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Ambulance: Hunt lied and the DH continue to hide the truth......

Written by RSS Poster Garth Marenghi
Above is a response from the Department of Health (DH) to my MP, Layla Moran who very kindly sent them a question about pre-conditions to negotiation of the junior doctor contract.  The background to this is complex but this specific issue can be summarised fairly concisely.  Jeremy Hunt has repeatedly stated that there were never any 'pre-conditions' to negotiating the junior doctor


Ambulance: The NHS 'crisis'

Written by RSS Poster Garth Marenghi
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 RSS Poster Garth Marenghi
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 RSS Poster Garth Marenghi
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 RSS Poster Garth Marenghi
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 RSS Poster Garth Marenghi
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 RSS Poster Garth Marenghi
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: How to be healthy and smoke cigarettes?

Written by RSS Poster Garth Marenghi
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 RSS Poster Garth Marenghi
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 RSS Poster Garth Marenghi
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




Latest Garth Marenghi Stories

Hunt lied and the DH continue to hide the truth......
The NHS 'crisis'
The dampest squib - Shape of Training outcome
Breathtaking incompetence - a monumental shambles in their hands
The BMJ talks a good talk.....

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