David Zigmond: Money can’t buy you love—the perishing of healthcare’s human heart
Can the important deficits in our NHS be adequately remedied by more money and staff? If not, why not? David Zigmond suggests that a brief survey of the past 100 […]
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David Zigmond: General practice is disintegrating due to its serial reforms
Why is it so difficult to get continuity of care, or even an appointment, with your GP? And why is the GP workforce now so unhappy and depleted? […]
David Zigmond: Dying with, or from, dementia? An important distinction
Last month BBC Radio 4’s Today programme transmitted more ominous alarms about dementia. The rate of our dying from dementia is rapidly increasing, we are informed. But this is a […]
David Zigmond: How and why do we retire? Ill omens for younger doctors
The nature of our departures from our work often tells us much about what kind of problems are being left behind. The individual may escape, but what about the wider […]
David Zigmond: Can we reduce childhood sepsis by more vigilant management? I doubt it
Recently the health secretary, Jeremy Hunt, said “I am determined we blaze a trail across the world in developing a truly safe healthcare system with airline levels of safety.” (Economist […]
David Zigmond: Arguments about money are often about much else
When partnerships break down, money is an expected battleground. One of the most public and fiercely destructive examples is in the disintegrated marriage. Charge and countercharge escalate; then these are […]
David Zigmond: Competence or compliance? The corrosive cost of professional practitioner appraisals
Current appraisal systems sacrifice more of value than they can assure. Clarifying why and how this happens gives us wider insights into our ill faring welfare systems. “The more laws, […]
David Zigmond: “Curing” dementia—medical possibility or political rhetoric?
Talk of “curing” dementia can seriously distract us from the very difficult—yet humbly rewarding—tasks of pastoral care that are bound to increase. “David Cameron has said he wants dementia cured […]
David Zigmond: The extinction of care by treatment—our healthcare’s heart failure
At the end of last year, the media had a brief frisson over another dark story from our NHS: seven recent suicides and one homicide involving people who were acutely […]
David Zigmond: Payments for diagnosing dementia—what are the hidden costs?
Payment by results in matters of complex welfare can easily subtract from, rather than add to, our greater good. The recent and mooted NHS initiative for payment by results—to pay […]