Angela Coulter: At last some better news on shared decision making

Shared decision making has now entered common parlance. Everyone seems to be talking about it and the term pops up frequently in report after report. But we can’t assume it’s fully embedded in mainstream clinical practice just because it’s talked about a lot. On the contrary. A recent review from the Care Quality Commission found […]

Read More…

Edward Wernick and Steve Manley: Meaningful patient collaboration—the end of the beginning . . .

The delay between this blog and the last one in November on the new King’s Fund Collaborative Pairs Programme reflects the level of work that we have been dealing with over the past few months. We write this after our final session on the Collaborative Pairs course at the King’s Fund headquarters in Cavendish Square. We have written before […]

Read More…

Joseph O’Keeffe: The junior doctors’ strike—voices from the ward

Junior doctors are arguing that the contract changes compromise patient safety. I agree. But do those we treat? It’s hard to tell. Social media appears dominated by the junior doctors, whereas the newspapers and the broadcasters merely present a succession of politicians and “experts.” The patient’s voice seems lost amidst the acrimony between the Department […]

Read More…

Paul Hodgkin: The dogs that don’t bark are the most difficult to hear

For at least the last 70 years patients have been regularly gathered in crowded outpatient clinics and left to sit in silence. Decade after decade, country after country, health systems around the world have ignored the massive potential for patients to learn from each other. Forget the rhetoric about listening and engaging patients. Just look […]

Read More…

Suzanne Gordon on the difficult patient

Today it’s hard to find a healthcare professional who doesn’t want to “put the patient first,” practise “patient centered care,” or make the patient “part” or even “the centre” of the healthcare team. When you discuss any potential or actual bureaucratic, governmental, insurance company, or even internet interference in clinical practice, clinicians complain that non-healthcare professionals […]

Read More…