Professor Angus Dalgleish

Angus Dalgleish is professor of oncology at St George’s, University of London and a fellow at the Centre for Brexit Policy.

The NHS is still in desperate need of reform

From our UK edition

Along with many of my colleagues, I have been arguing for years that the current structure of the NHS cannot survive. Giving the health service endless money won’t make a significant difference, unless its core structures are changed. It is therefore very interesting to see that Matt Hancock, in the middle of the pandemic, has unveiled a package of major changes to healthcare, the essence of which is to reverse the Lansley reforms. One of the reforms the health secretary is taking aim at is the purchaser/provider split, which I have identified in the past as one of the ‘four crumbling pillars of the NHS’. The split involves regional panels commissioning various services, with hospitals and providers competing for ‘contracts’.

Is Britain’s coronavirus response bogged down in bureaucracy?

From our UK edition

The NHS has rightly been praised for its response to coronavirus. But it still isn't quite the model of efficiency it could be. And there remains a problem with how British medical bureaucracy is handling the treatment of hospitalised Covid patients.  Hard-pressed consultants are reportedly being forced to swap news in WhatsApp groups about possible cutting-edge treatments. These doctors are desperate for information which may help their Covid patients in hospital either stay out of intensive care or, if unlucky enough to be in ICU, improve the 50/50 odds of life or death once on ventilation. Why? It seems likely that doctors are forced to innovate off the record because of the bureaucracies we're all too often lumbered with in the medical world.