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”

The decline of the great British government IT scandal

Whatever happened to the great British government IT scandal?

In the 2000s, such events kept many journalists gainfully employed. Careers were built around the likes of the NHS National Programme for IT and identity cards. But their numbers have fallen away – both the scandals and the journalists – as this government’s programme of austerity reaches even this area of spending.

In seriousness, despite the fact that there are fewer juicy stories, the apparent decline in the number of government IT scandals is clearly a good thing for Britain. But why has it come about; and is it real, or are there problems below the surface? Continue reading “The decline of the great British government IT scandal”

Margaret Thatcher, preserver of the NHS. Yes, really

Spitting Image Margaret Thatcher
(Fairly) safe in her hands: a Margaret Thatcher Spitting Image puppet in Grantham Museum. © Copyright Richard Croft. Licensed for reuse under a Creative Commons Licence.

Today sees the funeral of Baroness Thatcher, the prime minister who saved/crippled Britain, giving new hope to/tearing the soul out of its communities and reforming/undermining the public sphere, delete according to preference.

But it’s more complicated than that. If it wasn’t, the NHS would not have survived her leadership in its current form. It turns out that, when Margaret Thatcher said “the NHS is safe in our hands”, she was pretty much right. She changed it, but not nearly as much as you would have expected. Continue reading “Margaret Thatcher, preserver of the NHS. Yes, really”

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”