Isaac Newton’s afternoon under an apple tree shook many ideas, not least our understanding of inertia which, it turned out, was not what brought everything to a halt, but the magical something that kept things as they were until something else stopped them or sped them along. Eventually, he wrapped it up with the bit…
Two decades ago, you took a book and a thermos into A&E and waited; ten years ago, a patient complained to me that he had been seen so fast he had not been able to read his book at all! Now people prepare to sit it out, charging their smartphones and buying a coffee, as…
How modelling is resuscitating NHS Urgent & Unscheduled Care
How do people who work in health go about improving something they care about? Suppose that one day at work I have an ‘ah-ha’ moment where I can clearly see how to improve the way we organise care for a group of patients. But where do I start? Who will help me?
Over the past four and a half years I have spent a considerable amount of time trying to persuade NHS staff to use more modelling in stroke care. The response I’ve become accustomed to hearing is generally: ‘This looks impressive, but what evidence do you have that modelling can actually drive improvement?’
At my age, it always seems tempting fate to say that you enjoy good health, because you feel that you’re bound to get diagnosed with something awful the following week.
Healthcare is the only sector that the UK ‘owns’ at every level, from the NHS’s service provision to systems, manufacture and research.