we GPs created it..original ↗

8 Apr 2026

Maternal Deaths increase, as the system implodes.original ↗

6 Apr 2026

Time for a mutualised not for profit generic drug manufacturer – owned by us the citizens original ↗

5 Apr 2026

Striking Residents – other countries are recruiting our young doctors. There is no “Hypocritical Oath”.original ↗

4 Apr 2026

Why not outsource the training of all doctors, nurses and paramedics? We might be able to afford to ration places less if we trained med students abroad wherever was cheapest!original ↗

4 Apr 2026

A new government led system will only foster and encourage private GP care – and disillusion more families. Rationing by refusing referral rights is unethical.original ↗

4 Apr 2026

Martha’s rule pays dividends… It applies in England…original ↗

4 Apr 2026

With the Regional and Local elections pending it is really important to vote. The turnout has been as low as 40% in the past, and lower in 18-24 yr olds.. Any form of PR makes every vote count.original ↗

4 Apr 2026

The definition of corridor care – almost inevitable for all of us with less than 10 years life expectancy left original ↗

4 Apr 2026

Distortions and perverse outcomes of the social societal contract? The intolerance of youth described by the Times leader should be seen as a cry for help.. Politicians need to speak truth to power and challenge the financial unreality of the institutions of the state…. & they need to listen and understand the young people, and both need to display tolerance and honesty..original ↗

3 Apr 2026

Two successive parties in power, with record making majorities, have been unable to face the reality of the dying health services.original ↗

1 Apr 2026

French mental health update: the power of the profession and Big Pharma have modified the best of intentions..original ↗

1 Apr 2026

A&G and new contract offer as “an existential threat” to General Practice. Now that the flow of trained doctors is reversed, are we going to cry “foul”? NHSreality wonders if Wales and Scotland will make the same mistake as England?original ↗

31 Mar 2026

Whatever you think about cancer treatments, they are effectively rationed.original ↗

27 Mar 2026

Remote ( non examining ) doctors original ↗

27 Mar 2026

We have lost control of our destiny, including the reality of our health system….original ↗

27 Mar 2026

No long term thinking on manpower has resulted in the ongoing crisis. The “inactions of politicians” have meant that the 4 health services are in a perpetual one.original ↗

27 Mar 2026

Devolution failures… Populism and lack of trust mean civil unrest is possible…original ↗

24 Mar 2026

PSA screening remains a probabilistic gamble. “The overdiagnosis burden rarely justifies the benefit”.original ↗

24 Mar 2026

Action on rare cancers – Dr Scott Arthur tries to resist the covert rationing…original ↗

23 Mar 2026

Health and Education are so linked together… The health of Wales is in decline, along with its educational system..original ↗

23 Mar 2026

No trust and no continuity means more populist postings and more complaints.original ↗

17 Mar 2026

Private Dentisry now dominates the UK original ↗

17 Mar 2026

The epidemic of Private Medical / Health Insurance advertising….original ↗

12 Mar 2026

The value and the risks of water quality – the worst privatisation has led to a Public Health crisi in waiting..original ↗

9 Mar 2026

We have to accept non diagnosticians and telephone triage instead of what we came to expect, especially if we are poor, elderly, in a home, or have no assertive rich children / relatives/ advocates. Physician Assistant risks…original ↗

8 Mar 2026

The rucurrent NHS tragedies – there are many more than Shakespeare wrote, some Obstetric, and many more are to come…..original ↗

8 Mar 2026

The new imposed GP contract…. is a foretold symptom of decline and fall..original ↗

7 Mar 2026

The question is unnecessary. All of us in the profession know Streeting can only delay the inevitable refinancing – and some has to come directly from users…original ↗

7 Mar 2026

Is re-nationalisation coming back? We need to start with water, and health….original ↗

5 Mar 2026

Should some conditions stop you from being a doctor?original ↗

5 Mar 2026

“Scotland (and Wales) has been divided into those who can afford private healthcare and those languishing on ever longer NHS waiting lists”.original ↗

2 Mar 2026

Why don’t reporters get access to comparable data so that the Devolved nations can be compared to England? Four fifths of England’s integrated care boards would need to at least double their number of general practitioners to meet staffing standards considered safe for patients….original ↗

1 Mar 2026

The dying of an important bill will reflect badly on our democracy and trust in politicians..original ↗

1 Mar 2026

Should we screen all children for heart disease? If we don’t then the rich families may do so privately.original ↗

27 Feb 2026

The ultimate perverse outcome ? Stillbirths overstated so that inquests are not done, and the “learning opportunity” is missed.original ↗

26 Feb 2026

Another imposed GP “contract” and the start of a “complaints and replies arms race” as patients and doctors use Artificial Intelligence in their letters. Trust is disappearing…original ↗

26 Feb 2026

Health Insurance reflections after overt rationing by AXA. “..such situations are going to become more common”. The idea of insurance is to “share the risk” – preferably as a “nation”, but technological advance is faster than we can adjust to.original ↗

26 Feb 2026

Has UK reached its apex in funding provision for health and social care and the pressure on the budget for SEND indicative of the whole?original ↗

24 Feb 2026

Are the UK citizens heading for “a global majority whose economic prospects, healthcare access and political power have been curtailed.”original ↗

19 Feb 2026

Time for No Fault compensation to be reconsidered? “There is no legal basis to deny lost years damages to a claimant injured in early childhood”. This will be expensive and could brake all 4 systems .. Add the warnings from Dex Hunter-Terricke and the future looks bleak original ↗

19 Feb 2026

The training of doctors , once qualified, before registration, is declining in both standard and experience. Similar in ST1-ST3 (years 1-3) in the specialities. Bring back firms, and “hot review” / immediate feedback…original ↗

19 Feb 2026

Doctors are at high risk of “complexity fatigue”, despite our diversity. Patients need to listen to good advice… Unlike the USA. Otherwise its “Back to the 3rd world for the uninformed and the guillible?”original ↗

17 Feb 2026

If you have never met your doctor before, should you ask for Identification?original ↗

15 Feb 2026

The greatest flaw in clinical medicine might be our desire to banish uncertainty. A “no blame” culture is desperately needed to remove the “tyranny of clinical fear”…original ↗

15 Feb 2026

These are desperate times for UK health care provison. We cant be made “April Fools” – can we?original ↗

15 Feb 2026

Once doctors in Primary Care are no longer self-employed, but as in OOH care, are salaried, there will need to be more pay for Friday afternoons and the antisocial shifts.. Why do doctors choose General Practice today?original ↗

9 Feb 2026

Westminster needs to move if Politicians are to recognise the truth about the 4 Health Services original ↗

9 Feb 2026

Measles is back, and it kills original ↗

9 Feb 2026

Poverty and child poverty update original ↗

8 Feb 2026

Looking at other systems. India and those patients “Below the Poverty Line” (BPL)original ↗

8 Feb 2026

The Karr-Hill formula is being reviewed in the Welsh Health Service for GPs, and Hywel Dda is downgrading Withybush original ↗

8 Feb 2026

Deteriorating mental health – for many patients who get worse, and not better, under Darwinian “care”….original ↗

4 Feb 2026

Paying to doctor the figures. “Artificially reducing hospital waiting lists creates a misleading impression of the NHS’s overall performance. It is a new low for a government that has squandered much public trust in such a short time”.original ↗

3 Feb 2026

The increasingly catastrophic UK Health Services, and their inability to change – a result of our dishonest debate, and a collusion of denial.original ↗

3 Feb 2026

The next generation medics have no trust in their politicians. NHSreality does not blame them for being “Lightweights”….original ↗

29 Jan 2026

The locum GP – Dr Burntout and reflection on what we are losing original ↗

27 Jan 2026

The disaster of increasing maternal deaths “. “We live collectively in a deadly lulling denial when it comes to sending women and babies into increasingly unsafe wards to be injured, traumatised or worse.” Please sign the petition…original ↗

27 Jan 2026

A low quality doctor is worse than no doctor at all, and perhaps the same with Hospitals?original ↗

23 Jan 2026

Training of doctors – its a long term issue but its a great time to get a place in Medical School original ↗

21 Jan 2026

Our midwifwery advice in training evidently missed out the Paediatrician and Obstetrician readers – the evidence is that cousin marriages takes liberty too far…original ↗

19 Jan 2026

Update on the other systems we might compare with… All are under pressure. Germany, Spain, Holland, Luxemburg, France, Denmark original ↗

18 Jan 2026

As the NHS disintegrates further – the example of an Iraqi immigrant family strikes a chord original ↗

18 Jan 2026

Devolution has failed. Scotland and Wales and Northern Ireland are basket cases which could weaken the UK to the point of break up..original ↗

18 Jan 2026

How do we change the toxically ill cultures of our Trusts? Its a slow process to demonstrate trustworthiness…original ↗

16 Jan 2026

Lets commit to ID cards – like the rest of Europe. Populations of babies and young earning people need to rise but no inducements seem to work…original ↗

16 Jan 2026