Category: Healthcare

The end of the summer holidays always signals a spate of new television and internet dramas. Medical dramas, in particular, are very cost effective for the television and streaming industries. Sets are simple. There are stock storylines that can be regularly recycled, such as cancer, rape, accidental injury, and paralysis. Usually there is only one […]

Our health care systems are dying under their own weight. They are morbidly obese. They keep on eating up our resources with a voracious appetite. Like clinical obesity, it is not a single problem, but a complex growth that arises from the interaction between our genetic make up, our bodies, our communities and the environment […]

Violence is endemic in our hospitals. In the US, over half of all emergency room staff are threatened by people bearing weapons at least once in their working lives. It is widely reported in the nursing literature, however mentioned much less in the medical literature. Violent thoughts and actions should be expected – they are […]

Governments change. Heads of state change, but what really happens behind the frenzied ADHD of electioneering? The effect on hospitals is very difficult to assess. Paper money and promises abound, but we can never really tell whether decision makers have enough power and status in their hospitals to affect any change during their time on […]

In these troubled times, we all like to hear good news and health care is one area that seems to abound with uplifting language. Daily posts about “cures” and “new treatments” raise our spirits and are antidotes to the bleak predictions about shrinking health services and budgets. Even “groundbreaking”, which usually refers to some treatment […]

Proportionate to the numbers, few women manage break to through the glass ceiling in health care and end up having to both lead and manage from below. In the US, whilst almost half of medical school graduates are women, less one in five of these women have positions as full professors and permanent department chairs. […]

Hospitals are full of sick people and not all of them are patients. More and more staff in our hospitals are turning up for work that they are unable to do. They are present, but not working at their best, either due to health problems or other events that are distracting them or both.  It […]