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Hunt lied and the DH continue to hide the truth......

Written by RSS Poster Garth Marenghi on the 19th January 2018 at 17:06 - Posted in Ambulance Blogs

Above is a response from the Department of Health (DH) to my MP, Layla Moran who very kindly sent them a question about pre-conditions to negotiation of the junior doctor contract.  The background to this is complex but this specific issue can be summarised fairly concisely.  Jeremy Hunt has repeatedly stated that there were never any 'pre-conditions' to negotiating the junior doctor

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The NHS 'crisis'

Written by RSS Poster Garth Marenghi on the 18th January 2018 at 12:43 - Posted in Ambulance Blogs

There's no doubt that some of the most used cliches are so widely used for a reason, probably relating to them holding a fair bit of the truth fluid.  I think the cliche along the lines of 'you learn most about yourself when times are tough' is a pretty good one.  Where am I heading with this?  Well I think you can apply it to those within a system in positions of power during times of genuine

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The dampest squib - Shape of Training outcome

Written by RSS Poster Garth Marenghi on the 18th August 2017 at 18:47 - Posted in Ambulance Blogs

So the Shape of Training Steering Group have published their final report and I think it's fair to say it's a massive improvement on Professor Greenaway's disastrous first draft.  My summary article in the BMJ from 2015 summarises the huge problems with the initial report and the rather dubious political influence upon the review that was taking place off the public record. The most dangerous

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Breathtaking incompetence - a monumental shambles in their hands

Written by RSS Poster Garth Marenghi on the 18th July 2017 at 14:51 - Posted in Ambulance Blogs

I've been reading Rachel Clarke's book over the last few evenings and this is what has inspired me to ramble on the blog today.  The mixture of humanity, sharp analysis and reasoned argument makes Rachel's excellent book absolutely essential for anyone interested in medicine, the NHS or healthcare.  The way in which the government have ignored precisely this kind of incisive intelligence sums

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The BMJ talks a good talk.....

Written by RSS Poster Garth Marenghi on the 14th April 2017 at 11:50 - Posted in Ambulance Blogs

The BMJ does publish some very insightful work at times, I particularly enjoyed Iona Heath's recent piece on 'conflicts of interest within England's NHS': "Although definitions and guidance about what to declare are useful, the real challenge facing individual clinicians and employers is to find a way to declare interests in a practical and meaningful way. " I couldn't agree more and the

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My thoughts on physician associates et al

Written by RSS Poster Garth Marenghi on the 13th March 2017 at 13:28 - Posted in Ambulance Blogs

I read the latest edition of JTO with interest and noted the comments from the Editor regarding 'physician associates', as well as the feature by Anandu Nanu.  Certainly it is possible that other allied healthcare professionals can be used to provide valuable service and this can potentially improve the training of junior doctors; perhaps medical support workers can be more cost effective and

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How to be healthy and smoke cigarettes?

Written by RSS Poster Garth Marenghi on the 11th October 2016 at 16:34 - Posted in Ambulance Blogs

Much has been said about the HSJ roundtable discussion last week, indeed the HSJ's piece relating to this discussion is due in the next few days.  So I hear you asking, why am I asking so many questions and probing the exact context to this roundtable event?  Firstly this tweet aroused my suspicions, this was tweeted at the end of last week by the HSJ's Editor Alastair McLellan: It was

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How to be healthy and smoke cigarettes?

Written by RSS Poster Garth Marenghi on the 11th October 2016 at 16:34 - Posted in Ambulance Blogs

Much has been said about the HSJ roundtable discussion last week, indeed the HSJ's piece relating to this discussion is due in the next few days.  So I hear you asking, why am I asking so many questions and probing the exact context to this roundtable event?  Firstly this tweet aroused my suspicions, this was tweeted at the end of last week by the HSJ's Editor Alastair McLellan: It was

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The problem with Jeremy Hunt and his fag packet inscribed reforms

Written by RSS Poster Garth Marenghi on the 05th October 2016 at 11:02 - Posted in Ambulance Blogs

First to set the scene, after years of failed negotiation the government has encouraged NHS Trusts to impose a new contract of employment upon junior doctors despite it being rejected by a majority of 58% in a recent contract referendum.  Much in the same way that clinical errors often require a catalogue of failures from multiple individuals, this junior doctor contract dog’s dinner has

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My thoughts on the junior doctor contract vote

Written by RSS Poster Garth Marenghi on the 09th June 2016 at 9:49 - Posted in Ambulance Blogs

This post may be unpleasant reading for some of you but frankly it needs to be said given the way some of the 'debate' is heading. Firstly I'm not going to spin cheap sound bites and propaganda in order to push your opinion into voting 'Yes' or 'No'. It has been clear throughout all this that we are all big enough and ugly enough to analyse the evidence to make up our own minds. Secondly be

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