Thursday, June 30, 2022

Sustaining the NHS

Sajid Javid in the introduction to his keynote speech to Policy Exchange on 'Digital transformation in health and social care' said "The truth is that our health and social care system is following an unsustainable path that is too often not delivering for patients". He went on, "At the start of this century health service spending represented some 27% of day-to-day public service spending. By 2024 it is set to account for 44%. ... But can we really say we've seen an equivalent improvement in outcomes?"

Obviously this rhetorical question was meant to be answered in the negative and I would agree. I've said before (eg. see previous post) that overmedicalisation of society has created too much medicine. This situation is ironic as the currently fragmented and dysfunctional NHS has also inflated demand so that it cannot cope. The NHS needs to relearn to concentrate on priorities. There needs to be a shift back towards meeting need rather than demand.

The BMJ has recently called for a reset in its campaign against too much medicine (see editorial). A rushed article of mine 'The limits of psychiatry' was published (with several fairly minor errors eg. picture of Alfred rather than Adolf Meyer) in a BMJ theme issue in 2002 highlighting the dangers of too much medicine. As the recent editorial says. "Evidence for the damaging effect of overdiagnosis and overtreatment continues to grow". And as it concludes, there needs to be a move from "rhetoric and scattered evidence to actionable evidence and measurable impact".

Sunday, May 29, 2022

Peter the Great was no saint

Commentary in Politico suggest Vladimir Putin is no Peter the Great because he has failed to stop murder and rape in Ukraine. But this tapestry of Peter shows him looking pretty pleased with the carnage of the Battle of Poltava in Ukraine in the background.

Battle was raging between Russian forces and the army of Charles XII of Sweden, marking the beginning of Russian hegemony in Northern Europe.

Monday, December 20, 2021

Death rattle through Buttler hit wicket

Brave fight comes to an end. Day 5 of second Ashes test. Let’s hope England are good enough to come back.

Sunday, December 19, 2021

Painful blow at the end but at least there’s a fifth day

Day four of Ashes second test. At least Malan and Root develop their all-round skills with two wickets each.

Saturday, December 18, 2021

Worst day of series for England?

Malan and Root did not bat all day unfortunately (day 3 of second Ashes test). Other partnerships are needed. But Warner got confused leading to a runout. So, is this a repeat of 1936-7 in reverse (see previous post). Is there rain predicted?

Friday, December 17, 2021

Australia in command, I admit it, but …

Day 2 of the second Ashes test. Australia got to more than 450 but England have plenty of batting after losing two wickets. And it is first pink ball Ashes test (see article). And it’s hot, watch the lightning.

Thursday, December 16, 2021

Dropping a sitter is embarrassing, but so what?

Rubbing in Buttler’s embarrassment is easy game, but he’s playing a real match. Let’s see after day one of second test. (See previous post posted in Australia).

Wednesday, December 15, 2021

Discover Lowestoft

Lowestoft in olden times (1899 edition by David Price)

The Arnold family of Lowestoft

The Arnold family held a high position in the town of Lowestoft for more than century. The prestige of the family was enhanced by the celebrity of the educational reformer, Dr. Thomas Arnold, Head Master of Rugby School, and his son, Matthew Arnold, one of the most distinguished of the poets and essayists of the Victorian Era.

Wednesday, December 08, 2021

The Ashes has started

England suffer nightmare start to the Ashes as Rory Burns dismissed first ball

Not since 1936 has this happened at the start of Ashes

English cricket team in Australia in 1936–37

Pat Cummins sets records in first day as captain, bowling figures

Bradman has been the only captain to win a five-match series after losing the first two Tests. But in 2021/2?

Thursday, September 23, 2021

Shortest ever county championship match scheduled for 4 days

I saw the whole match of Essex versus Northants, even if it was only 96.3 overs (see article in The Cricketer). There have been shorter matches (see scorecard) scheduled over 3 days (see tweet by @davidaw69).

Saturday, August 14, 2021

Cricket as the UK pandemic eases

Glad to return to the Home of Cricket yesterday. I even wore a red jumper (as it was RedforRuth on day 2).

Saturday, May 08, 2021

Hartlepool will again vote for British values

The Labour Party's strategy has come into focus with the loss of the Hartlepool by-election (see New Statesman article). The Hartlepools (see Wikipedia entry) first became Labour in 1964. I think Britain's current conflict about its values will again be decided in favour of liberty, responsibility and fairness.

Tuesday, February 23, 2021

Had my first jab yesterday and the second jab is booked.