Richard Smith: Dragging global health from the 19th to the 21st century

Last week the World Health Assembly adopted some tough targets for NCD, including reducing deaths among those under 70 by 25% by 2025. The rhetoric is that a “whole of government, whole of society” approach will be needed, but in fact the agenda is dominated by health bodies. The Young Professionals Chronic Disease Network is […]

Read More…

Peter Bailey: Galley slaves, rebel!

Jeremy Hunt’s speech to the King’s Fund on 23 May made me wonder if someone in the Department of Health had had an “Oh my God!” moment. A gut clenching, awful realisation that a catastrophic mistake has been made. A mistake that spells misery, shame, and horrible consequence. The sort of feeling you get when […]

Read More…

Tara Lamont: Finding things to stop doing…the inverse evidence law?

Early exponents of evidence based medicine put forward an optimistic view of future healthcare, where the availability of robust information would allow clinicians to select the most effective treatments—and to stop doing things that were shown not to work. But this last part has proved elusive. A recent paper by Sarah Garner and colleagues from […]

Read More…

David Lock: Do NHS commissioners invest enough in contract management?

The NHS is in the middle of the transition from a publicly funded and publicly provided health service towards a publicly funded but increasingly privately provided service. It is thus following the course adopted in social care, with the closure of local authority owned care homes and the contracting out of service provision to commercial, […]

Read More…