If you wanted to design a policy that looks like it fixes the NHS workforce crisis without actually fixing it, you might end up with something very like the Medical Training (Prioritisation) Act 2026. The Act requires the NHS to prioritise UK-trained doctors when allocating foundation and specialty training posts. In plain English: British graduates … Read more
Ending HIV: How Public Health Quietly Delivered One of Britain’s Biggest Successes For most of my adult life, HIV has been treated as a permanent fact of modern life: tragic, manageable, but ultimately ineradicable. Something you mitigate, not solve. That assumption is now wrong. The UK is on track to eliminate new HIV transmissions by … Read more
I’ve been overweight for about 30 years. Or at least, I’ve been over the “correct” BMI for my height. I doubt I’ll ever hit the official ideal weight on the NHS tables — and honestly, I don’t care. If anything, what I illustrate is that the definitions of what is and isn’t a healthy weight … Read more
One of my old PCT colleagues died a couple of weeks back. A North East GP who was a staunch advocate of clinical leadership. If you have half an eye on the news, you’ll know something big is happening inside the NHS. But the scale of the NHS reforms 2025 is still flying under the … Read more
At 4pm on the 17th of December 1992, Jonathan Zito was stabbed to death by a stranger at a London Underground station. This wasn’t an isolated tragedy. From the 1980s onwards, Conservative governments emptied Britain’s mental hospitals and moved thousands of patients into “the community” — but without providing the support or services they needed. … Read more
This week, the government launched its long-awaited 10-year plan for the NHS. At 165 pages, it’s a dense, managerial, and thoroughly technocratic document—very on brand for a government that wants to appear serious and reformist, while hoping most people won’t read past the executive summary. There are three main themes: It’s a top-down, big-state programme … Read more
For those who haven’t been paying attention, massive changes are taking place at the top of the NHS. Leadership Shake-up in NHS England Amanda Pritchard, the Chief Executive of NHS England (essentially the CEO of the English NHS), has been forced to resign. She made two unimpressive appearances before the Commons Health Select Committee, prompting … Read more
No apologies for a boring bit of health policy This week we heard the full extent of the crisis in the NHS. Lord Ara Darzi’s report listed in detail the impact of 14 years of Conservative Secretaries of State for Health. Thousands died waiting for treatment as waiting lists rose. He highlighted lack of money … Read more
The Conservatives are going to force a vote on Labours plans to cut the Winter Fuel Allowance next week. Some Labour MPs are going to rebel. Older voters are furious and some younger ones too. Politically this is terrible so why are Labour cutting the pensioner winter fuel allowance? This looks exactly the wrong policy … Read more
No. Labour aren’t going to privatise the NHS. I have seen multiple claims on social media that Labour will expand privatisation of the NHS if elected. Mostly these claims come from the Green Party, or from the anti-Labour left. The leader of the Greens made the same claim in the debate last night. This makes … Read more