“Stroke care was woeful,” said Dame Ruth Carnall, former chief executive of NHS London, in her sobering account of efforts to change the system. Less than 1% of patients had […]
Domhnall MacAuley
Domhnall MacAuley: International Quality Forum, day 1
On welcoming 3300 delegates from 80 countries to the International Quality Forum in London, home of the BMJ, Fiona Godlee (editor in chief, BMJ) asked us to remember the recent […]
Domhnall MacAuley: No easy prescription for physical activity
April 6th was World Physical Activity Day—did you miss it? Probably good news. Best to keep doctors out of it. Let me explain: I believe passionately in the benefits of […]
Domhnall MacAuley: Recognising good medical teachers
What is a good clinical teacher? Asked to host an awards ceremony, I have been thinking about it. At the BMJ we focus on “Helping doctors make better decisions” and […]
Domhnall MacAuley: Evidence Live day two
Gathering evidence is clear straightforward science. Right? Not if you believe the speakers at “Evidence Live.” Today’s presentations were a challenge to believers. Fraud, misconduct, non disclosure of data, and […]
Domhnall MacAuley: Evidence Live
Essentialist or consequentialist? Patrick Bossuyt (University of Amsterdam) introduced this concept at the “Evidence Live” conference. Thinking about diagnostic testing he suggested that, rather than focus on the nuts and […]
Domhnall MacAuley: The future of general practice….is private
What will happen in general practice…now that we have so many part time portfolio doctors, practices where the focus is on performance related income, increasing delegation to practice nurses and […]
Domhnall MacAuley: Speaking of mid Staffs…..
Who should resign this week? The blame game continues with more Mid Staffs finger pointing. As newspapers identify further unpleasant aspects of the wider tragedy, there is a risk that […]
Domhnall MacAuley: A Harley Street at every crossroads
Harley Street. Even the name creates a picture. Executive medicine for the elite, cosmetic surgery for the glitterati, healthcare excellence and no expense spared. It’s more than just a street—it’s […]
Domhnall MacAuley: Politics, health checks, and well meant good intentions
When a politician speaks with passion and commitment about social inequality, I listen. When it is the chairperson of the Committee for Health, Social Services, and Public Safety, I listen […]