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nhsreality.wordpress.com
nhsreality.wordpress.com
2025
Do voters really want more money on prevention, if it means less on treatment and social care?original ↗
21 May 2025
Will politicians or NHS algorhythmic chiefs win the battle or will they “agree” on the eventual rationing neededoriginal ↗
10 May 2025
Our future health – Weight loss, cancers, genes, mental health, can all be studied with “big data” – but will politics and big pharma win over social care?original ↗
10 May 2025
Another disgrace and these “victims” were a doctor and a physiotherapist… Politicians fund medical issues if they have votes attached.. They will therefore underfund mental health if they can ….original ↗
10 May 2025
10 May 2025
The economy and efficiency of assisted dying. Waiting until 2029 will mean a two tier service before then..original ↗
5 May 2025
Who wants to be a medical ethicist in the new populist era? Overt or covert: Rationing choices still exist in every form of system..original ↗
2 May 2025
” Dementia set to rise ” & Life expectancy to fall (by lottery) . Will vaccines against cancer simply replace one short term morbidity with a longer term one?original ↗
2 May 2025
Looking at other systems. Even Australia’s system is being reconsidered. More honesty is needed when informing the public.original ↗
28 Apr 2025
“Trapped in Mediocrity”. What is a Health Service for? The moral maze discussion on BBC Radio 4 does not help us escape the trap…original ↗
27 Apr 2025
Aortic Aneurysm risk – and only screening once – at 65. Living over an hour from a tertiary centre may justify more and earlier start for your scans.original ↗
25 Apr 2025
More and more GP practices are now owned by Venture Capital (KKR) from the US. Insurance companies or Health Maintenance Organisations may eventually end up owning Primary Care premises….original ↗
25 Apr 2025
A salaried service may well be on the way for GPs. It will be interesting to see the differential incomes between regions and areas…..original ↗
24 Apr 2025
A shortage of diagnosing doctors is not replaced by nurses and paramedics. They will need help to live with uncertainty, and given the right to arrange tests and referrals they will constipate the system.. Does medical education need to be more expensive?original ↗
23 Apr 2025
23 Apr 2025
The “sludge” in the medical systems, (and many other systems as well) is a cancer …. In USA the sludge controlled by Insurers is excluding independent doctors from working, and rationing care inefficiently.original ↗
22 Apr 2025
21 Apr 2025
A risk of plague, along with other diseases enhanced by global warming – do we need more automation and locality based resilience?original ↗
21 Apr 2025
“We told you so”.. Single Sex spaces – and the 4 Health dispensations will be the slowest state services to recover.original ↗
19 Apr 2025
Is Global Warming a conspiracy, and are all 4 UK health services a “tragedy of the commons” – as well as uneducated political denial? A frequent flyer tax would make a good message.. and treat climate change like a pandemic.original ↗
18 Apr 2025
Do the future GPs deserve to be self employed? PPGs could become a route to leading the change to reality.original ↗
18 Apr 2025
18 Apr 2025
More MRI and PET scanners please…. and Proton beam therapies. But we will still need to ration …original ↗
16 Apr 2025
7 Apr 2025
We won’t get any satisfaction – indeed it will get worse unless Mr Streeting reads the runes correctly and suddenly restores trust and a health culture.. We voted to be poorer, mainly because of political cowardice, and the reality of the uninformed vote is upon usoriginal ↗
4 Apr 2025
Moving from a partnership to a part time chambers model. An acknowledgement that personal continuing care has been abandoned and the shape of the job is unattractive.original ↗
30 Mar 2025
Even in rural W Wales, where long distances are travelled, private GP access, and a class divide, is starting uporiginal ↗
24 Mar 2025
10 years on. “In search of the least unfair and most sustainable / affordable and depoliticised Health Care system which encourages choice”.original ↗
24 Mar 2025
Public Authority (Accountability) bill – a high level of aspiration would likely be very expensive for health trusts and the 4 health systemsoriginal ↗
23 Mar 2025
We are desperate. Its akin to a war. So we accept unqualified teachers and doctors and “pretend” that they are the real thing.original ↗
19 Mar 2025
Short lived and minor psychological difficulties have been monetarised by big pharma and private practice. Overdiagnosis – investigation and treatment – is rampant.original ↗
19 Mar 2025
Dental deserts are a symptom of political failure. Our health system favours the short termism that is replicated in football management.original ↗
15 Mar 2025
15 Mar 2025
A GP should be able to deal with a poorly organised historian, but time and work pressures may intervene..original ↗
14 Mar 2025
Therapists are generally unregulated. Best to assume the worst. Don’t believe “certificates” on walls, or “titles” or “letters” mean anything. Dont believe the adverts. Check against the “Register”original ↗
13 Mar 2025
The unintended consequences of diagnostic tests used as screening tests used to placate anxietyoriginal ↗
11 Mar 2025
The developing two tier health and private services. All 4 dispensations are going to look second class before long.. unless there is a meaningful “Streeting reform” shortly.original ↗
10 Mar 2025
4 Mar 2025
The profession does not believe Streeting is ready and willing to make the necessary changes.original ↗
2 Mar 2025
Poverty – and penalising the poorest couples. The CSJ report confirms the problem with boys..original ↗
1 Mar 2025
Roll up,, roll up, for the Corridor Trolley Horror Show (CTHS). We now need corridor physicians – also on wheels.original ↗
27 Feb 2025
25 Feb 2025
Prostate cancer diagnosis, investigation and treatments differ throughout the nation, and results reflect this, in all 4 health dispensations.original ↗
25 Feb 2025
Guns come before butter, but the politicians are unlikely to be brave enough to say so, and to take the measures necessary. Its going to get worse – on many fronts..original ↗
19 Feb 2025
19 Feb 2025
The health divide means women in poorer areas will live shorter lives, and female cancers are just one small part of this …original ↗
18 Feb 2025
Choice and competition: This desperate announcement will not mean anything to Welsh patients… or could the Synod need legislation to avoid perverse outcomes?original ↗
17 Feb 2025
Climate change and the risks to population health. A true tragedy of the commons is upon us..original ↗
15 Feb 2025
Private Capital Investment could speed up moving to reality. Co-payments and Insurance based services. Interesting change in thinking by Labour since 2002. “PFI: a policy in search of a rationale?”original ↗
14 Feb 2025
Delayed access, delayed investigations, late treatments – all conspire to make cancer outcomes in decline, especially compared to other countries.original ↗
13 Feb 2025
Health Inequality is rising. Imploding services in A&E, Primary Care and Social Care, and resulting deaths, are a result of long term inadequate planning. Any other form of universal cover will be better, and rationing should be overt.original ↗
13 Feb 2025
General Practice needs a rething, and a reboot. What nobody else can do is sort the wheat from the chaff…original ↗
9 Feb 2025
More thinking time and effort is appropriate for assisted dying…. but it will come in the end.original ↗
9 Feb 2025
Die whilst you wait. Trust is disappearing in the workforce in this medically dystopian era. The Economist shows the graphic for waiting times, and does not include “urgent care” ….original ↗
7 Feb 2025
Managers in the 4 health services are bound into underperformance – unless they are in a research funded tertiary centre. All health service top managers must be suffering from the Dunning-Kruger Effectoriginal ↗
6 Feb 2025
Mr Streeting agrees we cannot have everything for everyone: will he have a moral philosophy behind his rationale?original ↗
5 Feb 2025
Old age has to be OUR OWN responsibility. … The Minister is right to avoid listening to Single Interest Pressure Groups.original ↗
5 Feb 2025
ID cards are needed, and probably too expensive for an impecunious government to fun: more expensive not to!original ↗
4 Feb 2025
Its not just the CQC, but Politicians, Media and all 4 Regions (Scotland in this post) that have “lost their way”. Dynamism is only possible in a working structure and an honest learning organisation..original ↗
2 Feb 2025
It’s rubbish. RCEM responds to the government’s ‘mandate for the NHS’ and NHSE planning guidance.original ↗
30 Jan 2025
Strreting accused of “Thatcherite policies” – thats 10 months ago. Labour could have a civil war over the future of the English Health Serviceoriginal ↗
30 Jan 2025
The Media need to think through what politicians tell them and not take the information given as accurate… The health service managers are “appallingly complacent” for a good reason…original ↗
29 Jan 2025
This is NHSreality: The new storm propagated by poor medical workforce planning is now upon us. An anecdotal put down of the system… and exposure of politicians’ ignoranceoriginal ↗
28 Jan 2025
Evidence of rationing and badly too… Artificial Intelligence has potential, but it remains true that we often ration health care randomly, by post code, politically and inefficiently. Social care and Health v Defence – lets choose the long term solution.original ↗
28 Jan 2025
France is better, and survival rates are higher. So are staffing levels, and a healthy universal culture. We have 4 unhealthy systems.original ↗
26 Jan 2025