Over the years I have met with thousands of bereaved parents who never cease to shock me with their tales of horror and lack of support following the devastation that is the loss of a baby. In some trusts, stillborn babies are still being delivered in delivery suites to the sounds of babies crying, excited visitors arriving with bunches of flowers and congratulation balloons.
Many people will struggle to get the care that they need as they approach the end of their life. According to Marie Curie, between now and 2020, approximately 250,000 people will die in London. We need to ensure that everyone who needs end of life care can expect to receive a high level of care that is personalised, coordinated, and sensitive to the needs of those around the patient as they enter their final months, weeks and days.
Acceptance, this one is certainly not easy. For me, this was a process - at many stages in my life, I believed I had accepted my circumstance and moved on, only to be confronted with it again a year or two later. It is only now I realise that acceptance comes in stages and that it is never too late to have revelations about the past.
In a hospital where the paths of staff and patients can cross in various different roles it is understandably difficult for patients to be assured of privacy and confidentiality. It is a fact we should be aware of and take seriously to prevent important information being with held to the detriment of patient care.
Although free at the point of delivery, the NHS is not a 'free for all' and though treatment is not rationed, it must be rational. Having spent 15 years in the same job, at the sharp end of the NHS, I have seen fancy ideas and initiatives change policy and procedure, trying to trim the cost of the service...