Blog · corpus.blog/blogs/nhsreality.wordpress.com/posts
nhsreality.wordpress.com
nhsreality.wordpress.com
2025
Funding the NHS going forward will require reform of the taxation system, here are a few ideas…original ↗
30 Aug 2025
The GP contract and how we arrived at todays demise, with discontinuity of care and reducing standardsoriginal ↗
30 Aug 2025
30 Aug 2025
Are deaths from Cancer of the Colon in young persons really rising? Should screening be more frquent?original ↗
30 Aug 2025
Something has to give. We cant have everything for everyone for ever everywhere for free. More Vaccinations may well mean less treatment….original ↗
29 Aug 2025
My generation are all looking at our own ominous future – without care: Stories of our time…..?original ↗
29 Aug 2025
A Pharmacy can be “open” without a pharmacist, but not a dispensary. The rationing of expensive medications is essential, but not the training of enough pharmacists.original ↗
28 Aug 2025
28 Aug 2025
22 Aug 2025
Toxic polarisation in health care thinking. Adam Kay explains why “The suicide rate is one doctor every three weeks. For other NHS staff the rate is even higher”original ↗
22 Aug 2025
Valproate and the foetal damage: we are still unaware and not warned about the true potential problems.original ↗
22 Aug 2025
A clusterfuck: Moral brutality – bullying, coercion, gagging and denial mean fewer and fewer will apply to be continuous care GPs or doctors at all..original ↗
22 Aug 2025
Differential post coded terminal and palliative care: arguing for universal standards is unreality..original ↗
11 Aug 2025
The second class ctizens of Wales. There have been two waiting lists in Oswestry for a decade… This must be true elsewhere… “Play the internal market game”….original ↗
10 Aug 2025
Sanofi and generic drugs. UK needs to wise up, cut our cloth to suit us, and reject demands for spending on more drugs.original ↗
10 Aug 2025
Searching for good news. Cancer is less deadly than you think, inless you are unlucky or young…original ↗
7 Aug 2025
Immigration in Health and Social Care. Liberals seem impotent so populists will define our future…original ↗
3 Aug 2025
The wrong end of the stick? We can’t afford not to address the Welfare Bill rules. or to address the wellbeing of medical stafforiginal ↗
1 Aug 2025
Will the evidence support a social MOT aged 65: it did not support a Medical MOT.. Will what works in Japan work here?original ↗
1 Aug 2025
Sometimes a letter is rally revealing of a need for change in social care and unexplained child illnesses. From 2023 on A&E to 2025 on Fabricated Illnesses and social care..original ↗
27 Jul 2025
Coercive controller politicians and managers? “….demeaned by by the progressive proletarianisation of my profession, a process that has come about almost entirely because of the changes to junior doctors’ contracts. “original ↗
26 Jul 2025
Abolish the 48-hour working directive, improves doctors’ training, and provide continuity of care for patients, who are the most important part of the equation.original ↗
26 Jul 2025
26 Jul 2025
The risk of dogs is minimal, but a healthy and critical approach is best, especially with young children in a family.original ↗
24 Jul 2025
This week’s reflective diary…. BMA and strikes. Over-investigating, inhumane treatment, and “We may be the first country to have democratically voted (inadvertently) for worse health and lower life expectancy..”original ↗
24 Jul 2025
A national coefficient of inbreeding? For humans societies and the 4 UK health dispensations?original ↗
22 Jul 2025
Rationing out defibrillators…. Its educating everyone, youth included, that brings the best results.original ↗
22 Jul 2025
The Laffer curve .”…disincentives to effort now be so great that tax cuts would lead to only modest reductions, or even increases, in the tax revenue obtained?” Wealth is health. “Long v Short” term needs and politics..original ↗
18 Jul 2025
“The NHS model must be replaced to provide the equitable and efficient provision of healthcare”… “the underlying issue of an unaffordable welfare state can only be tackled by a government brave enough”. Looking at other systems many are better… Holland is one.original ↗
15 Jul 2025
Low Traffic Neighbourhoods and the 20 MPH speed limit, res ipsa loquitur – it speaks for itself…original ↗
14 Jul 2025
Preventing child deaths from infectious diseases is paramount. Excluding children unvaccinated from infant and junior schools would be fair and wise.original ↗
14 Jul 2025
Unreliable communications. Good integrated IT is needed in Ambulance, A&E, on the Wards, Out Patients, and in Primary Care, The post is an archeic distraction for most people now….original ↗
14 Jul 2025
Was the minister really crying for the NHS? The cart is before the horse… and the professionals know it. We rationed medical school places, and we ignored social care for too long.original ↗
9 Jul 2025
The cost of alcohol to the nation is enormous. Politicians need to balance the harm against their tax take! It seems health is immaterial..original ↗
9 Jul 2025
Decentralisation requests may be regressive… as the health divide increases: perverse & unintended consequences.original ↗
8 Jul 2025
New Technologies usually add to costs. Single Interest Pressure Groups will always jump on them, and publicise. Thats why decision makers, Trusts and Commissioners need an SIPG policyoriginal ↗
7 Jul 2025
The money needs to move from patients rather than with patients. Abolish the internal market and put staff onto means tested co-payments. Otherwise move towards “the first UK banana republic is possible”.original ↗
5 Jul 2025
No medicines advice from big parma will save the 4 “broke” services. It could save a bob or two..original ↗
5 Jul 2025
How to punish already demoralised doctors. Separate them from family, partners and friends, by lottery….original ↗
5 Jul 2025
Trying to reverse the Inverse Care Law is like swimming against the current. If you are caught in a rip tide you have to swim with it…original ↗
4 Jul 2025
The “deprived” people, with no “choice” in Wales – will not have the same life chances as the bankers of London, or even Wales’ city dwellers.original ↗
4 Jul 2025
The lack of listening by politicians… our decline has affected teamwork, continuity, trust and training standardsoriginal ↗
2 Jul 2025
BMA chair calls for GMC to be replaced by new independent regulator. A bigger loss of faith is in our politicians and our political system, and that will take a lot longer to address.original ↗
1 Jul 2025
Should assisted dying be funded by charity – like hospices? Of course not. But means tested co-payments solves the dilemma.original ↗
1 Jul 2025
There is limited or no choice in Scotland ( or Wales ): England patients have choice over how and when they are treated, in Scotland ‘you’ll take what we give you and be grateful for it’original ↗
1 Jul 2025
Expensive but valuable babies – are being replaced by pets and “self”. And a majority of voters – without children or grandchildren, may concur that politicians don’t need to address the long term.original ↗
1 Jul 2025
Marths rule for Wales challenges the lack of choice, and the illiberal paternalism across offas dyke.original ↗
30 Jun 2025
Mr Hunt’s advice to Mr Streeting is tinkering at the edges….. and it will be only for England.original ↗
29 Jun 2025
Performance related pay revisited- does not work in health systems. Its the “rules of the game” that need changing.original ↗
28 Jun 2025
Letters: Rewards for Diagnosticians – and for Continuity of Care, end of life care & assisted dyingoriginal ↗
27 Jun 2025
Battle for NHS landlord Assura is a test for Britain. Asset stripping is a core activity for KKR. They want to apply it to GP Premises and Thames water to name only two threats..original ↗
26 Jun 2025
IT systems designed for managers rather than clinicians or patients are inefficient, create delay, burocratic sludge, and errors / litigation increase.original ↗
25 Jun 2025
Continuity of care applies in Hospitals as well as Primary Care. EU working time directive may explain many deaths.original ↗
25 Jun 2025
It is not news to physicians, including GPs, but say it again – we are losing some of our best and well trained Diagnosticians.original ↗
24 Jun 2025
Passive entitled citizens are breaking Britain. Insurance based services would help charge for tourists and UK overseas residents who are getting free emergency careoriginal ↗
23 Jun 2025
The Hywel Dda consultation is all about costs and priorities. Reluctant rationing could be the subtitle? Pembrokeshire is the post-code lottery loser.original ↗
23 Jun 2025
Coercive controls: Hearing aid maintenance and checks on the elderly in care….. does not exist. Regional services are needed..original ↗
23 Jun 2025
Hospice Care is unequally funded, based on charity, and worse in rural areas. Those without could learn from Paul Sartori Foundation Hospice at Homeoriginal ↗
23 Jun 2025
23 Jun 2025
The science is flying but the system is dying. A new era of altruism, honesty, and overt rationing, is needed.original ↗
19 Jun 2025
The pace of advance of teachnology is too fast for our politics. Zapping Tumours or new Myeloma treatments makes little difference to public faith and trust…original ↗
17 Jun 2025
It’s the long term you need to address Mr Streeting. Like climate change, intergererational equity and selfishness, health are long term issues. You need to encourage autonomy whils discouraging a paternal state.original ↗
17 Jun 2025
…There is an unwritten contract between state and citizen: if you pay your taxes you will be protected, but this covenant has been broken……Brexit letters 2023original ↗
16 Jun 2025
13 Jun 2025
With 4 UK systems, any Trade-Offs mean post-coded rationing. Who decides, and how? Will politicians ensure that the ethical discussions are public, and / or will local dispensations become scapegoats (GPs) ? Is CRISPR technology only for the rich?original ↗
13 Jun 2025
The call for blood donation. Too many are being excluded from giving, especially grateful patientsoriginal ↗
12 Jun 2025
Broken Britain – The Economist does not think much of the spending review and suggests “community sacrifice” will be needed to get our long term priorities right. We await Streetings Plan……original ↗
12 Jun 2025
Is the pace of advance of technology, already unaffordable for most governments, accellerating even faster?original ↗
11 Jun 2025
Non Clinical staff have a duty of care as well as clinicians. Does this apply to General Practice or to contracted out services as well? Politicians have a duty of care which they have systematically abdicated over the decades.original ↗
11 Jun 2025
Decision making despair. Hard truths are not being said by politicians… ” The Economist however opines: “From envy of the world to national embarrassment ”……original ↗
11 Jun 2025
Notice the difference? Private set to thrive…. “Hoist by our own petard”. Too few trained diagnosticians.original ↗
11 Jun 2025
Britains “Social Contract” is fraying. Care homes and profits – disillusion could lead to civil unrest. “The National Health Service (NHS) rations care, with waiting-lists running into the millions.” Socail care has not even started to be addressed.original ↗
26 May 2025
An update on the demographics of Cancer Cervix. It will rise for a few decades until the HPV generation matures..original ↗
26 May 2025