Pioneering integrated care
Today 14 sites across England are to be named as ‘pioneers’ for integrated care. When I was on the panel interviewing the prospective pioneers in September, two things stood out: first, for a service ...
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Shared decision making: skills trump tools, attitudes trump all
Two weeks ago we brought together over 100 people to mark the end of our MAGIC programme, which supported teams to embed shared decision making in everyday clinical practice. There were some great ins...
Transforming urgent and emergency care services in England
Sir Bruce Keogh, Medical Director at NHS England, has today recommended a wide ranging reconfiguration of urgent and emergency services in his phase 1 review of urgent and emergency care. We provided ...
Sink or swim: the future for pharmacy
A few years ago, improbably, I ended up presenting a BBC2 series, The Victorian Pharmacy. The unlikely storyline was that myself and two historians, gussied up in period clothes, were developing a hig...
Measurement and data: the Hard Truth
Today, the government published Hard Truths, its response to the recommendations of Sir Robert Francis, following his inquiry into the failures of care at Mid Staffordshire NHS Foundation Trust. It’s ...
The role of rules and regulation in patient safety
Like most parents, I want my children to become good, honest, responsible adults. But which parenting techniques will turn my hope into reality? How do I get my daughters (currently aged two and four)...
Smart sensors and wearable tech: the future for the NHS?
We often lament how off the pace the NHS is in harnessing the power of the internet. The rest of our lives have been transformed by the ability to access information, book flights and buy anything fro...
The specialist/generalist debate
The recent publication of the report from the Commission on Generalism, established by the Health Foundation in partnership with the Royal College of General Practitioners, stirred some considerable i...
We need to talk about frail older patients
How do you explain the actions of someone who ignores the plight of an older patient in a soiled bed? Or who fails to respond when a patient cannot reach a glass of water and has not eaten her meal? ...
Have I been getting it wrong all along?
One evening last year, I was sitting with James discussing the NHS and our roles within it over a pint of Guinness. He was one of the hospital managers of the trust I was working at and, before long, ...
