I sat riveted through Kenneth Branagh’s perceptive portrayal of Ivanov in Chekhov’s eponymous play. Witnessing the desperate depression of the protagonist unfold I couldn’t help thinking how many points he would score on a Patient Health Questionnaire (PHQ-9), a common screening tool for depression in primary care and a burdensome necessity for accurate clinical coding […]
Frances Dixon on her first month at medical school
So that’s four weeks of medical school gone. Just six more years left. The first month has been pretty hectic, but thoroughly enjoyable. It started off, as most courses do, with a couple of weeks of social events to get everyone introduced to everyone else. These included a pirate themed boat party, a beach themed […]
Domhnall MacAuley on personal, primary and continuing care … airline style
When the captain said we were 29th in the queue for take off there was a collective sigh. Friday evening, Newark airport, and everyone keen to get back to Europe. It would be 90 minutes between push off from the gate and take off. But, he apologised, explained the situation and, told us he would […]
Ice cold in Alice with Anna Donald
I have just returned from a 40-year “anniversary” with my father, who adopted me, sort of, at two. A long time ago. When Morris Minors still bootled about with wooden interiors; Chuppa Chups had not yet been invented; and the moon was still unmarked by human boots. Martin Luther King, however, was dead. […]
Julian Sheather on the architecture of happiness

I have recently been reading a report on ethical issues in public health from the Nuffield Foundation on Bioethics. It is a lovely document, subtle and interrogative, delightfully rich, as all good thought should be, in unanswered questions. […]
Ike Anya: Why organise a conference on Nigerian health….in London?
A quiet milestone passed in May this year, when Nigerians marked nine years of unbroken civilian government, the longest period in the 48 years since independence. A year earlier, the peaceful handover of power from one civilian president to another was another significant milestone. This period has coincided with an era of unprecedented high oil […]
Laura James on science and journalism
On 19 of October I arrived in Madrid, the the place of beautiful parks, live flamenco, brilliant nightlife, churros, a Spanish type of long thin doughnut, El Rastro, an enormous outdoor market, and the Golden Triangle of art museums. But I wasn’t really there for the tapas, I was there for environmental health matters. I am […]
Harvey Marcovitch on Jim
Last weekend we gathered in a clearing in a wood. Under a makeshift canvas awning, those who like to be active unwrapped the cakes, buttered the scones and boiled up huge urns of water for tea. Photographs, letters and notes were haphazardly pinned to the trees. A haze of smoke from the just-kindled campfire drifted […]
Cam Donaldson on managing the healthcare credit crunch
With NHS budget increases levelling off pre-credit crunch and now with the crunch itself, there has never been a more important time, in recent years at least, to be thinking about how to manage scarce healthcare resources for maximum gain to patients and the wider community. […]
Vidhya Alakeson on the credit crunch and US health insurance
Banks, insurance companies and home owners have already fallen victim to the US financial crisis. Now healthcare is under fire. Last week, the state of Hawaii announced that it was ending Keiki Care, the only universal health insurance program for children in the United States. In the face of a projected deficit of $900 million […]