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Ambulance: Hunt lied and the DH continue to hide the truth......
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1516381560
Ambulance: The NHS 'crisis'
Written by
1516279380
There's no doubt that some of the most used cliches are so widely used for a reason, probably relating to them holding a fair bit of the truth fluid. I think the cliche along the lines of 'you learn most about yourself when times are tough' is a pretty good one. Where am I heading with this? Well I think you can apply it to those within a system in positions of power during times of genuine
Ambulance: The dampest squib - Shape of Training outcome
Written by
1503078420
So the Shape of Training Steering Group have published their final report and I think it's fair to say it's a massive improvement on Professor Greenaway's disastrous first draft. My summary article in the BMJ from 2015 summarises the huge problems with the initial report and the rather dubious political influence upon the review that was taking place off the public record.
The most dangerous
Ambulance: Breathtaking incompetence - a monumental shambles in their hands
Written by
1500385860
I've been reading Rachel Clarke's book over the last few evenings and this is what has inspired me to ramble on the blog today. The mixture of humanity, sharp analysis and reasoned argument makes Rachel's excellent book absolutely essential for anyone interested in medicine, the NHS or healthcare. The way in which the government have ignored precisely this kind of incisive intelligence sums
Ambulance: The BMJ talks a good talk.....
Written by
1492167000
The BMJ does publish some very insightful work at times, I particularly enjoyed Iona Heath's recent piece on 'conflicts of interest within England's NHS':
"Although definitions and guidance about what to declare are useful, the real challenge facing individual clinicians and employers is to find a way to declare interests in a practical and meaningful way. "
I couldn't agree more and the
Ambulance: My thoughts on physician associates et al
Written by
1489411680
I read the latest edition of JTO with interest and noted the comments
from the Editor regarding 'physician associates', as well as the feature by
Anandu Nanu. Certainly it is possible that other allied healthcare
professionals can be used to provide valuable service and this can potentially
improve the training of junior doctors; perhaps medical support workers can be
more cost effective and
Ambulance: How to be healthy and smoke cigarettes?
Written by
1476200040
Ambulance: How to be healthy and smoke cigarettes?
Written by
1476200040
Much has been said about the HSJ roundtable discussion last week, indeed the HSJ's piece relating to this discussion is due in the next few days. So I hear you asking, why am I asking so many questions and probing the exact context to this roundtable event? Firstly this tweet aroused my suspicions, this was tweeted at the end of last week by the HSJ's Editor Alastair McLellan:
It was
Ambulance: The problem with Jeremy Hunt and his fag packet inscribed reforms
Written by
1475661720
First to set the scene, after years of failed negotiation
the government has encouraged NHS Trusts to impose a new contract of employment
upon junior doctors despite it being rejected by a majority of 58% in a recent
contract referendum. Much in the same
way that clinical errors often require a catalogue of failures from multiple
individuals, this junior doctor contract dog’s dinner has
Ambulance: My thoughts on the junior doctor contract vote
Written by
1465462140
This post may be unpleasant reading for some of you but frankly it needs to be said given the way some of the 'debate' is heading. Firstly I'm not going to spin cheap sound bites and propaganda in order to push your opinion into voting 'Yes' or 'No'. It has been clear throughout all this that we are all big enough and ugly enough to analyse the evidence to make up our own minds.
Secondly be