Every year I lead a group of health care leaders on a study trip of medical and other organisations in Seattle, an American city with a rich and diverse health care […]
Latest articles
Desmond O’Neill: An appalling (Irish) vista
It is sad that the memory of Lord Denning, the eminent jurist, will always be associated with the unhappy phrase “appalling vista,” pronounced during the appeal hearing of the Birmingham […]
Jonathan Segal: Are we creating a generation of uninspired doctors?
So the time has come for junior doctors to plunge themselves into a specialist career. Should this be time for excitement? Time to step up to commitment? Or time to […]
Julian Sheather: On the terrible instability of opinion
We live in momentous times. Foundations are being shaken; long-held assumptions overthrown. The relationship between citizen and state is being redrawn. Consider only the health service. So much that seemed […]
Simon Wright: How do we make health systems sexy?
Through all the changing fashions in donor attention, Save the Children has always pointed out that building a functioning health system must be the basis of development work. Then it does not matter […]
Domhnall MacAuley: Comprehensivists vs partialists at NAPCRG
Innovative primary care pilot programmes are big news in the US. Money talks, and from a business perspective, primary care is good value. So good, that Paul Grundy’s (US) company IBM […]
Martin McShane: Gentlemen or players (and fish farms)
The concerns expressed by the new chair of the RCGP about the difficulties which GPs might face, in taking on commissioning, are pertinent. There is always a tension between being […]
Edward Davies: Who’d be an NHS manager?
I’ve just come back from the NHS Employers annual conference in Liverpool. As one of the biggest gatherings of HR managers in the country it’s very easy to mock, so […]
Richard Lehman’s journal review – 22 November 2010
JAMA 17 Nov 2010 Vol 304 Like all doctors who survived their hospital jobs in the 1970s, I have some shocking memories. Oddly enough, though, some of them are happy […]
Harriet Vickers: Lessons from “Bloodgate”
What do the conductor of the London Mozart players, a Michelin-starred chef, the surgeon who treated the survivors of an Everest disaster, a leading UK barrister and Max Clifford have […]