Am I competent? We must all have asked ourselves this question. In the build-up to world class commissioning assessment, it is interesting to ponder what competency we have and whether we have any weak links.
If you have mentioned delayed transfers of care in an unguarded manner to a mental health foundation trust director recently, you might have been struck by a sudden and sharp temperature drop in the room.
I remain vexed by the question "how can we engage junior doctors in patient safety?"
For a new arrival to the US, embarking on the Health Foundation's Harkness Fellowship in New York, it is hard to take in the full litany of facts about the 46 million Americans with no health insurance.
A sea change is happening in the way we approach large-scale change in the health service.
Yes, it is my fault - I think I am to blame for our terrible weather over the summer. I supported the introduction of the national system to monitor the effects of excessive heat over the summer months.
In 1968 John Lennon wrote this lyric in the song Revolution: "You say you'll change the constitutionƒ we all want to change your head". It is still relevant today.
