Friday, July 27, 2007
Friday, June 29, 2007
Thursday, June 28, 2007
There is no doubt the job is a great privilege and challenge. There will be much for him to learn and understand, but if he asked for three points on the first day of his new post, I would say:
First, 'put patients first'. It’s imperative for patients to be thought of in front of bureaucrats and quangocrats.
Second, the NHS should be there for patients and not be used as a political football.
Third, as there are calls for the NHS to be depoliticised; accountability should remain.
Although nobody will want to remember Patricia Hewitt, her legacy was of frequent political, ill-thought through legislation, whilst she refused to be accountable for her results. That must change.
Alan Johnson, my three words to you are ‘Patients, Patients, Patients.’
Wednesday, June 27, 2007
Tuesday, June 26, 2007
Friday, June 22, 2007
Wednesday, June 20, 2007
Monday, June 18, 2007
It was a great speech and addressed a wide range of topics with the central theme of social responsibility. It was good to hear a father of three (the day after father's day) talk about the family as the cornerstone of society, suggesting that "It is simply no use talking about opportunity for all unless we give every child in our country the secure start in life that comes from a stable, loving home.”
And it wasn’t just David Cameron who spoke today, there was Philippa Stroud explaining the background to the ‘social justice policy group’, Grant Schapps with his enthusiasm for local communities along with Francis Maude, Mark Clarke and Michael Gove. Overall, David Cameron's speech was a breath of fresh air for the political arena; it was clear he is not going to be building a paper house to be blown in any direction, but a brick house built for the future. The full pdf of his speech can be read here.
Sunday, June 17, 2007
Thursday, June 14, 2007
Yet, it was Tony Blair who built his leadership upon the culture of spin that became the hallmark of New Labour. Even before he became leader in 1994, Tony Blair was courting the media stating, “it is better to ride the tiger’s back than to let it rip your throat out.”
It was under his watch that the ‘Labour media machine’ was well oiled, offered pre-emptive strikes, round the clock monitoring and ruthless spin doctoring. Journalists were handled with a combination of flattery and bullying, given stories if they played ball and frozen out if they did not. Perhaps in recent years the spin became bigger than the man himself, with the unforgettable collision between government and media, over the ‘two war dossiers’ and then the ‘Hutton inquiry’ into Dr Kelly’s death.
His departing speech sounded somewhat reminiscent of Earl Spencer's moving funeral address at Westminster Abbey about the media's 'sneering' reporting of Princess Diana. There is little doubt she would have agreed with the majority of her brothers’ remarks, particularly his line about her being 'the most hunted person of the modern age'. However, the Princess was far from being 'baffled' by the media. On the contrary, all the evidence suggests that she understood them only too well, and worked diligently to bring them 'on side’, as much the wooer as the wooed.
Who knows if Tony Blair will want his very own ‘Taj Mahal’ photo shoot as he leaves Downing Street. But for now, his answer to the media has been in true New Labour style, perhaps the only answer he knows, regulation. He suggested that all media mediums should come under the umbrella of a new ‘European regulatory body’, to be fully accountable to more than just viewing figures and reading ratings. Perhaps this is the most fitting end to his reign. He has ended, ten years on, the same way as he started, wanting and trying to control the headlines.
Tuesday, June 12, 2007
Monday, June 11, 2007
He is proud of his own refusal to give in/ inflexibility.
Sunday, June 10, 2007
First impressions: He is fun and exciting.
Warning signs: He is not emotionally mature, so he may find it difficult to handle commitment or responsibility.
He takes, whilst others give.
He invests little in personal relationships, he thinks they will run themselves without compromise.
He does not financially plan for the future or for ‘rainy days’ as believes others will be there to help him.
He passively gets by, and has a history of being taken care of by others.
So now the big vote, does Gordon Brown fit into any of these 5 stereotypes? Please comment on whether he is:
1) The Man in Charge
2) The Scriptwriter
3) The Man Without Fault
4) The Invisible Man
Saturday, June 09, 2007
First impressions: A quiet shy man who is steady.
Warning signs: He is emotionally restricted and may trust hobbies more than people.
He goes to great lengths to avoid conflict or anger.
He may lack responsiveness and isn’t really “there”.
He rarely initiates or contributes and may suffer with low moods.
Friday, June 08, 2007
First impressions: He feels his life is more valuable than anyone else’s
Warning signs: He is unable to self-reflect or take responsibility for his actions and/or feelings.
Relationships revolve around him.
He overvalues his own achievements and dismisses any negative impact that his behaviour may have on others.
He is prone to moralising.
If his feelings are hurt he will attack back with cruelty.
Concerns of others may be trivialised.
Thursday, June 07, 2007
First impressions: Opens his heart on the first meeting
Warning signs: Embraces the belief ‘I know you better than you know yourself’
He is convinced that others are never there for him in times of need.
He projects his ideas on to other people, who may the feel coerced into expressing feelings or thoughts which are not their own.
Wednesday, June 06, 2007
Lets start today with:
First impressions: He is admired as one can rely upon his help
Warning signs: He feels mistrustful towards people not under his control.
He may get be concerned if private e mails or conversations are held without his knowledge.
He believes that without his help one cannot succeed in life.
He questions decisions made by others, and offers his own advice.
He gets annoyed if you don’t follow his advice.
One or both of his parents may have dominated him as a child.
Tuesday, June 05, 2007
Friday, May 25, 2007
Happiness will probably not be achieved by replication of this exact day, but it offers the opportunity to help consider a direction of travel, helping to align your conscious and unconscious motivations. In fact, it’s a bit like the so-called ‘Rorschah’ or ‘ink blot’ test, which asks you to make pictures out of ink blots, to see what the unconscious mind sees. The different images people see, come from everyone’s unique brain wiring, not the ink blot shapes themselves.
With the perfect day exercise it’s perhaps interesting to note that top achievers frequently do not have goal conflicts. For example, when Olympic gold medal winners are asked for their perfect day, it is often found that they will have dreamt about getting an Olympic gold on their perfect day. This shows the immense power and importance of the conscious and unconscious working in harmony. Most people find this exercise very helpful and I certainly hope you all enjoyed doing it.
Thursday, May 24, 2007
What time would you get up in the morning?
Do you wake up alone?
What do you have for breakfast?
Would you have breakfast at Tiffany’s?
Where would you be?
What do you do after breakfast?
How long is breakfast for?
Then go through the day in as much detail as you possibly can. Some people may say that they are flying on Concord to pick up an award, others relaxing with their families whilst others might be catching their perfect wave. It is unique to you and can be as outrageous as you like. It is nobody else’s day. It’s important that before you read tomorrow's blog, you have a very detailed plan of your perfect day.
Monday, May 21, 2007
Thursday, May 17, 2007
Wednesday, May 16, 2007
One dark night, some leading anti-government bloggers decided that it would be a good idea to form a crack unit to provide firm government opposition. They decided to form a Ghost Cabinet. This team is to be organised like a Cabinet. The initial appointments are all popular bloggers with a strong interest or expertise in the given policy area. Freed from usual constraints such as collective responsibility or needing to win an election or grab a headline, these ghosts eschew normal political conventions by presenting ideas that will actually improve the country.
Each ghost vows to haunt the relevant government minister on a regular basis. Further, ghosts offer alternative policies in monthly "blue moon thinking" slots and may also host a guest ghosts. The 'Ghost of Health' has been so named in memory of all the initiatives that have failed to improve patient care. The blog is being launched tomorrow at http://ghostcabinet.blogspot.com/. Watch this space!
Tuesday, May 15, 2007
Channel 4's Jon Snow stated that “it’s hard to overstate the gravity of this disaster” and suggested to Patricia Hewitt that she would “have to resign.” She said that she would “take complete responsibility” for the computer shambles but felt that she still had widespread support. She went onto try and explain MTAS, MMC and the interview process; but she left the logic out of the explanation. Even Jon Snow said “we’re all getting a little confused.”
Monday, May 14, 2007
Sunday, May 13, 2007
Thursday, May 10, 2007
Tuesday, May 08, 2007
Monday, May 07, 2007
Sunday, May 06, 2007
Sometimes the problem when considering the environment is that the issues are so big they can be perceived as overwhelming, and this can lead people to conclude that they are unable to have any effect. However, as Edmund Burke poignantly said, "No one could make a greater mistake than he who did nothing because he could do only a little." We can all make a difference not only through the effect of our own actions on the environment around us but also by the intangible effect of our own actions potentially inspiring others. Perhaps the best known example of whether humans can make a difference to the environment is the way the destruction of the ozone layer by CFCs was turned around in the 1980s and 1990s following the original discovery of the hole in the ozone layer by a British Antarctic expedition in the 1970s.
It can seem that we are constantly bombarded with ideas about how to help the environment and often it’s hard to boil them down into some simple practical steps. But here are a few suggestions which are commonly made:
1. Drive less and keep your tyres inflated for better fuel efficiency.
2. Re-cycle where you can.
3. Use less electricity by adjusting the thermostat, changing to energy-saving light bulbs and considering low-flow showerheads and washing clothes in warm as opposed to hot water.
4. Save electricity by turning off electrical devices such as your TV, DVD player, stereo and computer when you’re not using them.
5. Avoid products with a lot of packaging.
6. Consider moving to a green electricity provider such as one which uses wind power as opposed to fossil fuels in its processes.
7. Consider off-setting either some of all of your emissions through, for example, joining a scheme which plants trees in proportion to your carbon footprint.
Friday, May 04, 2007
Today I’m taking a break, after a long night at the count, but Ellee Seymour’s blog is worth a special mention today as she tackles the question ‘are you a psychopath?’
Thursday, May 03, 2007
Wednesday, May 02, 2007
Tuesday, May 01, 2007
Patricia Hewitt perhaps wants to be remembered as ‘the iron lady’, refusing to back down on the shambolic process of modernising medical careers. However, it may be more fitting to remember her as ‘the tin man’. Only a woman without a heart could continue with such a system that will endanger patients under her ‘modernising’ regime from 1st August. Tony Blair and Gordon Brown be warned - following that yellow brick road has no happy ending.
Monday, April 30, 2007
Another hypothesis is that lawyers tend to express ‘high-dominance’ as a key feature of their personality; again something which aids successful legal careers. Key features of a ‘high-dominance’ personality include people who: interrupt others, talk longer, take charge of conversations, decide when to change topic, state strong preferences and opinions, have an unyielding manner and tend to enjoy giving instructions and advice. ‘High dominance’ personalities also tend to believe in statements, such as, ‘winning is more important than playing the game’. This may be an integral part of being a successful lawyer who never looses a battle, however, when this is mindset extended outside the workplace it fits less well with the challenges of daily life. When things have not gone the way high dominance personalities have planned, it can be a time when they struggle to manage or cope on a psychological level.
A further hypothesis is based on the accumulating psychological evidence that much work stress arises from interacting with people rather than things. In fact, ‘emotional labour’ is more mentally taxing than the old fashion labour jobs that were more physically taxing. It has been shown that the more your job requires you to fake emotions, the more emotionally detached you become from those around you. Hiding or faking emotions, can lead to ‘clinical burnout’. Since lawyers keep a professional detachment from their cases and cannot get too emotionally involved, this could potentially lead to the burnout state of mind. Burnout can result in symptoms of emotional exhaustion, fatigue, detached attitude towards others, low sense of effectiveness, helplessness and also low mood.
The risk of the inherent pessimism means that lawyers should be especially careful not to extend the negative mindset perspective into other areas of their lives. This book will hopefully assist the reader in finding perspective, so that even during the most difficult times in life a context can be found, which can also provide something to learn and grow from. As Shakespeare said, “There is nothing either good or bad, but thinking makes it so”.
Sunday, April 29, 2007
Only last week the latest report highlighted the scale of the mental health crisis in Cambridgeshire, “when the figures showed that the county's specialist trust has lost almost one in five dedicated hospital beds in just two years.” Local MP Andrew Lansley said: "These figures demonstrate in the clearest terms the pressure that we know mental health services in our NHS are under…While the number of people sectioned has hit its highest level in history, the NHS financial crisis is forcing the closure of mental health beds throughout the country.”
Looking at older reports, “Health Secretary Patricia Hewitt chose to back £3 million cuts” to the local mental health services, despite “a House of Commons debate… in an attempt to stop the cuts” and despite “hundreds of protesters” who “marched through Cambridge to oppose savage cuts to mental health and other NHS services.” Reports went onto say “Patricia Hewitt has ignored the opinions of every organisation concerned with the provision of health care by the City of Cambridge and South Cambridgeshire Primary Care Trusts” including the saddest fact of all, that “patients will be let down by savage reductions in mental health services.”
And let's not forget the report when MP David Howarth "launched a furious attack on mental health chiefs who have tried to "gag" staff." After a "letter" had "been sent to all employees of the Cambridgeshire and Peterborough Mental Health Partnership NHS Trust demanding that they do not contact the media.” This followed on from a letter signed by “27 consultant psychiatrists" who wrote "about the plans to strip £3 million from the local mental health budget”.
Saturday, April 28, 2007
The story about changing medical careers has been a catalogue of errors, which is fast developing into an urgent patient safety issue. The BMA chairman James Johnson has written to Tony Blair warning doctors' anger will grow if the government does not address the problems with MTAS "with the level of urgency they deserve." As Andrew Lansley has said, Patricia Hewitt is in "denial", so it's down to Tony Blair to urgently answer the questions:
Wednesday, April 25, 2007
Shadow Health Secretary Andrew Lansley started by stating his reasons for the debate "First, we want to secure some answers; secondly,... we want to make clear the necessary steps that the Government should accept to regain the confidence and support of the medical profession; and thirdly and not least, we want to demonstrate to the many junior doctors who have come to Westminster today to tell their Members of Parliament of their personal experiences, their disillusionment and, in many cases, their anger at what has happened to them…” He went on to quote from a junior doctor, who I know to be an excellent doctor, and described his experiences: “I have a first-class degree in medicine/neuroscience, medical degrees with distinction, two research doctorates . . . in behavioural neuroscience, nearly 30 scientific publications including text books and commercialized research software, research prizes, three years’ experience as a lecturer in neuroscience at the University of Cambridge, and two years’ experience as a medical SHO at teaching hospitals . . . whilst I was short-listed for an ST2 medical position I failed to be shortlisted for ST1 psychiatry, which requires no previous psychiatry experience." He continued with “The consultants at Addenbrookes in my constituency sent me the results of a consultant survey that they had recently undertaken, and three quarters of those consultants said that they would refuse to take part in further interviews. Ninety-seven per cent. of them wanted to see the previous system of appointments restored for this year. I do not necessarily agree with that. However, there is something that we can and must do between now and August. It is not good enough to wait for Sir John Tooke’s review in order to produce a report in September.”
Henry Bellingham MP highlighted that “doctors are worried that they will not receive sufficient training under MMC. For example, orthopaedic surgeons received 22,000 hours of training under the old system, but they will receive only 6,000 hours of training under MMC.” Norman Lamb MP poignantly stated “What will happen on 1 August?” and continued by calling modernising medical careers “a straitjacket.” He highlighted that warnings “went unheeded. The Royal College of Physicians warned but was ignored. The British Medical Association said that it tried to get the Government to listen, but it was ignored.”
Then it was over to Mrs Nadine Dorries MP to lighten the mood and recount the words of Dr. Sonia Heyer: “As a junior doctor who may be unemployed this summer as a result of the present recruitment fiasco, I was delighted to learn that we may be required to seek employment with voluntary services overseas. I would go, provided I could secure the company of the present Secretary of State for Health, in which case I would gladly accept a mapless mission to the Amazon jungle.”
Tuesday, April 24, 2007
After that it was time to lobby my local MP (David Howarth) along with Dr Rupert Beale and Dr Zoe Fritz. David Howarth MP, was very supportive of both junior doctors' concerns and the concerns regarding patient safety. In the short term, patient safety may be compromised when job changes come into effect on 1st August, and in the long term patient safety may be compromised if consultant doctors have not been given enough time to train within their chosen specialty (training time to become an orthopaedic consultant surgeon has been cut from 22,000 hours to a mere 6,000 under the propsed MMC).
Previously this blog has written about the thoughts from three eminent consultants, and today there was a debate in the House about these impending changes. Andrew Lansley suggested that Patricia Hewitt was in "denial" about the scale of the disaster created by MMC and her "chronic mismanagement". He went onto highlighted that she has scheduled the 'second MMC review' to report in September. However, as 1st August is the key date when doctors start new jobs, such a review date is too little, too late.
Monday, April 23, 2007
The Department of Health Trying to control doctors to serve political ends
NHS Employers Trying to drive down the cost of doctors by manipulating supply and demand
Patricia Hewitt Trying to save her sorry political neck
MMC (Modernising Medical Careers) It has lost its head (twice). Like many other stupid things, this still runs around the farmyard
MTAS (Medical Transportation to Australia Service) computerised system for selecting doctors on the basis of their creative writing skills
PMETB (Postgraduate Medical Education and Training Board) set up to wrest control of medical training from the Royal Colleges.
Deaneries Cravenly implementing Hewitt's policy because of legal threats
RemedyUK Noble organisation, shoestring budget, run full time by junior docs. Oh, sorry – actually run by full time junior docs.
Prof Morris Brown et. al. Actually most of the consultants are against MMC, but until now very few of them have had the courage to say so. See blog post 'Medical Heroes'.
BMA Hasn't even bothered to find out the views of its members, let alone actually do anything.
BMA JDC (Junior doctor's Committee) They have been in the review. Then out. Then in. Then used by Patricia Hewitt as evidence that junior doctors support the review findings. Muppets.
Royal Colleges Moribund organisations that will shortly go the way of the once powerful medieval guilds.
You will notice that the Forces of Light are outnumbered and out-gunned, but since it's St George's day and the situation in Scotland, Wales and Northern Ireland isn't as bad...
Cry God for Morris, England and Saint George!"
On Tuesday 24 April, doctors from all over the country will come together to exercise their right to lobby MPs in Parliament. The mass lobby, co-ordinated by Remedy UK (www.remedyuk.org, an independent representative group for medics), aims to raise awareness of the impact MMC will have on patient care. They argue that the changes proposed by MMC can not be allowed to go through if patient safety and the quality of medical training is to be maintained. An immediate, comprehensive and genuinely independent review of changes in training must be undertaken.
Current medical training consists of “preregistration years” followed by several years at Senior House Officer (SHO) level, during which doctors broaden their medical knowledge and take professional exams to become members of the appropriate Royal College. Once these century-old, internationally recognised and respected exams had been passed, doctors apply for Registrar posts in their chosen speciality and continue training for 5-7 years before being able to become consultants.
The reforms being implemented by the government do away with both SHO/Registrar training, and the collegiate exams and replace them with “run-though” training programmes of 4-5 years. This shortens the period of training, removes any flexibility from the system ( for example, the option to gain furrther training abroad, work in a related speciality, or indeed to take time out to have children), and requires doctors to choose a speciality early in their careers, before knowing what might best suit them. In addition, there are insufficient training posts for the number of doctors currently educated in this country.
Changes to training as a consequence of MMC, will result in a reduction in the length of training for doctors in many specialties – at the same time as the average working week is reducing from 56 to 48 hours, in line with the European Working Time Directive. Inevitably, this will result in doctors who do not have the necessary experience to provide safe practice. For example, it is thought that training time for surgeons to become consultants will be effectively be cut from 21,000 hours to just 6,000 hours.
The MMC programme’s requirement to select a specialty at a significantly earlier stage in a doctors’ career, does not equip a doctor with the skills necessary to identify and treat complications or patients with multiple medical problems. Due to the ageing population in Britain, patients with multiple coexisting illnesses are becoming increasingly common ,meaning a broader knowledge base is required, which seems contrary to MMC implementation.
“Modernising Medical Careers will result in poorly trained doctors working in specialities in which they have little interest,” said Dr Jane Graham, a Remedy UK spokesperson for SE England. An overwhelming majority of doctors believe that the new programme will be detrimental to patient care throughout all specialities of hospital medicine. At the national meeting of the Association of British Neurologists in Cambridge on 13 April, 350 physicians voted against the motion ‘MMC is good for patients, trainees and the Practice of Neurology’. Only 4 votes were passed in favour.
The most immediate victims of the government’s ill-thought through “reforms” are those Senior House Officers with with the most clinical experience and knowledge who are loosing out to more junior doctors to ensure that the governments proposed training reforms can be implemented. In a leaked memo on the impending employment crisis for junior doctors from Sian Thomas, director of the NHS Employers Organisation, it stated that of those 10,000 doctors unemployed from August, the Department of Health plans to prioritise finding posts for only the most junior and inexperienced doctors. Those more experienced doctors, who currently provide the back bone of NHS medical care, will effectively be removed from practising, thus putting patients at serious risk.
The health service is already being put under considerable strain as junior doctors currently have to travel to interviews around the country, leaving wards dangerously understaffed. No one can predict the scale of the disruption to service that will follow when the new scheme if introduced this August. The government propose to simultaneously uproot overnight 18,000 doctors, to start work in what for many will be a new hospital, with a new team, in a new speciality. Previously, the transition between junior doctors’ contracts have always been staggered to ensure continuity of patient care and patient safety.
The Royal Colleges have been in charge of medical training since the 16th century, but their grave concerns have been dismissed. There is growing alarm that the quality and level of patient care will suffer both in the short and long term because of the government-driven change. It is of the utmost importance that those in power listen to the concerns raised, and that the public is aware of the dangers, if these serious issues are not addressed immediately."
Sunday, April 22, 2007
Dr Chris Allen
Professor Morris Brown
And Dr David Clow. You may remember the now iconic video when Dr David Clow spoke during the London doctors' march back on the 17th March.
Before I make criticisms of the reforms of the recruitment and post-graduate training of doctors in the UK, let me state some beneficial reasons for reform:
The first is that the cost of job advertisements has spiralled over the years to fill all the posts that become vacant in an organisation the size of the NHS. So, in itself, the use of a workable computer application service for NHS jobs may seem to be a good idea to save costs that could better be used for patient care.
Second, the increased output from medical schools and junior posts has led to multiple applications. For example, I was getting over 200 CVs to short-list and out of those short-listed over 50% would not attend, as they already had a job, or had since been offered something they preferred and this process was a waste of time to all concerned. Furthermore, it led to the degree of rudeness from some trust personnel who on occasions did not even acknowledge those who had not been short-listed.
Why Modernising Medical Careers (MMC) is not the answer
However, despite the need for reform, MMC is fatally flawed because it is being run by self-appointed experts in ‘Medical Education’ and not Consultants at the coal face. The facile mistake is the idea that passing a competence test means that the doctor is competent. Competence tests only measure the ability to pass tests, and not clinical skills.
MMC needs to realise that our "trainees" spend three quarters of their time with no teaching, but are "covering patients” they do not know, because of the way we have chosen to implement the European Working Time directive. Staff are over-tired on their shift patterns that ignore circadian rhythms, and destroy any quality of life. No-one in manufacturing producing 24 hour programmes would use this system.
It’s also important to realise the need to teach ‘the knowledge of the science and art’ of medicine. It is doubtful that one can simply learn "communication skills" second hand. It is best done by learning from experience, teaching and practice in order to improve on your ability. This is the model that we should adopt; see one, do one and then teach one. MMC only looks at the first. MMC must include work and experience for our trainees who have the knowledge but not the experience of working, as they have never followed up their patients and cannot get through the work in the time constraints.
If I can explain from my own experience. As a student I won all the prizes for surgery and felt this should be my career, but when operating under Consultant assistance my manual dexterity was incompetent, and it was clear to me that my patients would be better choosing someone who could operate better. General Practice was attractive, but seeing 60 patients in a surgery and trying to welcome the 61st was impossible . As a middle grade working in paediatrics in a district hospital I found the best form of medicine for my skills and interest. The inflexibility of MMC in making career blind ends at the F2 stage has to change. How can doctors make sensible career choices when they have never worked in their chosen field and thus do not know what to choose?
To restore any faith in the MTAS a public announcement needs to be made that it has been scrapped. I take very seriously the complete disillusion of my fellow marchers at a system that ignores all their previous work, qualifications and experience for selecting a career.
The way of marking, has produced a lottery which only the defendants of the indefensible may argue is completely fair to all candidates.
The Chinese Communist Government allocated positions according to the candidates’ political reliability. Their performance, on such a random method of choosing, resulted in widespread starvation till the system was reformed to allow for choice and competence. If we continue to devalue doctors we risk getting the sort of Health Service, where no one really cares for the patient or their relatives.
This is something I care passionately about. I have devoted my life to the NHS. As I get older it is very likely I will also need to start using it and calling upon the help of these young doctors. Patricia Hewitt needs to change and to show that she really cares about the quality of the NHS by addressing the substance of the objections to the system she has introduced. "
Dr David Clow, Consultant Paediatrician, Greenwich
Friday, April 20, 2007
Thursday, April 19, 2007
Tuesday, April 17, 2007
The poll, commissioned by the Royal College of Psychiatrists, showed that:
68% do not believe that hospitals should be used to detain people with mental health problems if they cannot benefit from treatment and have committed no crime.
These poll results have been released in advance of this week’s second reading of the Mental Health Bill in the House of Commons. The Government has indicated that it intends to force through amendments to the current Bill. The Royal College of Psychiatrists believes that this would bring far more people who cannot benefit from ‘treatment’ within the scope of mental health legislation and make it more likely people would be detained and treated inappropriately.
Professor Sheila Hollins, President of the Royal College of Psychiatrists said “The House of Lords has made some very sensible amendments to the Bill, which if retained would lead to fair and effective mental health legislation fit for the 21st Century. We call on the Government and all MPs not to overturn these amendments in The Commons.”
Monday, April 16, 2007
New labour united the health and defence of the nation, in the form of a 'sorry'. The first, from Patricia Hewitt who said that "this has been a time of great distress for junior doctors and their families and I apologise unreservedly to them for the anxiety that has been caused." Understanding that she has caused a great deal of distress and anxiety, her plan: to establish "a second independent Review to consider these and other broader issues." It remains to be seen if 'committifying' this issue with yet another review will help; the answer called for by over 2,000 doctors is to stop the MMC process until it is fit for purpose.
Sunday, April 15, 2007
Friday, April 13, 2007
It should never be forgotten that human capital is the most important element to be respected by any leader, ensuring that everyone is involved in goal setting, development processes and direction of travel. As Grover Cleveland said “The ship of Democracy, which has weathered all storms, may sink through the mutiny of those aboard.”