Philippa Whitford: How Scotland’s NHS took a cooperative approach to quality improvement

While the four UK health services face the same challenges—increased demand due to an ageing population, workforce shortages, and tight finances—they have diverged considerably since devolution and the Nuffield Trust has begun a series of reports considering the merits of each system. The first report, Learning from Scotland’s NHS, particularly highlighted NHS Scotland’s integrated structure […]

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Pallavi Bradshaw: How can we harness the enthusiasm of junior doctors?

It’s that time of year again—yes, it’s changeover time. Thousands of new doctors are navigating their first weeks in a ward near you. Even though the statistics behind the fears of increased mortality have been shown to be questionable, patients, nurses, and senior doctors alike still await the arrivals with trepidation. Truthfully, it is probably […]

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Karim Brohi: Trauma networks and terrorist events—to care for many, care for one

In 2005, I was a senior specialist registrar in surgery at the Royal London Hospital and managed casualties from the 7/7 London bombings. Twelve years later, now a consultant trauma surgeon at the Royal London Major Trauma Centre and director of the London Major Trauma System, I was surgical commander for the hospital’s response to […]

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