So Liz Truss is now ensconced in Downing Street appointing her new Cabinet. And it looks like it is going to be one of the most socially as well as economically conservative governments in over quarter of a century. This is somewhat surprising given that she is the first Prime Minister of my lifetime who […]
Op-eds
NHS crisis: Never have so many been ignored by so few
The NHS is in an unparalleled crisis and the whole system seems at the edge of breakdown. Everything from care primary from ambulances, A&Es, staffing of hospitals, through to discharge to care is in crisis. Yet, the NHS is being almost ignored in the leadership debate and by the zombie government. Last night, ITV news […]
Tom Arms’ World Review
Europe is burning sounds like the title of an apocalyptic Hollywood blockbuster. Unfortunately it is an accurate newspaper headline as the continent this week sweltered in record temperatures. In normally temperate Britain the thermometer topped 104 fahrenheit. In Spain it reached 109. Spontaneous fires were widespread. The London fire brigade reported its busiest day since […]
Welcome to Obs and Gynae
The camera follows a man on a hospital trolley. He gurns at the audience and is wheeled away with his hand up to some unfortunate woman who is screaming. “Welcome to the NHS” he opines to the audience. We all laugh. It’s the opening of the series “This is going to hurt”. About an obs […]
17 August 2022: Ambulance Domesday in West Midlands
If you live in the West Midlands and are going to fall ill, you better get on with it. Certainly, don’t leave it until 17 August because if you want an ambulance, you may not get one. That’s the apocalyptic prediction from a director of the West Midlands Ambulance Service (WMAS). Ambulance provision in the […]
The NHS is dying … it’s about the workforce
While everyone is focused on the very real and acute cost of living crisis and the war in Ukraine the NHS is quietly imploding, more staff leaving than joining and therefore services collapsing. It’s not simply a matter of throwing more money at it, we are way past that stage, and as we learned from […]
The importance of acknowledging mental health
In November 2020, I had a breakdown. I was a postgraduate student when the news broke that Covid-19 was worse than we thought, resulting in all classes going online. We all thought it would last a few weeks, have a few awkward Zoom interactions, then it would all be over and remembered as a strange […]
A whole systems approach to solving the health and social care crisis
The Health and Social Care Bill currently in the House of Lords is intended to: sort out the under-funding of social care; remove the need for people to sell their houses to pay for their care; promote joined-up service delivery; replace the competitive model with a collaborative one. Sadly, as I wrote here, it appears […]
Mandatory staff vaccines – No apology to sacked care home staff…
Embed from Getty Images Not even an apology! – And I’m not referring to Boris Johnson’s statement on Sue Gray’s Report. Boris did at least say the word “sorry”, even though it was an inadequate, half hearted “apology”. But Sajid Javid made no apology at all, when he made his statement in parliament announcing that […]
When catching up means losing out
Children and young people have spent the last two years trying to learn how to cope with isolation, loss and a world turned upside down. Why do we now need to harass them into making sure they’re at the same academic level as a hypothetical young person who hasn’t spent the last 2 years living […]