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Recent Posts

May 26, 2018

When faced with something new, it is within all of us to come to an instant opinion, to make an impetuous decision. We do it all the time. Sometimes subsequent events show that opinion or decision to be correct, but on other occasions we change our mind once we have mo...

March 15, 2018

What's wrong with general practice? Lots, apparently. All too often the media treats it as if this branch of the NHS is still locked in the 1950s. Poor services; poor knowledge; simply an acute care service, the main value of which was a rather iffy referral system tha...

January 4, 2018

And so the great political game plan for the NHS comes to fruition. Started in the early ‘90s the central theme has been to shift responsibility for the NHS from its only true budget holder - the government - to the periphery, to the people trying to provide services f...

September 3, 2017

It is 15 years since I published the following piece in the GP newspaper Pulse. This afternoon it caught my eye as I restructured my website, and it seems to me it is as relevant in 2017 as it was in 2002. Perhaps more so - because the inevitably necessary change in po...

February 15, 2017


It is useful to describe problems and to share personal experiences. They can help define what it is we are trying to improve. But….. we also need proposed solutions. There are no easy answers to the woes that beset the NHS. Here are my thoughts based upon...

February 11, 2017

What’s Gone Wrong With The NHS?

This post moves on to consider what’s gone wrong with the NHS?
Why are we where we are?


To most people its principles are beyond reproach: to be available to all; to be free at the point of delivery; and for provision to be a...

February 8, 2017

What’s going on with our NHS? Pt 3. What do governments want?

Every government has its own agenda for the NHS. The service is staggeringly expensive – for example, its budget dwarfs those for the armed forces or education. Governments are in a tricky position regarding...

February 6, 2017

What’s Going On With Our NHS? Pt 2. What Do We Want? Yes – Us!

What’s going on with our NHS?   Pt 2. What do we want? Yes – us!

What we want from the NHS depends upon a multitude of things. Who we are, our beliefs, our health experiences, our political leanings, our age,...

February 5, 2017

What’s going on with our NHS?  Pt 1. Stakes in the ground.

What’s going on with our NHS? is a short series of posts about the current state of the NHS.

The NHS is in crisis. It has always seemed to be in trouble, but never more so than now. What’s the problem? If that qu...

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