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Marginal gains I love Dave Brailsford, now Sir DB’s, idea of marginal gains. With British Cycling he took every aspect of cycling from biomechanics to diet to helmets and broke them down to their component parts. He then worked on each to develop a marginal improvement. It might only be a fraction of a percentRead more

A Virtual trip to the beach I sounds bizarre does it not? It is something else I found on the fabnhsstuff website and it resonated with an idea I had some years ago. My plan was to develop a programme, that I would take to residential nursing and dementia homes. I would derive the informationRead more

How can we encourage children to take their tablets? Many medicines used in paediatric medicine only come in tablet form. This can cause enormous problems in getting some children to take medication. Crushing tablets often just releases foul tasting powder and slow release forms of medication cannot be crushed without impacting their affect. There areRead more

    I have been reading Matthew Syed’ fabulous book Black Box Thinking. I think it should be on the reading list of all decision makers but especially, clinicians, medical politicians and most of all Health Secretaries.   It is a fascinating insight into why errors occur, why they are repeated and how we convinceRead more

How does one make a diagnosis? Diagnosis is a fascinating area. As anyone who searches Google with a symptom finds (most of us at some time or another), a single symptom can represent anything from the trivial to fatal. This in itself has led to a large increase in consultations, of course. So how canRead more