The Study Leave Squeeze

and how to mitigate it… With the NHS in perennial financial crisis, this last week we learn from Jim Mackey, NHSI Chief Executive, that 2017-18 will require providers to find yet another 4.3% of savings, despite the majority stating quite clearly they were running out of new options. The Sustainability and Transformation process was designed … Continued

The Struggling Trainee – Vulnerability of the Supervisor

An Underappreciated Risk of Educational Supervision It is unlikely that you can remain as an educational supervisor for any length of time without finding yourself at some point with a later stage trainee that gives you severe cause for concern and has you begging the question of how they got to this point with ‘these’ … Continued

3 Headlines, 2 Primary Conclusions, 1 Inevitable Outcome

With Catastrophic Effects for Current Staff Today is an interesting day. In the last 24 hours we have seen the emergence of 3 distinct news reports that, taken together, virtually require us to conclude something rather alarming and of very personal importance or implication. It could be argued that each of these items taken individually … Continued

RCP Report – Underfunded, Underdoctored, Overstretched

The NHS in 2016 RCP have released a pretty stark report highlighting, amongst other things, the significantly increase gulf between provision and demand. This in itself is not news to anyone working on the front line (and I believe not news to anyone in Whitehall either). However, if they ‘know’ but choose not act, you … Continued

Handling Interruptions Whilst Being Nice

Interruptions Can Wreck a Consultant’s Time Management So, you are concentrating on a vital and complex guideline. It’s full of figures and drug calculations. In the middle of a complex sum, the door knocks. You answer… and someone says “can I just have a quick word?” 45 minutes later, with a whole new problem to … Continued