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Reviews

The State of Medicine is an eloquent, passionate, comprehensive, and, in many ways, dispiriting overview of the repeated damage inflicted on the NHS at the whim of successive governments. The frustration of the author, a GP from Glasgow, pours from every page, every paragraph and every sentence, as she contrasts the efforts of doctors to practice evidence based, safe, humane and cost-effective medicine, in a system that is routinely upended and overhauled according to manifesto sound bite, political opinion and, occasionally, outright self-interest. Dr McCartney offers a clear account of the follies of the last few decades and a personal view of where and how the NHS should proceed from here.… The message of this book is important.”

The State of Medicine: Keeping the Promise of the NHS Adam Staten in BJGP Life

“Nobody who follows the news in Britain … can be unaware of the current problems facing the NHS. Those of us who have worked in the NHS over the last 15–20 years are all too familiar with the long history of reorganisations, wasteful initiatives, ill thought out policies, and simple errors. And here they all are, set out in densely referenced detail. Margaret McCartney’s latest book is a truly impressive achievement in the scope and unblinking gaze it fixes on our travails. Even more impressive, it was an easy read…. She has woven all the different elements into a single narrative by stating what, in a less ideological and politically motivated world, would amount to good policy: careful attention to evidence; regard for the opportunity costs of any change; and, running as a constant thread throughout the book, paying particular attention to the harmful effects. … The book argues not for confrontation but, probably more wisely, for a much better partnership between patients, professionals, and government. If it helps to bring that about then we shall all benefit; if not, then perhaps it will at the very least encourage some righteous anger.”

The State of Medicine: Keeping the Promise of the NHS David Jewell in British Journal of General Practice

“Once I opened the first page, it was harder to put down than I had imagined. … Dr McCartney’s latest work seeks to dispel the myths surrounding healthcare. This time, her carefully reasoned iconoclasm has been scaled up to settle on the NHS as a whole … With her usual fluency and powerful prose, Dr McCartney takes the reader on a fascinating journey of the non-evidence based policies littered throughout the history of the NHS. … Intelligible, quick reads are hard to come by in this space. For anyone working in or with the NHS, I would certainly recommend you give this timely, persuasive book a try.”

The State of Medicine: Keeping the Promise of the NHS Dr Nishma Manek in Pulse magazine

“I’ve worked with Chris over three iterations of the Global Entertainment and Media Outlook, an enormous and prestigious project featuring more than 300,000 words of analysis on 54 countries across 17 media segments. His diligence and attention to detail are superb, and he has proved able to maintain these standards while also meeting the project’s very challenging deadlines. I wouldn’t hesitate to recommend him.”

Global Entertainment and Media Outlook Dominic Tait, Informa Business Intelligence