February 23, 2011
CLINICAL WASTE WARNING
“The doyen of evidence-based medicine, Professor Archie Cochrane (who died in 1988), was a medical student in london in the 1930s. There was a rally about the possibility of a national Health Service, and he decided to go. The official banner is said to have carried the slogan ‘all treatment must be free’. Cochrane constructed his own, which read ‘all effective treatment must be free’.
With its strong underpinning ethos of equity, its ability to make systematic policies and its non-profit foundations, the NHS has a unique opportunity to address the fundamental causes of inappropriate variation in treatments and treatment rates. Cochrane’s celebrated vision of the 1930s, that ‘all effective treatment must be free’, is not yet fulfilled. More than many other healthcare systems, which also experience such variation, the NHS can solve this long-standing problem.
For almost 60 years, the National Health Service has been the mainstay of healthcare provision in England. By any standards, it is a large organisation, employing 1.4 million staff, and the diversity of the activities undertaken is huge.”
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March 19, 2009
150 years of the Annual Report of the Chief Medical Officer: On the state of public health 2008
Looking back over the last year, aside from the celebration of past achievements and historical landmarks, it has been another period of major change and activity in health and healthcare.
The final report of the review of the NHS, High Quality Care for All, carried out by Parliamentary Under Secretary of State and practising surgeon Lord Darzi, is a major landmark in the development of the NHS. The work undertaken for the report was widely participative, notably involving thousands of front-line clinicians around the country. I was asked by Lord Darzi to lead the national strand of work on quality and safety in healthcare, and I reported to him in March. His final report states that quality will be the ‘organising principle’ of the NHS. This is a highly significant commitment and one that should be welcomed widely by clinicians, patients and the public.” “
July 14, 2008
ON THE STATE OF PUBLIC HEALTH: ANNUAL REPORT OF THE CHIEF MEDICAL OFFICER 2007
“On the State of Public Health
Under Their Skins: Tackling the health of the teenage nation
While You Were Sleeping: Making surgery safer
Jenner’s Legacy: Creating vaccines for the future
A Pathological Concern: Understanding the rise in oesophageal cancer
On Equal Terms: Achieving racial equality in medicine
The Regions: Health problems and initiatives