Features

CAMHs: "serious and deeply ingrained problems"

By Mike Broad - 9th November 2014

The Health Select Committee concludes that there are serious and deeply ingrained problems with the commissioning and provision of children's and adolescents' mental health service ...

How can the NHS balance decisions on cost and quality?

By Mike Broad - 21st October 2014

A new report sets out new research which explores the importance of having the right relationships, behaviours and environment to deliver better value of care in the NHS. Decision ...

Clinicians offered guidance on spotting child sexual exploitation

By Mike Broad - 1st October 2014

The Academy of Medical Royal Colleges is has published new guidance to doctors and other health professionals designed to help them spot the possible warning signs of child sexual ...

Barker: radically reshape health and social care around need

By Mike Broad - 4th September 2014

The way that health and social care are currently organised and funded creates confusion, perverse incentives and much distress for individuals and families. An independent commis ...

Public needs to better understand A&E services

By Francesca Robinson - 24th July 2014

The UK has a two-tier acute and urgent care system and it is time to have an honest debate with the public about what can and cannot be delivered, and when, according to Sir Br ...

Drive for patient safety as whistleblowing review launched

By Mike Broad - 26th June 2014

A review, led by Sir Robert Francis, has been launched into NHS reporting culture to make it easier for NHS staff to speak up. It follows new data being published this w ...

"We must tackle variations in end-of-life hospital care"

By Mike Broad - 15th May 2014

A new audit on the provision of care for people dying in hospitals has found significant variations in care across hospitals in England. While every patient has differen ...

How do we speed up adoption of new surgical techniques?

By Mike Broad - 13th May 2014

Failure to adopt new surgical techniques quickly into everyday clinical practice means NHS patients are missing out on ground-breaking new procedures, warns a new report from the ...

BME staff can't climb the snowy peaks of the NHS

By Mike Broad - 11th April 2014

A new report by Middlesex University London - called The "snowy white peaks" of the NHS: a survey of discrimination - suggests that black and ethnic minority staff in the NHS conti ...

Dr Paul Flynn's speech to the BMA's Consultants Conference

By Dr Paul Flynn, chair of the BMA's consultant committee - 6th March 2014

This year BMA Council chose professionalism as the theme for its campaigning work, and while we in the Consultants Committee have tended to be preoccupied with the contract negotia ...

MPs' assessment of CQC progress as key regulator

By Mike Broad - 22nd January 2014

Launching a report following the Health Committee's annual accountability hearing with the CQC, committee chair Stephen Dorrell MP said: "The CQC has been a case study in how not t ...

Future of hospitals - round up of key conference talks

By Mike Broad - 10th January 2014

The recent Hospital Directions Conference covered the big issues affecting the future of the NHS. Here is a round up of key stories from the event: Living up to the demands of th ...

Positive contract negotiations key to NHS survival, BMA says

By Dr Mark Porter, chair of BMA council - 3rd January 2014

The period between Christmas and the January credit card bill can be one of nervous denial, but we eventually face up to our excesses and pay for them, in the gym or in the bank. ...

Colleges' reaction to the Shape of Training Report

By Mike Broad - 22nd November 2013

The Academy of Medical Royal Colleges congratulates Professor Greenaway on the Shape of Training report and expresses strong support for the underlying principles. Colleges partic ...

ARMC's Seven Day Consultant Present Care - summary

By Mike Broad - 21st November 2013

A new report by the Academy of Medical Royal Colleges sets out how to achieve seven day consultant present care. The following is the executive summary: It is ethically unjustifi ...

"Private sector partnerships provide NHS with solutions"

By Francesca Robinson - 18th November 2013

The NHS will increasingly forge partnerships with the private sector as it seeks new ways of improving the quality of care it can provide in austere financial times, predicts John ...

Promoting sport and exercise has positive impact on NHS staff

By Francesca Robinson - 12th November 2013

NHS trusts across the North West of England this year staged their third annual NHS Games with hundreds of staff taking part in touch rugby, badminton, rounders, athletics, 5k race ...

Improving child health in the UK: all the recommendations

By Mike Broad - 4th November 2013

The CMO has released a report on child health in the UK suggesting a more preventative approach could save money and improve outcomes. Here are the recommendations in full: 1.) C ...

Shape of Training Review: all the key reaction

By Mike Broad - 29th October 2013

A new report by the Shape of Training Review say a new way of training doctors is needed for a changing healthcare landscape. It says patients will need doctors who are able to pro ...

The grand plan: David Nicholson's letter to NHS leaders

- 21st October 2013

Dear Colleagues, Earlier this year, we published a landmark document: The NHS belongs to the people – a call to action. This document sets out the challenges facing the NHS and m ...

Commissioning for excellence in care homes - a guide

By Mike Broad - 11th October 2013

The British Geriatrics Society (BGS) has published a guide for health service commissioners and planners which sets out what local services should be in place to meet the health ne ...

Competition Commission misunderstands London market

By Keith Biddlestone, group commercial director, HCA International - 30th September 2013

The Provisional Findings of the Competition Commission's investigation into the private healthcare market are a serious disappointment for HCA. Whilst an improvement in the transpa ...

Future Hospital Commission: summary of the vision

By Mike Broad - 14th September 2013

The Future Hospital Commission sets out a radical new model of care designed to encourage collective responsibility for the care of patients across professions and healthcare teams ...

NHS charges for migrants: "impractical and uneconomic"

By Mike Broad - 11th September 2013

Ministers announced in July that non-European long-term visitors could be charged £200 a year for NHS care including GP visits, and short-term visitors charged a fee to see a doct ...

Tweets on how AMUs can deliver a higher quality service

By Mike Broad - 20th August 2013

Four twitter debates about how AMUs (acute medical units) can deliver a high quality professional  service were held during the recent Acute Medicine Awareness Week supported by t ...

Academic Health Science Networks will make a difference

By Francesca Robinson - 20th August 2013

Academic Health Science Networks (AHSNs) present a unique opportunity to pull together the adoption and spread of innovation with clinical research and trials, infomatics, educatio ...

NHS innovation will thrive with more good leadership

By Francesca Robinson - 20th August 2013

Promoting innovation in the NHS is now considered to be critical for improving care and patient outcomes. Sustained innovation at scale and scope involves leadership and good ma ...

Telephone coaching doesn't cut hospital use nor costs

By Mike Broad - 6th August 2013

One-to-one telephone health coaching did not seem to reduce hospital use and related costs for patients with long term conditions – and may even lead to increased use, a study fin ...

A&E crisis: the Health Select Committee response

By Mike Broad - 24th July 2013

The Health Select Committee has investigated the emergency care crisis. Here's a summary of its report: The failure of emergency departments to meet national waiting time targets ...

Second National Audit of Dementa: key findings

By Mike Broad - 23rd July 2013

The first National Audit of Dementia, in 2010/11, concluded that hospitals needed to design and implement an integrated approach to the care of people with dementia and highlighted ...

NHS: IT answers lie in Services Oriented Architecture

By Wayne Parslow, VP EMEA for Harris Healthcare - 21st July 2013

Following the passage of the Health and Social Care Bill, the term 'integration' is now frequently described as 'removing the invisible divide that has for many years sat between p ...

Are managers finally set to become more accountable?

By Mike Broad - 9th July 2013

Directors in charge of care homes and hospitals that allow neglect and abuse to take place could be held personally and criminally accountable for failures in care, under proposals ...

Comprehensive Spending Review: all the key reaction

By Mike Broad - 27th June 2013

Chancellor George Osborne announced his comprehensive spending review this week. While NHS funding was protected, and integrated care promoted, social care is set to struggle after ...

How will CCGs survive? Views from the top

By Francesca Robinson - 25th June 2013

What do CCGs need to do to avoid major reorganisation in three years' time five key opinion leaders were asked at the Commissioning Show. This was their advice: Stephen Dorrell, ...

SAS doctors: "We must grab all opportunities"

By Dr Radhakrishna Shanbhag, chair of the BMA's SAS committee - 20th June 2013

The following is a summary of a recent speech given by Dr Shanbhag, chair of the BMA's SAS committee, at its annual conference: How many of you are aware that SAS grade doctors m ...

Government's framework for health and care integration

By Mike Broad - 25th May 2013

Delegates attending the Health+Care show will be among the first to hear details of a new cross government partnership framework for integration being developed by the Department o ...

"We cannot continue with our current systems"

By Mike Broad - 24th May 2013

The following is a summary of a speech given by health secretary Jeremy Hunt at the King's Fund: We should be clear about the scale of the challenge. One in four of the popul ...

BMA failed to get key messages across during industrial action

By Dr Rob Atenstaedt, consultant in Public Health Medicine, North Wales - 17th May 2013

A 'word cloud' is simply a visual representation of textual word frequency. The more commonly a term occurs in the text being analysed, the larger the word appears in the image g ...

Getting the medical care of frail older inpatients right

By Professor David Oliver, president elect, British Geriatrics Society, and consultant geriatrician, Royal Berkshire NHS Foundation Trust - 11th March 2013

In his long-awaited report, Robert Francis QC acknowledged that much of the poor care and neglect described concerned older patients, stating: "The multiple needs of such patients ...

"We must challenge current assumptions in the NHS"

By Paul Flynn, chair of BMA's consultants committee - 6th March 2013

The following is the chair of the BMA's consultants committee's - Dr Paul Flynn - speech to the annual consultant conference: It seems a long time since last year's conference. B ...

Time to refocus the NHS on quality and dignity

Royal College of Physicians of Edinburgh - 28th February 2013

As doctors, and also as individuals with relatives who may have required hospital admission at some stage, we cannot help but be shocked and deeply saddened by the failings and poo ...

Is there still time to save the NHS from 'rabid competition'?

By Nicola Cutcher and Lucy Reynolds - 26th February 2013

The Department of Health recently - and quietly - released regulations that open up England's NHS to competition on an unprecedented scale. These regulations have started their 40 ...

A study of how the doctor/patient relationship is changing

By Mike Broad - 12th February 2013

House blogger Bob Bury has written a book called "What seems to be the trouble?", which examines the doctor/patient relationship in changing times. It's a right riveting read (Okay ...

Support what the NHS represents - people before profits

By Mike Broad - 27th January 2013

Andy Burnham, shadow health secretary, set out the Labour Party's policy on the NHS and social care at a King's Fund conference, and launched a consultation process. Here is an ext ...

Role of the private sector in delivering acute services

By Francesca Robinson - 29th December 2012

The private sector will increasingly work in a partnership role with the NHS predicts John Myatt, strategic development director at Serco, a British company which operates globally ...

Transforming care in West London: a case study

By Francesca Robinson - 29th December 2012

When Ealing Hospital NHS Trust took on responsibility for managing the community services of the London boroughs of Brent, Ealing and Harrow it was at first a hard job to sell the ...

How can the NHS make more efficiency savings?

By Mike Broad - 14th December 2012

The Department of Health has reported that the NHS achieved £5.8 billion of savings in 2011-12, virtually all of the forecast total of £5.9 billion. A report by the National Audi ...

More flexibility needed in medical training says GMC chair

By Francesca Robinson - 5th December 2012

The head of the GMC has called for more flexibility to be built in to medical training to enable trainees to move from one specialty to another before achieving their CCT. Speakin ...

"Financial incentives may improve hospital mortality rates"

By Mike Broad - 25th November 2012

New research into controversial pay-for-performance schemes has suggested they may help to save the lives of NHS patients. A "significant" fall in mortality rates for certain c ...

GMC says doctors have nothing to fear from revalidation

By Francesca Robinson - 6th November 2012

The launch of revalidation is less than a month away but many doctors are nervous about how the new regulatory system will impact on their working lives. Concerns include: appra ...

Assisted suicide: the law and the role of doctors

By Andrea James - 1st October 2012

Patients asking their doctors for help to end their lives or travel to Dignitas is becoming more and more common. Few can also have been unaware of the Tony Nicklinson and 'Martin' ...

State of medical education and practice: the GMC's take

- 23rd September 2012

The GMC recently released its State of medical education and practice in the UK 2012 which provides a picture of the medical profession and identifies some of the barriers and enab ...

Do you want to be a NICE fellow or scholar?

By Mike Broad - 18th September 2012

Health and social care professionals can now apply for Fellowships and Scholarships provided by the National Institute for Health and Clinical Excellence (NICE). The positions are ...

GMC meets 'standards of good regulation'

By Andrea James - 10th July 2012

Last month was a busy one for GMC-related news: 11 June - Medical Practitioners Tribunal Service Firstly, the Medical Practitioners Tribunal Service came into existence on 11 Jun ...

What did the BMA decide at annual shindig? A summary

By Mike Broad - 2nd July 2012

Last week the BMA held its annual representatives' meeting, in Bournemouth, and set out the direction of its campaigning for the next year. With dramatic health reform being imple ...

Call to action on diabetes diagnosis and patient education

By Mike Broad - 13th June 2012

Diabetes experts have written to a national newspaper calling for more investment in early diabetes diagnosis and patient education. Diabetes UK and a number of senior health pr ...

NHS diabetes services are failing patients, NAO report says

By Mike Broad - 25th May 2012

In 2009-10, there were an estimated 3.1 million people aged 16 years and older with diabetes in England, of which 2.34 million were diagnosed and 760,000 were undiagnosed. NHS spen ...

Pension reforms: BMA discussion on its industrial action ballot

By Mike Broad - 14th May 2012

Last week, the BMA held a 'web chat' on its industrial action ballot over the pension reforms. It featured answers from Mark Porter, of the consultants committee, Radhakrishna Shan ...

Momentum for reconfiguration grows after trust's legal bid fails

By Mike Broad - 22nd April 2012

Children's heart surgery may stop at the Royal Brompton in London after the hospital failed to have the courts reject NHS reorganisation plans as illegal. It is part of a wide ran ...

Revalidation not yet fit for purpose, BMA warns

By Mike Broad - 16th April 2012

The chairman of BMA council has written to the Department of Health warning them that the timescale for introducing revalidation - proposed for November 2012 - is unrealistic. Here ...

Doctors as MPs: read both sides of the argument

By Mike Broad - 25th March 2012

Earlier this month 250 doctors pledged to stand as MPs at the next election in protest at the passage of the Health and Social Care Bill. The following is a response by Conservativ ...

Commission on Improving Dignity in Care - proposals

By Mike Broad - 5th March 2012

The Commission on Improving Dignity in Care for Older People has made a series of recommendations in a bid to improve standards in care homes and hospitals in England. It spent eig ...

The Bill: NHS set to inherit riskier, more costly patients

By Mike Broad - 22nd February 2012

The following is the conclusion of a new report by the LSE's Centre for Economic Performance which suggests that competition can improve the performance of NHS hospitals but that w ...

Health and Social Care Bill: what the colleges think

By Mike Broad - 6th February 2012

The government faces mounting opposition to the Health and Social Care Bill as it enters the final stages in the Lords. The BMA had been joined in outright opposition to the Bil ...

NHS pension proposals: the war of words as it happened

By Mike Broad - 23rd January 2012

A war of words has broken out between the BMA and the Department of Health following the former's survey of members' opinion on the latter's NHS pension proposals. Eighty four per ...

Salient - if depressing views - of the NHS challenges in 2012

By Mike Broad - 29th December 2011

It's that time of year when the great and good send out their New Year messages i.e. there's not a lot of news around in late December and there's a good chance that a punchy opini ...

Care for high risk surgery patients is coming up short

By Mike Broad - 12th December 2011

The care given to high-risk surgery patients is falling short of acceptable standards, an independent review says. The National Confidential Enquiry into Patient Outcome and Dea ...

How can we meet the demand for medical generalism?

By Mike Broad - 23rd November 2011

The career aspiration of most young doctors is to become a specialist. From the day they walk into medical school they are largely taught by consultants with impressive job titles ...

Canada's example: NHS needs more leadership and honesty

By Mike Broad - 20th October 2011

The government will have to be more upfront about the need to change the way patient care is delivered in the NHS in England. This was the main conclusion of a joint seminar betwee ...

We need 'prompted' choice systems for organ donation

By Mike Broad - 16th October 2011

The NHS should paying for the funerals of organ donors to help tackle the current shortage of organs, a report claims. The Nuffield Council on Bioethics suggests that this would ...

Will 'consultant incentives' be common in a reformed NHS?

By Melanie Newman - 7th October 2011

Advocates for more competition in the NHS should pay attention to the Office of Fair Trading's recent statement on financial incentives offered to private doctors. The trade body ...

Letter from public health doctors criticising the Health Bill

By Mike Broad - 4th October 2011

The following letter appeared in the Daily Telegraph this week criticising the Health and Social Care Bill: Dear Sir, As public health doctors and specialists from within the N ...

A full listing of the 2011 national CEA recipients

By Mike Broad - 29th September 2011

The ACCEA has finally published the list of those doctors who were successful in applying for new national clinical excellence awards in the 2011 round. Bronze awards are worth £3 ...

"Doctors need to be better equipped to deal with change"

By Mike Broad - 19th September 2011

A new GMC report draws a picture of the medical profession in the UK and seeks to identify some of the challenges that persist. In the report, called The State of Medical Educat ...

Open letter to royal college presidents on Health Bill

NHSCA - 9th September 2011

The following is an open letter from the NHS Consultants Association, signed by over 180 doctors, to the royal college presidents regarding the Health and Social Care Bill: "The A ...

The advantages of electronic billing in private practice

By Mark Jones - 8th September 2011

When consultant physician Dr Adrian Draper first started practising privately eight years ago, he made the decision to manage his own medical billing, rather than devolve the work ...

MPs say PFI is expensive and needs significant reform

By Mike Broad - 24th August 2011

PFI is no longer providing value for money and requires significant reform, an influential committee of MPs has said. The all-party Commons Treasury committee said the long-term ...

"Revalidation must identify problem doctors earlier"

By Mike Broad - 27th July 2011

The cross-party health select committee has released a report evaluating the performance of the GMC and Nursing and Midwifery Council (NMC) generally, and the progress of revalidat ...

Evaluation of the revalidation pilots: summary for doctors

By Mike Broad - 19th July 2011

A report evaluating the success of the pathfinder pilot in introducing revalidation has been released. The pilot involved ten sites where over 3,000 doctors undertook strengthen ...

Lack of detail on training reforms worries juniors

By Francesca Robinson - 12th July 2011

Plans for the future of deaneries and medical education are so vague that they risk becoming the Achilles heel of the government's entire reform package for the NHS, juniors are wa ...

NHS complaints system is not working, MPs say

By Mike Broad - 4th July 2011

The NHS complaints system is not working, says the Commons Health Committee. The Health Select Committee has found that the role of the Health Service Ombudsman needs a complete ov ...

Scottish government urged to implement trainees' charter

By Mike Broad - 20th June 2011

A new charter for medical training has been launched in Scotland in a bid to raise quality and patient safety. The charter from the Royal College of Physicians of Edinburgh foll ...

Government says "yes" to reform changes - all the key reaction

By Mike Broad - 15th June 2011

The government has said it will make the changes to the Health and Social Care Bill recommended by the Future Forum report. Here's all the key reaction: Chris Ham, chief exec ...

Future Forum's report on NHS reform: at-a-glance

By Mike Broad - 14th June 2011

Here's an at-a-glance guide to the Future Forum's recommendations on the Health and Social Care Bill, courtesy of GP online. In April, the government halted the parliamentary pr ...

Lansley interview: "Creating opportunities for patient's voice"

By Mike Broad - 8th June 2011

Health secretary Andrew Lansley was recently interviewed by Professor Derek Bell, director of the National Institute for Health Research's collaboration for leadership in applied h ...

"Make all doctors part of commissioning"

By Mike Broad - 31st May 2011

Hospital specialists, and not just GPs, should be appointed to consortium boards and be a central part of all commissioning decisions to make sure patients receive integrated care. ...

"NHS is under-managed but over-administered"

By Mike Broad - 23rd May 2011

The NHS is under-managed but over-administered, a report from the King's Fund finds. It calls for a new style of leadership to overcome unprecedented financial pressures and adapt ...

"Quality of coded data is clinicians' responsibility"

By Mike Broad - 16th May 2011

A report by the NHS Information Centre - and endorsed by the Academy of Royal Medical Colleges - urges clinicians to improve the quality and value of their hospital data. The foll ...

"Tighten laws allowing European doctors to enter UK"

By Mike Broad - 4th May 2011

Doctors' leaders have urged the European Commission to update laws allowing doctors to work anywhere in Europe to protect patients. The BMA told the EC that existing rules coverin ...

Health Select Committee report - commissioning proposals

By Mike Broad - 5th April 2011

The government's plans to reform NHS commissioning need to be significantly changed, the Health Select Committee has warned in its new report. The all-party committee of MPs propo ...

"Health and social care need to continue upward trend"

By Mike Broad - 4th April 2011

The Care Quality Commission, the independent regulator of all health and adult social care in England, has just published its second annual report to Parliament. It provides insig ...

RCP's view on improving the working time regulations

By Mike Broad - 4th April 2011

The Royal College of Surgeons, the NHS Confederation and the BMA have all called for changes to the compensatory rest aspect of the working time regulations and how the directive a ...

Study on an International MD Program in Italy

By Mark Jones - 4th April 2011

Vita-Salute San Raffaele University is part of the San Raffaele Foundation which includes hospitals, research centres and the Vita-Salute San Raffaele University. San Raffaele is ...

Japan: the devastating health implications of the tsunami

The Lancet - 23rd March 2011

In the immediate aftermath, the aid and medical response to the earthquake and tsunami that struck Japan on 11 March has been complicated by the sheer scale of the devastation, wid ...

Reconfiguration of hospital services is necessary but difficult

By Mike Broad - 8th March 2011

The NHS is entering a period of unprecedented financial challenges that will result in major changes to the provision of health services. While all areas of health care will be aff ...

"Doctors and managers must not forget the lessons of Stafford"

By Dr Paul Woodmansey, consultant cardiologist at Mid Staffordshire NHS Foundation Trust - 23rd February 2011

This article first appeared in a recent issue of the RCP's Clinical Medicine. Stafford Hospital, or as it is more usually referred to in the press, the 'beleaguered', 'troubled' o ...

Health Bill: what the RCP would like to see changed

By Mike Broad - 20th February 2011

The Health and Social Care Bill proposes significant change to the NHS. Key proposals include: • Abolishing PCTs and SHAs by 2013. • Giving new consortiums of GPs across En ...

Revalidation and the GMC: Health Select Committee reports

By Mike Broad - 8th February 2011

The GMC should be accountable to Parliament, the Health Select Committee has concluded in its inquiry into the regulator's proposals for revalidation. The GMC is formally accounta ...

View from the US: changing roles, changing hospitals

By Robert Wachter, MD, professor and associate chairman of the Department of Medicine at the University of California, San Francisco - 3rd February 2011

I recall with fondness many meetings in 1996-98, when the hospitalist field was still in its infancy. We had invented a new medical specialty, and our gatherings were vibrant and p ...

NHS reform: too soon to let GP consortia out of the lab

By Tony Delamothe, deputy editor of the BMJ, and Fiona Godlee, editor in chief of the BMJ - 22nd January 2011

The following editorial was published in the BMJ on 21 January: What do you call a government that embarks on the biggest upheaval of the NHS in its 63 year history, at breakneck ...

Academy: CEAs continue to be relevant and justifiable

By Mike Broad - 12th January 2011

The Academy of Medical Royal Colleges recently submitted its views on clinical excellence awards to the Review Body on Doctors' and Dentists' Remuneration, which is currently revie ...

A letter to the BMA: it's time for Plan B over the white paper

By Dr Clive Peedell, consultant clinical oncologist, James Cook University Hospital and co-chair of the NHS Consultants' Association - 5th January 2011

The following letter appeared on BMJ online: Dear Hamish Meldrum, Laurence Buckman, and all members of the BMA general practitioners committee, After the publication of the healt ...

Raise NHS productivity through pay contracts, NAO study urges

By Mike Broad - 29th December 2010

NHS pay contracts introduced since 2003 have increased costs without driving productivity improvements, a National Audit Office study finds. The following is a summary of the Mana ...

Pushing ahead with NHS reform in England - all the key reaction

By Mike Broad - 16th December 2010

The government is to push ahead with big structural changes to the NHS in England. PCTs are to be abolished and, from 2013, family doctors will plan and commission healthcare and ...

Liberating the NHS - reaction from a Parliamentary group

By Mike Broad - 6th December 2010

The All Party Parliamentary Group on Primary Care and Public Health has produced a report urging the government to rethink the scale and pace of its proposals, embodied in the whit ...

Time to shine some light on shadowy PFI contracts

By Oliver Huitson - 29th November 2010

The billions of pounds worth of commitments tied up in Britain's 'public-private' state must be opened up to transparency and scrutiny, argues an Our Kingdom report. The spendin ...

The people behind 'Liberating the NHS' reform. Part 3

By Stewart Player and Colin Leys - 22nd November 2010

In the final feature of this series of three, we examine what the coalition's plans - embodied in Equality and Excellence: Liberating the NHS - mean for the health service and who ...

Interview: Dr Heyworth, College of Emergency Medicine

By Mike Broad - 18th November 2010

Hospital Dr invited Dr John Heyworth, president of the College of Emergency Medicine, to answer 13 questions and complete a half finished sentence. 1. What is the biggest challeng ...

Will US-styled healthcare make the NHS better? Part two

By Stewart Player and Colin Leys - 8th November 2010

The ideologues behind the Tory plan, Equity and Excellence: Liberating the NHS, maintain that competition makes healthcare providers more efficient. But the evidence from the US s ...

Interview: Andrew Lansley, health secretary

Royal College of Physicians - 3rd November 2010

The following interview with Andrew Lansley, secretary of state for health, is reproduced with the kind permission of the Royal College of Physicians. The interview was first pub ...

What do the plans for NHS reform really mean? Part one.

By Stewart Player and Colin Leys - 31st October 2010

The coalition government's plans for the NHS represent the final conversion of healthcare into something to be bought, with really good care going to those who can pay for it and o ...

Liberating the NHS white paper - all the representatives' reactions

By Mike Broad - 19th October 2010

The white paper Equity and Excellence: Liberating the NHS proposes a significant and controversial shake up of primary care. It intends to increase the commissioning responsibiliti ...

GMC view of training under the Working Time Directive

By Mike Broad - 12th October 2010

The GMC says that it will not hesitate to intervene if juniors are prevented from receiving adequate training or expected to take on tasks which are beyond their competence. The r ...

BMA's response to Equity and Excellence: Liberating the NHS

By Mike Broad - 3rd October 2010

The white paper Equity and Excellence: Liberating the NHS, recently launched by the coalition government, proposes a significant and controversial shake up of primary care. There ...

Longer term view of spending needed for chronic conditions

By Mike Broad - 28th September 2010

Ten health charities have produced a report calling on the NHS to take a long term view of spending on care for people with chronic conditions such as heart disease and cancer. Th ...

Tackling "fundamental weaknesses" in cosmetic surgery

By Mike Broad - 20th September 2010

There are fundamental weaknesses in the way cosmetic surgery is carried out in the UK, an official review body says. The National Confidential Enquiry into Patient Outcome and Dea ...

"Bariatric surgery increase would pay for itself in one year"

By Mike Broad - 13th September 2010

Failure by the NHS to provide cost-effective surgical treatment for morbid obesity is costing the wider economy hundreds of millions of pounds a year, research finds. The report ...

David Kelly: campaigning doctors close in on full inquest

By Mike Broad - 2nd September 2010

The campaign for a full inquest into David Kelly's death has taken an important step forward with the attorney general's office reportedly examining files relating to the weapon in ...

Clinical Excellence Awards: a full listing of recipient doctors

By Mike Broad - 10th August 2010

The ACCEA has halved the number of clinical excellence awards handed out nationally in 2010. Only 317 national awards have been given to senior doctors in England and Wales. Th ...

Guidance strives to boost confidence in genetic testing

By Mike Broad - 6th August 2010

The government is seeking to introduce better protection for consumers using private genetic testing services through new guidelines launched this week. There's a growing fear ...

NHS outcomes framework consultation: submit your views

By Mike Broad - 25th July 2010

The white paper, Equity and Excellence: Liberating the NHS, set out the government's intention to achieve better outcomes in the NHS and become more responsive to patients' needs. ...

Emergency hospital admissions: how do we reverse the rise?

By Mike Broad - 12th July 2010

The number one issue facing the NHS in England is reversing the 'unsustainable' rise in emergency hospital admissions, the think tank Nuffield Trust has warned. Its study reveals ...

How to redesign mental health services - a summary

By Mike Broad - 2nd July 2010

The Royal College of Psychiatrists has made 17 new recommendations for the redesign of mental health services. The paper, Looking Ahead: Future development of UK mental health serv ...

Interview: Dr Porter, chair of BMA's consultants committee

By Mike Broad - 28th June 2010

Hospital Dr invited Dr Mark Porter, chairman of the BMA's consultants committee, and consultant anaesthetist in Coventry, to answer 13 questions and complete a half finished sente ...

Temple's recommendations on medical training under the WTD

By Mike Broad - 23rd June 2010

The Working Time Directive was fully implemented into the NHS in August 2009. Widespread concern has emerged about the ability of the NHS to continue to deliver safe services and ...

McKinsey's vision for raising productivity in the NHS

By Mike Broad - 9th June 2010

The full scale of controversial plans drawn up by management consultants to raise the productivity of consultants across England has been revealed. A report produced for the previ ...

CMO's view of 2009: swine flu, alcohol pricing and quality

By Mike Broad - 26th May 2010

Prof Sir Liam Donaldson, the Chief Medical Officer for England, stands down this week. He's been in post for 12 years, during the same period as the Labour government. His annual r ...

The coalition government's priorities on healthcare

By Mike Broad - 24th May 2010

The government has published its plans for the NHS, merging the policy commitments of the two parties. The document, called The coalition: our plans for government, starts by say ...

Barriers to career progession for medical managers

By Mike Broad - 10th May 2010

A new study involving 22 trust chief executives with medical backgrounds provides important insight into medical leadership within the NHS. Medical chief executives in the NHS c ...

Harnessing the benefits of the independent sector - a briefing

By Mike Broad - 30th April 2010

NHS Partners Network, which represents independent sector health organisations, has launched a briefing document entitled Harnessing the benefits of the independent sector: priori ...

Royal colleges speak out in favour of service reconfiguration

By Mike Broad - 29th April 2010

A group of leading medical organisations have sent a letter to The Guardian in support of service change. They fear the debate is being misrepresented in the media. Here is the le ...

Interview: Professor Stephenson, president of the RCPCH

By Mike Broad - 22nd April 2010

Hospital Dr invited Professor Terence Stephenson, president of the Royal College of Paediatrics & Child Health (RCPCH) to answer 13 questions and complete a half written senten ...

After 13 years of Labour, do we have a high performing NHS?

By Mike Broad - 13th April 2010

Opposition parties are painting a picture of an NHS with major deficiencies. The Labour government, however, believes that the NHS is 'good' but needs further transformation to bec ...

At-a-glance guide to Obama's healthcare reforms in the US

By Mike Broad - 29th March 2010

After a rough ride, Democrats in the US have begun to seize back control of the healthcare debate. A package of amendments to the landmark US healthcare reform law, which extends ...

A manifesto for the NHS: the RCP's ten-year vision

By Mike Broad - 22nd March 2010

The Royal College of Physicians has launched a manifesto ahead of the general election hoping to influence the health policies of the next government. Introducing the manifesto, ...

Political parties' healthcare proposals: at-a-glance guide

By Mike Broad - 13th March 2010

What do our political parties stand for when it comes to healthcare policy? With an election looming, most probably on 6 May, it's time to examine their political promises. The fol ...

Revalidation: it's time to express your opinions to the GMC

By Francesca Robinson - 9th March 2010

The GMC has launched a consultation on revalidation and is seeking the profession's feedback to help them shape the final process. The consultation asks 20 questions covering: 1 ...

What has been the impact of the market in the NHS?

By Mike Broad - 9th March 2010

A new study, by think tank Civitas, has questioned the achievements of NHS reforms in introducing competition and driving performance. NHS 'internal' or 'quasi' market policies in ...

Interview: Prof Sir Neil Douglas, chairman of AMRC

By Mike Broad - 2nd March 2010

  Hospital Dr invited Prof Sir Neil Douglas, chairman of the Academy of Medical Royal Colleges, to answer 13 questions and complete a half finished sentence. 1. What is the ...

Leadership in the NHS: leaving the comfort zone

By Bob Mathers - 28th February 2010

As classical scholars know, the god of the doorway is Januarius. At his annual reappearance, most of us begin to look to the year ahead with renewed optimism and ambition. We are ...

Marmot Review: Reducing health inequalities in England

By Mike Broad - 20th February 2010

In November 2008, Professor Sir Michael Marmot was asked by the health secretary to chair an independent review to propose the most effective evidence-based strategies for reducing ...

Haiti earthquake - the medical challenges one month on

By Francesca Robinson - 19th February 2010

One month after the devastating earthquake struck Haiti, the numbers are still difficult to digest: it caused more than 200,000 deaths and 300,000 injuries. Some of the first Brit ...

Employment rights when applying for training jobs

By Mike Broad - 15th February 2010

Campaigning group Remedy recently forced the government, following a legal challenge, to delay their plans to exempt deaneries from employment agency legislation. This is of signi ...

How major trauma care in England should be run

By Mike Broad - 12th February 2010

There are at least 20,000 cases of major trauma each year in England, the most common cause being a road traffic accident, which results in 5,400 deaths. There are currently 193 ...

FTN paper on cutting consultant's terms & conditions

By Mike Broad - 10th February 2010

This is the full text of the Foundation Trust Network (FTN) document leaked to Unison and then run originally in The Guardian: 1. Introduction In July 2009 FTN undertook a surve ...

Review into the regulation of education and training

By Mike Broad - 8th February 2010

The GMC is going through an enormous period of change, with the introduction of revalidation, the merger with PMETB and the shift in responsibility for adjudication in fitness to ...

Interview: Prof Sir Sabaratnam Arulkumaran, RCOG president

By Mike Broad - 8th February 2010

Hospital Dr invited Professor Sir Sabaratnam Arulkumaran, president of the Royal College of Obstetricians and Gynaecologists (RCOG), to answer 12 questions and complete a half fini ...

The General Medical Council's strategy 2010 to 2013

By Mike Broad - 1st February 2010

The GMC is entering a defining period. Many of initiatives intended to make it more accessible, independent and attentive are coming to pass. Revalidation is finally happening, ...

Interview: Prof Ian Gilmore, president of the RCP

By Mike Broad - 25th January 2010

  Hospital Dr invited Prof Ian Gilmore, president of the Royal College of Physicians to answer 12 questions and complete a half finished sentence… 1. What is the biggest ch ...

Twelve step plan for boosting the public's health

By Mike Broad - 21st January 2010

The Royal Society of Public Health and UK Faculty of Public Health want the political parties to adopt a 12-step wish list to boost the nation's health. They claim practical steps ...

Look after yourself as well as your patients

By Susan Kersley - 21st January 2010

When you are overwhelmed with the pressures of working at the hospital, you may be neglecting your own health and well-being. We often spend too much of our time and energy looking ...

A plan for rescuing the UK's medical research sector

By Mike Broad - 17th January 2010

Academy of Medical Sciences (AMS) has contacted the major political parties ahead of the general election to outline its vision for UK medical science. It claims that groundbreak ...

The Revenue offers tax-avoiding consultants an amnesty

By Mike Broad - 12th January 2010

The economic downturn is having far reaching consequences for hospital doctors. Not only is it threatening the funding of their services, and their pay rises, for years to come ...

The Conservatives' health manifesto: at-a-glance

By Mike Broad - 7th January 2010

The New Year has brought the opening salvos of the general election campaign, which is expected to be held in May. This week, the Conservatives published the first chapter of i ...

Advice on integrating with the medical community

By Susan Kersley - 3rd January 2010

When you are a doctor one of the major challenges is about belonging to the 'medical community'. As a junior, staff grade or consultant, you are also part of a part of that communi ...

Political differences in privatising NHS services

By Mike Broad - 2nd January 2010

As we enter a general election year, many are wondering what the differences are between Labour and the Conservatives when it comes to health. It's a subject we'll be returning to ...

Tips on making your New Year's resolutions a reality

By Susan Kersley - 16th December 2009

As we come to the end of another year it's that predictable time for time to both reflect and look forward to a better life in 2010. The New Year is also a time for resolutions a ...

"From good to great": Andy Burnham's five-year plan

By Mike Broad - 13th December 2009

Health secretary Andy Burnham addressed NHS chief executives last week, and he used the opportunity to outline a five-year plan for the NHS. He described it as upbeat, gritty an ...

Interview: Mr John Black, president of the RCS

By Mike Broad - 8th December 2009

Hospital Dr invited Mr John Black, president of the Royal College of Surgeons of England to answer 12 questions and complete a half finished sentence... 1. What is the bigge ...

Sustainable future sought for the NHS by BMA's election manifesto

By Mike Broad - 3rd December 2009

With a General Election due to be called at some stage in the next few months, the BMA launched its manifesto - Standing up for doctors, Standing up for health - this week. It off ...

The challenges for Iraqi doctors in working abroad

By Shatha Al Juburi - 27th November 2009

Figures suggest the number of Iraqi doctors in Britain has exceeded 5,000, with more than 3,800 living in London alone. They can count former minister Lord Ara Darzi, whose real na ...

Time to discuss direct payments and personal health budgets

By Mike Broad - 24th November 2009

The Health Act, which received royal assent on 12 November, will introduce direct payments into health care.  Direct payments will be one way of delivering a personal health bu ...

Advice for doctors on managing end-of-life care

By Dr Michael Devlin, deputy head of advisory services at the MDU - 23rd November 2009

Poor communication between doctors, and with patients and relatives, is compromising good end-of-life care according to the recently published National Enquiry into Patient Outcome ...

Improving cultural awareness in your communications

Bob Mathers - 18th November 2009

A company, Today Translations, recently placed an advert in The Glasgow Herald seeking speakers of 'Glaswegian'. Candidates, it said, must understand "vocabulary, accent and nuanc ...

Interview: Prof Peter Rubin, chair of the GMC

By Mike Broad - 12th November 2009

Hospital Dr invites Professor Peter Rubin, chair of the GMC, and Professor of Therapeutics at the University of Nottingham, to answer 12 questions and complete a half writt ...

The Conservative Party reveals its priorities for the NHS

By Mike Broad - 12th November 2009

The Tories recently released their five priorities healthcare. It's as long on rhetoric, as it's short on detail - but that's to be expected for such a politicised document. It doe ...

Communicating to influence in a multi-disciplinary world

By Bob Mathers - 9th November 2009

"Communications technology is shrinking the world." But one consequence is that technology is sidelining our personal ability to communicate. Is the cause: 1. Generational? Most ...

At-a-glance: BMA's select committee submission on PFI

By Mike Broad - 3rd November 2009

The select committee on economic affairs is currently running an inquiry into private finance projects and off-balance sheet debt. Last month, the BMA submitted a response on PF ...

South Asian doctors deserve recognition for their contribution

By Mike Broad - 28th October 2009

Migrant doctors have made a huge contribution to the NHS over the past 60 years and yet it has gone largely unrecognised. In an attempt to rectify this, researchers at the Open ...

Tips on how to open better channels of communication

By Bob Mathers - 21st October 2009

The biggest barrier to communication is other people. We know they are affected by moods, stresses, hidden agendas, personal insecurities, etc. While we cannot change their persona ...

Summary of the Annual Health Check of NHS trusts

By Mike Broad - 20th October 2009

The Care Quality Commission is responsible for assessing and reporting on the performance of all NHS organisations in England against measures and priorities set by government. ...

Breaking down the barriers to female medical leadership

By Mike Broad - 16th October 2009

A new report, called Women Doctors: Making a Difference, identifies the barriers preventing female doctors from reaching senior positions and sets out how to address them. It's be ...

Interview: Dr Christine Tomkins, MDU chief executive

By Mike Broad - 14th October 2009

Hospital Dr invites Dr Christine Tomkins, chief executive of the MDU, to answer 12 questions and complete a half written sentence: 1. What is the biggest challenge ...

The introduction of modules - or credentials - into training

By Patricia Le Rolland, PMETB's director of quality, and Dr John Jenkins, chair of the Credentialing Steering Group - 12th October 2009

Credentialing - or modules, as some call them - in postgraduate medical education and training has been frequently debated in recent years. The definitions and arguments surroun ...

Health pressures mount globally for the big economies

By Mike Broad - 5th October 2009

A report by the Economist Intelligence Unit examines the challenges facing different healthcare systems around the world. For all the different permutations in healthcare system ...

ISTC programme at a cross roads over damning evidence

By Mike Broad - 29th September 2009

There's nothing new in the quality of care at Independent Sector Treatment Centres being questioned. It has been going on for years. But, significantly, it's increasingly based on ...

Managing time enables doctors to improve effectiveness. Part 3

By Bob Mathers - 22nd September 2009

Doctors are increasingly seen as 'managers', people who manage. But why are a few much more effective than the rests? Research indicates it is energy and focus which separates 90% ...

How can consultants cope with change and learn new skills

By Dr Anita Houghton - 16th September 2009

One of the most difficult problems with imposed change is when it goes against what you believe is right. This is a values issue and values are, by their nature, strong and hard to ...

British consultants set the record straight in US health debate

By Mike Broad - 14th September 2009

Members of the public and politicians all twittered their support for the NHS when it was criticised by American Republicans this summer, but a group of consultants has taken a mor ...

Techniques for consultants to manage their time. Part 2

By Bob Mathers - 7th September 2009

In the second part of this series, we look at how a doctor has to establish their priorities in order to manage their time effectively. Personal goals are the reference points ...

Campaign calls on NHS to take a lead on climate change

By Mike Broad - 7th September 2009

So, how are you or your trust going to cut your carbon emissions by 10% over the next year? That's the question that a new, high profile campaign, called 10:10, is asking of eve ...

How can consultants gain more control over their time? Part 1

By Bob Mathers - 24th August 2009

Our time doesn't just depend on us. In a doctor's day-to-day life, fatigue, stress, interruptions and real life keep intervening. Managing handovers, planning work then re-plannin ...

Making more of mentoring schemes for NHS doctors

By Mike Broad - 22nd August 2009

Mentoring is like motherhood and apple pie, it's hard to dislike as an idea. In many organisations, all over the country, HR will suddenly get excited about introducing a mentorin ...

Tips on cutting medical jargon and improving communication

By Dr Emma Cuzner, MDU medico-legal adviser - 17th August 2009

Doctors and the NHS were criticised recently for using "inaccessible language" by the Plain English Campaign. The growth in management-speak in the NHS - with such phrases a ...

Government's unequivocal response to WTD petition

By Mike Broad - 10th August 2009

The government has responded to a petition on the 10 Downing Street website calling for trainee surgeons to be allowed to work up to a 65-hour week, rather than the 48-hour week wh ...

Getting NICE to better support medical innovation: a briefing

By Mike Broad - 5th August 2009

Earlier this year Sir Ian Kennedy was asked by Sir Michael Rawlins, the chairman of NICE, to undertake a study into medical innovation, in response to views expressed by Sir David ...

Time to review the policy of testing doctors for HIV

By Mike Broad - 16th July 2009

New research by the Journal of Medical Ethics questions whether routine HIV testing of healthcare workers is ethical and should continue. It reveals that juniors are being inappro ...

Consultant role has transformed - have you kept up?

By Dr Anita Houghton - 3rd July 2009

In my first article, Coming to terms with being a consultant, I reflected on the pressures on consultants to change, and how hard this can be for people who have been working in a ...

UK's reputation for research and innovation under threat

By Mike Broad - 24th June 2009

On the face of it, the staffing levels of medical clinical academics in medical schools have improved. The annual staff survey published recently by the Medical Schools Council sh ...

Will women have what it takes to lead the profession?

By Mike Broad - 18th June 2009

There's much to celebrate on the advancement of women within the medical profession. It wasn't so long ago that women faced considerable, and at times seemingly insurmountable, ba ...

Coming to terms with being a consultant

By Dr Anita Houghton - 26th May 2009

NHS consultants are no strangers to change, so the implementation of the 48 hour week should not come as any great shock to the system. After all, we've handled regular restructuri ...

Juniors lack confidence in MMC

By Mike Broad - 21st April 2009

Doctors continue to have little confidence in standards of training and care delivered under Modernising Medical Careers (MMC), a survey by Remedy UK reveals.  Despite a y ...

Review of prescription charges

By Mike Broad - 21st April 2009

In April, prescription charges for cancer patients in England were abolished. While oncologists are relieved that the government has removed a significant deterrent to their pat ...

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