Nick Bostock

Nick Bostock is the News Editor of GP newspaper and GPonline.com

How David Cameron sped up the NHS merry-go-round

It took Tony Blair’s Labour government several years and a couple of health secretaries to draw up major health reforms.

Blair fan David Cameron wanted to learn from the previous government’s mistakes, and do more, faster.

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NHS communication is stuck in the stone age

Communication in parts of the NHS remains utterly inept, locked into a stone-age system that seems to ignore the invention not just of email and the internet, but even of the telephone.

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Keeping it real at a time of crisis

Health minister
Paul Burstow told the Today programme on Radio 4 this
week that there was no plan B if the NHS failed to achieve £20bn in
efficiency savings.

He simply
expected this to be achieved, despite a warning from the health select
committee
that there was ‘no
precedent for efficiency gain on this scale in the history of the NHS, nor has
any precedent yet been found of any healthcare system anywhere in the world
doing anything similar’.

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Northern Ireland’s take on traditional general practice

A traditional Irish storyteller from South Armagh was drafted in as an after dinner entertainer on the Saturday night before the Northern Ireland LMCs conference last weekend.

Credit crunch trauma was briefly set aside as GPs settled in at the five-star Lough Erne golf resort, in Fermanagh, near Enniskillen.

The octogenarian storyteller poured forth tales of old-fashioned doctoring in rural farming communities, each of them as gloriously impenetrable as his accent.

He regaled delegates with stories of strange veterinary techniques involving horses and lengths of rubber pipe, and how you put back arms dislocated by a plough (lie patient on their back, put your foot on their chest, pull arm… there’s a different technique if it’s a woman, apparently).

But spirits could only be kept high for so long, as GPs wait for Gordon Brown to pull his finger out and read the Doctors and Dentists Review Body report that’s been clogging up his in-tray for the last three weeks or so.

GPC deputy chairman Dr Richard Vautrey was among the first to address the conference. He stepped far too close to the microphone and shouted a speech so loud that even delegates still cowering in their rooms recovering from the night before must have heard every word. Those who had made it downstairs, realised then if they’d downed a glass too many with dinner.

It was time to invest in general practice, Dr Vautrey said. GPs and other public sector workers shouldn’t have to pay for bankers’ blunders with another year of pay freezes.

Other delegates deplored, insisted, rejected, demanded, strongly suggested and condemned their way through motions exploring all manner of primary care conundrums.

Patients’ data was being stolen, salaried GPs exploited, directed enhanced services were delivered late and useless, pay was inadequate.

One bright point was the Future of General Practice in Northern Ireland document, a roadmap for keeping general practice in good health in the face of all these pressures.

With a bit of luck, even if Gordon ignores that report on his desk for a while longer, planning for the future like this means general practice won’t sink back into the old foot-on-shoulder routine for a while yet.

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An NHS trust has lost my data – it was only a matter of time

It’s hard
to have faith in pretty much any organisation’s ability to protect
confidential data at the moment. National and local newspapers are
stuffed virtually every day with stories about people’s details being
lost. NHS information, child benefit information, bank information,
government secrets – all of the above seems to go missing on a regular
basis.

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Muted start to Congress, despite the free apples

New arrivals to RCN Congress 2008 yesterday were handed an apple as they walked through the doors of the Bournemouth International Centre, in keeping with the event’s ‘Fit for Congress’ theme.

Free snacks are all well and good, but further into the centre’s dizzying labyrinth of corridors, the campaign demanded a little more self-sacrifice.

Enthusiastic nurses were to be found pedalling frantically on exercise bikes or gurning red-faced on one of a bank of rowing machines. The truly unfortunate found themselves gyrating desperately in search of long-forgotten hula hoop technique.

All this exertion may have contributed to what seemed a rather muted first day at the event. RCN chief executive and general secretary Dr Peter Carter’s lengthy speech received just three or four bursts of applause, and less than half the audience rose when he concluded – a standing ovation often seems a foregone conclusion at events such as this.

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Should NHS service providers be allowed to advertise?

For a government in the middle of an efficiency drive, it shows remarkable lateral thinking to come up with a scheme that will divert millions of pounds of NHS cash away from patient care.

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