Northern Ireland GPs show us how

Unusual, but I was rendered pretty nearly speechless this week when a blog appeared on the BMA Northern Ireland Community page. They lead with an outcome which is vital for patients. They present the context, tougher in NI than other parts of the UK because of fewer GPs per patient. They talk about method, rather than […]

MSCP Supertanker without a compass

When I was young the MSCP was a Multi-Storey Car Park, a blot on the landscape but at least my mum could park close to the shops.  Now it’s a Multi Specialty Community Provider and NHS England has a plan for it. Unfortunately it’s a plan with values on the front page, and the trouble […]

Is bigger better – for patients?

This week saw the release of the Nuffield Trust’s study of 4 large GP practice organisations, headed “Is bigger better?”.  The conclusion after 111 pages is roughly that although practices are being nudged in this direction, “we have not been able to provide evidence about improving quality”. The question arises, why is NHS England nudging […]

Only respect for patients will make digital work

I was at a couple of events this week which put forward grand ideas about the future of healthcare.  Visionary, aspirational and of course digital.  So why is it not happening? This simple test I did with the audience at King’s Fund illustrates:  Stand up if you have flown this year.  Two thirds rise.  Sit […]

King’s Fund Digital Health and Care 2016

Seeking help from your GP online, presented 6 July 2016.  Link to King’s Fund site here, or see below.

Picking up the pieces

It feels like picking up the pieces after earthquake, storm and wind.  By the time you read this Westminster might have erupted again, but life has to go on. It’s a time to appreciate moments of beauty, like a double rainbow I saw earlier.  To smile at things which came right today.  The dishwasher is […]

The essentials of General Practice

I’ve been thinking very hard about how we support GPs in the essentials of their work, and been inspired by a couple of things this week.  One is the best single page summary of GP work I’ve ever seen, to which I’ll return, the other perhaps surprisingly is the GMS contract which covers the vast […]

King Canute, eat your heart out

Have you noticed that everyone talks about MANAGING demand, but no-one wants to hear about managing DEMAND? Same words, but the meanings are polar opposites.  MANAGING demand has a long, high profile history.  Recall the court of King Canute telling him he could hold back the tide by his command.  A bit like all those […]

A paperless NHS and quill-free Dept of Health

Do you, like me, wonder what all the fuss is about over a paperless NHS by 2020?  I did try to find out whether there was a similar drive to eliminate the quill pen in Whitehall:  it was the invention of steel nibs in 1822 rather than a lack of geese apparently. The danger posed […]

GP-patient email ping pong is not the answer

With 22 mentions the “e-consultation” is a repeating theme of Arvind Madan’s NHS England GP Forward View and in the last blog I tried to nail down what this means with “the patient seeks help from their GP online”.  But what’s the point of the whole idea? The main problem facing NHS primary care is […]