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The recent report from the European Commission into the reuse of single use medical devices reminds me of Hamlet. The Danish prince, like the Commission in their report, had to contemplate the nature of action, and whether to suffer The slings and arrows of outrageous fortune, Or to take arms against a sea of troubles […]

Sitting on the tram this morning, flicking through my e-mails and preparing for the busy day ahead, I began to muse on the incredible impact that information technology has had on my life. Doing this sort of communication was inconceivable even when I had my first management role. My own personal secretary was highly skilled […]

The blogosphere has been driven into a foment over the last week or so by a paper by Groeneveld et al entitled ‘Increasing Use of Cardiovascular Devices and Rising Health Costs’. Its conclusions are interesting but, I suggest, not conclusive of anything which should prompt policy makers to ask further questions. Discounted for inflation the […]

Like much of the business community I have had plenty of time for thought and reading. A 24 hour trip to Milan has turned into a five day marathon. Both reading and experience have stimulated thoughts about the operation of markets. Firstly, after several hours on Thursday, I managed to secure a hotel room in […]

In recent weeks within the pharmaceutical industry there has been much talk of both downsizing – GSK and AstraZeneca shedding 11,000 jobs – and outsourcing of research and development, with a whole range of licensing or partnership deals designed to pad out faltering product pipelines. Once again I was prompted to think about the prospect […]

An ageing frequent traveller (this time sat on a plane taking me from frigid Brussels to what I hope will be altogether better conditions in Southern Spain) I am often exercised by what would await me if I were to get sick on my travels. Like most citizens of the EU-15, I would probably seek […]

In an ideal world we would have the same rules on devices in each country.  As patients, as we live or travel in different countries, we can be confident that should we fall ill, the devices used to help us are as safe as the ones at home.  As businesses, we would be confident that […]

On the 29th October all the votes were in and it seems that nothing more than EU paperwork stands between us and our first compulsory European database for medical devices, the infamous ‘Eudamed’ database. I say compulsory because ‘Eudamed’, as our European device database is known, has been in place for many years, but it […]

Yesterday’s report by Thomson Reuters on the real causes of excessive costs in the US healthcare system make interesting reading. Centre stage is over-treatment generated by a litigious culture which encourages patients to sue and, from that, doctors to perform tests and procedures, not because in their clinical judgement the patient needs them but because […]