The regulations extending GP practice boundaries now make it possible for GP practices and trusts to compete for primary care patients from any part of England. The relationship between patients, […]
NHS
William Jeffcoate and Bob Young: Management of diabetic foot ulcers in the community
It is accepted that diabetic foot ulcers (DFUs) cause major disability and distress. They commonly lead to limb loss through amputation and are associated with a five year survival of […]
Ensuring our future doctors are resilient
Medical schools need to do more to foster future practitioner wellbeing and resilience […]
Claire Helm: It is time for a new national planning framework for the NHS to realistically address unfunded growth in demand
Before each financial year NHS providers and commissioners are set performance and financial requirements for the next twelve months. The NHS is under substantial financial and operational pressure. So the […]
David Nicholl: Bawa-Garba—From blame culture to just culture
Hadiza Bawa-Garba, a paediatrician convicted of gross negligence manslaughter, has been granted leave to appeal her erasure from the medical register. The General Medical Council’s (GMC) argument that a manslaughter […]
Pallavi Bradshaw: Are disciplinary procedures in NHS trusts aiding a culture of fear in healthcare?
Ongoing debate around the high profile Bawa-Garba case has thrown the concept of an open, learning culture in healthcare into question.To regain confidence, the law that is applied in gross […]
John Appleby: A dedicated tax to fund the NHS—a zombie policy idea?
We don’t need a new tax to fund the NHS, but rather the political decision to spend more on the NHS […]
Clifford Mann: From a trainee’s perspective the “greener grass” of a consultant post looks like a very tired lawn
The current state of play of UK medical careers is a cause of great concern. The car-crash of events that surrounded the introduction of a new contract for junior doctors […]
The case of David Sellu: a criminal court is not the right place to determine blame in complex clinical cases
In November 2013 a jury at the Old Bailey found surgeon David Sellu guilty of gross negligence manslaughter (GNM). Sellu had performed emergency surgery on the patient James Hughes who […]
Samantha Anthony: Career breaks should be supported, not feared
We owe it to ourselves and to our patients to take time out when we need to […]