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What’s the deal with Resuscitation?

/ June 29, 2015 at 8:39 PM 1,246 views

It’s hard to miss this topic which has exploded in the media again this week. The lady in front of me on the bus home on Wednesday was reading the Daily Mail. The headline “Do you want us to let…

Patient centred care: Rhetoric and reality

/ June 29, 2015 at 8:38 PM 4,427 views

Published first by the excellent Centre for Health and the Public Interest Patient-centred care is high up the political and policy agendas, with Jeremy Hunt announcing last month, One year on from Francis, my top priority remains to support you in creating a…

We need to have a chat about the NHS

Sue Marsh / June 29, 2015 at 8:36 PM 1,230 views

Lately, I've noticed - indeed been on the receiving end - of a new phenomenon. Suddenly, all over middle England, those drifting gently to the right of a fairly rightish centreground keep popping up on my timelines or in my…

Police mental health

/ June 29, 2015 at 8:34 PM 5,120 views

I am aware that several forces are reviewing, revising or writing afresh their internal policies on mental ill-health for staff. Policies about a force’s duty of care towards their police officers and employees. There are various reasons why this is…

Lobbying MP over new NHS rules

Dr David Wrigley / June 29, 2015 at 8:34 PM 1,996 views

The new NHS laws have many NHS workers and patients worried (including me!) about the direction of travel of the English NHS. So it is time to write (again) to my MP asking him to support and defend a publicly…

Are we human…?

/ June 29, 2015 at 8:33 PM 1,148 views

What’s the NHS for? Can part of its role be to address more than just medical needs? So much of the leading practice seems to be about about trying to re-inject something else – humanity – back into organisations and…

Communication at the end of life

/ June 29, 2015 at 8:32 PM 1,346 views

I call it ‘the grim reaper talk’. By this slightly tongue in cheek phrase I refer to the vital timely episode of communication I have with a patient’s family when we as the multidisciplinary team feel someone has entered the…

Expensive, unhealthy and dangerous

Ned Ludd Carer / June 29, 2015 at 8:32 PM 1,015 views

A comment heard outside here, prompts me to expand a little on some misconceptions about sending people to places like Winterbourne View. Placements like these are often much more expensive than decent community care or local support, it isn't usually…

Attachment

/ June 29, 2015 at 8:31 PM 1,007 views

Sometimes knowing when to stop is one of the hardest things in medicine. I find looking after a patient list so hard because I have lots of sick patients who sometimes die. It's difficult to know how far to go…

From the archive: How to save the NHS

/ October 3, 2013 at 8:37 PM 2,001 views

NHS SOS Edited by Raymond Tallis and Jacky Davis, Oneworld publications Available from Keep Our NHS Public There are few things that staff can agree on in an organisation as vast and multi-cultural as the NHS, but there are two fundamental…

From the archive: NHS SOS

Dr David Wrigley / July 27, 2013 at 8:36 PM 2,349 views

It has taken a year in the making but I was so proud to see the book I had contributed to on a shelf at WHSmith the other day. Last year a few of us sat down and realised we…

From the archive: Policymaking shouldn’t be a bully pulpit

/ March 23, 2012 at 8:31 PM 1,138 views

How we treat other people often reflects how we are treated, and in many organisations this gets established at the top. Workplaces with assholic chief executives easily turn into environments where bullying, passive-aggressiveness and small 'p' politics are rife; once modelled by leaders, these behaviours can become…