Category Archives: Political Representatives and activists

The Health Service is no longer National, and there is blatant finacial rationing because Wales has not paid up!

Any illusions that there is still a “National” health service have been destroyed today. The news that Welsh patients will not be welcome at their normal English (Over the border) hospital has been coming for some time. See the entries from NHSreality below those for the news from various sources in Wales and Chester as well as the BBC. It is interesting how our politicians and our media collude in the fantasy that there is a “National” health service.. There is a national shortage of diagnostic skills, worse in Wales, and if the money moves with the patient, and Wales has no money….  The politicians and the media need to break their collusion of denial.. The admin cannot sanitise this..

BBC News today 5th April 2019: Countess of Chester Hospital: Funding threat in patient row

and the day before Countess of Chester Hospital says no to Wales’ patients

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June 28th 2013: Border Issues – When we will need border controls? Bevan’s “frontier” issues..

Devolution of health to Wales was a mistake? NHSreality 15th August 2015

An increase in prescription charges encourages autonomy, but only in England. It also encourages movement between different systems… In Wales we already know we are second class citizens. NHSreality 28th Feb 2019

Wales is an unsustainable state: another good reason not to leave the EU. Graphics in support… NHSreality 16th April 2016

April 1st 2016: Amazing how England has been able to kid themselves there is an NHS – until now. Manchester’s health devolution: taking the national out of the NHS?

NHS ‘postcode lottery’ denies Welsh nurse £70,000 treatment for rare stomach cancer because the hospital is across the border in England NHSreality 14th September 2014

The Welsh Green (nearly white) paper on Health – and the BMA Wales response. The candour of honest language and overt rationing, & exit interviews to lever cultural change.. Dec 3rd 2015 NHSreality

Election 2015: Bevan would be ‘turning in grave’ over NHS. Welsh Health Service derided.24th April 2015 NHSreality

Disintegration? Plaid Cymru publishes proposals to recruit an extra 1,000 doctors to Welsh NHS. Meanwhile a “managed service”..

Where did Labour’s prescription for treating the Welsh go wrong?

Don’t go West – go East!. An example for us all: Welsh patients in the dark about EU treatment options

Welsh NHS ‘is a scandal’, says David Cameron. The philosophy of not aspiring to excellence, but rather to reducing inequalities

Mr madam’s approach to a national shortage of diagnostic skills is understandable, but only partly truthful.

Why are we so proud of our 4 health services pretending to be one? “NHS is way down international league for healthcare”

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In the Chester Daily Post 4th April 2019:Chester hospital refusing to accept Welsh patients – despite being just miles from border – The Countess said it had taken the decision over ‘unresolved funding issues’ but Welsh Government says move is ‘unacceptable’

Walesonline: Countess of Chester Hospital says it will no longer accept patients living in Wales.

The Wrexham.com: Countess of Chester says unresolved funding issues to blame for no longer accepting some patients in Wales

The Independent: NHS patients in England refusing to accept patients from Wales.

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£1m a year!! Sex offence payouts cost NHS £4.6m in five years…

And its all about money…. and sex it seems. We all know we cannot afford this …

Andrew Gregory and Leila Haddou report “Sex offence payouts cost NHS £4.6m in five years” in the Times 31st March 2019.

The NHS has spent almost £5m compensating patients, staff and members of the public who had been sexually harassed, abused or assaulted, The Sunday Times can reveal today.

A freedom of information request by this newspaper reveals for the first time the damages paid to 94 victims during the past five years. Some 75 were patients.

The precise nature of the cases, including when and where in the health service they took place and details of the perpetrators behind the offences, were not disclosed. NHS Resolution, which handles negligence claims against the NHS, declined to provide even brief details of any of the incidents.

In total, £2.2m was paid out in damages, £2m was spent on claimants’ legal costs and another £400,00 went on defence costs.

John Kell, head of policy at the Patients Association, said: “Sexual harassment of a patient by anyone working in the NHS is a dreadful betrayal of the trust that patients place in clinicians and healthcare professionals and will inevitably shake the confidence of victims in the integrity of the NHS.”

In January this newspaper revealed that the NHS had been left with a £1m bill for compensating victims of Jimmy Savile after the estate of the late sexual predator contributed only £53,000. The DJ and television presenter raped and assaulted scores of patients, staff and visitors in 41 hospitals, children’s homes and a hospice over nearly 50 years.

NHS Resolution declined to identify NHS hospital trusts where fewer than five people had been awarded damages, insisting there was a risk that individuals “may be identified either from this information alone, or in combination with other available information”.

The only trust identified by NHS Resolution was Cambridge University Hospitals NHS Foundation Trust. It paid £249,000 in damages to five patients. The trust said all the cases were linked to Dr Myles Bradbury. He was jailed for 22 years — later reduced to 16 — in 2014 for abusing 18 boys in his care at Addenbrooke’s Hospital.

 

How can the NHS offer fulfilling, lifelong careers? The managers have no idea why doctors quitting in droves…. Exit interviews?

The exit interview is a rare event in the 4 health services. The BMJ opinion from Wilson and Simpkin is honest and powerful, but their drawing attention to the absent “exit interviews” now needs attention, and from a completely independent HR company. None of the staff will trust the “in house” services. Yes, its got that bad, and its going to get worse. Life expectancy has peaked already and went down this last year….

The BMJ offers some advice on workforce retention: How can the NHS offer fulfilling, lifelong careers? BMJ 2019;364:l1100

With morale and retention among UK doctors declining, The BMJ hosted a discussion at last week’s Nuffield Trust health policy summit, asking what the NHS can do to support clinicians throughout their careers. Abi Rimmer reports

“Enabling people to pursue their other interests is one key thing,” said Rakhee Shah, paediatric registrar and research associate at the Association for Young People’s Health, kicking off discussions. She highlighted the importance of giving clinicians more control over their working lives.

Ronny Cheung, consultant paediatrician at Evelina London Children’s Hospital, took this further, saying that it was also important to give clinicians control over their everyday workload. He said that his trust, Guy’s and St Thomas’ NHS Foundation Trust, had been “trying to make time and space for teams to come together.”

“It’s about regaining control,” he said, “and investing in people to allow them to do that.” This not only made staff feel more valued but also helped to remind them what they enjoyed about their work. “It has a multiplying effect,” he said.

Claire Lemer, consultant at Evelina London Children’s Hospital, highlighted the importance of food for staff. She described a successful initiative at her hospital that encouraged the executive team to provide food for clinical and administrative staff……

……The demise of the firm structure of working in hospitals had reduced support for clinicians, said Morrow….

…The panel also discussed how the intensity of clinical work affects clinicians’ ability to maintain a long term career in the NHS. Lemer said that, in some specialties, “the pressure and intensity of work is so extreme that it’s not sustainable for a whole career.”…

…Cheung also warned that the rigidity of medical training pathways was denying doctors the flexibility they needed, as they were forced to choose a specialty so early in their career.

“If we squeeze people into these pathways we shouldn’t be surprised if people break free, and we shouldn’t be surprised that we’re developing a workforce that isn’t particularly happy,” he said.

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The NHS is failing to look after its staff and patients, expert warns

Abi Rimmer, The BMJ

Anne Gulland, The BMJ

Opinion from Hannah Wilson and Arabella Simpkin is honest and ends with the paragraph: (This was not available in the on-line edition)

Quitting in DrovesHannah Wilson and Arabella Simpkin P 473 of the BMJ

Surprisingly, while there is little literature that discusses both the quantity of doctors that leave the NHS and the factors that may drive them, there is no literature discussing the attributes and characteristics of doctors that leave. To understand what is driving the flight, we must first ask who are the doctors that quit? Surprisingly exit interviews are rarely held. Yet this is critical information to develop interventions and strategies to stem the leak.

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The rationing of medical school places has led to a shortage of Cancer Care and Radiology specialists

It can take an awful long time to get the required tests in the UK. No wonder people are choosing to go privately when they can afford it. (BBC News today: Pressures increase fears of seeing cancer patients in time)

The rationing of medical school places has led to a shortage of Cancer Care and Radiology specialists. Its going to get worse still…… This was a political choice, made repeatedly, and against the advice of the royal colleges, and is one of the greatest threats to life expectancy in the next two decades. Proton beam therapy  (Daily Mail) may have arrived 10 years late, but is now predicted to save potentially 9000 lives: will everyone have access? There are just not the specialists for Commissioners to employ…..

Nick Triggle for BBC News 18th March 2019: Cancer doctor shortage ‘puts care at risk’

Kate O’Neill in The Times: Patients ‘paying the price’ for shortage of consultants

Owain Clark for BBC Wales 20th March 2019: Cancer specialist shortages in Wales ‘a real risk’

Cancer doctor shortage ‘will impact patients’, says Royal College

A shortage of cancer doctors in the NHS is likely to impact patients, according to a new report.

The study, from the Royal College of Radiologists (RCR), points to a growing shortage of staff, with 1 in 6 UK cancer centres now operating with fewer cancer doctors, called clinical oncologists, than 5 years ago.

And this gap between supply and demand is expected to widen, concludes the report.

The RCR estimates that by 2023, the NHS will need a minimum of 1,214 full-time cancer doctors. Based on current trends, there will only be 942.

Cancer Research UK’s Emma Greenwood said: “NHS staff are working incredibly hard to give patients the best possible treatment, but these figures reinforce that NHS cancer services are drastically understaffed.”

The study shows the UK is now short of at least 184 cancer doctors, and that the number of vacant posts is double what it was in 2013. More than half of vacant posts have been unfilled for a year or more.

Cancer doctor increase not keeping up with demand

Despite these figures, there where 46 more full-time cancer doctors employed in 2018 than the previous year. But the RCR said the increase is not keeping up with demand, with the number of trainees needing to at least double to close the gap.

“With cancer cases increasing and bold ambitions to improve cancer survival in the NHS Long Term Plan, we urgently need a workforce strategy supported by enough funding to resolve these severe staff shortages,” said Greenwood.

The report also says that without more investment in workforce, patients will not be able to benefit from cutting-edge cancer treatment, such as immunotherapy and proton beam therapy.

Dr Tom Roques, the lead author of the report, said: “The UK is seeing more and more fantastic innovations in cancer treatment.” He added that cancer doctors “are vital to the rollout of these new therapies but we do not have enough of them and our workforce projections are increasingly bleak.”

Overseas recruitment to plug staffing gaps was also reported to be unsuccessful due to several factors, including differences in how doctors are trained and a lack of HR expertise in the area.

References

Helen Salisbury: Dis-integration of cancer care BMJ 2019;364:l1220

 

The perverse incentives for government and university are too great…. A different long term plan is needed..

It is expensive to train medics, and the “cost” as shown below, is only a fraction of the real cost. The last estimate I saw was £260,00 in 2016. The market for medics is world wide, made worse by a global shortage and, in the case of the UK, made worse by the universal language of medical science – which is English. With rationing, we have to date given 2 out of 11 applicants places, and the odds have reduced to 1 out of 3! We need them all, and a virtual medical school could supply. Graduate entry is more efficient for the state, and gives males a better opportunity against females, as the men mature later. All this is recorded in NHSreality. ( See links below) The Perverse Incentives for government to apply short term policies, and the universities to generate income before providing the people needed are driving the situation worse. Along with this current doctors are bullied, harassed and overworked. At junior level repeat mistakes are endemic, and if all were recorded as “critical incidents” these doctors would not have time to work. In many countries, especially those from where we import doctors, they are predominantly private and admission is through wealth. These countries have created a caste system in health care, and the best is usually private. The articles below have interesting graphics…..We are already heading there, but it will take a longer term view to turn the juggernaut around.

Britons lose out to rush of foreign medical students Sian Griffiths

….The number of British first-degree students training to be doctors in the UK dropped by more than 500 from 2013-14 to 2017-18, while medical schools increased non-EU student numbers by 12%. While UK students pay £9,250 a year for their medical degree, non-EU students can pay up to £35,000 a year. The courses generally take five or six years….

Exeter, Glasgow and UCL medical schools also increased their overseas undergraduate numbers between 2013-14 and 2017-18 while UK student numbers fell at Durham, Liverpool, Edinburgh and Plymouth.

Jessica Ologbon, 20, said she had felt “numb” when she was rejected by four medical schools after achieving 10 A*s at GCSE and four As at A-level….

…He said: “It’s about money, at the end of the day. You would feel that you were losing out to somebody else who was paying their way in with a chequebook, but the universities have to balance their books somehow.”

Mark Britnell The Sunday Times Med Schools – an opportunity to “train the world” and an advert for his new book:

…We are heading for a global workforce crisis in healthcare. It’s estimated that the world will need an extra 18m health workers by 2030 as the population grows and ages. In the short term the UK is in danger of making a bad situation worse.

…In Britain, frustratingly, there were 20,730 applications to UK medical schools last year but only 6,500 places available. We did not fare much better in nursing: more than 50,000 students applied for 30,000 nurse training posts.

Of course quality is more important that quantity, but we have the opportunity to achieve both. There is a pressing global shortage of health workers, we have a strong NHS brand internationally, we lead the world with our universities and we have some of the best intellectual property — forged over centuries — for education and training at our command.

We should start by putting our own house in order, but, beyond Brexit, we can show the rest of the world that health is wealth. After all, isn’t that what Brexit has asked of us?

Hands up – who want’s to be a GP today? Recruitment is at an all time low despite rejecting 9 out of 11 applicants for the last few decades..

fewer women should be allowed to train as doctors because men are ‘better value for money’… The answer is graduate entry to medical school.

Some good news on new medical schools. Lets hope the politicians sieze the real opportunity for virtual medical schools living in local communities

 

NHS failure is inevitable – and it will shock those responsible into action. “Get ready for the penny to drop.”

The problem with defining failure in a state service is akin to defining bankruptcy in a nation state. If the state can print its own money it can never be bankrupt. If it defaults on it’s debts (usually dollars) it becomes a pariah. But it continues, as Zimbabwe or Venezuela…. The failure of the four health services is apparent to all doctors and nurses. If they can afford it, and have no idealistic scruples they may have PMI (Private Medical Insurance) but if they haven’t they KNOW that they may have to pay up front privately. The media will not be interested in a sustained assault on the “idolatry” which the nation has, and it wont tell us plebeians that there is no “N”HS. The costly measures when the penny drops will not be popular…

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opines in the Guardian 6th April 2018: NHS failure is inevitable – and it will shock those responsible into action

Health service facilities and staff are being stretched to a breaking point that will take costly short-term measures to fix
The author asks why we don’t acknowledge the failure:
I think the explanation lies in the fact that NHS healthcare, unlike, say, the Grenfell Tower disaster, doesn’t give us a calamitous across-the-board failure. It is so varied and comprehensive that while many services may be on their knees or worse, particularly at times of maximum pressure, others will be delivering adequate or even great services at the same time. There is a mixed picture. And for those who don’t want to see or face up to the hard facts, the possibility of highlighting other ones, and carrying on as before, presents itself.
And assuming the slide into mediocrity continues:
If this is where we are now, and there is much evidence it is, the performance of the NHS will now quickly get much worse. And this will, sometime soon, become clear to all. At that point something will have to be done – and will be done.

What will that be? It won’t be a promise to give the NHS an unspecified level of long-term funding some time. It will have to be immediate service increases and improvements with extra resources, to stem the flood of failure here and now: more money, yes, but more facilities, and more staff, all immediately, and, with costs guaranteed by government, feasible using quick-fix and stop-gap means. It will be quite costly, though the extra amount you can usefully spend in the short term isn’t huge.

But the alternative at that point will be a collapse of the NHS. And the sobering lesson is that had the warning signs been heeded and action taken before things came to this pass, the cost of putting things right would have been far less. The breaking point would have been avoided. Once the collapse has been prevented, we can all look at how we get things sorted permanently. Get ready for the penny to drop.

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The benefits to the NHS of staying in the EU

No harm at this political juncture, or reminding NHSreality readers of The benefits to the NHS of staying in the EU (The Times letters 4th April 2016.

Sir, As health professionals and researchers we write to highlight the benefits of continued EU membership to the NHS, medical innovation and UK public health.

We have made enormous progress over the decades in international health research, health services innovation and public health. Much of this is built around shared policies and capacity across the EU. The future for European citizens’ health lies in teamwork.

EU trade deals will not privatise the NHS as negotiations now contain clear safeguards. Decisions on NHS privatisation are in UK government hands alone.

EU immigration is a net benefit to our NHS in terms of finances, staffing and exchanges. Medical tourism brings surplus funding.

Finally, leaving the EU will not provide a financial windfall for the NHS. The UK’s contribution to the EU budget is part of an agreement allowing access to the single market. If we pulled out, adverse economic consequences far larger than any nominal savings are widely anticipated. This jeopardises an already cash-strapped NHS.

Our health services, health-research collaborations and public-health protection are more robust within the EU. Leaving would damage the progress we have made together. Brexit should carry a health warning.

Professor Martin McKee CBE, Professor of European Public Health, London School of Hygiene and Tropical Medicine
Professor Sir Simon Wessely, Vice Dean, Academic Psychiatry, King’s College London Dr Mike Galsworthy, Programme Director, Scientists for EU
Lord Bernie Ribeiro FRCS, Past President, Royal College of Surgeons London
Lord Nigel Crisp, Former Chief Executive NHS, London
Baroness Elaine Murphy FRCPsych, Professor of Psychiatry, London
Lord Alderdice FRCPsych, Senior Research Fellow, Harris Manchester College, University of Oxford
Professor Dame Jill Macleod Clark, Professor of nursing, University of Southampton
Sir George Alberti, Visiting Professor, King’s College, London
Sir Harry Burns, Professor of Global Public Health, University of Strathclyde
Sir Iain Chalmers, Co-ordinator, James Lind Initiative, Oxford
Sir Ian Gilmore, Professor, University of Liverpool
Sir Richard Thompson, Immediate past-president, Royal College of Physicians, London
Sir Robin Murray, Professor of Psychiatric Research, King’s College, London
Sir Sam Everington, GP, London
Sir Cyril Chantler, Formerly Chairman of The King’s Fund and the UCL Partners academic health science network, London
Mr Carl Philpott, Honorary Consultant ENT Surgeon, University of East Anglia
Professor Dominic Harrison, Director of Public Health, Blackburn with Darwen
Dr Anna Batchelor, Consultant anaesthetist, Newcastle upon Tyne
Dr Arpana Verma, Director Centre for Epidemiology, University of Manchester
Dr Christine Robinson, Research Assistant, University of Manchester
Dr Christopher A Birt, Honorary Clinical Senior Lecturer in Public Health, University of Liverpool
Dr Clare Gerada MBE, Former Chairwoman, Royal College of General Practitioners London
Dr David L Cohen, Consultant Physician, Northwood
Dr David Nicholl, Clinical Lead for Neurology & Neurophysiology (writing in a personal capacity), Sandwell & West Birmingham NHS Trust
Dr David Wrigley, GP, Carnforth, Lancashire
Dr Dominic Hurst, Clinical Lecturer in Primary Dental Care, Queen Mary University of London
Dr Geeta Nargund, Medical Director, Create Fertility London
Dr Harry Rutter, Senior Clinical Research Fellow, London School of Hygiene and Tropical Medicine
Dr Henry McKee, GP, Belfast Trust
Dr Iona Heath, Retired general practitioner, London
Dr Jane Young, Consultant Radiologist and Head of London School of Radiology, Whittington Health
Dr Jennifer Mindell, Reader in Public Health, UCL, London
Dr John-Paul Lomas, Specialist Trainee in Anaesthetics, Manchester
Dr Kevin O’Kane, Consultant in Acute Medicine, Guy’s and St Thomas’ NHS Trust
Dr Leila Lessof OBE, Former Director of Public Health, London
Dr Linda Papadopoulos, Psychologist, London
Dr Michel Coleman, Professor of Epidemiology and Vital Statistics, London School of Hygiene and Tropical Medicine
Dr Nicola Shelton, Reader in Population Health, London
Dr Omar Bouamra, Medical Statistician, University of Manchester
Dr Richard Horton, Editor-in-Chief, The Lancet, Elsevier
Dr Roberta Jacobson OBE, Honorary Senior Lecturer, Institute of Health Equity, London
Dr S Vittal Katikireddi, Senior Clinical Research Fellow, University of Glasgow
Dr Suzy Lishman, President, The Royal College of Pathologists
George Davey Smith, Professor of Clinical Epidemiology, University of Bristol
Jan van der Meulen, Professor of Clinical Epidemiology, London School of Hygiene & Tropical Medicine
Mr Gary Clough, Research Assistant, University of Manchester
Mrs Louise Johnson, Well North Executive Co-ordinator, University of Manchester
Ms Clare Huish, Research support assistant, Manchester
Ms Rosalynde Lowe CBE, Former Chairwoman Queen’s Nursing Institute, London
Prof Alastair H Leyland, Professor of Population Health Statistics, University of Glasgow
Prof Frank Kee, Clinical Professor, Queen’s University Belfast
Prof Gerard Hastings OBE, Professor, Stirlng and the Open University
Prof Humphrey Hodgson FMed Sci, Emeritus Professor of Medicine , UCL
Prof John S Yudkin, Emeritus Professor of Medicine, University College London
Prof Jonathan Weber, Director, imperial College Academic Health Science Centre, Imperial College London
Prof Mark S Gilthorpe, Professor of Statistical Epidemiology, University of Leeds
Prof Trevor Powles CBE, Head Breast Cancer Cancer Centre, London
Professor Peter Kopelman, Emeritus Professor of Medicine (formerly Principal), St George’s, University of London
Prof Martin White, Programme Leader, Food Behaviours and Public Health, University of Cambridge
Prof Ray Powles CBE, Head, Haemato-oncology, Cancer Centre London
Prof Sir Mike Owen, Professor of Psychological Medicine, Cardiff University
Prof Tim Helliwell, Vice President for Learning, Royal College of Pathologists, Liverpool
Professor Adrian Renton, Director of Institute of Health and Human Development, London
Professor Aileen Clarke, Head of Division of Health Sciences, Warwick Medical School
Professor Allan H Young, Director, Centre for Affective Disorders, King’s College London
Professor Alwyn Smith CBE, Former President, UK Faculty of Public Health, Manchester
Professor Carol Dezateux, Professor of Epidemiology and Hon Consultant Paediatrician, London
Professor David Edwards, Professor of Paediatrics and Neonatal Medicine, Guy’s and St Thomas’ Hospital Trust
Professor Debbie A Lawlor, Professor of Epidemiology, University of Bristol, Bristol
Professor Derek Cook, Professor of Epidemiology, St George’s University of London
Professor Dorothy Bishop FRS, FBA, FMedSci, Professor of Developmental Neuropsychology, University of Oxford
Professor Gabriel Scally, Visiting Professor of Public Health, Bristol
Professor Jane Salvage, Nursing consultant, Lewes
Professor John Ashton CBE, Director of Public Health, Cumbria
Professor John Malcolm Harrington, Emeritus Professor of Occupational Medicine, Budleigh Salterton
Professor John Middleton, University of Wolverhampton, Wolverhampton
Professor KK Cheng, Director, Institute of Applied Health Research, University of Birmingham
Professor Liam Smeeth, Senior Clinical Research Fellow, London School of Hygiene and Tropical Medicine
Professor Lindsey Davies, Past president, UK Faculty of Public Health, London
Professor Martin Bobak, Professor or epidemiology, University College London
Professor Maurice Lessof, Former Professor of Medicine, Guy’s Hospital
Professor Patrick Saunders, Director, Carolan57 Ltd
Professor Peter Whincup, Professor of Epidemiology, St George’s, University of London
Professor Raymond Agius, Professor of Occupational and Environmental Medicine, University of Manchester
Professor Rod Griffiths CBE, Past President, Faculty of Public Health, London
Professor Rod Hay, Professor of Cutaneous Infection, King’s College NHS Trust London
Professor Rosalind Raine, Head of Department of Applied Health Research, UCL
Professor Rosalind Smyth CBE FMedSci, Director, UCL Institute of Child Health
Professor Simon Capewell, Chairman of Clinical Epidemiology, University of Liverpool
Professor Salman Rawaf, Professor of Public Health, Imperial College
Professor Shah Ebrahim, Hon. Professor of Public Health, London School of Hygiene Tropical Medicine
Professor Shanta Persaud, Professor of Diabetes & Endocrinology, King’s College London
Professor Simon Heller, Professor of Clinical Diabetes, University of Sheffield
Professor Sir Munir Pirmohamed, David Weatherall Chairman of Medicine and Consultant Physician, University of Liverpool
Professor Stephanie Amiel, Professor of Diabetic Medicine, King’s College London
Professor Trisha Greenhalgh OBE, Professor of Primary Care Health Sciences, University of Oxford
Dr Rachel Scantlebury, Public health registrar, London
Dr Verma Amar Nath, Retired General Medical Practitioner (NHS), Birmingham
Dr Ingrid Wolfe, Director, Children and Young People’s Health Partnership, Guy’s and St Thomas’ NHS Foundation Trust
Sir Eric Thomas, Former Vice Chancellor, University of Bristol
Lord Ara Darzi OM, Paul Hamlyn Professor of Surgery, Imperial College
Baroness Sheila Hollins, Former President Royal College of Psychiatrists, London
Lord Naren Patel, Former President Royal College of Obstetricians and Gynaecologists, Dundee
Professor Anna Gilmore, Professor of Public Health, University of Bath
Mrs Alexandra Johnson, CEO Joining Jack, Joining Jack, Wigan
Richard Fitzgerald, Consultant Radiologist, Royal Wolverhampton Hospitals NHS Trust
Anne Lennox, Chief Executive, Myotubular Trust
Professor Alison Woollard, Associate Professor, University of Oxford
Dr Simon Stockill, Medical Director, NHS Leeds West Clinical Commissioning Group
Professor Michael Laffan, Professor of Haemostasis and Thrombosis, London
Mr Daniel Mayhew BSc, Development Technician, Cambridge
Dr Martin Yuille, Reader, University of Manchester
Dr Alastair Cardno, Senior Lecturer in Psychiatry, University of Leeds
Ben Caplin, Senior Clinical Lecturer, UCL
Professor Chris Inglehearn, Ophthalmology, University of Leeds
Professor Matthew Hotopf, Director NIHR Biomedical Research Centre at the Maudsley, King’s College London
Dr Carolina Lopez, Consultant Radiologist, Bedford Hospital NHS Trust
Dr Chiara Marina Bettolo, Consultant Neurologist, Newcastle upon Tyne
Professor Peter Openshaw, Professor of Experimental Medicine, Imperial College London