A GP in Guildford has recently revealed that the NHS is to pay GPs £55 each time they diagnose dementia in a patient. Writing on the medical website Pulse, Dr Martin Brunet, called the incentive scheme a “bribe,” put in place so that the government can “hit its target to raise diagnosis rates.”
The ‘Dementia Identification Scheme’ requires GPs to count how many patients with a dementia diagnosis there were on their register at the end of September, and to compare this with the number at the end of March 2015. They will then receive £55 for every extra patient. The full service specifications can be found here.
This week Richard Branson announced that Virgin would no longer be tracking people’s holidays. The move was apparently inspired by Netflix, who have similarly instigated a “no holiday policy” policy, which permits all salaried staff to ‘take off whenever they want for as long as they want.’ According to Branson, the idea came to him via his daughter, Holly, who sent him the following cheery email about Netflix, sounding suspiciously like a copywriter from Virgin’s media team:
Dad, check this out. It’s something I have been talking about for a while and I believe it would be a very Virgin thing to do to not track people’s holidays. I have a friend whose company has done the same thing and they’ve apparently experienced a marked upward spike in everything – morale, creativity and productivity have all gone through the roof.
Last month, Lord Robert Winston delivered the Physiological Society summer lecture entitled, ‘Shall we be human in the next century?’ You can watch it in full here (the stream starts working around 5”30 onwards). In the lecture, Lord Winston discusses the history and misuse of gene science and eugenics, and points to the potential resurgence of this way of thinking, made possible by advances that would allow us to genetically enhance human beings by modifying their nonpathological traits. Winston would be classified as a ‘bioconservative’ in the contemporary enhancement debate, and below I examine the case for caution that he puts forward in this lecture.
The National Institute for Health and Care Excellence (NICE) recently recommended that the NHS should learn from commercial weight loss programmes such as Weight Watchers, Rosemary Conley and Slimming World. The NICE guidelines suggested that doctors should take a “respectful” and “non-judgemental” tone when helping patients to lose weight. As well as this, GPs were encouraged to continue to identify overweight patients for referral to state-funded commercial weight loss schemes, run by companies such as Weight Watchers, with obese adults being given priority.
The plan is estimated to cost hundreds of millions of pounds, but is also likely to save the NHS vast amounts in the long run, if successful in reducing obesity. Approximately 1 in 4 adults in the UK are obese, a condition that is linked with other ailments such as diabetes, heart disease and some cancers. The costs to the NHS attributable to people being overweight and obese are projected to reach £9.7 billion by 2050. Figures show that Weight Watchers and similar schemes manage to reduce participant’s body weight by 3 per cent, and NICE believe that even this small amount will help in the long term. Is it right, therefore, that the NHS subsidise the cost of these commercially run weight loss schemes?
Scientists from the Drinking Water Inspectorate have recently discovered benzoylecgonine in water samples at four test sites, a finding that is thought to be a result of high levels of domestic cocaine consumption. Benzoylecgonine is the metabolised form of cocaine that appears once it has passed through the body, and is the same compound that is tested for in urine-based drug tests for cocaine. It is also an ingredient in a popular muscle-rub, however, so the origins of the compound in our water are somewhat uncertain. Steve Rolles from the drug policy think tank Transform has suggested that the findings are an indication of the scale of the use of cocaine in Britain today. According to a 2010 UN report, the United Kingdom is the single largest cocaine market within Europe, followed by Spain. In contrast to the shrinking cocaine market in North America, the number of cocaine users in European countries has doubled over the last decade, from 2 million in 1998 to 4.1 million in 2007/8. Although the annual cocaine prevalence rate in Europe (1.2%) is lower than North America (2.1%), the UK prevalence rate (3.7% in Scotland and 3.0% in England and Wales) is actually higher than the US (2.6% in 2008). According to the charity DrugScope, cocaine is the second most used illegal substance in the UK after cannabis: there are around 180,000 dependent users of crack cocaine in England, and nearly 700,000 people aged 16-59 are estimated to take cocaine every year. Further, according to the government statistics, in the years 2012-13, cocaine was the only drug to show an increase in use among adults between 16-59. All this does appear to suggest a possible link between the benzoylecgonine found in the water supply and high levels of cocaine use in the UK.
It was recently brought to public attention that of the UK’s 18,510 university professors, only 85 are of black origin (Black African/Black Caribbean/Black ‘other’), a soberingly disproportionate figure. Some people may want to explain this incongruence by saying that it is proportionate, or makes sense, when you consider the amount of black people entering and remaining within higher education. However, rather than the problem being solved with this explanation, it re-emerges in questions surrounding the reasons as to why this may be the case. If there are a disproportionately low number of black students entering (and remaining in) higher education, this itself needs to be questioned, with discussions had on financial situations, state education, implicit biases, and other social and economic barriers that may be disproportionately affecting certain sections of the population. In this blog post I will explore these factors, as well as suggesting that discussions on ‘intelligence’ genes within bioethics may serve to perpetuate a hostile and exclusionary environment.
The situation for black academics appears to be more acute in academic philosophy. There are only 5 black philosophers employed in UK universities, with just two of these being employed in philosophy departments (both at UCL), and the other 3 in classics, humanities and ‘theology, philosophy and religious studies’ departments. Philosophy is also notorious for its lack of female representation. Statistics show the number of women gradually reducing at each stage of academia – although 46% of philosophy undergraduates are female, this drops to 31% of philosophy PhD students, and is at its lowest with only 24% of full time staff being women.
Speaking in December last year, David Cameron reinforced the current government position that prisoners serving a custodial sentence in the UK should not be given the right to vote, stating that “if parliament decides that prisoners should not get the vote then I think they damn well shouldn’t.” The European Court of Human Rights (ECtHR) has ruled that the UK’s blanket ban on prisoner voting is unlawful, contravening the European Convention on Human Rights (ECHR). Cameron’s comments followed a warning from Thorbjørn Jagland, secretary-general of the Council of Europe, that if the UK, a founding signatory of the ECHR refused to enforce the judgment, it would weaken and deprive it of any meaning. Continue reading