Adam Staten is a GP in Milton Keynes and is on Twitter @adamstaten. In the last forty years there have been at least fifteen major structural reforms to the NHS. These have frequently been cyclical, rapidly and incoherently implemented, with very little
Anybody who was a fan of movies, sports, or Al Pacino in 1999 is probably familiar with Pacino’s famous ‘game of inches’ speech. Pacino was playing the part of coach to a struggling American Football team and it was with this speech
The State of Medicine is an eloquent, passionate, comprehensive, and, in many ways, dispiriting overview of the repeated damage inflicted on the NHS at the whim of successive governments. The frustration of the author, a GP from Glasgow, pours from every page,
I recently attended a talk at the hospital post-graduate centre where the speaker introduced herself as the hospital’s new ‘heart failure consultant’ rather than the new cardiologist. This set me thinking, as many things do, about the strange nature of secondary care
The news is everywhere. I don’t mean this in the way that I might if I were a dewy-eyed aspiring journalist, seeing fascination and potential scoops in everything around me. I mean that news coverage seems to be literally everywhere; on the
When a patient says ‘you’re the doctor’ it can mean several things. Sometimes it means ‘I trust you and the advice you’ve given me’, sometimes it means ‘I don’t like what you’re saying but I don’t feel like I’m in a position
Perhaps I have had a run of bad experiences but I sometimes feel that our secondary care colleagues are beginning to act as technicians and not physicians, directing themselves to a particular task to rule in or rule out a particular diagnosis,
[starbox id=adamstaten] Today I am writing from the most middle class circle of hell; the circle of hell where sinners are stuck in a perpetual home buying chain. Of all the costly obstacles to selling and buying houses, I have found the
Diagnosis is one of the most rewarding aspects of medicine and is one of the most attractive features of general practice. There are few areas of medicine, arguably just general practice and the Emergency Department, where you get the opportunity to encounter
Adam Staten is a GP trainee in Surrey and is on Twitter @adamstaten. The current struggle to recruit into general practice has been well described and the concern around it has rightly focused on how a shrinking workforce will continue to provide
Adam Staten is a GP trainee in Surrey and is on Twitter @adamstaten. In the June issue of the BJGP there was a debate as to whether GPs should maintain their status as independent contractors. To me this seemed like a macrocosm
Adam Staten is a GP trainee in Surrey and is on Twitter @adamstaten. LETTER TO THE HEALTH SECRETARY Dear Mr Hunt, Many congratulations on being re-appointed as Secretary of State for Health in the Conservative cabinet. May I suggest we treat your
Adam Staten is a GP trainee in Surrey and is on Twitter @adamstaten. For years there has been deep concern about the dangers to health of girls and young women aspiring to the figures of ‘size zero’ models. How odd then that
Adam Staten is a GP trainee in Surrey and is on Twitter @adamstaten. When MP and member of the health select committee David Treddinick suggested that the NHS should offer astrology to its patients he was widely ridiculed. To me it seemed
Adam Staten is a GP trainee in Surrey and is on Twitter @adamstaten. Cold reading is the art of obtaining information about a person by making a rapid assessment of their body language, manner, age, dress and behaviour. It is commonly used
Adam Staten is a GP trainee in Surrey and is on Twitter @adamstaten. La folie à deux is a shared psychosis in which two people share the same delusion. As it is rare I felt compelled to share an interesting case that I
Adam Staten is a GP trainee in Surrey and is a Twitter newbie @adamstaten. When Jeremy Hunt decided to take his children to A&E rather than wait for a GP appointment, or indeed rather than making use of the out of hours