Health Service Journal
Hilary Thomas
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Hilary Thomas on treating lymphoedema in the community
26-May-2009
One of the most heart sinking conditions an oncologist encounters during his or her career is lymphoedema. I use the term “heart sinking” with some embarrassment but, if I am really honest, this is one of those afflictions that made me feel powerless as a clinician. -
Hilary Thomas: NHS branding vs NHS trust
5-Apr-2009
After more than two decades in the NHS, the concept of a brand had never consumed much of my intellectual energy. However, over the past year, I have been involved in two different re-branding exercises and have been thinking about what it really means. -
Hilary Thomas on NHS clinical governance and the credit crunch
11-Feb-2009
I had the good fortune to attend a breast cancer conference in the US recently. Nearly a decade after I stopped treating breast cancer, this was in my role as a trustee of Breakthrough Breast Cancer. -
Hilary Thomas on clinical-managerial networks
15-Dec-2008
I have had the worst cold I can remember for some years - and every time I get on the Tube somebody sneezes on me. The economy is depressing, the weather has been depressing and the built-in obsolescence of collapsible umbrellas convinces me their manufacturers did not consider the eventuality of rain or wind, and certainly not both at the same time. In short I am a curmudgeon. Bah humbug. -
Hilary Thomas on NHS top-ups
3-Nov-2008
I approach the subject of NHS top-ups with some trepidation. The issue is complex and there are no easy answers. Considering it from the cancer perspective, I will attempt to throw light into some dark corners of the debate. -
Hilary Thomas on caring for the whole patient
22-Sep-2008
My 75-year-old father has recently had a coronary angiogram and been referred for bypass graft surgery. When I was a cardiology senior house officer in the Jurassic period, he would never have been referred for such surgery at this age. -
Hilary Thomas on healthy competition
11-Aug-2008
The right sort of competition in healthcare is a prescription for huge gains in quality and efficiency. But while this can be encouraged partly through attractive incentives, have we been too lenient in pursuing more punitive measures? -
Hilary Thomas on clinical governance and values
2-Jul-2008
An old friend has just been in touch, having found one of my HSJ columns through Google. -
Hilary Thomas on changing healthcare
19-May-2008
The past year has been one of huge transition for me, professionally and personally. I have phased out seeing patients and crossed to the dark side, which has been a stimulating and steep learning curve. -
Hilary Thomas on working towards collaboration
7-Apr-2008
These days, I rarely forage for myself in the evening, so frequently do I attend dinners of one sort or another. They attract an interesting cross section of people - managers and clinicians, as well as some who are both, policy wonks and observers, all discussing how the NHS is changing. -
Hilary Thomas on
8-Feb-2008
One of my enduring impressions of the NHS is that of mythology. Not the classical Greek type representing animal/human chimaeras but perhaps equally contradictory. -
Hilary Thomas on challenging NHS rhetoric
8-Feb-2008
One of my enduring impressions of the NHS is that of mythology. Not the classical Greek type representing animal/human chimaeras but perhaps equally contradictory. There are a number of platitudes which people love to cite: “free at the point of delivery”, “the GP as gatekeeper”, and first prize has to go to “the best healthcare system in the world.” -
Hilary Thomas on new perspectives on caring
14-Jan-2008
Looking back, 2007 was an odd year for me. Making a career change has been inspiring and invigorating. The fact that it coincided with moving back to London, putting a year of treatment behind me and the clunky dawn of my sense of mortality and ordinariness has added to my feeling of displacement. -
HSJ Christmas quiz
17-Dec-2007
How well do you recall the ups and downs of the NHS in 2007? Test yourself with HSJ's seasonal quiz. And can you identify Santa's reindeers? Answers below -
Hilary Thomas on clarifying the NHS insurer-provider divide
19-Nov-2007
Separating the NHS’s purchaser and provider functions more clearly would help everyone who works in the service focus unambiguously on their purpose -
Hilary Thomas on promoting diversity in the workplace
15-Oct-2007
To truly celebrate diversity in the NHS, it is crucial to see beyond stereotypes, writes Hilary Thomas -
Hilary Thomas on differing points of view
28-Aug-2007
Regulations should enable hospital and community settings to work together on care appraisals, says Hilary Thomas -
Hilary Thomas on trust and safety
23-Jul-2007
'Imagine hearing: 'This is your junior pilot speaking. I have no particular interest in your safety.'' -
Hilary Thomas on her honeymoon period
18-Jun-2007
'I am like a pig in the proverbial. I am no longer part of a demoralised, cynical workforce, ground down by the inevitability of stasis and rigidity' -
Hilary Thomas on reconfiguration and supercasinos
5-Feb-2007
2007 is promising to be a good year. I'm an optimist - it has to be! -
Hilary Thomas on living with cancer
1-Jan-2007
Becoming a patient has been a salutary, levelling experience -
Hilary Thomas on being half-way through radiotherapy
6-Nov-2006
Soon I can put radiotherapy and my emotional reaction to it behind me and enjoy Harry Hill's advice: 'My auntie used to say, what you can't see won't hurt you. She died of radiation poisoning' -
Hilary Thomas on talking about illness
5-Oct-2006
'Two messages from old friends began 'What terrible news about your health' and 'Not good news!' and then switched subject in the next line' -
Hilary Thomas on clinical management
24-Aug-2006
'My unwanted effects present a long, weary list of moans. These demonstrate just how much my uncomplaining patients have been through' -
CLINICAL MANAGEMENT
15-Dec-2005
HILARY THOMAS ON CLOSER WORKING -
HILARY THOMAS ON THE POWER OF DATA
13-Oct-2005
Published: 13/10/2005 Volume 115 No. 5976 Page 31 -
HILARY THOMAS ON LEARNING WITH THE EXPERT
15-Sep-2005
CLINICAL MANAGEMENT -
HILARY THOMAS ON WANTS-BASED HEALTHCARE
25-Aug-2005
CLINICAL MANAGEMENT -
HILARY THOMAS ON CLINICAL MANAGEMENT
9-Jun-2005
Published: 09/06/2005, Volume III, No. 5959 Page 33 -
HILARY THOMAS ON CLINICAL MANAGEMENT
14-Apr-2005
Published: 14/04/2005, Volume II5, No. 5951 Page 33 -
HILARY THOMAS ON CLINICAL MANAGEMENT
17-Mar-2005
Published: 17/03/2005, Volume II5, No. 5947 Page 29 -
HILARY THOMAS ON CLINCAL MANAGEMENT
17-Feb-2005
Published: 17/02/2005, Volume II5, No. 5943 Page 33 -
HILARY THOMAS ON CLINICAL MANAGEMENT
18-Nov-2004
Published: 18/11/2004, Volume II4, No. 5932 Page 35 -
first opinion
21-Oct-2004
Hilary Thomas On doctors and change -
first opinion
16-Sep-2004
Hilary Thomas On why women are not the problem -
first opinion
12-Aug-2004
Hilary Thomas On teaching the art of doctoring -
The economics of truth
15-Jul-1999
PRESSURE POINT
