26th October 2015

Live Health News  |  Weather  |  Archive
  For Local Authority, Council news and comment subscribe FREE for councilManagers.net HERE

New Health Chat

19th November King's Fund 5.30pm

Lord Philip Hunt - shadow deputy leader House of Lords - former Trust Chair

What is the inside story of the H&SCAct,

What is Labour's health policy under Jeremy Corbyn? 

This is looking like another sell-out event Tickets here.

A chef off the telly
News and Comment from Roy Lilley
The start of my working week is Sunday evening. A glass of Penderyn sits on the corner of the desk and whispers; '...come dancing'.
Lewis Hamilton is whirring his way around a track that has all the attraction of a Walmart car park. Spa it is not.
In the news; Tony Blair apologised for Iraq. Hardly news. He said the same thing months ago.
If it's possible to park the emotions that Blair incites, I think he was responsible for one of the bravest and most far reaching decisions of the twentieth century.
In 2007 he banned smoking in the workplace.
The impact was immediate; 2.4% reduction in heart attack, emergency admissions to hospital (1,200 patients) in the 12 months following the ban.
Blair succeeded where years of persuasion, nudge, adverts of people coughing and images of kissing ashtrays failed. He changed the law.
A controversial but mesmeric man, Thomas McKeown, was both a doctor and a demographer. Back in the 60's he said (in terms), governments have done all they can, about public health; clean water, adult literacy and childhood immunisation. He went on; ...the rest depends on the extent to which government is prepared to interfere in the lives of ordinary people.
He is right. Blair is right. It is the law that changes behaviour. Seat belts in cars, crash helmets whilst riding motor cycles, health and safety at work and smoking in the work-place. The law keeps us safe.
Before 1900 it is probably true to say doctors did more harm than good. By the 30's they were changing the balance and since then real changes have come thick and fast.
McKeown said the major advances in health came not from therapeutic medicine but from "...improvements in the economy, in diet, in public-health engineering and in the evolution of social and working conditions."
Get that... public-health engineering.
Taking care of the public's health is a mile away from fixing them up when they get sick. Each is the servant of the other but only one has the power to stop the NHS melting.
More from last week's news... the sugar tax thing. I guess it will be in the news again this week and next week and the week after. Until Number 10 manages to find an apparatchik with a right foot, sure enough, to kick it into the long grass.
Sugar; tax it, ban it, demonise it? You're joking; we can't agree on how big a spoon is a spoon! Public Health England reports seem to have less impact than a letter to Santa... we know Santa's letters always get a result.
Public Health England, responsible for everything from Ebola to what goes in a sausage. From Porton Down to feathers in your eiderdown. If ever there was a leviathan, PHE it is. Sprawling, confused, meandering, ponderous, touchy, prickly, defensive, impenetrable, out of touch, out of the loop and out of my life and probably yours, too.
I can't figure out if PHE is arm's length from government, independent, a servant, supine or just too big to do anything nimble and meaningful. They seem to have all the clout of a wet lettuce leaf... sprayed with Imidacloprid, Mandipropamide or Propamocarb hydrochlorine... or not. Given time, I expect PHE could tell us.
Fixing the NHS on the supply side is all but impossible. Fixing our health on the demand side is slipping out of our reach.
Lifestyles, diet, incomes, education, new definitions of poverty and ignorance are driving the nation's health into a cul-de-sac of our own making.
Where are the public health leaders? Where are the champions of 'public-health engineering'? Who will, to interpret McKeown for our times,  help us to; come safely into this world and comfortably out of it and whilst in it, protect our wellness and superintend our healthiness.
Who will redefine medicine and take a lead in understanding the true nature of the times we live in. Where are the public heath champions, their professional cream-of-the-crop, their leaders?
Who will confront our politicians and challenge us as individuals, with the uncomfortable fact that nutrition, the environment and our behaviour are all that matters?  Not a PH professional but a chef off the telly...

Have you looked at the fabulous stuff?
New 'shares' every day.
Make a note; be a sharer this week
  Contact Roy - please use this e-address
Know something I don't - email me in confidence.
Leaving the NHS, changing jobs - you don't have to say goodbye to us! You can update your Email Address from the link you'll find right at the bottom of the page, and we'll keep mailing.
MaM Logo  
Medicine for Managers
Dr Paul Lambden
There's a lot of bile in this article!
 The Academy of Fabulous NHS Stuff
We have ideas that are the cat's whiskers, right
Share your good stuff
Latest 'shares'.
Dementia awareness podcasts; nutrition support for dementia patients.
Share your fabulous stuff.
 Vanguard New Stuff.
Follow us on Twitter
Please share your good stuff!
News and Stuff
News boy
1st December
King's Fund 5.30pm 
Janet Davies
New boss at the RCN
King's Fund 1st December 5.30 pm.
Guest Editorial
Pathology Inspection is changing.
Not, it seems, for the better
'...the final insult'
19th November
King's Fund 5.30pm
Lord Hunt
Labour's Health Leader in the Lords.
A remarkable career; from leader of NAHAT (a forerunner of the Confed) and Trust Chair to the front-line of politics.
This will be an absorbing evening of politics, policy and no few insider secrets (we hope).  In conversation with Roy Lilley; come and hear from the heart of Westminster.
Philip Hunt writes here
Guest Editorial
the NHS in crisis and Monitor's new clothes.
Tell us about your jobs and post them for free.
Why pay to advertise when we will do it for nothing - and it works!
This is what I'm hearing;
if you know different,
tell me here
>>  I'm hearing - South West Yorkshire mental health boss Steven Michael is to retire.
Guest Editorial
Hilary Jenkins
writes on the travails
of Wiltshire CCG
and will no doubt strike a chord across England
Readi it  
Need inspiration, a good idea or solve a problem