Chris Ham and Anna Charles: Accountable care is a promising way of integrating care

Campaigners have launched judicial reviews of a proposed contract designed to enable NHS commissioners to procure care from accountable care organisations. The contract would allow these organisations to take responsibility for budgets and services in their areas and there are worries that this will open the door to private companies to compete to deliver care […]

Read More…

Avoiding blame and liability is vital to learning from errors and engineering a safer NHS

Helgi Johannsson and William Rook Hadiza Bawa-Garba, a trainee paediatrician who was convicted of gross negligence manslaughter over the death of Jack Adcock, a 6 year old boy, was struck off the UK medical register last week after a High Court ruling, in order to maintain public confidence in the profession. In the past ten […]

Read More…

Jeffrey Aronson: When I Use a Word . . . Adrenaline and epinephrine

Most therapeutic medicines have at least three different names. The chemical name, whose form generally follows the rules issued by the International Union of Pure and Applied Chemistry (IUPAC). For example, (R)­1­(3,4­dihydroxyphenyl)­2­methylaminoethanol; the chemical name is an unambiguous description of a drug’s structure, but it is usually cumbersome and irrelevant to practical prescribing, although there […]

Read More…

The international community needs to help reconstruct Somaliland’s healthcare system

The Horn of Africa, a region often synonymous with conflict and political uncertainty hosts Somaliland, a relatively peaceful breakaway costal region that declared its secession from Somalia in May 1991. [1,2] The collapse of the central government destroyed infrastructure and displaced thousands of civilians forcing a complete breakdown of the national economy. [3] Under subsequent […]

Read More…