Saturday, 11 April 2015

The Stick and Bigger Stick Approach to Health Outcomes Publication

The Bulletin of the Annals of the Royal College of England (RCSEng)is this month dedicated to the thorny issue of surgical outcomes reporting. The editorial team should be commended for publishing 2 very opposing views of the reporting of surgeon specific mortality data.

Wednesday, 25 March 2015

Chestcracker's Dictum #1 Everyone takes a hit!

Heart surgery used to be a high stakes game for the patient.

It is now a high stakes game for the patient, the commissioner and the surgeon.

Long Live Equity.

Tuesday, 24 March 2015

The Human Cost of Scrutiny?

This story appears in the health section of BBC news online today.
The BBC are wee bit late onto this story. There was an excellent article on the subject of the mental health of NHS staff published 2 weeks ago in the Lancet.
The ever excellent and compassionate Claire Gerada makes some very important points on the need to look after NHS staff.
Maybe noone should be surprised at the findings of these surveys.

Life used to be like this - you are a nurse/doctor. You therefore must be compassionate. You have been trained well. Because of who you are you must be going your best - end of story.

It certainly is not like that anymore.

Monday, 23 March 2015

How to deal with immigration from the EU - make everyone pay - a lesson from the General Medical Council.

In 2008, a locum GP doctor injected David Gray, a patient with typical excruciatingly painful kidney stones, with a fatal (10 times normal) dose of morphine. This act was not intentional but a tragic mistake and it occurred because the doctor who was a German national and whose command of the English language was not good, for want of a better description, screwed up - badly.

Saturday, 17 January 2015

Why Healthcare Insurance to pay for NHS services is probably closer than you think!

Recently, this story featured quite prominently in the UK newsmedia. The response from NHS devotees on social media and blogs was muted. Its significance, in my humble opinion may have escaped obsessees of the UK or English NHS. This is why I think so.
I sit on the cardiac surgery CRG or Clinical reference group.
Please let me explain before you surf away or fall into a deep slumber!!

Monday, 27 October 2014

Mind what you wish for!

Cardiothoracic Surgery in the UK is, as far as the General Medical Council and the Colleges of Surgery are concerned, a single specialty.