The solution to the A+E problems lies outside A+E

The travails of the NI NHS are back in the news and specifically the problem of A+E: except it is not actually all an A+E problem. The main problem is the long waits in A+E of 12 hours or more. It must be understood that these people are not a waiting initial assessment and treatment but rather are awaiting admission to a ward: their A+E stay and treatment should have already finished. These people are entirely inappropriately being treated in …

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Assembly calls for debate on consent for Organ Donation

A couple of weeks ago the assembly had a debate on organ donation in Northern Ireland and discussed the option of presumed consent as a mechanism to increase organ donation rates. Edwin Poots called for a public debate on the issue. The issues in this are complex. Presumed consent may substantially increase the number of organs available for transplantation since although a majority of people state a willingness to donate their organs following death only a minority are registered donors. …

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Thoughts on Prescription Charges

Hidden away amongst the discussion of the Compton Review Edwin Poots again mentioned the prospect of reintroducing prescription charges. There is a certain irony in this in that although it was Michael McGimpsey who ended prescription charges the DUP repeatedly claimed this move as one of the successes of devolution and claimed much of the credit for that decision. More recently, however, Poots has repeatedly proposed reintroducing the charges in order to pay for cancer drugs and the like. Part …

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Northern Ireland’s roads remain safe: possibly not at 111mph

Some good news was published by both the BBC and News Letter yesterday. There were 59 deaths on the roads in Northern Ireland last year, a rise from 55 the year before, but still vastly lower than in the past. Prior to 2010 the lowest number of deaths was in 2008 at 107. As the News Letter notes it is sometimes seen as distasteful to celebrate a reduction in deaths when people are still being killed but the reality is …

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Godot arrives: Compton Review delivers

Last week I suggested that Northern Ireland health reform was like waiting for Godot. Now Godot has arrived, told us he is sorting out major changes and that he will be back soon. The Compton Review (pdf) is a large and highly impressive document. Despite having been carried out in only a few months it has clearly been well researched with examples taken from best practice throughout the UK. There are twenty one chapters which detail everything from maternity to …

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