Sick Notes - A Very Useful Book

Back to normal, or something approaching it. I thought I'd start by reviewing Tony Copperfield's book 'Sick Notes' which I promised to do before events overtook me.

There's been a lot of reviews of this book, some complimentary and some less so. It's a breeze to read. It ain't Dr Findlay and it's not high literature. But what it actually is, is a very useful book. This book paints in squirming detail the day to day idiocies of the modern NHS that have resulted from policies on high, and the endless battle to try and find a human path around them. From the form filling, to waiting list protocols to choose and book; Tony Copperfield gives the worm's eye view of them all and therein lies the book's true value.

The accepted books on the politics of the NHS are Allyson Pollock's NHS PLC and John Lister's 'The NHS at 60; for Patients or Profits'. But neither of them are easy reads. 'Sick Notes' is, and of the three books, this is the one that I would give to a lay person or MP to read as an introduction to the present chaos within the NHS. (Then I'd give them the other two).

This is a political book that's easy to read. Give it to your non medic pals the next time they start moaning about GPs. Give it to your MPs. Send a copy to Andrew Lansley. They'll read and understand. And maybe, just maybe, they might do something about it.

Thank You

Just to say thank you for all the condolences that I received, both by blog and email. It truly is a comfort at this time. Normal blogging will resume in the next couple of days, but in the meantime, have a listen to Paulo Nautini's rendition of Autumn Leaves, a song about his grandfather. And have the Kleenex ready..

An End and a Beginning

You may or may not have noticed that it is a while since I did a post. There's been a reason for this - just after the last post that I did, my mother, whom I had been caring for, passed away. She had been pretty ropey since March and I had been expecting it, but it was a shock just the same. I was going to do a blog post and then I couldn't. Neither did I want to move on as if nothing had happened and casually drop it into the blog somewhere as if it was of no consequence. So I waited until I was ready.

The past few weeks have been pretty weird. Up until a few weeks ago, I had a solid identity as Mum's carer. The house was like Hotel Central, with a steady procession of district nurses, carers and doctors dropping in and out. I had a limited amount of time in which I could go out and always had to be back for a certain time. Now they have all melted away and I feel like a satellite that has dropped out of orbit. Life has rewound to thirteen years previously, when I had finished my degree and diploma in music and I didn't have a clue where I was going with it. And yet..

And yet, how different the landscape looks. How different I am. Thirteen years ago, I would have never thought of getting involved in politics. Now I can't imagine not being involved and wonder why other people take no interest. How many fears that I had, seem childish now. And how I have learned the value of everything. There is nothing like the suffering of another, to teach you what's important and what's not.

In being a carer, I have learned to care. In some ways it's not a very pleasant thought. I wish that I could have learned this without the ugly twist of fate that gave my mum Alzheimer's. Nonetheless, it happened and I and others are changed as a result. And it has been a comfort that Mum herself never wasted a moment of the life that she did have. She was something rare; a great teacher and was the difference for many people who could have gone either way. That is her legacy.

So as I say I am back (and not back) to where I am. And I turned 40 last week. Does life begin now? Where am I going? We'll see. But this time round, I hope I have the tools to make better choices than I did back then.


It's a dangerous business, going out your door. You step onto the road, and if you don't keep your feet, there's no telling where you might be swept off to.

Rest in peace Mum. You should; you've no regrets. And keep an eye out for those of us still travelling along..

The Royal Twitter

Inbetween all the argy barging, politics and serious stuff on the net there are those sites that aren't trying to change the world, but do add to the gaiety of the nations. (Not that England will be feeling this way after their drubbing by Germany. And I think it's time to tell Wayne Rooney to make an effort when he's playing internationals or at least to look less ugly.) But in the general gloom, her Majesty (we are led to believe) tweeted this message;

'I tweet to you now as your Queen. And thus I say to you, this country is still great. Have heart. Or at least a pimms. God bless you..'

God bless, your Majesty. Mine's a Blossom Hill. I'm cheap that way..

Some Good News

After all the gloom in the blogosphere, I thought it was time to have some good news for a change. John Winton, who is part of our campaign network and who was running in the health board elections in Fife, won a seat. Not only that, but he was the first to reach the quota (after 35 counts, dear God.) This means that there is now at least one honest person on Fife Health Board.

Here's the list of those who were elected with the count stage they were elected at;


John Winton - Scottish Health Campaign Network 35
Elizabeth Adams -fundraiser for Maggies, Victoria hospital 37
Ann McGovern – leader of Fife council (labour) 51
Peter Adams – UKIP 52
Harry Blyth - councillor who represented Leven (labour)54
Susan Archibald – disability discrimination campaigner 54
Dave Stewart – chairman of NHS Fife’s operation division 54
Jayne Baxter 54
Margaret Harper- worked for Tayside NHS as a nurse; now in clinical governance 54
Ian Lowles- retired consultant 54
Arthur Morris- consultant plastic surgeon 54
Norma Wilson – medical secretary 54

And here's some of those that weren't elected;

John McKenzie Kirkaldy councillor (labour)
Fiona Purdon Glenrothes councillor (labour)
Harry Wills – Lib Dem candidate
Carole Patrick – deputy manager of CVS Fife
Ad Johnson – racial equality service based in Kirkaldy
Antony Payne – chairman of the Ecology centre in Kinghorn
Steven Marwick – son of Tricia Marwick , MSP

So what can be learned from these results and what do they mean for future health elections? I think the following conclusions can be drawn;

1) Belonging to a political party helps, but it is not a shoo in. Being a councillor or a candidate in another election doesnt mean you're going to get a seat on the health board. You need to be well known, as well as have the party rosette. Anne McGovern was the leader of Fife council; she also cared for her husband who had MS and died in 97.

2) Belonging to a campaign group helps, but only if it has a connection with health. John Winton from our group, Elizabeth Adams from Maggies and Susan Archibald who won a famous disability discrimination case got seats. Carole Patrick of Community Voluntary Services, Ad Johnson of the Racial Equality Service in Kirkaldy and Antony Payne of the Ecology Centre, didn't.

3) People like doctors. Two retired consultants, Ian Lowles and Arthur Morris got in. I'm told by my spies that they're good guys.

4) Being someone's relative is not a guarantee of a seat. Steven Marwick, son of Tricia Marwick MSP, didn't get in.

5) The Health board has influence but doesn't have as much in terms of bodies to vote as it thinks it does. None of their candidates made it into the top four, probably due to their crowding the paper with candidates and splitting their vote.

6) Crowding the paper with candidates doesn't work for either politicians or the health board. Politicos should take note of Peter Adams the UKIP candidate. He won a seat, because his vote was united. Labour and the health board lost seats, because they put in too many candidates and split their vote.

So what Fife have ended up with is a pretty eclectic bunch from all areas of the health and political spectrum. There's a fair balance between users, campaigners, professionals, politicos and management. That's actually how it should be. This is actually an election with a level playing field and I think NHS Fife will be much better as a result. It will mean that the flow of information will improve to all these sectors of health and that the health board will no longer have the ability to slap 'commercial confidentiality' on PFI projects and the like.

What of the turn out? 13.9% in Fife; 22% in Dumfries and Galloway. Slightly disappointing, but it was a trial run, with a huge ballot paper (60 candidates in Fife, 70 in Dumfries and Galloway). I can see the ballot papers getting smaller and the vote getting bigger as people get used to it.

Anyway, congratulations John. I'm sure there was a universal groan from the health board management when they heard the result and that's how it should be. Go gettem..

Say Not the Struggle Naught Availeth

Some months ago I was in Summerlee Museum in Coatbridge. It's an industrial museum and charts the rise and fall of the steel and coal industry in Coatbridge, which was one of the biggest producers in the UK. It goes further than that though; it also charts the day to day life of the workers who earned their living from these industries and their struggle for a basic quality of life. The banner above comes from those times.

I found it a very sobering visit. I always knew that conditions had been bad and that mining was dangerous but somehow it got under my skin. It was stark and understated and that made it all the more shocking. And I asked myself; in those conditions, where people were dying every day from injury, from disease and from neglect, how could they ever imagine that things could get better? How could they not have the spirit crushed out of them in those conditions? How did we get to the stage that we did have a health service, a mininum wage, health and safety and so on?

The answer? Those who dreamed of those things accepted that they probably would not have them for themselves. But it was enough for them that those coming after them would and so they put the changes in place, stone by stone. Lawrence of Arabia once said that the people to watch for were those who dreamed with their eyes open. And so they are. They are the builders of cities and the sowers of ideas. And all that we have, we owe to those who went before us, who did not lose hope, even in the despair that they worked in.

This has been a bad couple of weeks for the blogosphere. We have lost Jobbing Doctor for the time being and Rita Pal has a story about a friend who has been pursued by the GMC for four years and ODd. They pulled through, but we are in hard times for the NHS and sometimes it just doesn't seem worth it. We cannot imagine things getting better or that we make a difference. But we do. History shows it. All progress depends on those who hope and work to make their dreams real.

We may not see the fruits of what we do in our time. But it matters for those coming after us. Let's hope. Let's continue. And let's not let the bastards get us down.


Say not the struggle naught availeth,
The labour and the wounds are vain,
The enemy faints not, nor faileth,
And as things have been they remain.

If hopes were dupes, fears may be liars;
It may be, in yon smoke conceal'd,
Your comrades chase e'en now the fliers,
And, but for you, possess the field.

For while the tired waves, vainly breaking,
Seem here no painful inch to gain,
Far back, through creeks and inlets making,
Comes silent, flooding in, the main.

And not by eastern windows only,
When daylight comes, comes in the light;
In front the sun climbs slow, how slowly!
But westward, look, the land is bright!

And Now For Something Completely Different...

Thanks to Obnoxio the Clown for the link..