Scotsman’s confusion on cancer scanning ignores major progress

Professor John Robertson OBA The Scotsman‘s David Bol, today, has a frontpage masterclass in confusion. It seems to be about one NHS nurse claiming she’s had to go private for some unspecified cancer ‘check‘ and who is warning that ‘someone could die‘, presumably from delay in that ‘check‘. Before you can ask what the cancer in question is, so that we might look at the published figures, Bol charges straight into a piece about the apparent problem of cervical cancer screening uptake not hitting the 80% target. So, if there are delays in the cancer ‘check‘ this one nurse has … Continue reading Scotsman’s confusion on cancer scanning ignores major progress

Drug-related hospital admissions fall steadily by a third for two years to ease pressure on wards due to Scottish Government’s world-first opioid overdose reversal programme, last and only time mentioned on BBC Scotland, by Reevel Alderson in 2016 before he was removed!

Professor John Robertson OBA From Rapid Action Drug Alerts and Response (RADAR) quarterly ​report July 2025 published today, we can see a monthly fluctuating but steady, long term falling trend, in drug-related hospital admissions, from around 210 per month in July 2023 to around 140 in 2025, a 33% fall which must be easing pressure on wards. While there will be more than one factor explaining this trend, this seems key: What is the Naxolone Initiative? After a pilot phase ending in 2018, the Scottish Government began to embed Naloxone opioid overdose reversal kits across NHS Scotland. Shortly after, the … Continue reading Drug-related hospital admissions fall steadily by a third for two years to ease pressure on wards due to Scottish Government’s world-first opioid overdose reversal programme, last and only time mentioned on BBC Scotland, by Reevel Alderson in 2016 before he was removed!

How much will the current doctor strikes and imminent nurse strikes further widen the already massive gap between Scotland’s NHS waiting list and that in England

Professor John Robertson OBA In the Guardian yesterday, the above and: NHS bosses and the British Medical Association are accusing each other of endangering patients during the ongoing resident doctors’ strike. Their war of words centres on “derogations”, local agreements under which doctors who have joined the strike can cross picket lines to provide clinical care in a hospital. The escalation of the resident doctors’ pay dispute comes as it emerged that nurses in England, Wales and Northern Ireland have voted to reject their 3.6% pay award for this year. Scotland’s media are very quiet on this issue yet with the … Continue reading How much will the current doctor strikes and imminent nurse strikes further widen the already massive gap between Scotland’s NHS waiting list and that in England

Donald – Scotland is not bad at all already and a damn sight safer too

The homicide rate in Scotland? 0.8 per 100 000. The rate in the USA, 7.2 times higher! Professor John Robertson OBA Suffice to say, by contrast, sometimes stark, with England after decades of Tory/Labour rule, Wales after decades of Labour rule, Scotland has: With time, I could think of more. Ah, drug deaths! Falling but stalling, despite target beating treatment programmes, because of a recent surge of cheap, powerful, new drugs into towns and villages from English County Lines gangs. For those requiring a short cut to the evidence, try: What about the USA? Do I need to? Far higher … Continue reading Donald – Scotland is not bad at all already and a damn sight safer too

As resident (junior) doctor strikes begin today in NHS England, SNP settlement praised by BMA means NHS Scotland set to avoid thousands of excess deaths again

Professor John Robertson OBA After the last set of Junior Doctor strikes in 2023/2024, there were serious concerns about postponed appointments and excess deaths due to these. Above, the shocking picture of 52 out of the last 365 when doctors were on strike in England. There were no days lost to action in Scotland. According to the Guardian on 10 January 2025, junior doctor strikes caused around 1.3 million appointments to be cancelled. Had there been comparable action in Scotland, around 130 000 appointments would have been lost. According to the Telegraph on 2 January, there were nearly 53 000 … Continue reading As resident (junior) doctor strikes begin today in NHS England, SNP settlement praised by BMA means NHS Scotland set to avoid thousands of excess deaths again

As resident (junior) doctor strikes loom in NHS England, SNP settlement praised by BMA means NHS Scotland set to avoid thousands of excess deaths again

Professor John Robertson OBA In the Guardian today, the above and: In a letter to the NHS chief executive, Sir Jim Mackey, the BMA council chair, Dr Tom Dolphin, and the deputy council chair, Dr Emma Runswick, said: “Your decision to instruct hospitals to run non-urgent planned care stretches safe staffing far too thinly, and risks not only patient safety in urgent and emergency situations, but in planned care, too. “Consultants cannot safely provide elective care and cover for residents at the same time. We therefore strongly urge you to reconsider your instructions to hospitals, which should be preparing now … Continue reading As resident (junior) doctor strikes loom in NHS England, SNP settlement praised by BMA means NHS Scotland set to avoid thousands of excess deaths again

Scotland’s measles risk does not come from its own tiny ethnic minority groups but from ‘imported cases’

Professor John Robertson OBA BBC Scotland, only, has an investigation today into the lower vaccine uptake among ethnic minority groups. The report has percentage and vulgar fraction descriptions of the shortfall but no actual figures so we cannot see just how many children are unvaccinated so we cannot really see the scale of the problem. The BBC Scotland report opens with: Last year data on childhood vaccines was broken down by ethnicity for the first time. It showed a wide variation in uptake across ethnic minority groups and Public Health Scotland called for more work to understand what is going … Continue reading Scotland’s measles risk does not come from its own tiny ethnic minority groups but from ‘imported cases’

So in England, Alexander Dennis does NOT have to ‘adhere to (such) advanced Fair Work standards’?

By stewartb Some further background on Labour and ‘buses’: From Hansard volume 760: Commons debate on Economic Growth, 21 January 2025 Rachel Reeves (Labour, Chancellor of the Exchequer): “A number of local authorities and, indeed, Labour mayors have raised with me bus procurement and the importance of buses for the local economy. I look forward to working with them, particularly David Skaith in York and North Yorkshire and Steve Rotheram in Liverpool, to boost bus services in communities, and particularly rural communities, to support jobs in the UK. At the Budget, I allocated more than £1 billion for local bus services, and that … Continue reading So in England, Alexander Dennis does NOT have to ‘adhere to (such) advanced Fair Work standards’?

Leading health think tank praises new framework for population health co-created by Scottish Government and COSLA

– ‘this is a major step forward’ –  ‘Despite the now released Fit for the future: 10 Year Health Plan, England has nothing equivalent’ – ‘England would do well to draw inspiration from its neighbour’. By stewartb A respected think tank focusing on health and care in England, the King’s Fund published (July 14) a blog post with the headline: ‘What can English health policy learn from Scotland? A coherent policy approach to population health.’ Source: https://www.kingsfund.org.uk/insight-and-analysis/blogs/scotland-coherent-policy-approach-population-health It describes the King’s Fund’s longstanding advocacy of a stronger focus in England on population health through promoting the ‘integration for health, as … Continue reading Leading health think tank praises new framework for population health co-created by Scottish Government and COSLA

A free offer of a story for the mainstream media ‘serving’ Scotland: the Labour government’s new ambition for NHS England – no more than 10% of patients spending 12 hours in A&E – sets a threshold that NHS Scotland has NEVER EVER failed to better- NEVER worse than 8% and almost always very much lower! Why?

stewartb The Royal College of Emergency Medicine issued a press statement (July 2) entitled: ‘RCEM Response to NHS England’s Urgent and Emergency Care Plan 2025’. This is part of the much heralded reforms to improve NHS services in England from the British Labour Party government in Westminster. I have little doubt that the same party in the run up to the 2026 Holyrood election, with the help of its mainstream media allies, will be telling us to vote Labour in order to get similar super-duper ‘change’ implemented for NHS Scotland. So what does the RCEM say about Labour’s plan for … Continue reading A free offer of a story for the mainstream media ‘serving’ Scotland: the Labour government’s new ambition for NHS England – no more than 10% of patients spending 12 hours in A&E – sets a threshold that NHS Scotland has NEVER EVER failed to better- NEVER worse than 8% and almost always very much lower! Why?