41554 blogs · [ { "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" }, { "id": "01a0bbec-9bff-704c-b815-77ebdd2e4199", "title": "I’d choose a vetinary surgeon if I could – to look after me at the end. He would be kinder than the medics are, or are allowed to be.. Modern medicine is harming doctors and patients…", "url": "https://nhsreality.wordpress.com/2026/01/14/id-choose-a-vetinary-surgeon-if-i-could-to-look-after-me-at-the-end-he-would-be-kinder-than-the-medics-are-or-are-allowed-to-be-modern-medicine-is-harming-doctors-and-patients/", "published_at": "2026-01-14T18:16:50+00:00" }, { "id": "01a0bbec-9bff-704c-b815-77ebdd3f530b", "title": "Theres a lack of trust in all our institutions. A&E litigation is just one symptom of a society disintegrating…..", "url": "https://nhsreality.wordpress.com/2026/01/13/theres-a-lack-of-trust-in-all-our-institutions-ae-litigation-is-just-one-symptom-of-a-society-disintegrating/", "published_at": "2026-01-13T15:53:12+00:00" }, { "id": "01a0bbec-9bff-704c-b815-77ebdd59d444", "title": "HPV vaccine benefits both sexes…", "url": "https://nhsreality.wordpress.com/2026/01/10/hpv-vaccine-benefits-both-sexes/", "published_at": "2026-01-10T12:05:05+00:00" }, { "id": "01a0bbec-9bff-704c-b815-77ebde091adb", "title": "Why have we stopped rationing chicken pox vaccine now – after 50 years?", "url": "https://nhsreality.wordpress.com/2026/01/10/why-have-we-stopped-rationing-chicken-pox-vaccine-now-after-50-years/", "published_at": "2026-01-10T12:00:00+00:00" }, { "id": "01a0bbef-bdb8-71ed-90f2-43016114841e", "title": "Indirect encounters and on-line hospitals. Not examining a patient is an unnecessary delay…", "url": "https://nhsreality.wordpress.com/2026/01/08/indirect-encounters-and-on-line-hospitals-not-examining-a-patient-is-an-unnecessary-delay/", "published_at": "2026-01-08T18:06:30+00:00" }, { "id": "01a0bbef-bdb8-71ed-90f2-430161d78f56", "title": "The hazards and the benefits of private care v Health Service care; Rationing is not acknowledged by any party.", "url": "https://nhsreality.wordpress.com/2026/01/08/the-hazards-and-the-benefits-of-private-care-v-health-service-care-rationing-is-not-acknowledged-by-any-party/", "published_at": "2026-01-08T17:19:11+00:00" }, { "id": "01a0bbef-bdb8-71ed-90f2-430161d81ac1", "title": "Its not, and never has been, free. Lets start to be honest, at least in our language on this….", "url": "https://nhsreality.wordpress.com/2026/01/04/its-not-and-never-has-been-free-lets-start-to-be-honest-at-least-in-our-language-on-this/", "published_at": "2026-01-04T09:01:44+00:00" }, { "id": "01a0bbef-bdb8-71ed-90f2-430162885dd0", "title": "We all knew the new plan would fail, but its only 9 months or so since it was announced….. Demographics, demand and poverty mean overt rationing is essential.", "url": "https://nhsreality.wordpress.com/2026/01/03/we-all-knew-the-new-plan-would-fail-but-its-only-9-months-or-so-since-it-was-announced-demographics-demand-and-poverty-mean-overt-rationing-is-essential/", "published_at": "2026-01-03T11:12:06+00:00" }, { "id": "01a0bbef-bdb8-71ed-90f2-430162e0644c", "title": "The griffiths report and the lost opportunity of 1983", "url": "https://nhsreality.wordpress.com/2026/01/02/the-griffiths-report-and-the-lost-opportunity-of-1983/", "published_at": "2026-01-02T20:16:34+00:00" }, { "id": "01a0bbef-bdb8-71ed-90f2-430163cc44f3", "title": "There is no regulation – and there is no NHS – just a stakeholder state. The downsizing of the social safety net challenges us all if / as we get poorer…", "url": "https://nhsreality.wordpress.com/2026/01/02/there-is-no-regulation-and-there-is-no-nhs-just-a-stakeholder-state/", "published_at": "2026-01-02T20:11:44+00:00" }, { "id": "01a0bbef-bdb8-71ed-90f2-43016418b270", "title": "All Hospices (Children and adults) need not be in trouble – if they offload to the state. We are at risk of “a two tier society in dying”.", "url": "https://nhsreality.wordpress.com/2025/12/29/all-hospices-children-and-adults-need-not-be-in-trouble-if-they-offload-to-the-state-we-are-at-risk-of-a-two-tier-society-in-dying/", "published_at": "2025-12-29T17:47:47+00:00" }, { "id": "01a0bbef-bdb8-71ed-90f2-4301650b4727", "title": "Tribunals distort the claims system. We have to simplify and reduce both payments and numbers entitled.", "url": "https://nhsreality.wordpress.com/2025/12/29/tribunals-distort-the-claims-system-we-have-to-simplify-and-reduce-both-payments-and-numbers-entitled/", "published_at": "2025-12-29T17:46:10+00:00" }, { "id": "01a0bbef-bdb8-71ed-90f2-430165e3ab81", "title": "Puberty changing drugs have risks. Experts may be over-ridden by politicians and so we may never know…", "url": "https://nhsreality.wordpress.com/2025/12/25/puberty-changing-drugs-have-risks-experts-may-be-over-ridden-by-politicians-and-so-we-may-never-know/", "published_at": "2025-12-25T12:22:46+00:00" }, { "id": "01a0bbef-bdb8-71ed-90f2-430166aad9dc", "title": "Are you prepared for a “disaster” and deaths if public utilities or food supplies are interrupted?", "url": "https://nhsreality.wordpress.com/2025/12/22/are-you-prepared-for-a-disaster-and-deaths-if-public-utilities-or-food-supplies-are-interrupted/", "published_at": "2025-12-22T18:23:46+00:00" }, { "id": "01a0bbf2-c3ba-714a-9a73-fa56cf00143f", "title": "The lost role of a General Practitioner – continuity, variety, choice and flexibility have all diminished or gone. Looking at other systems: Swiss", "url": "https://nhsreality.wordpress.com/2025/12/22/the-lost-role-of-a-general-practitioner-continuity-variety-choice-and-flexibility-have-all-diminished-or-gone/", "published_at": "2025-12-22T17:53:19+00:00" }, { "id": "01a0bbf2-c3ba-714a-9a73-fa56cfd99264", "title": "Political honesty is byond us. We all seem to have prefered denial – since 2014. It will be at the expense of our youngsters and our future.", "url": "https://nhsreality.wordpress.com/2025/12/19/political-honesty-is-byond-us-we-all-seem-to-have-prefered-denial-since-2014-it-will-be-at-the-expense-of-our-youngsters-and-our-future/", "published_at": "2025-12-19T20:31:15+00:00" }, { "id": "01a0bbf2-c3ba-714a-9a73-fa56d02bebbe", "title": "A society in denial, and prolonging death. The oncoming tsunami of dementia means Leadbeaters Bill should be passed – and amended if necesssary. The vetinary profession would look after my relative better than the medical profession.", "url": "https://nhsreality.wordpress.com/2025/12/18/a-society-in-denial-and-prolonging-death-the-oncoming-tsunami-of-dementia-means-leadbeaters-bill-should-be-passed-and-amended-if-necesssary-the-vetinary-profession-would-look-after-my-relative-be/", "published_at": "2025-12-18T12:06:26+00:00" }, { "id": "01a0bbf2-c3ba-714a-9a73-fa56d0d74ccf", "title": "The NHS will have to go according to the Telegraph’s Martin Johnson. The politicians are a long way off agreeing.. And a GP breakaway group wants a new contract, by agreement rather than imposed.", "url": "https://nhsreality.wordpress.com/2025/12/17/the-nhs-will-have-to-go-according-to-the-telegraphs-martin-johnson-the-politicians-are-a-long-way-off-agreeing-and-a-gp-breakaway-group-wants-a-new-contract-by-agreement-rather-than-imposed/", "published_at": "2025-12-17T15:49:25+00:00" }, { "id": "01a0bbf2-c3ba-714a-9a73-fa56d11ff91d", "title": "The natural evolution of childbirth. A two tier society..", "url": "https://nhsreality.wordpress.com/2025/12/17/the-natural-evolution-of-childbirth-a-two-tier-society/", "published_at": "2025-12-17T14:56:57+00:00" }, { "id": "01a0bbf2-c3ba-714a-9a73-fa56d177ea47", "title": "A completely new dental contract is needed. So is a new Health Minister because imposition does not work, and causes resentment … If patients decide (as they do in medicine) what an emergency is, and its usually “pain”, they will learn to say they have pain when contacting the dentist – every time.", "url": "https://nhsreality.wordpress.com/2025/12/16/a-completely-new-dental-contract-is-needed-so-is-a-new-health-minister-because-imposition-does-not-work-and-causes-resentment/", "published_at": "2025-12-16T18:07:13+00:00" }, { "id": "01a0bbf2-c3ba-714a-9a73-fa56d262a96e", "title": "The use of Artificial Intelligence and disguising ignorance: also becoming a Doctor. Without an interview there is little reliability…", "url": "https://nhsreality.wordpress.com/2025/12/16/the-use-of-artificial-intelligence-and-disguising-ignorance-also-becoming-a-doctor-without-an-interview-there-is-little-reliability/", "published_at": "2025-12-16T17:34:10+00:00" }, { "id": "01a0bbf2-c3ba-714a-9a73-fa56d2a8521e", "title": "All health staff should be obligated to have vaccinations. If they refuse, for whatever reason, they should be laid off.", "url": "https://nhsreality.wordpress.com/2025/12/15/all-health-staff-should-be-obligated-to-have-vaccinations-if-they-refuse-for-whatever-reason-they-should-be-laid-off/", "published_at": "2025-12-15T05:32:35+00:00" }, { "id": "01a0bbf2-c3ba-714a-9a73-fa56d304e2dd", "title": "Listening to “Any Questions” I wondered what I would have asked. Is the lack of warning about the imploding health services similar to the Weir tragedy?", "url": "https://nhsreality.wordpress.com/2025/12/13/listening-to-any-questions-i-wondered-what-i-would-have-asked-is-the-lack-of-warning-about-the-imploding-health-services-similar-to-the-weir-tragedy/", "published_at": "2025-12-13T16:53:25+00:00" }, { "id": "01a0bbf2-c3ba-714a-9a73-fa56d322eb33", "title": "“A shocking indictment of the state of maternity services. Standards are too low, and too many opportunities for improvement have been missed.” Baroness Amos. “As bad as some third world countries”. A long term conspiracy of denial", "url": "https://nhsreality.wordpress.com/2025/12/10/a-shocking-indictment-of-the-state-of-maternity-services-standards-are-too-low-and-too-many-opportunities-for-improvement-have-been-missed-baroness-amos-as-bad-as-some-third-world-countries/", "published_at": "2025-12-10T18:12:38+00:00" }, { "id": "01a0bbf5-a137-7281-97dc-ef7803a4422f", "title": "Times letters: Ways to help ( retain ) struggling NHS junior doctors", "url": "https://nhsreality.wordpress.com/2025/12/08/times-letters-ways-to-help-retain-struggling-nhs-junior-doctors/", "published_at": "2025-12-08T10:56:26+00:00" }, { "id": "01a0bbf5-a137-7281-97dc-ef780405ed1a", "title": "How did it get to this? Strikes at Christmas!", "url": "https://nhsreality.wordpress.com/2025/12/08/how-did-it-get-to-this-strikes-at-christmas/", "published_at": "2025-12-08T10:32:23+00:00" }, { "id": "01a0bbf5-a137-7281-97dc-ef780440b973", "title": "Reviewing normality in mental health. Is it going to be unusual to not have a mental health problem?", "url": "https://nhsreality.wordpress.com/2025/12/08/reviewing-normality-in-mental-health-is-it-going-to-be-unusual-to-not-have-a-mental-health-problem/", "published_at": "2025-12-08T10:26:33+00:00" }, { "id": "01a0bbf5-a137-7281-97dc-ef78051e2787", "title": "Reality bites…. Treasury to bring forward £860m of NHS settlement to pay for cuts (at NHSEngland).", "url": "https://nhsreality.wordpress.com/2025/12/08/reality-bites-treasury-to-bring-forward-860m-of-nhs-settlement-to-pay-for-cuts-at-nhsengland/", "published_at": "2025-12-08T10:24:56+00:00" }, { "id": "01a0bbf5-a137-7281-97dc-ef7805d7ed81", "title": "Trying to restore continuity is like trying to bring back the dodo. Measuring the deficit may help us all reflect on what we have lost. Palliative care has to move from charity to state funding if standards are to be uniform…", "url": "https://nhsreality.wordpress.com/2025/12/08/trying-to-restore-continuity-is-like-trying-to-bring-back-the-dodo-measuring-the-deficit-may-help-us-all-reflect-on-what-we-have-lost-palliative-care-has-to-move-from-charity-to-state-funding-if-sta/", "published_at": "2025-12-08T10:22:53+00:00" }, { "id": "01a0bbf5-a137-7281-97dc-ef78060f0609", "title": "Rishi Sunak ducks the real issue of unsustainability. A decade has passed with no action and the denial is evident in his article.", "url": "https://nhsreality.wordpress.com/2025/12/08/rishi-sunak-ducks-the-real-issue-of-unsustainability-a-decade-has-passed-with-no-action-and-the-denial-is-evident-in-his-article/", "published_at": "2025-12-08T09:58:05+00:00" }, { "id": "01a0bbf5-a137-7281-97dc-ef7806964209", "title": "Sick notes or fit notes? Ergophobia and Plumboscillosis. A lack of desire to work is spreading like a pandemic..", "url": "https://nhsreality.wordpress.com/2025/12/08/sick-notes-or-fit-notes-ergophobia-and-plumboscillosis-a-lack-of-desire-to-work-is-spreading-like-a-pandemic/", "published_at": "2025-12-08T09:38:09+00:00" }, { "id": "01a0bbf5-a137-7281-97dc-ef7806a7e07a", "title": "Dogs are a public health hazard that needs managing.", "url": "https://nhsreality.wordpress.com/2025/12/07/dogs-are-a-public-health-hazard-that-needs-managing/", "published_at": "2025-12-07T14:06:45+00:00" }, { "id": "01a0bbf5-a137-7281-97dc-ef78073d0fb2", "title": "The thin end of a very expensive $2m genetic and dystopian wedge.", "url": "https://nhsreality.wordpress.com/2025/12/04/the-thin-end-of-a-very-expensive-2m-genetic-and-dystopian-wedge/", "published_at": "2025-12-04T09:31:38+00:00" }, { "id": "01a0bbf5-a137-7281-97dc-ef78078f1e1c", "title": "Lets talk relative and absolute poverty in young people – and those who don’t usually vote. Are they more or less important than elderly men with prostate cancer? The chancellor ended the two child benefit cap….We need honest politicians unafraid to touch the bodily fluids of past political mistakes.", "url": "https://nhsreality.wordpress.com/2025/12/01/lets-talk-relative-and-absolute-poverty-in-young-people-and-those-who-dont-usually-vote-are-they-more-or-less-important-than-elderly-men-with-prostate-cancer-the-chancellor-ended-the-two-child-b/", "published_at": "2025-12-01T16:51:08+00:00" }, { "id": "01a0bbf8-8744-705a-bf8b-9b70aa5c18f6", "title": "A new GP suggested contract. Some hope! The “Solidarity” that originated the welface state is crumbling. Small group debate and inspiration is called for by BBC Reith lecturer Rutger Bregman ", "url": "https://nhsreality.wordpress.com/2025/12/01/a-new-gp-suggested-contract-some-hope-the-solidarity-that-originated-the-welface-state-is-crumbling-small-group-debate-and-inspiration-is-called-for-by-bbc-reith-lecturer-rutger-bregman/", "published_at": "2025-12-01T16:13:14+00:00" }, { "id": "01a0bbf8-8744-705a-bf8b-9b70aa78c831", "title": "We dont check the immigrant doctors properly, and we expel doctors we have trained! Madness", "url": "https://nhsreality.wordpress.com/2025/11/28/we-dont-check-the-immigrant-doctors-properly-and-we-expel-doctors-we-have-trained-madness/", "published_at": "2025-11-28T18:36:58+00:00" }, { "id": "01a0bbf8-8744-705a-bf8b-9b70aaa67442", "title": "The truth about retention – eloquently put in a Times letter. The staff don’t feel cared for and the culture is demeaning..", "url": "https://nhsreality.wordpress.com/2025/11/27/the-truth-about-retention-eloquently-put-in-a-times-letter-the-staff-dont-feel-cared-for-and-the-culture-is-demeaning/", "published_at": "2025-11-27T13:50:52+00:00" }, { "id": "01a0bbf8-8744-705a-bf8b-9b70aac1661b", "title": "Prostate (and other) cancer screening may come through media pressure, but it needs Public Health debate and argument, and with science advancing, will we be willing to review and stop screening despite outcry from SIPGs ?", "url": "https://nhsreality.wordpress.com/2025/11/24/prostate-and-other-cancer-screening-may-come-through-media-pressure-but-it-needs-public-health-debate-and-argument-and-with-science-advancing-will-we-be-willing-to-review-and-stop-screening-despi/", "published_at": "2025-11-24T09:35:22+00:00" }, { "id": "01a0bbf8-8744-705a-bf8b-9b70ab466c8a", "title": "Fiscal tightening should mean we all challenge and question the fundamentals of the UKs 4 Health Systems", "url": "https://nhsreality.wordpress.com/2025/11/23/fiscal-tightening-should-mean-we-all-challenge-and-question-the-fundamentals-of-the-uks-4-health-systems/", "published_at": "2025-11-23T21:52:23+00:00" }, { "id": "01a0bbf8-8744-705a-bf8b-9b70ab6fde70", "title": "Shortage of child psychologists for 2 decades – and inaction endemic within all 4 health dispensations", "url": "https://nhsreality.wordpress.com/2025/11/23/shortage-of-child-psychologists-for-2-decades-and-inaction-endemic-within-all-4-health-dispensations/", "published_at": "2025-11-23T21:32:47+00:00" }, { "id": "01a0bbf8-8744-705a-bf8b-9b70ab9d34be", "title": "Covid – Too little and too late , Costing lives.. Baroness Hallett has made 10 recommendations…", "url": "https://nhsreality.wordpress.com/2025/11/23/covid-too-little-and-too-late-costing-lives-baroness-hallett-has-made-10-recommendations/", "published_at": "2025-11-23T21:12:03+00:00" }, { "id": "01a0bbf8-8744-705a-bf8b-9b70abbb1503", "title": "Dental mouthcry – and population pain will get louder and outcomes worse. A two tier system is unlikely to change despite a chief dental officer recommendation.", "url": "https://nhsreality.wordpress.com/2025/11/21/dental-mouthcry-and-population-pain-will-get-louder-and-outcomes-worse/", "published_at": "2025-11-21T13:45:35+00:00" }, { "id": "01a0bbf8-8744-705a-bf8b-9b70ac153ff2", "title": "Therapists are hard to come by, and will be harder still if we keep giving profits to “Big Pharma”. Mr Macron was right in his aspiration for therapists to replace drugs.. and phones?", "url": "https://nhsreality.wordpress.com/2025/11/20/therapists-are-hard-to-come-by-and-will-be-harder-still-if-we-keep-giving-profits-to-big-pharma-mr-macron-was-right-in-his-aspiration-for-therapists-to-replace-drugs-and-phones/", "published_at": "2025-11-20T15:06:47+00:00" }, { "id": "01a0bbf8-8744-705a-bf8b-9b70acfcbcd6", "title": "Battle on Obesity (food addiction) and gambleing (maney addiction) as one of the next epidemics…", "url": "https://nhsreality.wordpress.com/2025/11/20/battle-on-obesity-food-addiction-and-gambleing-maney-addiction-as-one-of-the-next-epidemics/", "published_at": "2025-11-20T12:11:28+00:00" }, { "id": "01a0bbfc-a740-71e3-9c53-69f5dcf8d1e1", "title": "The sad state of the General Practice “maelstrom”… and the “Inverse Workload Law”. The changing drivers for becoming a GP.", "url": "https://nhsreality.wordpress.com/2025/11/20/the-sad-state-of-the-general-practice-maelstrom-and-the-inverse-workload-law-the-changing-drivers-for-becoming-a-gp/", "published_at": "2025-11-20T11:39:50+00:00" }, { "id": "01a0bbfc-a740-71e3-9c53-69f5ddc20c25", "title": "Best age to give birth: the 18-28 Decade. In a consultant led unit.", "url": "https://nhsreality.wordpress.com/2025/11/16/best-age-to-give-birth-the-18-28-decade-in-a-consultant-led-unit/", "published_at": "2025-11-16T18:34:08+00:00" }, { "id": "01a0bbfc-a740-71e3-9c53-69f5de3b6348", "title": "Shared patient records and ID cards are needed to help avoid child murder, but whatever we do we may have to accept the occasional failure……", "url": "https://nhsreality.wordpress.com/2025/11/14/shared-patient-records-and-id-cards-are-needed-to-help-avoid-child-murder-but-whatever-we-do-we-may-have-to-accept-the-occasional-failure/", "published_at": "2025-11-14T20:03:15+00:00" }, { "id": "01a0bbfc-a740-71e3-9c53-69f5de8eafca", "title": "A possible perverse outcome of junior resident doctors missing from A&E and Urgent Care centres?", "url": "https://nhsreality.wordpress.com/2025/11/14/a-possible-perverse-outcome-of-junior-resident-doctors-missing-from-ae-and-urgent-care-centres/", "published_at": "2025-11-14T19:41:22+00:00" }, { "id": "01a0bbfc-a740-71e3-9c53-69f5df8e48a5", "title": "“Normal birth” ideology is killing babies….", "url": "https://nhsreality.wordpress.com/2025/11/12/normal-birth-ideology-is-killing-babies/", "published_at": "2025-11-12T22:15:38+00:00" }, { "id": "01a0bbfc-a740-71e3-9c53-69f5e02968fe", "title": "More taxation, more rationing, more collaboration with the private sector—or all three.", "url": "https://nhsreality.wordpress.com/2025/11/12/more-taxation-more-rationing-more-collaboration-with-the-private-sector-or-all-three/", "published_at": "2025-11-12T22:07:45+00:00" }, { "id": "01a0bbfc-a740-71e3-9c53-69f5e0d94b30", "title": "Fad diets and social media “cures”. The populist approach to science.", "url": "https://nhsreality.wordpress.com/2025/11/12/fad-diets-and-social-media-cures-the-populist-approach-to-science/", "published_at": "2025-11-12T21:59:57+00:00" }, { "id": "01a0bbfc-a740-71e3-9c53-69f5e1190a83", "title": "A confuscian attitude is needed to address climate change, and the tragedy of the commons it represents.", "url": "https://nhsreality.wordpress.com/2025/11/12/a-confuscian-attitude-is-needed-to-address-climate-change-and-the-tragedy-of-the-commons-it-represents/", "published_at": "2025-11-12T21:54:04+00:00" }, { "id": "01a0bbfc-a740-71e3-9c53-69f5e12d8765", "title": "Planning for frailty. Inpatient Hospices in poorer areas of the UK may have to close – like Shalom in Pembrokeshire. The rest need to change their business models…", "url": "https://nhsreality.wordpress.com/2025/11/12/planning-for-frailty-inpatient-hospices-in-poorer-areas-of-the-uk-may-have-to-close-like-shalom-in-pembrokeshire-the-rest-need-to-change-their-business-models/", "published_at": "2025-11-12T21:39:27+00:00" }, { "id": "01a0bbfc-a740-71e3-9c53-69f5e17dda21", "title": "If Scotland is unsustainable so are the other 3 systems", "url": "https://nhsreality.wordpress.com/2025/11/09/if-scotland-is-unsustainable-so-are-the-other-3-systems/", "published_at": "2025-11-09T20:48:42+00:00" }, { "id": "01a0bbff-52c3-72a4-b9df-aa1bc50d1f2e", "title": "The politics and health implications of contageous contempt. Health and Social Care to change tack completely, and the chancellor needs to think long term: which means likely loss of the next election,", "url": "https://nhsreality.wordpress.com/2025/11/09/the-politics-and-health-implications-of-contageous-contempt-health-and-social-care-to-change-tack-completely-and-the-chancellor-needs-to-think-long-term-which-means-likely-loss-of-the-next-election/", "published_at": "2025-11-09T20:45:08+00:00" }, { "id": "01a0bbff-52c3-72a4-b9df-aa1bc51984e0", "title": "Rationing in the technological world… In an insurance based system we are all asked to read the small print if we want to know what is excluded. Any health system needs to do the same.", "url": "https://nhsreality.wordpress.com/2025/11/09/rationing-in-the-technological-world-in-an-insurance-based-system-we-are-all-asked-to-read-the-small-print-if-we-want-to-know-what-is-excluded-any-health-system-needs-to-do-the-same/", "published_at": "2025-11-09T10:00:23+00:00" }, { "id": "01a0bbff-52c3-72a4-b9df-aa1bc55a654a", "title": "Challenging times challenge norms – duty of care?", "url": "https://nhsreality.wordpress.com/2025/11/01/challenging-times-challenge-norms-duty-of-care/", "published_at": "2025-11-01T21:52:42+00:00" }, { "id": "01a0bbff-52c3-72a4-b9df-aa1bc6485445", "title": "Training standards are maintained by voluntary teaching…", "url": "https://nhsreality.wordpress.com/2025/11/01/training-standards-are-maintained-by-voluntary-teaching/", "published_at": "2025-11-01T21:47:10+00:00" }, { "id": "01a0bbff-52c3-72a4-b9df-aa1bc73747d1", "title": "How should those retiring in the next few decades plan for frailty when there may be no-one to look after them? The sickness rate in all 4 health services is a disgrace.", "url": "https://nhsreality.wordpress.com/2025/11/01/how-should-those-retiring-in-the-next-few-decades-plan-for-frailty-when-there-may-be-no-one-to-look-after-them-the-sickness-rate-in-all-4-health-services-is-a-disgrace/", "published_at": "2025-11-01T21:38:03+00:00" }, { "id": "01a0bbff-52c3-72a4-b9df-aa1bc80c9256", "title": "Looking at other systems: Canada. Not free… but sustainable", "url": "https://nhsreality.wordpress.com/2025/11/01/looking-at-other-systems-canada-not-free-but-sustainable/", "published_at": "2025-11-01T21:26:09+00:00" }, { "id": "01a0bbff-52c3-72a4-b9df-aa1bc88ead24", "title": "Looking at other systems: Jersey and the Channel Islands – ARE NOT “free at the point of access”!.", "url": "https://nhsreality.wordpress.com/2025/11/01/looking-at-other-systems-jersey-and-the-channel-islands-are-not-free-at-the-point-of-access/", "published_at": "2025-11-01T21:25:08+00:00" }, { "id": "01a0bbff-52c3-72a4-b9df-aa1bc98a81e3", "title": "In praise of the generalist: the Geriatrician and General Practitioner who are Diagnosticians.", "url": "https://nhsreality.wordpress.com/2025/10/30/in-praise-of-the-generalist-the-geriatrician-and-general-practitioner-who-are-diagnosticians/", "published_at": "2025-10-30T18:15:12+00:00" }, { "id": "01a0bbff-52c3-72a4-b9df-aa1bca0df43a", "title": "Assisted dying is not suicide: best to seize the opportunity, warts and all.", "url": "https://nhsreality.wordpress.com/2025/10/29/assisted-dying-is-not-suicide-best-to-seize-the-opportunity-warts-and-all/", "published_at": "2025-10-29T12:01:05+00:00" }, { "id": "01a0bbff-52c3-72a4-b9df-aa1bcabd868e", "title": "GPs, and medical taxation of those with “broad shouders”, and less than 5 days working ….", "url": "https://nhsreality.wordpress.com/2025/10/26/gps-and-medical-taxation-of-those-with-broad-shouders-and-less-than-5-days-working/", "published_at": "2025-10-26T17:55:49+00:00" }, { "id": "01a0bc01-eae6-710e-b65b-f74416242eb0", "title": "The Pandemic Enquiry. Too slow, and unread, so we don’t learn lessons?", "url": "https://nhsreality.wordpress.com/2025/10/26/the-pandemic-enquiry-too-slow-and-unread-so-we-dont-learn-lessons/", "published_at": "2025-10-26T17:40:21+00:00" }, { "id": "01a0bc01-eae6-710e-b65b-f74416e1b4d9", "title": "The Political Football. Only Reform has gained ground.", "url": "https://nhsreality.wordpress.com/2025/10/19/the-political-football-only-reform-has-gained-ground/", "published_at": "2025-10-19T16:13:38+00:00" }, { "id": "01a0bc01-eae6-710e-b65b-f74416e866b2", "title": "Do we want to focus on cancer screening with the overdiagnosis, incidentomas and overtreatment, at great expense, or prevention and vaccination: much cheaper. We can;t afford both.", "url": "https://nhsreality.wordpress.com/2025/10/19/do-we-want-to-focus-on-cancer-screening-with-the-overdiagnosis-incidentomas-and-overtreatment-at-great-expense-or-prevention-and-vaccination-much-cheaper-we-cant-afford-both/", "published_at": "2025-10-19T15:58:33+00:00" }, { "id": "01a0bc01-eae6-710e-b65b-f74416f33adc", "title": "New injectable treatment for HIV", "url": "https://nhsreality.wordpress.com/2025/10/18/new-injectable-treatment-for-hiv/", "published_at": "2025-10-18T16:07:25+00:00" }, { "id": "01a0bc01-eae6-710e-b65b-f74417034fc5", "title": "Pharmacists are not diagnosticians. As we get poorer will we accept their limitations, or will those who can “go private”?", "url": "https://nhsreality.wordpress.com/2025/10/18/pharmacists-are-not-diagnosticians-as-we-get-poorer-will-we-accept-their-limitations-or-will-those-who-can-go-private/", "published_at": "2025-10-18T15:57:56+00:00" }, { "id": "01a0bc01-eae6-710e-b65b-f74417be9db1", "title": "Clarkson has the words of the common man, but not their agreement. “To keep us happy, put the NHS out of its misery…”. It will have to get worse yet Jeremy.", "url": "https://nhsreality.wordpress.com/2025/10/12/clarkson-has-the-words-of-the-common-man-but-not-their-agreement-to-keep-us-happy-put-the-nhs-out-of-its-misery-it-will-have-to-get-worse-yet-jeremy/", "published_at": "2025-10-12T14:13:17+00:00" }, { "id": "01a0bc01-eae6-710e-b65b-f7441831d60c", "title": "The next strikes in medicine…", "url": "https://nhsreality.wordpress.com/2025/10/11/the-next-strikes-in-medicine/", "published_at": "2025-10-11T17:27:13+00:00" }, { "id": "01a0bc01-eae6-710e-b65b-f744190b96ea", "title": "Addressing the back door… Social Care run well should help the health services….", "url": "https://nhsreality.wordpress.com/2025/10/11/addressing-the-back-door-social-care-run-well-should-help-the-health-services/", "published_at": "2025-10-11T17:13:05+00:00" }, { "id": "01a0bc01-eae6-710e-b65b-f7441a06909f", "title": "The director of the ABPI does not have the average citizen in mind, but the Pharmaceutical Industry. Populations are never helped by new drugs – there are better things to spend our money on.", "url": "https://nhsreality.wordpress.com/2025/10/07/the-director-of-the-abpi-does-not-have-the-average-citizen-in-mind-but-the-pharmaceutical-industry/", "published_at": "2025-10-07T21:29:42+00:00" }, { "id": "01a0bc01-eae6-710e-b65b-f7441a751e39", "title": "Policy, politics and public health – its all unfair and unequal in 4 different systems. The voting intentions reflect the recognition of an unfair situation…", "url": "https://nhsreality.wordpress.com/2025/10/07/policy-politics-and-public-health-its-all-unfair-and-unequal-in-4-different-systems-the-voting-intentions-reflect-the-recognition-of-an-unfair-situation/", "published_at": "2025-10-07T21:20:12+00:00" }, { "id": "01a0bc04-77b2-735f-a823-1f1962602389", "title": "GP access and Dr appointments: examination by a diagnostician is preferable ….. A salaried service in primary care is a threat …It could lead to more social division. Juniors and GPs threaten strikes … I warned readers it was going to get worse", "url": "https://nhsreality.wordpress.com/2025/10/07/gp-access-and-dr-appointments-examination-by-a-diagnostician-is-preferable-a-salaried-service-in-primary-care-is-a-threat-it-could-lead-to-more-social-division-juniors-and-gps-threaten-stri/", "published_at": "2025-10-07T19:27:51+00:00" }, { "id": "01a0bc04-77b2-735f-a823-1f1963569111", "title": "Overseas trained doctors have been essential, and good “Bedside diagnosticians” over the past 75 years. We could not have done without them.", "url": "https://nhsreality.wordpress.com/2025/10/07/overseas-trained-doctors-have-been-essential-and-good-bedside-diagnosticians-over-the-past-75-years-we-could-not-have-done-without-them/", "published_at": "2025-10-07T19:16:49+00:00" }, { "id": "01a0bc04-77b2-735f-a823-1f19645189e7", "title": "The political choice. Focus on overdiagnosis or prevention. Appraisal of doctors needs to address overinvestigation, overdiagnosis and too frequest follow up.", "url": "https://nhsreality.wordpress.com/2025/10/05/the-political-choice-focus-on-overdiagnosis-or-prevention-appraisal-of-doctors-needs-to-address-overinvestigation-overdiagnosis-and-too-frequest-follow-up/", "published_at": "2025-10-05T16:24:38+00:00" }, { "id": "01a0bc04-77b2-735f-a823-1f196520a574", "title": "The Hospital at Home (HAH) – needs more publicity and more funding.", "url": "https://nhsreality.wordpress.com/2025/10/05/the-hospital-at-home-hah-needs-more-publicity-and-more-funding/", "published_at": "2025-10-05T16:10:41+00:00" }, { "id": "01a0bc04-77b2-735f-a823-1f196568f4c7", "title": "Not enough work for graduates and doctors? Is there a need to show they can really work, and have the desire to work hard?", "url": "https://nhsreality.wordpress.com/2025/10/05/not-enough-work-for-graduates-and-doctors-is-there-a-need-to-show-they-can-really-work-and-have-the-desire-to-work-hard/", "published_at": "2025-10-05T15:54:36+00:00" }, { "id": "01a0bc04-77b2-735f-a823-1f19663ba46d", "title": "THE NHS England (and Scotland /Wales /Ireland) Health App", "url": "https://nhsreality.wordpress.com/2025/10/02/the-nhs-england-and-scotland-wales-ireland-health-app/", "published_at": "2025-10-02T08:40:26+00:00" }, { "id": "01a0bc04-77b2-735f-a823-1f1967069a99", "title": "‘Harmless’ Pegivirus Found in Brains of Parkinson’s Patients", "url": "https://nhsreality.wordpress.com/2025/09/29/harmless-pegivirus-found-in-brains-of-parkinsons-patients/", "published_at": "2025-09-29T18:52:00+00:00" }, { "id": "01a0bc04-77b2-735f-a823-1f19676f939d", "title": "How to become a doctor", "url": "https://nhsreality.wordpress.com/2025/09/29/how-to-become-a-doctor/", "published_at": "2025-09-29T18:37:06+00:00" }, { "id": "01a0bc04-77b2-735f-a823-1f1967742420", "title": "Accepting only EU doctors for specialisms – A “bizarre double standard” explained.", "url": "https://nhsreality.wordpress.com/2025/09/29/accepting-only-eu-doctors-for-specialisms-a-bizarre-double-standard-explained/", "published_at": "2025-09-29T16:38:43+00:00" }, { "id": "01a0bc04-77b2-735f-a823-1f1967e2307c", "title": "If the functions of traditional GP are not what the nation wants, the need to ration gets even more overwhelming. Reflect that we actually voted to get poorer.", "url": "https://nhsreality.wordpress.com/2025/09/22/if-the-functions-of-traditional-gp-are-not-what-the-nation-wants-the-need-to-ration-gets-even-more-overwhelming-reflect-that-we-actually-voted-to-get-poorer/", "published_at": "2025-09-22T17:49:46+00:00" }, { "id": "01a0bc07-1360-7303-9582-6b607d5e8fe0", "title": "Surely UK has the skills to analyse and use our medical population based data? And yet we are giving to a US company…", "url": "https://nhsreality.wordpress.com/2025/09/20/surely-uk-has-the-skills-to-analyse-and-use-our-medical-population-based-data-and-yet-we-are-giving-to-a-us-company/", "published_at": "2025-09-20T11:31:46+00:00" }, { "id": "01a0bc07-1360-7303-9582-6b607db69e42", "title": "Looking at other systems: Take a good look at Eire Mr Streeting..", "url": "https://nhsreality.wordpress.com/2025/09/19/take-a-good-look-at-eire-mr-streeting/", "published_at": "2025-09-19T15:49:10+00:00" }, { "id": "01a0bc07-1360-7303-9582-6b607e181c20", "title": "A Cuban style approach to Big Pharma is too draconian, but overt rationing is the answer..", "url": "https://nhsreality.wordpress.com/2025/09/18/a-cuban-style-approach-to-big-pharma-is-too-draconian-but-overt-rationing-is-the-answer/", "published_at": "2025-09-18T13:00:40+00:00" }, { "id": "01a0bc07-1360-7303-9582-6b607ebd21eb", "title": "Ailing trusts – not learning & the diminishing quality and lack of learning in Maternity Care", "url": "https://nhsreality.wordpress.com/2025/09/14/ailing-trusts-not-learning-the-diminishing-quality-and-lack-of-learning-in-maternity-care/", "published_at": "2025-09-14T17:20:32+00:00" }, { "id": "01a0bc07-1360-7303-9582-6b607f3df40c", "title": "Overdiagnosis, over investigation and over treatment. A modern epidemic – ? Where is the greater demand? in seaside towns and poorer areas, or in cities, or is it equally distributed?", "url": "https://nhsreality.wordpress.com/2025/09/09/overdiagnosis-over-investigation-and-over-treatment-a-modern-epidemic-where-is-the-greater-demand-in-seaside-towns-and-poorer-areas-or-in-cities-or-is-it-equally-distributed/", "published_at": "2025-09-09T11:06:41+00:00" }, { "id": "01a0bc07-1360-7303-9582-6b607fe90733", "title": "No more GPs on the ground than there were", "url": "https://nhsreality.wordpress.com/2025/09/09/no-more-gps-on-the-ground-than-there-were/", "published_at": "2025-09-09T07:51:46+00:00" }, { "id": "01a0bc07-1360-7303-9582-6b608003a890", "title": "Cancer treatments – time to advance. Eg. GreenLight laserprostatectomy", "url": "https://nhsreality.wordpress.com/2025/09/09/cancer-treatments-time-to-advance-eg-greenlight-laserprostatectomy/", "published_at": "2025-09-09T07:47:15+00:00" }, { "id": "01a0bc07-1360-7303-9582-6b60809808d2", "title": "The unspoken elephant in the health and social care agenda room… Regressive taxation makes it so difficult to address…..", "url": "https://nhsreality.wordpress.com/2025/09/09/the-unspoken-elephant-in-the-health-and-social-care-agenda-room-regressive-taxation-makes-it-so-difficult-to-address/", "published_at": "2025-09-09T07:37:52+00:00" }, { "id": "01a0bc07-1360-7303-9582-6b60813cb401", "title": "Many doctors are welcome migrants. They add to our country.", "url": "https://nhsreality.wordpress.com/2025/09/08/many-doctors-are-welcome-migrants-they-add-to-our-country/", "published_at": "2025-09-08T19:34:45+00:00" }, { "id": "01a0bc07-1360-7303-9582-6b6082337562", "title": "Testicular cancer is on the rise. The chances of survival may depend on which country or UK dispensation you live in.", "url": "https://nhsreality.wordpress.com/2025/09/08/testicular-cancer-is-on-the-rise-the-chances-of-survival-may-depend-on-which-country-or-uk-dispensation-you-live-in/", "published_at": "2025-09-08T18:26:55+00:00" }, { "id": "01a0bc09-6e0a-7384-b5a4-faa2f2b74e19", "title": "mRNA vaccines are a great invention – the USA backlash against vaccines could come back to bite us all… Vaccination uptake needs to be universal if it is to be fair….", "url": "https://nhsreality.wordpress.com/2025/09/08/mrna-vaccines-are-a-great-invention-the-usa-backlash-against-vaccines-could-come-back-to-bite-us-all-vaccination-uptake-needs-to-be-universal-if-it-is-to-be-fair/", "published_at": "2025-09-08T18:02:46+00:00" }, { "id": "01a0bc09-6e0a-7384-b5a4-faa2f32ea6fd", "title": "The Pharmaceutical Industry advice needs to be set aside in an impoverished nation.", "url": "https://nhsreality.wordpress.com/2025/09/03/the-pharmaceutical-industry-advice-needs-to-be-set-aside-in-an-impoverished-nation/", "published_at": "2025-09-03T16:15:36+00:00" }, { "id": "01a0bc09-6e0a-7384-b5a4-faa2f3feebc6", "title": "Obesity, inactivity, covid? and lifestyle factors – more strokes in younger persons are an unwanted expense.", "url": "https://nhsreality.wordpress.com/2025/09/03/obesity-inactivity-covid-and-lifestyle-factors-more-strokes-in-younger-persons-are-an-unwanted-expense/", "published_at": "2025-09-03T15:48:12+00:00" }, { "id": "01a0bc09-6e0a-7384-b5a4-faa2f47046ec", "title": "The long term sick and those with ME and long covid – research gives some hope but much more is needed", "url": "https://nhsreality.wordpress.com/2025/09/02/the-long-term-sick-and-those-with-me-and-long-covid-research-gives-some-hope-but-much-more-is-needed/", "published_at": "2025-09-02T18:11:52+00:00" } ] posts Claim your blog

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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

I’d choose a vetinary surgeon if I could – to look after me at the end. He would be kinder than the medics are, or are allowed to be.. Modern medicine is harming doctors and patients…original ↗

14 Jan 2026

Theres a lack of trust in all our institutions. A&E litigation is just one symptom of a society disintegrating…..original ↗

13 Jan 2026

HPV vaccine benefits both sexes…original ↗

10 Jan 2026

Why have we stopped rationing chicken pox vaccine now – after 50 years?original ↗

10 Jan 2026

Indirect encounters and on-line hospitals. Not examining a patient is an unnecessary delay…original ↗

8 Jan 2026

The hazards and the benefits of private care v Health Service care; Rationing is not acknowledged by any party.original ↗

8 Jan 2026

Its not, and never has been, free. Lets start to be honest, at least in our language on this….original ↗

4 Jan 2026

We all knew the new plan would fail, but its only 9 months or so since it was announced….. Demographics, demand and poverty mean overt rationing is essential.original ↗

3 Jan 2026

The griffiths report and the lost opportunity of 1983 original ↗

2 Jan 2026

There is no regulation – and there is no NHS – just a stakeholder state. The downsizing of the social safety net challenges us all if / as we get poorer…original ↗

2 Jan 2026

2025

All Hospices (Children and adults) need not be in trouble – if they offload to the state. We are at risk of “a two tier society in dying”.original ↗

29 Dec 2025

Tribunals distort the claims system. We have to simplify and reduce both payments and numbers entitled.original ↗

29 Dec 2025

Puberty changing drugs have risks. Experts may be over-ridden by politicians and so we may never know…original ↗

25 Dec 2025

Are you prepared for a “disaster” and deaths if public utilities or food supplies are interrupted?original ↗

22 Dec 2025

The lost role of a General Practitioner – continuity, variety, choice and flexibility have all diminished or gone. Looking at other systems: Swiss original ↗

22 Dec 2025

Political honesty is byond us. We all seem to have prefered denial – since 2014. It will be at the expense of our youngsters and our future.original ↗

19 Dec 2025

A society in denial, and prolonging death. The oncoming tsunami of dementia means Leadbeaters Bill should be passed – and amended if necesssary. The vetinary profession would look after my relative better than the medical profession.original ↗

18 Dec 2025

The NHS will have to go according to the Telegraph’s Martin Johnson. The politicians are a long way off agreeing.. And a GP breakaway group wants a new contract, by agreement rather than imposed.original ↗

17 Dec 2025

The natural evolution of childbirth. A two tier society..original ↗

17 Dec 2025

A completely new dental contract is needed. So is a new Health Minister because imposition does not work, and causes resentment … If patients decide (as they do in medicine) what an emergency is, and its usually “pain”, they will learn to say they have pain when contacting the dentist – every time.original ↗

16 Dec 2025

The use of Artificial Intelligence and disguising ignorance: also becoming a Doctor. Without an interview there is little reliability…original ↗

16 Dec 2025

All health staff should be obligated to have vaccinations. If they refuse, for whatever reason, they should be laid off.original ↗

15 Dec 2025

Listening to “Any Questions” I wondered what I would have asked. Is the lack of warning about the imploding health services similar to the Weir tragedy?original ↗

13 Dec 2025

“A shocking indictment of the state of maternity services. Standards are too low, and too many opportunities for improvement have been missed.” Baroness Amos. “As bad as some third world countries”. A long term conspiracy of denial original ↗

10 Dec 2025

Times letters: Ways to help ( retain ) struggling NHS junior doctors original ↗

8 Dec 2025

How did it get to this? Strikes at Christmas!original ↗

8 Dec 2025

Reviewing normality in mental health. Is it going to be unusual to not have a mental health problem?original ↗

8 Dec 2025

Reality bites…. Treasury to bring forward £860m of NHS settlement to pay for cuts (at NHSEngland).original ↗

8 Dec 2025

Trying to restore continuity is like trying to bring back the dodo. Measuring the deficit may help us all reflect on what we have lost. Palliative care has to move from charity to state funding if standards are to be uniform…original ↗

8 Dec 2025

Rishi Sunak ducks the real issue of unsustainability. A decade has passed with no action and the denial is evident in his article.original ↗

8 Dec 2025

Sick notes or fit notes? Ergophobia and Plumboscillosis. A lack of desire to work is spreading like a pandemic..original ↗

8 Dec 2025

Dogs are a public health hazard that needs managing.original ↗

7 Dec 2025

The thin end of a very expensive $2m genetic and dystopian wedge.original ↗

4 Dec 2025

Lets talk relative and absolute poverty in young people – and those who don’t usually vote. Are they more or less important than elderly men with prostate cancer? The chancellor ended the two child benefit cap….We need honest politicians unafraid to touch the bodily fluids of past political mistakes.original ↗

1 Dec 2025

A new GP suggested contract. Some hope! The “Solidarity” that originated the welface state is crumbling. Small group debate and inspiration is called for by BBC Reith lecturer Rutger Bregman original ↗

1 Dec 2025

We dont check the immigrant doctors properly, and we expel doctors we have trained! Madness original ↗

28 Nov 2025

The truth about retention – eloquently put in a Times letter. The staff don’t feel cared for and the culture is demeaning..original ↗

27 Nov 2025

Prostate (and other) cancer screening may come through media pressure, but it needs Public Health debate and argument, and with science advancing, will we be willing to review and stop screening despite outcry from SIPGs ?original ↗

24 Nov 2025

Fiscal tightening should mean we all challenge and question the fundamentals of the UKs 4 Health Systems original ↗

23 Nov 2025

Shortage of child psychologists for 2 decades – and inaction endemic within all 4 health dispensations original ↗

23 Nov 2025

Covid – Too little and too late , Costing lives.. Baroness Hallett has made 10 recommendations…original ↗

23 Nov 2025

Dental mouthcry – and population pain will get louder and outcomes worse. A two tier system is unlikely to change despite a chief dental officer recommendation.original ↗

21 Nov 2025

Therapists are hard to come by, and will be harder still if we keep giving profits to “Big Pharma”. Mr Macron was right in his aspiration for therapists to replace drugs.. and phones?original ↗

20 Nov 2025

Battle on Obesity (food addiction) and gambleing (maney addiction) as one of the next epidemics…original ↗

20 Nov 2025

The sad state of the General Practice “maelstrom”… and the “Inverse Workload Law”. The changing drivers for becoming a GP.original ↗

20 Nov 2025

Best age to give birth: the 18-28 Decade. In a consultant led unit.original ↗

16 Nov 2025

Shared patient records and ID cards are needed to help avoid child murder, but whatever we do we may have to accept the occasional failure……original ↗

14 Nov 2025

A possible perverse outcome of junior resident doctors missing from A&E and Urgent Care centres?original ↗

14 Nov 2025

“Normal birth” ideology is killing babies….original ↗

12 Nov 2025

More taxation, more rationing, more collaboration with the private sector—or all three.original ↗

12 Nov 2025

Fad diets and social media “cures”. The populist approach to science.original ↗

12 Nov 2025

A confuscian attitude is needed to address climate change, and the tragedy of the commons it represents.original ↗

12 Nov 2025

Planning for frailty. Inpatient Hospices in poorer areas of the UK may have to close – like Shalom in Pembrokeshire. The rest need to change their business models…original ↗

12 Nov 2025

If Scotland is unsustainable so are the other 3 systems original ↗

9 Nov 2025

The politics and health implications of contageous contempt. Health and Social Care to change tack completely, and the chancellor needs to think long term: which means likely loss of the next election,original ↗

9 Nov 2025

Rationing in the technological world… In an insurance based system we are all asked to read the small print if we want to know what is excluded. Any health system needs to do the same.original ↗

9 Nov 2025

Challenging times challenge norms – duty of care?original ↗

1 Nov 2025

Training standards are maintained by voluntary teaching…original ↗

1 Nov 2025

How should those retiring in the next few decades plan for frailty when there may be no-one to look after them? The sickness rate in all 4 health services is a disgrace.original ↗

1 Nov 2025

Looking at other systems: Canada. Not free… but sustainable original ↗

1 Nov 2025

Looking at other systems: Jersey and the Channel Islands – ARE NOT “free at the point of access”!.original ↗

1 Nov 2025

In praise of the generalist: the Geriatrician and General Practitioner who are Diagnosticians.original ↗

30 Oct 2025

Assisted dying is not suicide: best to seize the opportunity, warts and all.original ↗

29 Oct 2025

GPs, and medical taxation of those with “broad shouders”, and less than 5 days working ….original ↗

26 Oct 2025

The Pandemic Enquiry. Too slow, and unread, so we don’t learn lessons?original ↗

26 Oct 2025

The Political Football. Only Reform has gained ground.original ↗

19 Oct 2025

Do we want to focus on cancer screening with the overdiagnosis, incidentomas and overtreatment, at great expense, or prevention and vaccination: much cheaper. We can;t afford both.original ↗

19 Oct 2025

New injectable treatment for HIV original ↗

18 Oct 2025

Pharmacists are not diagnosticians. As we get poorer will we accept their limitations, or will those who can “go private”?original ↗

18 Oct 2025

Clarkson has the words of the common man, but not their agreement. “To keep us happy, put the NHS out of its misery…”. It will have to get worse yet Jeremy.original ↗

12 Oct 2025

The next strikes in medicine…original ↗

11 Oct 2025

Addressing the back door… Social Care run well should help the health services….original ↗

11 Oct 2025

The director of the ABPI does not have the average citizen in mind, but the Pharmaceutical Industry. Populations are never helped by new drugs – there are better things to spend our money on.original ↗

7 Oct 2025

Policy, politics and public health – its all unfair and unequal in 4 different systems. The voting intentions reflect the recognition of an unfair situation…original ↗

7 Oct 2025

GP access and Dr appointments: examination by a diagnostician is preferable ….. A salaried service in primary care is a threat …It could lead to more social division. Juniors and GPs threaten strikes … I warned readers it was going to get worse original ↗

7 Oct 2025

Overseas trained doctors have been essential, and good “Bedside diagnosticians” over the past 75 years. We could not have done without them.original ↗

7 Oct 2025

The political choice. Focus on overdiagnosis or prevention. Appraisal of doctors needs to address overinvestigation, overdiagnosis and too frequest follow up.original ↗

5 Oct 2025

The Hospital at Home (HAH) – needs more publicity and more funding.original ↗

5 Oct 2025

Not enough work for graduates and doctors? Is there a need to show they can really work, and have the desire to work hard?original ↗

5 Oct 2025

THE NHS England (and Scotland /Wales /Ireland) Health App original ↗

2 Oct 2025

‘Harmless’ Pegivirus Found in Brains of Parkinson’s Patients original ↗

29 Sept 2025

How to become a doctor original ↗

29 Sept 2025

Accepting only EU doctors for specialisms – A “bizarre double standard” explained.original ↗

29 Sept 2025

If the functions of traditional GP are not what the nation wants, the need to ration gets even more overwhelming. Reflect that we actually voted to get poorer.original ↗

22 Sept 2025

Surely UK has the skills to analyse and use our medical population based data? And yet we are giving to a US company…original ↗

20 Sept 2025

Looking at other systems: Take a good look at Eire Mr Streeting..original ↗

19 Sept 2025

A Cuban style approach to Big Pharma is too draconian, but overt rationing is the answer..original ↗

18 Sept 2025

Ailing trusts – not learning & the diminishing quality and lack of learning in Maternity Care original ↗

14 Sept 2025

Overdiagnosis, over investigation and over treatment. A modern epidemic – ? Where is the greater demand? in seaside towns and poorer areas, or in cities, or is it equally distributed?original ↗

9 Sept 2025

No more GPs on the ground than there were original ↗

9 Sept 2025

Cancer treatments – time to advance. Eg. GreenLight laserprostatectomy original ↗

9 Sept 2025

The unspoken elephant in the health and social care agenda room… Regressive taxation makes it so difficult to address…..original ↗

9 Sept 2025

Many doctors are welcome migrants. They add to our country.original ↗

8 Sept 2025

Testicular cancer is on the rise. The chances of survival may depend on which country or UK dispensation you live in.original ↗

8 Sept 2025

mRNA vaccines are a great invention – the USA backlash against vaccines could come back to bite us all… Vaccination uptake needs to be universal if it is to be fair….original ↗

8 Sept 2025

The Pharmaceutical Industry advice needs to be set aside in an impoverished nation.original ↗

3 Sept 2025

Obesity, inactivity, covid? and lifestyle factors – more strokes in younger persons are an unwanted expense.original ↗

3 Sept 2025

The long term sick and those with ME and long covid – research gives some hope but much more is needed original ↗

2 Sept 2025