You don't need to be signed in to read BMJ Blogs, but you can register here to receive updates about other BMJ products and services via our site.

Michael Dixon: Carpe diem—the politicians have had their day, now it’s time for doctors to seize the initiative

21 Mar, 12 | by BMJ

Michael DixonIt is all over now. The Health and Social Care Bill has been passed. The politicians have moved on, content to leave professionals and managers to pick up the pieces. Whichever side of this exhausting, divisive, and passionate argument you favoured, we are in a different place now. It is no longer a question of should we or shouldn’t we? Instead it is: how do we make this radically different NHS work for our patients? And how do we avoid reasonable fears about the bill from becoming a reality? more…

Peter Bailey: The King’s Shilling

6 Mar, 12 | by BMJ Group

David Cameron and Andrew Lansley assert that a large majority of GPs support their bill. Is it true? Where is the evidence? Is the profession lined up in willing support, eager to take on responsibility for managing the NHS through its greatest crisis? Perhaps we all took the King’s Shilling while in our cups in the taverns and only now are waking up to find ourselves press-ganged aboard a merchantman across uncharted seas in the government’s service. more…

John Gabbay: “We’ll never re-elect you if you wreck our NHS”

28 Feb, 12 | by BMJ Group

So why would a retired professor of public health decide to write a protest song, get his kids to help him record it, his wife to help him with the graphics, and take his first plunge into the dangerous world of YouTube? Isn’t this the fellow that usually writes dusty academic works about evidence-based practice? The answer is that the song was indeed an attempt at evidence-based practice, just one more tool in the struggle to prevent a major threat to the people’s health, namely Andrew Lansley’s Health and Social Care Bill. more…

Peter Bailey: Hot frogs jump

28 Feb, 12 | by BMJ Group

Biology A level classes in the 1970s often involved frogs making the ultimate sacrifice for the benefit of their dissector’s knowledge of what lies beneath the amphibian skin. As far as I remember, it was not however common practice to test the widely-held belief that a frog in a water bath would tolerate a slowly rising temperature and die from heat exposure before attempting to escape. Dedicated scientists have proved that this is not the case. Hot frogs jump. more…

Kailash Chand: The e-petition for the NHS passes 153 000 votes

21 Feb, 12 | by BMJ Group

Kailash ChandThe e-petition calling on the government to drop its Health and Social Care Bill has now reached 153 000 signatures to become the second most popular campaign on Number 10’s official petition site. It already qualified for a debate in the House of Commons, when it passed the 100 000 signatures milestone. Some 90% of general practitioners, celebrities including Stephen Fry, Rio Ferdinand, and Jamie Oliver, three Cabinet ministers, and a good part of David Cameron’s own party (see Tim Montgomery’s blog) don’t want the bill. Rarely have doctors, nurses, and the public been so united on a political question. Sadly, David Cameron is closing his eyes and ears. more…

Chris Ham: Inertia rather than privatisation is the biggest threat facing the NHS

21 Feb, 12 | by BMJ Group

The Prime Minister’s summit on implementing the NHS reforms has provided a new focus for debate about what the reforms will mean in practice. The government’s critics maintain that competition will undermine the core values of the NHS to the detriment of patient care. Some of these critics go further to claim that competition will result in the privatisation of much healthcare provision and the end of the NHS as we know it.

History suggests the need to treat these claims with caution, if not scepticism. Ever since the Conservative government introduced the internal market reforms in the early 1990s, opponents of choice and competition have warned that the future of the NHS is under threat, and yet it is performing better today than ever before. And as Nick Timmins showed in a recent analysis for the Financial Times, the private sector’s share of the market for elective care for NHS patients has remained stable,  giving the lie to the argument that widespread privatisation of provision is inevitable. more…

Helen Jaques: NHS pensions: the saga continues

21 Dec, 11 | by BMJ Group

One story has dominated my first year as news reporter for BMJ Careers: pensions. And what a compelling story it has been. 

The issue kicked off way back in March this year when Lord Hutton set out a raft of changes to public sector pensions, which included ending final salary schemes in favour of career average schemes, increasing the normal retirement age in line with stage pension age (due to creep up to 68 in the next 35 years), and increasing the amount employees pay into their pensions. Come summer the government gave the green light to Lord Hutton’s proposals and set out the details of the contribution increases for 2012-13. It has however remained tight lipped on increases planned for 2013-14 and 2014-15, which could bring the total increase in contributions up to 3.2 percentage points for high earners such as doctors. These suggestions were met with fury from the BMA, which said that doctors were being asked to pay more and work longer for a worse pension. It has also pointed out that the NHS scheme has already undergone an overhaul in 2008 and is filling the treasury’s coffers to the tune of £10.7 billion over the next five years rather than depleting stocks. more…

Martin McShane: Networking

21 Dec, 11 | by BMJ Group

Martin McShane“We need to think about networks and define if they are commissioner or provider led.” I heard this said a few weeks ago. I also heard it said 3 years ago. I think the first time I heard it said was well over 10 years ago.

Creating a taxonomy for networks seems to be a labour for Sisyphus. Having been involved, more than once, in trying to define and clarify the role for networks I have begun to wonder if we are approaching this with the wrong question. Perhaps we should be wondering not what a network is but why do we need networks? more…

Richard Smith: Transparency—the latest panacea

20 Dec, 11 | by BMJ Group

Richard SmithOpening up NHS data to all will bring jobs, economic growth, innovation, a better health service, reduced health costs, and a new age in science. That was the heady message heard by a long dinner table of the good and the great in the House of Commons last week. Most of them seemed to be competing with each other to announce the wonders that transparency will bring. But can it be true and will a few dissenters spoil the vision? more…

Clive Peedell: Campaigning against the NHS reforms: Bevan’s Run

13 Dec, 11 | by BMJ Group

Despite the widespread concern and opposition to the coalition government’s NHS reforms, the Health and Social Care Bill continues on its way towards royal assent, which is likely to happen in the spring of 2012. Opponents of the reforms, including the BMA, are concerned that the legislation will lead to increasing commercialisation, fragmentation, and privatisation of the NHS. The recently leaked DH document on commissioning confirmed fears about privatisation of commissioning support, which led to the BMA Council taking a decision to oppose the whole bill and abandon its “critical engagement” policy. The ongoing issues around the duties and powers of the Secretary of State to provide a comprehensive service, which has been deferred to the Lords report stage next month, also raises serious concerns that denationalisation of the NHS is an intention of the reforms, as described in a recent BMJ article by Pollock and Price. When seen from a wider political perspective, it is clear the intention of the bill is to replace large swathes of the public sector with the private sector. This is also in keeping with the recent White Paper on public services reform. more…

BMJ blogs homepage


Helping doctors make better decisions. Visit site

Creative Comms logo

Latest from The BMJ

Latest from The BMJ

Latest from BMJ podcasts

Latest from BMJ podcasts

Blogs linking here

Blogs linking here