A ‘tour de force’ of obfuscation
A note on Sustainability and Transformation Plans in your brand new NHS Obfuscation is the obscuring of intended meaning in communication, making the message confusing, willfully ambiguous, or harder to understand. It may be intentional or unintentional (although the former...
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Why cutting spending on public health is a false economy
Public health spending is under threat. This despite the fact that increasing investment in prevention is the foundation of a sustainable NHS. Cutting these budgets is alarmingly short-termist and indicates a fundamental failure of the government to understand the changing nature...
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Why do older British ex-pats trust Spanish health care?
When we went to talk to British ex-pats who’d retired to Spain, it was not surprising to find them enjoying the ‘good life’. Sun, sea and the ready community of other British retirees all made Mallorca or the Costa Blanca...
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A sense of an ending?
By the time this blog is published on the morning of Friday 8th May, we may be a step closer to knowing what the next UK government is going to look like. Having said that, we may be further away...
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David Cameron, England’s NHS, and the tiger in the bathroom
As it becomes impossible to deny the devastation being wreaked on the National Health Service by 2012’s Health & Social Care Act, who is really pledging to fix it?
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2015: Time for politicians to make a healthy New Year’s resolution
It’s that time of year. Millions of British people resolve to change. Quit smoking. Eat better. Exercise more. Drink less. Breaking a New Year’s resolution is as much a British tradition as making one though. So what can we learn...
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Can we blame the recession for healthcare austerity?
In the early 1990s, following a decade of state retrenchment under Thatcher and Reagan, political scientist Paul Pierson observed that despite repeated efforts to reduce healthcare spending “governments generally found health care to be a cause of political headaches rather...
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To Save or Let Die? Doctors’ Dilemmas in the Chinese Health Sector
In May 2014, a Chinese farmer in Anhui Province cut off his own feet when they deteriorated into severe necrosis, causing unbearable pain. In 2012, a peasant in Hebei province amputated his festering leg using a saw and a fruit...
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On trying to do therapy when your patient has no food or money
Last week, I called someone I was due to see that afternoon to remind them I was coming round (standard practice in learning disability, and good practice in general). ‘How are you?’, I asked. ‘A bit pissed off’, they said....
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‘BREAKING BAD’: markets, healthcare and drug money
The TV series Breaking Bad reached its conclusion at the end of September last year. This acclaimed drama has been described as: the most revered show of the modern golden age of television; as Dostoevsky in the desert; and it...
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Letter from America
A visit to the ‘land of freedom’ with its catastrophic health care costs is a warning not to be complacent about the NHS … Where it’s brushed against poison ivy, Kelly’s skin is badly blistered, a rash slowly spreading down...
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On Brexit, Hamsters & Hungry Pythons!