Internet surveillance and NHS reconfiguration: making today’s news

It can take years for a story to go from being something that ‘everyone’ knows, to becoming today’s news. I was writing about government internet surveillance a decade ago, and was hardly the first. (The online world is not built for secrecy.) The piece comes from a 2002 Guardian supplement that also included a piece on how tabloid newspapers gained illegal access to personal data, including through police officers. But again, that story didn’t take off until the Guardian fingered the News of the World over Sara Payne’s voicemail in 2011. It takes a long time to get to critical mass.

At the NHS Confederation conference last week, you could see another story that, probably, will some day become today’s news. It’s almost a cliché among professionals that the NHS needs have fewer, bigger specialist hospital units, known in the health service by the code word of ‘reconfiguration’. Such units tend to have better results (as in, more patients survive), be more sustainable (it is easier to attract highly-skilled medical staff, who would rather work in centres of excellence than in outposts) and be more efficient. But because this means closing smaller units, such plans are often politically toxic, such as with child heart units. Continue reading “Internet surveillance and NHS reconfiguration: making today’s news”

A rough guide to NHS hospitals

The new Queen Elizabeth Hospital in Birmingham

I have been visiting a lot of NHS hospitals recently, as part of research for EHI Intelligence’s forthcoming ‘Routes to EPR’ report. The results of that are due next month, although there are a few tasters in this EHI news article. But I can offer some conclusions – on NHS hospitals as places. Continue reading “A rough guide to NHS hospitals”

Review: My stroke of insight by Jill Bolte Taylor

This isn’t a particularly new book, published four years ago in the UK. But if you have an interest in strokes, how the brain works and how you can make yours work better and – pertinently to the NHS, given recent scandals – how some healthcare professionals need to remember what care is, My stroke of insight is well-worth reading.

Jill Bolte Taylor, an American neuroanatomist, suffered a massive stroke at the age of 37. The best section of the book – which follows an admirably concise description of the brain’s structure and function – describes in thriller-like detail how she experienced her stroke, with brain functions and personality traits falling away. You will her to call 911, but “the haemorrhage growing in my cranium was positioned directly over the portion of my left brain that understood what a number was”. It is fascinating, educational and terrifying. Continue reading “Review: My stroke of insight by Jill Bolte Taylor”

Yorkshire NHS jobs cut by 4% since election, East and NW also down

The Yorkshire and the Humber region has lost more than 4% of its NHS jobs since the election, more than double the national rate, according to data published last week by the NHS Information Centre. The East of England and North West regions lost more than 3% of their NHS jobs.

With a couple of exceptions, the poorer areas of England lost more NHS jobs than average while richer regions lost fewer, between May 2010 and October 2012. Two NHS regions actually gained NHS jobs over this period: South East Coast, up 0.75%, and the North East (which has the most NHS jobs per resident of any region, with more than 24 full-time equivalent (FTE) health service staff per 1,000 residents), rising 0.53%. London and South Central reduced FTE staff numbers by less than 1%. Continue reading “Yorkshire NHS jobs cut by 4% since election, East and NW also down”

The NHS in 2013: a reorg, Sir David Nicholson & CCGs – for £5.69 a day

On 5 July 2013, the NHS will reach Britain’s current male pension age of 65. But far from retiring, the health service will be undergoing surgery – at least in England, although there are also changes afoot in Scotland and Wales. Here are some pointers for the NHS in 2013. Continue reading “The NHS in 2013: a reorg, Sir David Nicholson & CCGs – for £5.69 a day”