Notes on a judgment

  The judgment given in the case of Janet Tracey’s estate vs Cambridge University Hospital NHS Foundation Trust* contains lessons and warnings for doctors and nurses. There are fundamental implications, and there are subtle insights into how we go about discussing DNACPR decisions. The judge wrote, in conclusion: I would, therefore, grant a declaration against... Continue Reading →

Bed X – an explanation, not an excuse

Earlier this month Dr Kate Granger closed the NHS Confederation annual conference with a powerful speech. In it she described being referred to by a nurse as 'Bed 7'. These two syllables seem to embody uncompassionate care. 'Bed' represents all that is awful about hospitalisation, apart from the illness itself. It represents horizontality, frailty, powerlessness... Continue Reading →

‘I wouldn’t want it but…’ – commentary on an important paper

  This study, published by the open access journal PLOS1 last week, approaches but does not solve two important questions: Why do doctors provide intensive treatment at the end of life when they would never accept it themselves? And how can they propose such treatments when evidence suggests that patients do not want it? The... Continue Reading →

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