The future of London general practice is set for a continuing state of emergency, despite a raft of plans, strategies and forward views anyone who is anyone is still looking for a new model of care which fits with our values, as I told our conference at the end of April.
Meanwhile, technological and organisational innovations as well as sustained, co-ordinated efforts across multiple stakeholders are required. The healthcare infrastructure developed to address Millennium Development Goals can be leveraged to face the NCD challenge.
The cost to the state is huge. Mental health problems account for over £10billion of spending on incapacity benefits and housing benefit. There is a cost for employers too; mental health also makes up a large part of the £9billion a year costs employers pay in sick pay and the associated costs. But there is of course an incalculable cost for individuals whose lives are blighted and whose needs go unmet.
When talking about the health service, it is often more prudent to use the language of theology rather than policy. Phrases such as "hands off our NHS" and "the NHS saved my life" are common place and demonstrate the reverence the British people have for it, and the personal ownership many of us feel we have over it. Nigel Lawson's adage that it is the closest thing we have to a national religion still rings true.
In order to meet global stroke-reduction targets, policymakers must rethink their approaches. One of the key areas identified
Working in care, you see things every day that would stop someone else's working week in its tracks. Watching someone die. Having someone verbally, or even physically, assault you. Listening to tearful co-workers saying this is it, they've had enough.
The patient-doctor consultation is the irreducible essence of general practice. The consultation is the safest of all safe
You might be able, in the back rooms of Westminster, to convince one another that you can get away with a less-than-coherent health policy and rely on a lot of talk about the1930s to swing overwhelming public support for the NHS your party's way. But what the Labour Party needs now is a bit more Bevan-style fire in its belly.
While the prospect of more funding for mental health services is a good thing, it's no real victory if mental and physical services are not brought into unison. A health system that was in tune with medical science would have mental wellbeing at its core.
In the fray, be aware and protect your biggest assets, which are integrity, transparency, authenticity, courage, cohesion, creativity, an acting on social values, ethical independence, a willingness to learn, and a lack of shame.