A Blog About Health In Times Of Austerity

Latest entries
Public troubles and private lives – how could ‘iHomecare’ be the answer to the social care crisis?

Public troubles and private lives – how could ‘iHomecare’ be the answer to the social care crisis?

There is a permanent contradiction in the sphere of health and social care in that one person’s home is another person’s workplace, such that people’s private lives are intertwined with public responses to those lives (i.e. the state provision of... More…
Risk and danger -  time to change systems, not humans?

Risk and danger – time to change systems, not humans?

In June this year, the Mayor of London committed to delivering  ‘Vision Zero’ for road injuries.  This initiative aims that deaths and serious injuries on the roads should be eliminated in London by 2041.  That’s a bold aim: despite falling... More…
When should we worry?

When should we worry?

Antimicrobial resistance (AMR) is in the news as public health specialists around the world ask us to pay attention to Antibiotic Awareness Week. Posters have gone up across the UK warning that ‘taking antibiotics when you don’t need them puts... More…
Making a virtue of variation? The fragmentation of the English NHS

Making a virtue of variation? The fragmentation of the English NHS

Geographic reform of the NHS is not new: region, district, area, and locality are all familiar terms in NHS history, and notions of “place” as an organising principle retain an intrinsic appeal for policy-makers.  Recently, the English NHS has now... More…
The Doctors’ Trial: 70 years on from the Nuremberg Code

The Doctors’ Trial: 70 years on from the Nuremberg Code

While many of us, on occasion complain about having to get ethical approval, it is important to be aware of the history behind these obligations. This is especially true with the recent resurgence of the far-right and Neo-Nazis leading to... More…
A Shared Love for the Beautiful Game

A Shared Love for the Beautiful Game

Sitting in the stands last Sunday watching Brighton and Hove Albion take on Everton there was a palpable energy in the air.  From the cheers and chants for home players to the booing of opposing players and officials, the atmosphere... More…
VIDEO:  Public Health in the Calais Refugee Camp

VIDEO: Public Health in the Calais Refugee Camp

Public Health in the Calais Refugee Camp: Environment, Health and Exclusion If you missed this year’s ‘Cost of Living’ Symposium it is now available to watch in the above video. Surindar Dhesi, School of Geography, Earth and Environmental Sciences, University... More…
What to do about our toxic universities?

What to do about our toxic universities?

“My senior management seems to live in a governance free zone. One in particular who joined with the new VC has developed a reputation for turning disagreements into sacking”. UK University Employee Anyone who takes more than a passing interest... More…
The Gradual Rehabilitation of Salt

The Gradual Rehabilitation of Salt

The Public Health campaign against salt seems to be losing ground – for some sociologically interesting reasons. It’s become one of those facts that everyone knows – too much salt is bad for you, right? But a complete lack of... More…
The “snowflake generation”

The “snowflake generation”

Dangerous myths in precarious times You might have seen headlines about the “snowflake generation” or “generation snowflake”: a derogatory term to describe young adults in the 2010’s. It was made one of the “words of the year” in 2016 by... More…
The panel will see you now: GP Referral Management Schemes

The panel will see you now: GP Referral Management Schemes

Currently over 4 million people are on NHS waiting lists, hospital trusts’ deficits are at record levels, and the patient promise of treatment within 18 weeks of referral has been abandoned. For NHS England, the incentive to “do something” about... More…
On Vincent & Nina: Images of genius & madness

On Vincent & Nina: Images of genius & madness

Over the summer I visited the Vincent Van Gogh museum in Amsterdam. Given my grasp of Dutch is somewhat limited, I hired the audio-tour so I could better appraise myself of the exhibits. As I wandered around I was struck... More…
Guidelines for Depression: More Gourmet Nights from NICE

Guidelines for Depression: More Gourmet Nights from NICE

Could it really still be Gourmet Night for Psychological Therapies? I have written previously comparing IAPT to Fawlty Towers’ Gourmet Night, in which a series of events led to the hotel restaurant offering three options on the menu: duck with... More…
Why the NHS needs an immigration policy with strict hypocrisy controls

Why the NHS needs an immigration policy with strict hypocrisy controls

How did the UK come to find itself facing a major political crisis with the prospect of expending the forseeable future redefining its relationship with the European Union? One of the key contributing factors is that political leaders allowed the issue... More…
Placebo, participation and surgery

Placebo, participation and surgery

A therapeutic effect that cannot be attributed to an active ingredient of medication is termed ‘placebo’. The ‘placebo effect’ is far from a neutral description of the effect of ‘inert drugs’, being associated with the quackery and deception of sugar... More…
Scotland’s drug death crisis needs a radical harm reduction response – now

Scotland’s Drug Death Crisis

The newly published figures of annual drug-related deaths (DRD) in Scotland are appalling. The National Records of Scotland figure of 867 represents the highest annual total recorded – a 23% increase on the previous year, and a 100% increase since 421 Scottish... More…
Why we keep playing the Generation Blame Game … and why we need to stop

Why we keep playing the Generation Blame Game … and why we need to stop

Successive generations’ healthy disregard of the previous generation’s tastes, habits and customs is a necessary ingredient of human progress. But there is something about the current carving up of the population into ever smaller generational slices of entitlement and opprobrium... More…
UK policy turns people with learning disabilities into commodities, study reveals

UK policy turns people with learning disabilities into commodities, study reveals

There are well over a million people with learning disabilities in England. Like anyone, people with learning disabilities or autistic people can experience times of crisis and heightened distress, particularly when they and their families have not had the support they need.... More…
Climate change set to increase air pollution deaths by hundreds of thousands by 2100

Climate change set to increase air pollution deaths by hundreds of thousands by 2100

Climate change is set to increase the amount of ground-level ozone and fine particle pollution we breathe, which leads to lung disease, heart conditions, and stroke. Less rain and more heat means this pollution will stay in the air for... More…
To The Bone: Why Netflix’s portrayal of eating disorders has got it all wrong

To The Bone

Not many films come with a health warning. But the recent Netflix film To The Bone, which tells the story of 20-year-old Ellen – played by Lily Collins – and her journey through treatment for anorexia, has received just that. The... More…