Skip to main content

Posts

Tackling Drug Shortages: An Urgent NHS Priority

The NHS in the UK is grappling with a worsening crisis, drug shortages, as we discuss in our recent article in the British Medical Journal . These shortages have doubled since 2022, with supply disruptions affecting vital medications like antibiotics, diabetes treatments, and hormone replacement therapy. The implications for patient safety and healthcare services are profound, making it imperative for the UK government and the NHS to address this challenge . Why Are Drug Shortages Happening? The root causes of these shortages lie in both global and local factors. Disruptions in international supply chains — driven by the COVID-19 pandemic, geopolitical conflicts like the Ukraine war, and rising energy costs — have hampered the production and transport of essential pharmaceutical ingredients. Domestically, the NHS faces challenges such as manufacturing inefficiencies, logistical delays, and regulatory hurdles. Brexit has also compounded the problem, introducing new trade barriers, custo...
Recent posts

Staying health and making more effective use of the NHS in 2025

 As we enter the new year, here are some tips on how to stay healthy and well and to make better use of the NHS in 2025: 1. Exercise regularly, aiming to include outdoor activities for sunlight exposure, which can help with physical fitness and improve mood, especially for those affected by Seasonal Affective Disorder (SAD). 2. Don’t smoke. Smoking is a major risk factor for diseases such as lung cancer and heart disease. Quitting smoking significantly reduces these risks. 3. Take-up the offer of any NHS vaccinations that you are eligible for. If you have young children, make sure they are also up to date with their NHS vaccinations. 4. Sunlight exposure may be limited in Winter, so consider vitamin D supplementation if you are in a group that this is recommended for. 5. Attend for NHS health screening appointments when invited. 6. Eat five portions of fruit & vegetables every day and eat plenty of high-fibre foods. Eating a nutritious diet is important for maintaining a health...

Protecting Against the "Quad-demic": Influenza, Covid-19, Norovirus and RSV

As the NHS braces for a challenging winter season, it is grappling with a "quad-demic" of health emergencies caused by influenza, Covid-19, norovirus, and respiratory syncytial virus (RSV). This confluence of viral threats poses a significant risk to public health in the UK as well as putting strain on healthcare resources, emphasising the importance of preventive measures to safeguard public health. Public health measures such a vaccination and good personal hygiene are pivotal in reducing the impact of these illnesses, particularly for vulnerable groups. The Four Viruses: What Are They? Influenza: A highly contagious respiratory infection that causes significant illness each winter. It can lead to severe complications, particularly in the elderly, young children, pregnant women, and those with chronic health conditions. Covid-19: Though its most acute phase has passed, Covid-19 remains a concern, especially as new variants of SA...

Why Vaccination During Pregnancy Matters

Pregnancy is a time filled with excitement, anticipation, and often, a touch of anxiety. Among the many decisions expectant parents make, one of the most crucial involves protecting the health of both the mother and the baby. Vaccination during pregnancy plays a vital role in this, yet uptake remains worryingly low in many regions. The Importance of Vaccination During Pregnancy Vaccines offered during pregnancy, such as those against influenza, pertussis (whooping cough), COVID-19, and the newly added respiratory syncytial virus (RSV) vaccine in the UK, are designed to safeguard the health of mothers and their babies. For example: Influenza vaccine : Protects against severe complications from flu, which can be more serious during pregnancy. Pertussis vaccine : Provides critical early protection for babies against whooping cough until they are old enough to be vaccinated themselves. COVID-19 vaccine : Reduces the risk of severe disease and complications from COVID-19 during pregnancy. D...

Why I Support the Fortification of Flour with Folic Acid

From the end of 2026, the UK government will require the addition of folic acid to non-wholemeal flour. This is an important step forward in public health; an intervention that could prevent up to 200 cases of neural tube defects annually as well as improving the health of pregnant women and their babies.  Why Folic Acid Matters Folic acid is essential for healthy cell growth and development. For pregnant women, folic acid plays a critical role in the early stages of foetal development, particularly in forming the neural tube, which develops into the brain and spinal cord. An insufficient folic acid intake during pregnancy can lead to neural tube defects such as spina bifida and anencephaly—serious conditions that can result in lifelong disability for the child or even loss of life. While women planning to become pregnant are encouraged to take folic acid supplements, about half of pregnancies in the UK are unplanned. This means that many women may not be taking supplements at the ...

Bridging the Digital Divide in Healthcare: Understanding the Use of the NHS App

The NHS App, launched in 2019, was designed to revolutionise how patients engage with their healthcare, offering features such as booking appointments, viewing medical records, and ordering prescriptions. While the app has seen substantial uptake—with millions registering and engaging—it appears that the benefits of this digital innovation are not evenly distributed across the population as we report in our article in the Journal of Medical Internet Research . The Promise of the NHS App Digital health tools like the NHS App hold the potential to empower patients, improve self-management of health, and increase access to care. From March 2020 to June 2022, millions of users logged into the app, ordered prescriptions, and accessed medical records. However, a closer look at the data reveals disparities in who is using these features. The Digital Divide in Action Our recent study highlights how sociodemographic factors influence app engagement. Key findings include: Socioeconomic Disparit...

Improving Migrant Healthcare: An Evaluation of of Health Catch-UP!

In today's interconnected world, migration is a key feature of modern societies. The UK has become home to a significant number of migrants seeking new opportunities or fleeing difficult circumstances. Yet, this group often faces unique healthcare challenges, including the risk of undiagnosed infectious and non-communicable diseases and incomplete vaccination records. Addressing these issues is crucial not only for individual well-being but also for broader public health. In a recent article published in the journal BMC Medicine , we evaluated Health Catch-UP!, a digital tool designed to bridge these healthcare gaps. Understanding the Need Migrants when compared to local populations are more vulnerable to certain health conditions that are common in their countries of origin. These range from infectious diseases like hepatitis and latent tuberculosis (TB) to non-communicable conditions like diabetes and high cholesterol. Unfortunately, current healthcare services in the UK often ov...