{"id":2752,"date":"2020-12-14T06:00:42","date_gmt":"2020-12-14T05:00:42","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-humanities\/?p=2752"},"modified":"2021-07-23T09:19:06","modified_gmt":"2021-07-23T08:19:06","slug":"december-issue","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-humanities\/2020\/12\/14\/december-issue\/","title":{"rendered":"December Issue: NHS on Trial"},"content":{"rendered":"<p>In today&#8217;s summary, we present <a class=\"highwire-cite-linked-title\" href=\"https:\/\/mh.bmj.com\/content\/46\/3\/176\" data-icon-position=\"\" data-hide-link-title=\"0\"><span class=\"highwire-cite-title\">Putting the NHS England on trial: uncertainty-as-power, evidence and the controversy of PrEP in England<\/span><\/a> by <span class=\"highwire-citation-authors\"><span class=\"highwire-citation-author first\" data-delta=\"0\"><span class=\"nlm-given-names\">Maurice<\/span> <span class=\"nlm-surname\">Nagington and<\/span><\/span> <span class=\"highwire-citation-author\" data-delta=\"1\"><span class=\"nlm-given-names\">Tony<\/span> <span class=\"nlm-surname\">Sandset. The authors provide a short explanation of their work below, and have also provided short audio that speaks to why the topic is important to them. Connect with them on Twitter: @NagingtonUoM and @TweetingTony<br \/>\n<\/span><\/span><\/span><\/p>\n<p>AUDIO<\/p>\n<audio class=\"wp-audio-shortcode\" id=\"audio-2752-1\" preload=\"none\" style=\"width: 100%;\" controls=\"controls\"><source type=\"audio\/mpeg\" src=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2020\/12\/why-work-matters-to-us.mp3?_=1\" \/><a href=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2020\/12\/why-work-matters-to-us.mp3\">https:\/\/blogs.bmj.com\/medical-humanities\/files\/2020\/12\/why-work-matters-to-us.mp3<\/a><\/audio>\n<div><\/div>\n<p>In this article we argue that the case of PrEP (pre-exposure prophylaxis, using Truvada) in NHS England is a concerning example of a strategy that we identify as \u201cuncertainty-as-power\u201d. PrEP is a highly effective medication at preventing HIV transmission when taken daily or on demand. However, whilst other countries have commissioned it, the NHS in England have not. Instead, preferring to repeatedly invoke notions of supposed \u201cuncertainties\u201d to leverage power. Firstly, uncertainty in relation to its cost-effectiveness, and secondly in relation to the legality of commissioning.\u00a0Further uncertainty was then constructed to negate relevant clinical data from other countries in order to justify the IMPACT clinical trial, which did not and could not answer valuable questions. Because of this, the trial became a way of rationing PrEP which led to unnecessary delays meaning otherwise eligible people did not have access to it and became HIV positive.\u00a0We acknowledge that uncertainty always exist in healthcare, but it should not be used to ration interventions which are widely acknowledged as being highly effective and safe. Instead, knowledge and research (if it is to continue to maintain the publics\u2019 confidence) must serve the aims of increasing access to such interventions.<\/p>\n<p>Read the full article on the <strong><a href=\"https:\/\/mh.bmj.com\/content\/46\/3\/176\">Medical Humanities journal website<\/a><\/strong>.<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>In today&#8217;s summary, we present Putting the NHS England on trial: uncertainty-as-power, evidence and the controversy of PrEP in England by Maurice Nagington and Tony Sandset. The authors provide a short explanation of their work below, and have also provided short audio that speaks to why the topic is important to them. Connect with them [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2020\/12\/14\/december-issue\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":346,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[15028],"tags":[15044],"class_list":["post-2752","post","type-post","status-publish","format-standard","hentry","category-journal-announcements","tag-research"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>December Issue: NHS on Trial - Medical Humanities<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2020\/12\/14\/december-issue\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"December Issue: NHS on Trial - Medical Humanities\" \/>\n<meta property=\"og:description\" content=\"In today&#8217;s summary, we present Putting the NHS England on trial: uncertainty-as-power, evidence and the controversy of PrEP in England by Maurice Nagington and Tony Sandset. 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