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Reasons to be cheerful – my review of 2014



There were many reasons to be cheerful this year for me. One of them was going down at the invitation of Lisa Rodrigues (@lisasaysthis) for Prof Sube Banerjee’s inaugural lecture as Chair of Dementia at Brighton and Sussex Medical School.

Reasons to be cheerful

Sube called his lecture, a timely view on where we’ve got up to in English dementia policy, “reasons to be cheerful”.

Kate

Kate (@KateSwaffer) is a world class advocate for people living with dementia.

I have found Kate’s work on stigma and language particularly interesting. Kate is Chair Elect of Dementia Alliance International (@DementiaAllianc), and I expect this group, consisting in the vast majority of people living well with dementia, to be extremely influential in 2015. As this group becomes more influential, I am sure it will attract more scrutiny, and it will be necessary both to manage people’s expectations and not be unduly swayed by externalities.

Kate

The University of Wollongong (@UOW) is where Kate did her Masters of Science degree in dementia care. I only received a Commendation for my Master of Law, but that was in commercial and corporate law, and not really my strongest love. For Kate to receive a Distinction is no less than Kate deserves, and I was genuinely utterly thrilled for her.

Wollongong

Chris and Jayne

I tried to get out more this year, fuelled by seeing friends Chris Roberts (@mason4233) and Jayne Goodrick (@JayneGoodrick). Louise and Rachel from the Dementia Action Alliance Carers Call to Action (@DAACarers) have worked amazingly hard, and I have nothing but the utmost respect for this arm of English policy. Here’s a picture of me, Chris, Sally (@nursemaiden) and Ken Clasper (@ken_kenc)  at the Methodist Central Hall in Westminster.

Great pic

I do strongly believe that ‘experts’ are a potentially false concept in dementia. I certainly don’t believe in experts by longevity – people who’ve professionally been studying dementias for ages. I do agree with Chris though – people living with dementia do become experts in their own experiences at their particular times. We all can learn from this.

Chris dementia expert

Here’s Chris holding the Dementia Alliance International flyer. This was in a crowded foyer during the conference. I am not sure what we were doing at that precise second. I reckon I might have been panicking about the poster session on my findings of the use of language in the G8 summit. That poster session was very enjoyable for me, as I got a chance to chat with Prof Mary Marshall whose influence on design and dementia has been enormous at Stirling. Mary remembered me from a workshop I attended in Notting Hill once. And I remember her. She spoke with me for ages, when she had no need to at all.

Happy memory

Dementia policy in England and Scotland

I thought this was a parody of a Monty Python sketch until one of my bright Twitter followers advised me it was a parody of the Two Ronnies sketch. That’ll learn me. Anyway, here I am with Chris and Tim Lloyd Yeates (@alivetim) whom I am confident to report is one of the most polite and well mannered persons I have ever met in my life.

Famous sketch

Ultimately, I have limits to my understanding of dementia, having not lived with dementia myself to my knowledge, and definitely not been involved in a family caregiving way. I am all the time mindful there is close to a million unpaid family caregivers in the UK, who are the backbone of dementia policy. They are central to care and support. Sally Marciano is a very experienced nurse, but also knows from the closest of family connections how dementia can affect someone. Prof Alistair Burns (@ABurns1907), the national clinical lead for dementia, often remarks that when a diagnosis of dementia is disclosed, it’s not only given to the person with dementia, but to his or her friends and family. This, I feel, is absolutely true.

Sally Ann

I first met Toby Williamson from the Mental Health Foundation (@MHF_tweets) when he chaired a groupthink session in one of the fringe meetings of the Alzheimer’s Europe conference in Glasgow. We were discussing stigma in dementia, and thinking of possible strategies for overcoming stigma. Toby is at the Mental Health Foundation, and I find him extremely interesting to talk with. He shares a number of policy interests with me, namely human rights, equality and personal budgets. I name dropped Toby in a comment on Prof Julian Hughes’ excellent presentation on ethics at the annual meeting of the Dementia Action Alliance.

Toby Williamson

Thanks to Sam (@yeweestoater) for her unending support. I really value this – and I had a great time when I met Sam for the first time at the Beardmore Hotel in Glasgow earlier this year, for the clinical research network day hosted by Scotland.

Sam

I was invited by Norman Macnamara (@norrms) to a talk on global positioning systems and people living well with dementia. As it happened, I got lost on the way back to the lift of the Queen Elizabeth II conference centre, and Norman was very helpful! The Purple Angels continue to be an enthusiastic force of people raising awareness of issues to do with dementia.

Here's my impression of a duck

I have decided I am no longer going to take photos on my digital SLR camera, as something always go wrong on them. Here’s a photo of Suzy (@suzysopenheart) and Jayne not taken on my iPad as it should’ve been (like Tommy Dunne (@tommytommytee18), I adore my iPad).

Suzy Jayne shimmer

I was really pleased that Lucy Jane Masters (@lucyjmarsters) was able to make it to my book launch of ‘Living well with dementia’ earlier this year.

It was great to see Marian there (@mariannaidoo). Also, I really appreciate Beth (@BethyB1886), Dr Peter Gordon (@peterDRLOW) and Margaret Kilby (@mkilll) making it too.

Lucy is a specialist nurse in dementia, and also studying at the Brighton and Sussex Medical School. Like me, Lucy shares a passion for the positive rôle specialist nurses can play in proactive case management in dementia, which I anticipate will be an important service provision change innovation shortly.

From the archives

Travelling back to Glasgow was highly emotional for me; so was meeting people who’ve become a big part of life through Twitter. You certainly can’t fault Tommy Whitelaw (@tommyNTour) for the sheer dedication he has shown to raising awareness of lending a hand of support for caregivers. Besides, he’s a Glaswegian, and given that I was born in Glasgow in 1974, Glasgow is a special part of my own personal life.

bit fuzzy

There are people I met in 2014 – and I wish they’d come into my life earlier, really. I was always aware of the huge amount of work Agnes Houston in the Scottish Dementia Working Group was doing as well as Donna. It was only until I saw Agnes (@Agnes_Houston) and Donna whizzing around in the Alzheimer’s Europe (@AlzheimerEurope) conference in Glasgow that the penny finally dropped.

Happy memories of 2014

I don’t think I ever met Tommy Dunne until this year. Meeting Tommy and Joyce were definitely highlights of my year – and I think Suzy Webster is genuinely fantastic too. With them, there’s no bullshit at all. They exhibit kindness. They are not distracted by others – their focus and attention is a clear indication of their dignity and the amount of respect they command. I think some of the happiest times I had in total in 2014 were through the Dementia Action Alliance Carers Call  to Action (@Dementia_Action; @DAACarers). They’re the sort of occasions where you do genuinely feel you’ve known people for ages – like weddings without any of the family traumas!

Tommy

Twitter can bring with it some degree of mystique. But a general enduring trend of mine was that the people I met in real life were invariably even more impressive than how I knew them from Twitter. One clear example of this was Darren (@mrdarrengormley). I think I share attitudes and values with Darren. Darren really ‘gets it’. A real privilege to know – I’ve got a lot of time for Darren.

Utterly unbelievable

Charmaine

To say Charmaine (@charbhardy) is ‘strong’ would be to do Charmaine a disservice. I am completely in awe of how Charmaine doesn’t ‘complain’. Charmaine thinks she’s doing her best, but she’s doing infinitely more than that. I am extremely grateful for the time I had this year in going to Robertsbridge and seeing for my own eyes the garden that Charmaine works so hard on. And I am proud of everything Charmaine does. I am proud of her community. Her friends adore her (look at the bunch I met for example at the Ostrich and Tony especially). I loved meeting G who spontaneously showed me his PhD thesis from around the time when I was born (I was born in 1974). This photo of Charmaine and me was taken at University College London, where completely thanks to Charmaine I was able to attend a support group for carers of people with frontotemporal dementia. There, I had a long chat with Katy Judd. It was great to catch up with Katy, whom I remember working with at the National Hospital for Neurology and Neurology, at Queen Square, more than a decade ago. Prof Martin Rossor (@martinrossor), whom I think is wonderful, was the head of the clinical firm.

Charmaine

I’ve learnt a huge amount from the support groups this year. It also reminds me what an enormous privilege it is to know something about dementias in a professional and academic capacity, and what an honour it is to use this knowledge for the public good.

PDSG support group

I’d love to go to the Ostrich in Robertsbridge some time in 2015 for a holiday; not least as it will give me an excuse to see Charmaine G and family.

Ostrich

The international forum

Before I got a chance to finish my sentence, ‘My name is…‘, Marc Wortmann (@marcwort), CEO of Alzheimer’s Disease International (@AlzDisInt), explained to me that he knew ‘exactly who (I am)’. I had a chance to thank Marc twice this year for the work of the ADI – once for the work on national strategies in dementia, and one for his report in which the ADI recommended avoidance of the word “institutionalisation”.

Marc W

Helga in many ways is larger than life. Helga Rohra (@ContactHelga) just beams encouragement, drive, wisdom, leadership, principles, justice, realism, and charisma. A real joy to spend any time with. Here’s us in Glasgow.

The happy couple

Prof Facundo Manes (@manesf) was in the same research lab as me at Cambridge. He is one of the world experts in frontotemporal dementia now. I have extremely fond memories of his friendship at Cambridge, and he has become a lifelong friend. He is a ‘proper neurologst’, and has a huge amount of common sense as well as a real talent for research. I love his attitude to life, and the fact that he is so clearly very bright. He has taken the field of decision making in dementia into parts I could have only dreamt of, and of course I am eternally grateful for that. Facundo, as well as being a Professor at the University of Favorolo in Buenos Aires, leads at INECO – a huge tour de force in cognitive neurology and cognitive neuroscience in South America; and he is Co Chair of the research division of dementia, aphasia and other cognitive disorders for the World Federation of Neurology.

Facundo

This year, I got put onto the International Advisory Board of the ADI conference to be held in Perth, Australia, this year. I really enjoyed reviewing about fifty abstracts mainly on stigma, younger onset dementia and dementia friendly communities. I look forward to these being presented, when I attend in person next year.

ADI conference

The law

One of the biggest honours I had this year was being asked onto the Board of Governors of the BPP Students’ Association. Prof Carl Lygo (@carllygo), Professor of Law, and CEO of BPP, has been of massive support to me personally. He’s supported me through the stormiest of weather. Also, Shahban Aziz (@ShahbanAziz), CEO of the BPP Students Association, has become a true friend of mine. I get enormously proud of them both whenever I see them in real life, or on Twitter.

Carl and Shahban

In one part of my life, I thank enormously for the happy times I’ve had at BPP Law School. I not only studied for my ‘graduate diploma in law’ (and bachelor of law), but I also did my legal practice course there. This was via brief detour of doing my MBA at BPP Business School and my Master of Law at the University of Law. BPP has been a massive part of my professional and personal rehabilitation. Now, my understanding of business strategy and law make complete sense.

Here I am with Shaun (@DiasShaun) and Shahban.

Three amigos

I had the pleasure of talking to Gary at great length this year twice. Our conversations ranged from conflicts of interest to conspiracy theories. I think it’s fair to say I have met few people as thoughtful or as intellectually versatile as Gary Slapper (@garyslapper). We share very similar values. I am looking forward enormously to his new edition of ‘English legal system’, which reminds me of the second love of my life – the legal profession.

Gary

NHS

I have enormous respect for Prof Wendy Savage (@wdsavage). Wendy Savage and I share not only a passion for the NHS, although Wendy’s campaigning is in altogether different level to mine (being far superior). And Wendy, I suspect, shares similar feelings about the medical regulator, the General Medical Council, as me.

Wendy Savage

This year saw me trying to get out and about a bit more. I met Sharon (@SharonAvraham) outside the Harold Wilson room for a meeting which Jos Bell (@jos21) had brilliantly organised. Jos has worked so hard as Chair for the independent Socialist Health Association London division this year. Jos has also been a real rock of support this year, which has been tough for me. I am inevitably eternally grateful for this.

Sharon

I saw Andy Slaughter (@hammersmithandy) speak for the first time in Portcullis House. I am of course fully aware of the West London hospital reconfiguration, and I thank Andy enormously for campaigning on this issue. I am also grateful for Andy’s lead against that nasty Legal Aid and Sentencing and Punishment of Offenders Act (2012) which saw legal aid being throttled. I am a firm believer in access to law and justice, as well as access to medicine. Of course I am mindful that Sadiq Khan, currently the Shadow Justice Secretary (@sadiqkhan), will have a difficult year ahead.

Andy Slaughter

For the first and only time this year, I had an amazing smoothie and cheeseboard selection in the restaurant of the National Gallery. Like the late Baroness Thatcher, I have developed a habit of turning up to everything early. I turned up to the event in Trafalgar Square to support the NHS early. Jos knew I would. I had a great time, though.

Trafalgar

A poor start

The very beginning of my life I don’t feel was a poor start.

I am Scottish. I went back to Glasgow twice this year in fact.

Glasgow is where I was born in June 1974.

Glasgow

Undeniably I feel I’ve come a long way since that I day I had an epileptic seizure at the Royal Free Hospital due to bacterial meningitis in 2007. Things got worse when I had a cardiac arrest, and then had six weeks in a coma. While I am physically disabled now, I am happy of course that I have been in recovery from severe alcoholism for about seven and a half years now. I feel strongly that anything can happen to anyone at any time.

Discharge summary

GMC

I went up to Manchester several times in 2014 to see the GMC – my meeting with them was adjourned the first time around.

I ended up, therefore, contemplating in Starbucks.

With the free Wifi, it was like being on holiday.

It was amazing to meet @kyrakee who found me there. Kylie had just hopped off a tram, perhaps having worked out the clues from my cryptic Twitter clues?

Great photo

I know this Starbucks now, like the Arnedale Centre, like the back of my hand

Starbucks

2014 was an opportunity to apologise to the medical profession which I strongly feel that I had let down previously. My late father amongst many others would have wanted me to have made this apology to the GMC (@GMCUK).

GMC registration

It was a massive honour to be put back onto the GMC register. I don’t think I have ever been happier. To be put on the UK register having lost the opportunity to be there is a massive deal. The GMC oppose all restoration requests not because they’re fundamentally difficult; but because the burden of proof must be on the applicant to prove that they can fulfil their duty of patient safety. There is therefore a necessarily high threshold for this, and now that I am in recovery, I don’t underestimate the enormous privilege to be regulated by both the medical and legal professions.

Shibley GMC

Martin Rathfelder (@SocialistHealth) took great care of me in my numerous visits to the GMC in Manchester this year. I have very happy memories of the numerous Chinese restaurants we frequented too. Martin was a crucial component in me trying to think positively about the whole experience. Manchester, after all, had been a very sad place for me and my father back in 2006. On a different note, I currently enjoy being on the ‘central council’ of the Socialist Health Association.

Martin

I am completely in awe of the GMC. I would say that, wouldn’t I?

Happiness at last

All these life experiences encourage me to try to take life easy when I can. Like a Koala, I can present #KoalaKlaws. I can even, if pushed, go for the #KoalaKill. I therefore have natural affinity to the Koala.

Just posing

The man on the right of course needs absolutely no introduction. I think it’d be impossible for the English dementia policy to be universally liked by everyone. That I say not as means of an excuse, but because I am genuinely in admiration of how Prof Alistair Burns has served as the clinical lead for England. I met for the first time this year Alistair (here at the DAA Carers meeting at Smith Square, Westminster). I also met Sally Greengross (the Baroness Sally Greengross) for the first time this year. Sally’s the Chair of the All Party Parliamentary Group for dementia. I promised Sally in fact that I would include a chapter on arts, music and creativity in my next book. I like Sally would like to include some of the positives too in the narrative, and looking into this for Sally was a huge delight.

Alistair

Next year will be a gruelling one. The last few years have not adequately safeguarded against causing misery for disabled citizens. Legal aid was murdered. Criminal barristers were in uproar. The NHS saw a piece of legislation which imposed a heavy penalty for the first time for NHS contracts not put out to competitive tender in all cases other than a sole bidder. The record waits for A&E were a disgrace for the operational management of the NHS in England. We now have a situation where it is difficult sometimes to discharge people in a timely fashion to social care. Bringing together health and care next year, if there is a majority Labour government in the UK, as “whole person care”. The repeal of the Health and Social Care Act (2012) which turbo-boosted the privatisation of the NHS, defined as the transfer of resources from the public to private sector, is now desperately needed. I wish Andy Burnham MP (@andyburnhammp) well. I sincerely hope he can start work as Secretary of State for Health and Care in 2015.

 

Andy

Conferences: a necessary evil?

I really didn’t know what to expect in the Alzheimer Europe conference in Glasgow. I must say that people with dementia and carers were certainly not involved in any tokenistic way. I was happy to be there. Thanks to all at Alzheimer Europe for such a brilliantly run conference; including the work done by Gladwys and Jean (@JeanGeorgeAE).

Alz E poster

The conference brought me back to my academic roots – which is no bad thing.

As I grew in confidence this year, not just personally, but also in my opinion of the national train service providers and the London termini, I wanted to travel to conferences about dementia more. As the year progressed, my attitude changed from conferences wanting to sell you something, to conferences being happy places where you shared knowledge and experiences. Besides, they for me became happy places for me. Here’s James Murray-White (@sky_larking) and Chris at the Future Inn, Bristol, just shortly before our day hosted by Alzheimer’s BRACE (@AlzheimersBRACE).

James and Chris

Tommy Dunne and Chris Roberts were sat right at the front of my talk in Manchester. The turnout wasn’t massive, but it meant a lot to me that they were there. There was also somebody in the front row who was very nice to me; his mother had just been diagnosed with a dementia. To make a small difference to just one person means a lot to me. I’ve also felt this about ‘Dementia Friends’ (@DementiaFriends) – it’s not the quantity of the actions, it’s the quality.

Alzheimer Show Manchester

Getting a chance to fill a void in print about living well with dementia meant a lot to me this year.

Book cover

 

I straddle currently two professions, but I’ve been attending out of support (but not participating in, due to my disability) the legal aid walk for the last few years. Thanks so much to Bob and Natalia who invite me every year. I volunteered once pro bono in the North Kensington Law Centre, the oldest law centre in England, in welfare benefits. I had a brilliant time, and I would strongly recommend this type of work to any law student.

Legal aid walk

My books

This was a bit of sneaky product placement for my book, of course.

Alz E bag

I was totally amazed to see my book in print. I dedicated my book ‘Living well with dementia’ to my late father, but of course without both of my parents this book would’ve been impossible.

Acknowledgements

Thanks to Prof John Hodges in NeuRA, previously Chair of Behavioural Neurology at the University of Cambridge, for the support he’s given me for my first book ‘Living well with dementia’ (where he indeed kindly wrote a Foreword), and also for my second book ‘Living better with dementia’.

John
I admire Alistair’s energy, so it was extremely nice to receive this from Prof Burns earlier this year.

Many thanks to Alistair

Serenity

Above all, I was reminded from Truthful Kindness (@truthfulkindnes) this year not to worry about things which were clearly out of my control. This mantra, the “Serenity Prayer”, is how we conclude each meeting for people who’ve had alcohol problems. There comes a time when some people, having successfully survived a period of abstinence, go into a period of recovery. That’s when you get used to life in the absence of alcohol, and it’s normal. You don’t get cravings – you don’t notice alcohol – you can go into pubs without it even being an issue. So if things don’t go my way, invariably out of my control, I don’t fret about it any more.

serenity prayer

Thank you for making my year such a happy one.

"Legal Aware" review of the year 2012



 

January

A rough guide to the online application form for City law firms

February

Have we got an objects-focused curriculum?

March

Recommendations of the Legal Awareness Society at BPP for the Legal Education and Training Review

April

Prof Philippe Sands and Carl Gardner “counting time” – not an ‘omnishambles’

May

BAILII – worthy of your urgent attention

June

#LawTechCampLondon 2012 : where law confronted innovation

July

British Gas and oligopolies – the need for regulation

August

My Master of Law dissertation on the legal enforceability of Gartner’s rights for a cloud computing customer

September

The brand new “Corporate Client Strategy” project of the BPP Legal Awareness Society

October

Full text of Attorney-General’s speech to BPP this week on parliament and judiciary

November

I will be supporting the BPP Student Engagement team for the BPP Innovation Award

December

Book Review: The English Legal System 2012-3 by Prof Gary Slapper and Dr David Kelly

I'd quickly like to #Menshn something



First of all, to make any sense of #Menshn and/or this blogpost, I suggest you read this superb blogpost by @scrapperduncan.

Let’s face it, Menshn is hardly the easiest word to spell correctly. Actually, I spelt it incorrectly, expecting it to be Mensch-n after one of its creators, Louise Mensch. Luke Bozier, whom I actually like as a person, is the other co-creator. Googling it provides suboptimal PR for its creators, with an article entitled, “Why I won’t be using Menshn, and you shouldn’t either” by Bobbie Johnson coming very high on the search. Whoever programmed Menshn should be reminded that when creating the html you do not include a description advertising the faults of your product. This is how Menshn appears, albeit at No. 1, on Google:

This is, however, the worst PR gaffe on the homepage of Menshn, which would make Craig Oliver reach for his rag doll model of Norman Smith. For all the detoxification of the Conservative brand, this is perhaps an unhelpful contribution.

 

 

 

 

 

 

 

Do I think corporate lawyers will be rushing to launch an initial public offering for #Menshn? In a nutshell, no. Armed with my copy of the seminal textbook of Tidd and Bessant’s “Managing innovation: Integrating technological, market and organisational change” which we had to read for our MBA, I wished to see whether Menshn is likely to succeed as an “innovation”.

Almost by definition the only people who can determine the success of an innovation are its users. The platform has,to be likeable, and easy-to-use. I’ve now been reliably told by very many people who’ve used #Menshn that it is ‘very buggy’, and it was most unwise for #Menshn to have been launched if that is true. For this innovation to succeed, it would have had to have organic support. However, it is the substance not the form which is important here. You can’t call it a ‘community forum’ (rule 3), if you are allocated friends (rule 5), you’ll be allocated an avatar if you don’t get round to it (rule 6), you can only select one of five topics.

Perhaps the most authoritarian edict will be, worded as rule 10, that ‘Menshn will grow and change’. This is a cardinal sin in innovation. It is not up to Louise or Luke as to whether it grows – for all they know it might go the opposite of viral, and instead become extinct. It is, rather, the diffusion of the concept and the rate of uptake of the concept which will determine the success of the innovation. Diffusion of the concept depends much on how easy it is to use, and how likeable the platform; Menshn I feel fails on both arms of this test (bearing in mind how ‘buggy’ it is). The only possible thing which could accelerate early adoption of Menshn if there are well-liked and well-respected ‘users’ who take it to like a duck to water. Therefore, it is going to be crucial whether David Allen Green (@DavidAllenGreen) likes it, and it seems that @charonqc has formed an opinion thus,

 

If these two hugely popular tweeters really ‘took to’ Menshn, because they wanted to, this would make a critical difference. This is where rule 1 comes in – Bozier and Mensch would like you to ‘talk about it’, but of course any social media practitioner will tell you that criticisms can go viral too. Do Bozier and Mensch really wish criticisms of Menshn to go viral on Facebook or Twitter, such that #Menshn is trending for all the wrong reasons? Promisingly John Rentoul seems to have been recruited as an ‘early adopter’, but there is so much John can do on his own.

So believe-it-or I am relatively open-minded about it. I like Luke and Louise, and politically I think it is analogous to the ‘illusion of choice’ or the Tory definition of ‘organic’ – i.e. a top-down edict masquerading as ‘community action’, such as venture philanthropists “picking winners” in the disturbingly unlucky ‘Big Society’, or the new NHS Commissioning Board deciding what to do in a “GP-led NHS”. It’s not even that – I feel it fails on the basic criteria of innovation as the industry analysts understand it. I hope for the sake of Luke and Louise that I am proved wrong, and this time next year they’ll be millionaires!

Complete review of 2011 for the BPP Legal Awareness Society



It’s been a great first year for Legal Aware, the official blog of the BPP Legal Awareness Society (here it is on the official BPP Students website developed by Madelaine Power and Laila Heinonen).

February

On February 26 2011, I introduced my blog for the first time. I announced that blog would be centred around ten topics, and indeed I have largely stuck to this list throughout the year. Actually, I have expanded the list as my interests in the corporate legal news grew, and I started blogging on non-corporate topics, as my interest in pro bono welfare benefits developed. I have worked for five months in a law centre in London, in a post which was first advertised through the BPP Careers Newsletter.

March

Shortly, after announcing some meetings, I reviewed the plagued Rio Tinto and Riversdale transaction, one which had been plaguing Linklaters for months and which had an unfortunate conclusion. I invited people to join the brand new BPP Legal Awareness Society, which they did.  Maxinutrition was sold to GSK through Marcfarlanes in an interesting transaction, and I reported on the forthcoming implementation of the Bribery Act. Onto the legal landscape, it was becoming  increasingly recognised that professional legal services had to be run as businesses, and the nature of commercial law continued to interest me.

April

U.S. firms were fast adapting to the commercial opportunities of social media, and this was a theme to recur in the whole of 2011. For example, in May 2011, I reported on lessons in the UK industry for my social media strategy which had been very much made up on-the-hoof. In June 2011, Victoria Moffatt would later consider whether junior lawyers should participate in LinkedIn. By that stage, I was gaining a much clearer idea of what the BPP Legal Awareness Society was about, and that was to explain the relevance and critical importannce of law and regulation to shaping the competitive advantage of businesses. The regulation of the banking industry was beginning to bcome important as a theme, and I first brought up firewallsThe SRA spelt out 10 new principles in its Code of Conduct, and members of my Society discussed the use of ‘Second Life’ in law and legal education.

May

Slaughter & May LLP removed what they called a ‘clearly offensive advert’ widely reported in the blogosphere, including “Roll on Friday”. I was becoming very interested  in my MBA on how corporate social responsibility should pervade the business strategy in corporates, and I reported on a recent experience from India. Back in the real world, I was doing pro bono, and I wrote about a test in welfare benefits law which interested me – the cooking testMotor insurance was hitting the headlines, whilst international arbitration saw two bits of ‘big news': arbitration over nuclear power in Russia was becoming important and a new ‘Arbitration Ordinance’ was introduced. The effects of  the global financial crisis were becoming clearer, as law firms sought to find solace in Islamic Finance in diversification of their range of legal services. The effect of other issues, climate change, continued to be a source of legal work for the City,  RBS considered a international expansion strategy into China through the joint venture mechanismAmazon Inc continued to explore the intellectual property issues surrounding their “1-click patent”, and Google Inc meanwhile had their hands full with problems over AdWordsThe High Court also saw another interesting IP dispute over the name of Lotus in motor racing.

The impact of media law was beginning to become known as England discussed the need for a privacy law whilst free speech on the internet became under scrutiny and Charlotte Harris, a partner in Mischon de Reya LLP, tried to discuss superinjunctions and anonymised injunctions on BBC’s Question TimeLord Prescott indeed managed to achieve a win in the High Court over phone hacking. Finally, the impact of technology and the breaking of superinjunctions hit the limelight as ‘the Streisand Effect and that footballer’, and I dutifully did not break the superinjunction as I have student enrolment from the SRA.

June

“Roll on Friday” mooted the notion that I and various others at BPP were in fact suffering from “Stockholm Syndrome”, whilst I considered how my Society could help to overcome “the silo effect” in business and legal education. I moved the CSR debate onto a discussion of Bhopal in our Society’s meeting on CSR and international corporate strategy, and the general importance of marketing and CSR in corporate law’s “competitive advantage”.  The changing landscape of the world generally was further manifest in the ongoing discussion of the impact of the Digital Economy Act, now in the arena of whether it offended human rights.

Meanwhile, Ken Clarke presented his new legal aid and sentencing bill to parliament, and BAILLI realised it was having trouble securing fundingMicrosoft took a critical look at the role of entrepreneurshipCompass looked at ‘ethical banking’ in the banking regulatory reforms, and Steve Hynes wrote a brilliant letter to the Guardian on the impact of the legal aid cuts, whilst the Government produced its official response to its consultation on legal aid. Meanwhile, discrimination reared its ugly head, some would say quite literally, in a ‘battte of the cornrows‘ at the High Court. My passion for social law was intensifying at this point in this year, as I went to a brilliant meeting organised by the Islington Law Centre about what the legal aid cuts would mean. Again, I only found out about this meeting through the BPP Pro Bono Unit.

I revisited the subject of my LLM at the College of Law – cloud computing – in attending an interesting one-day conference on it at the HQ of Microsoft in which we discussed possible regulatory avenues for cloud computingFrank Jennings argued at this meeting that cloud computing offered a myriad of opportunities, particularly for cloud computing providers to “stand out”. The highlight of the month, and possibly the year, was our #tweetup organised by @ShireenSmith of @Azrights at “The Yorkshire Tea”, just a stone’s throw from the BPP Law School in Holborn. I was highly amused at the various antics of Magic Circle Minx, and this interview description made me laugh a lot.

July

As the training contract deadline was drawing to a close, I blogged about the online application form based on a meeting done by the BPP Careers Unit at Holborn. I was in the middle of studying leadership for my #MBA, so I wrote about Martin Luther King’s “I have a dream” iconic speech.

I got easily bored, and discussed how Yogi Bear should be ‘legally aware’, and I even likened the training contract interview to the driving test the following month. I gave a well received presentation on the employment support allowance for my student society, whilst the full impact of the phone hacking at the ‘News of the World’ was becoming more widely known and what effect our statute law might have. This was the birth of the #Leveson inquiry which would be a dominant feature of recent months. Phone hacking was now a very active area of debate in the Houses of Commons, which was to be the case for the months which followed.

August

I became increasingly interested in the methods that legal recruiters use to select people for interview for corporate law firms. I had in my sights the ‘situational judgement test’ where applicants have to make a decision ‘what they would do’ in that particular corporate situation; I made my own version up, and so far over 100 people have taken it providing me with clear answers, surprisingly.

September

On 1 September 2011, Alex Aldridge published a thought-provoking article, “Disabled lawyers still face discrimination” in the Guardian.

I commented as follows:

I’d very much like to thank @AlexAldridgeUK for writing such a constructive and positive article on a topic, in my personal opinion, which has become somewhat of a ‘white elephant’ for law firms and legal education.

I agree that all of the firms mentioned in the article have really ‘meant it’, when it comes to widening access to disabled students in the legal profession. I am mentioned in Alex’s article above, and I tweet at @legalaware. The article generated much-needed debate, and I hope that it begins to forge a path for the future, where all stakeholders can bring their views to the table equally validly. For example, I have always found @SundeepBhatia2 very encouraging in supporting me. Sundeep is a Law Society Council member, and is extremely committed to the values of equality and diversity, in letter as well as in spirit.

Although I have now passed my LLM in international commercial law and I am about to commence my LPC in January 2011 here in London, I now run the BPP Legal Awareness Society during my MBA, a student-run society to promote the importance of law to business, and business to commercial lawyers (our news and educational videos are located at http://www.legal-aware.org). This time last year, however, I went to the http://www.open-to-you.com/ (OPEN 2011) event which was immaculately organised.

It was a great opportunity to meet face-to-face legal recruitment experts, other law students, and, most importantly, lawyers generally at Managing Associate or Partner level. I’ ll be strongly encouraging my friends at @BPPLawSchool and@BPPBusiness, where I hope to be increasingly involved in our disability strategy at a personal level. As I am physically disabled myself, I think such an event is wonderful for introducing law students to issues such as reasonable adjustments in legal recruitment, and ongoing training. There was a brilliant session on interview techniques which I loved.

I happen to believe that a much more ambitious debate needs to be had, however. Disability is not simply about law firms meeting future employees face-to-face once-a-year, which I dare suits meets requirements of all those concerned. We need a decent acknowledgement that disabled people aren’t there simply for marketing purposes; disabled citizens are potent members of society. and can indeed secure “competitive advantage” for law firms in a directly relevant area of law such as real-life application of the Equality Act 2010 (http://www.legislation.gov.uk/ukpga/2010/15/contents).

Crucially, all disabled lawyers can exhibit remarkable skills in completely different areas of the entire range of corporate law specialities, such as share acquisitions or joint ventures, as indeed you’d find out if you were to attend the ‘OPEN 2012′ event. I believe that many disabled lawyers are also happy in high-street ‘social law’ in professional legal services firms offering specialist advice.

and

I couldn’t agree more with Tim’ s comment above: especially the need to ‘walk the walk’ as well as ‘talking the talk’ when it comes to inclusivity and diversity. This extends to all forms of legal recruitment, including careers fairs.

Tim is deaf as stated in his comment, and I have mildly impaired walking ability, as indeed also stated correctly in Alex’s article.

I feel intuitively that partners promoting disability in ‘top law firms’ (a term used in helenfcooke’s comment above), especially if they are not disabled themselves, could ‘do no harm’ ln listening extremely carefully to the views of people who live with disabilities.

This is, I suppose, what the people like me might call ‘face validity’ (cognitive neuropsychology was the subject of my own Ph.D., hence my somewhat late interest in psychometric tests for legal recruitment).

Ideally, I don’t feel it would be a bad thing if there were more disabled lawyers at Managing Associate or Partner level in these ‘top law firms’, anyway as I feel that there are few role models for disabled law students like me.

Furthermore, the proportion of disabled people in the general population is not altogether insignificant, so there is arguably no legitimate reason why disabled citizens should be underrepresented at senior level in such ‘top law firms’, or any law firm for that matter.

A new intake of students arrived at BPP University College. I hotfooted back from the party conference season to display my stall at Freshers Fair with Majid. During my conference, there were many interesting topics which I blogged on. Having already done pro bono work as a law student for several months by that stage, I attended a major event at the Labour Party Conference on the perils of the legal aid reforms. I concluded that the proposals did not constitute ‘justice for all‘. At some point during the year, probably inspired by two academic economists Prof Paul Krugman and Prof Joe Stiglitz, who both won the Nobel Prize in economics, that the Coalition policy was wrong and profoundly anti-Keynesian; I disagreed with Vince Cable’s interpretation of it in a blogpost I wrote on the “paradox of thrift“. I felt I had to tie in the notion of ‘economic rent’ and Ricardian economics in discussing bankers bonuses, however.

Later that month, I decided to make my own platform to help law students, particularly those with dyslexia and visual impairments, become good at the online verbal reasoning test; this is an obstacle for many law students getting even an interview for a training contract now. I wrote an introductory post on this here.

October

I became increasingly interest in how psychometric tests had managed to gain such an elevated status in legal recruitment; in fact, at one point, I reviewed the history of the situational judgement test, with a view to considering what the future holds.

On 14 October 2011, Alex Aldridge published an article in the Guardian entitled “Is the law degree an ass?”.

I commented as follows:

I really enjoyed attending this debate at UCL on Tuesday for two main reasons. Firstly, as a law student (about to study the BPP LPC in Holborn in January 2012, having successfully completed my GDL, LL.B.(Hons) and LL.M. as a mature student), I was interested to hear how academics answered the question “Do lawyers need to be scholars?’. This is particularly since I have received academic scholarships from three well-known institutions including Cambridge. Secondly, UCL is in fact where I did my own post-doc, and I have fond very memories of the place. I

I would like to thank the organisers @LexisNexis and UCL who took great care over the many delegates. I was able to sit near the front, due to my poor eyesight. I hope very much that @LexisNexis hold an event in the near future, with panel representatives including ‘real’ law students. I hope particularly @kevinpoulter will be involved as he is an experienced legal commentator who communicates well. I sat with fellow ‘legal tweeps’, @colmmu from the College of Law, and@legalacademia, a legal academic originally from Cardiff. It has been interesting for me (as @legalaware) to read the general feedback following the event, which converges on the notion that the scope for discussion about the issues was too limited, and drawn from people who were perhaps too senior. Notwithstanding these issues, I am very much looking forward to the outcome of the review to be conducted by the Legal Education and Training Review (LETR).

I have written a blogpost based on my own personal experience of this panel discussion on our ‘LegalAware’ website, the official website of the BPP Legal Awareness Society. On a positive note, Mr Bickerton explained his personal belief that the purpose of the degree is fundamentally not supposed to teach people how to be good at the law – his firm are rather looking for aptitude, interest, and a need to pursue law as a vocation. However, I found a bit alarming his relative disinterest as to what should be in the legal curriculum compared to the well-reasoned thoughts of the academics in the panel, in that the trainee recruitment of the Clifford Chance was of acceptable standards anyway. Ironically, it is perfectly possible for the Graduate Recruitment Team at Clifford Chance never to discover that you are a “scholar” if you do not meet their benchmark in their situational judgement test or verbal reasoning test. However you choose to define what a “scholar” is, most reasonable people would not define it as simply producing an arbitary mark in a psychometric test.

Personally, I found the views of Prof Richard Moorhead the most compelling. Prof Moorhead is at the University of Cardiff Law School (profile here). According to Prof Moorhead, lawyers ‘needed’ scholars, otherwise it would not be clear where the knowledge was coming from; scholars researched the key issues, and there is a key interdependence of lawyers and scholars – without scholarship, the advancement of knowledge would slow. The curriculum therefore needed to be exciting and innovating.

and

Interesting. I’ve had entirely positive experiences as a postgraduate student at BPP Law School, BPP Business School and College of Law doing my LLM, LLB(Hons) and MBA – but please bear in mind I’m bound to be happy at anything surviving a 2 month coma due in meningitis in 2007. i am also mindful of ‘advertising’ legal providers in this new ‘age’ of ‘expansion’ of legal services and legal education providers.

I did spend a lot of time at Cambridge, close to ten years in fact, as both an undergraduate and postgraduate student at Cambridge. I think @BaronessDeech is possibly being a bit tongue-in-cheek in her views about Cambridge, but I have always had a huge amount of respect for the jurisprudence FHS at Oxford.

I am now myself disabled, and I have passionate views about improving access for people like me who are visually impaired. Indeed, I have a chance to air them in the Comments section in a different article by @AlexAldridgeUK recently. I once had the enormous pleasure of meeting Prof Jim Harris. If you read his obituary, you’ll understand why,

Obituary in the Times

I didn’t study the Law Tripos at Cambridge – but I think i can understand where your impression of it as ‘stifling’ came from from my limited understanding of the organisational behaviour of faculties at Cambridge, @alienat. I think Cambridge suffers from a lot of very clever academics who don’t talk to each other when designing the Tripos, meaning that the Tripos is totally overloaded. As is usual in academic interests, they tend to be protective about representation of their own research interests in the undergraduate courses (and their examinations),
This was certainly my experience in an altogether different Tripos.

I would, however, be a bit disappointed if the Law Faculty (which does have an amazing research record, for example in criminology), were not able to input constructively into design of the law curriculum. They must however be extremely careful not to overload the curriculum (different from syllabus, by defintiion) with their suggestions, however.

Interestingly, since my comment was published, Clifford Chance have decided to discontinue their use of the Situational Judgement Test (they set exactly the same test in 2010 and 2011). I assume that this is not related to my comments above.

 

In the final three months of this year, I wrote more about psychometric testing (for example in the proposed BCAT and psychometric tests for training contract applications), human rights (for example the future of the Human Rights Act as discussed in a meeting of ALBA at the Inner Temple), and book reviews (for example on affect and legal education and happiness).

However, in these three months, I did become very interested in disability issues, accessibility and inclusivity.

 

October

The BPP Legal Awareness Society published its timetable for meetings to be held at the BPP Business School, St Mary Axe. We held all these meetings successfully in October – December 2011, including flotations, debt finance, international arbitration and joint ventures.

In October, I started blogging, in addition, for ‘Legal Cheek‘, an alternative blog look at the legal education and legal life in general. I wrote an article outlining my feeling that disability is the legal profession’s white elephant.

In this article, I argued that embracing disability was a good way of improving the quality of law schools.

All law schools deserve to be scrutinised very carefully in their response to the government white paper entitled, ‘Students at the heart of the system’, over the issue of whether disabled students are seriously disenfranchised. The formidable white paper, which was published in June, sets out proposals for a higher education sector which is sustainably funded, delivers a “better student experience”, and contributes fully to the efforts to increase social mobility. The ability of a disabled student to get a job is a massively significant factor in that individual’s social mobility; virtually all individuals do not aspire to sustain themselves through the Disability Living Allowance (DLA) itself. An adverse effect of the legal aid cuts may be to put off disabled applicants from applying for the DLA. Good law schools will wish to embrace theNational Student Survey, and participate in it to the full.

 

November

In November, I argued in an article for ‘Legal Cheek’ that the term ‘diversity’ is an unhelpful one, not least because it means different things to different people.  My conclusion was follows:

I believe that an useful first-step in advancing the diversity debate would be to phase out the word ‘diversity’ from the terminology, because, far from encouraging individual differences, clumping people together – inappropriately – inadvertently abolishes key individual differences.

Continuing the theme of disability, I developed the argument that law schools could take practical steps to make the wellbeing of disabled students much better:

The agenda for disabled law students under the government’s new framework is very much set by the law students. One way of getting involved is through the National Union of Students’ recently-launched petition calling for the establishment of a national advocacy service for disabled students (disabilities usually include long-term illnesses, mental-health conditions and specific learning difficulties such as dyslexia). In fact, if you’d like to set up your own disabled students’ group, you can email them for advice:disabled@nus.org.uk.

Still, I also feel it is up to the individual learning provider to be pro-active in responding to what disabled law students aspire to. At the bare minimum, they can simply comply with the white paper. But learning providers which wish to add social value may wish to do more to understand what disabled students aspire to and are legally entitled to. Certainly, it would reflect well on them to do so.

Meanwhie, back on the LegalAware blog, I was becoming acutely aware that the overlap between law and politics was becoming much closer. The legal aid cuts agenda remained at the front of my mind:

‘Sound off for justice’ and ‘Justice for all’ maintain that their campaigns are not political. However, senior people I talk to in law centres in London come to a conclusion that it is not possible to divorce politics from legal aid funding. Poverty unfortunately is political, as the Shadow Attorney-General, Emily Thornberry MP, suggested yesterday on BBC’s ‘Any Questions’. It happens that access-to-justice could disproportionately affect people on the basis of their income, in that cases of access-to-justice could become much harder to obtain for poorer people for certain problems. With many law centres set to shut down altogether, the legal services for immigration, housing and asylum, and welfare benefits, look set to be affected. The question is whether the poor will suffer disproportionately. Rich people will possibly be able to afford superinjunctions as before, as the evidence that the top 1% of the population have been affected substantially by the recession is lacking. This top 1% includes some (at least) well-paid lawyers in London.

However, colleagues of mine found it hard to discuss the political issues in an open way, but the funding of legal aid had unfortunately become a political isssue.

Whatever – I personally think all legal practitioners should be given support, acknowledging that funds are limited. but funding bodies will have to prioritise unfortunately. In fact, a focus on funding may have the beneficial effect of providing better precision to all stakeholders in their strategy and core competences of their legal services, whatever sector they are in. However, fundamentally, I most agree with the observation that, at this late stage, arguing over a sense of entitlement is totally unhelpful. It is desperately important that we fight until the end for our common purpose in protecting legal aid. I would find it very hard to support law centres if they wished to campaign at the expense of CABx or other stakeholders, but they should think about how they differ from other stakeholders when applying for London Borough grants for community investment or structural upkeep, I feel.

 

December

By December, I had come to the conclusion that a more radical solution had to be developed to improve access to the legal profession

It’s my fundamental belief that people are written off far too early in England and Wales at present. We have an education system that seems to punish certain bright people who fail to get perfect grades at GCSE and A-level. It doesn’t help that students are forced to make very specialised educational choices for their 16-18 studies at an age where they may not be totally convinced about their career choices.

I feel that the education and assessment environment needs an overhaul to prevent recruiters from using arbitrary academic achievement to ‘sift’ candidates out of sheer laziness. Talented people are being deprived access to jobs in the legal profession. Instead, we should be encouraging people to learn how to learn for themselves, and know where to find relevant information.

To this end, I feel law firms should be able to hire people straight out of school, if they wish, but also to take advantage to a greater extent of the enormous breadth of experience from other spheres of life mature candidates might offer. Unfortunately, we’re not in a place where that sort of flexibility can happen.

What will the future hold? 2012 has now begun.

CubeSocial: an important network innovation



Linda Cheung and Mark Bower must be congratulated on what I think is an important contribution to facilitating communication both within and between individuals and organisations. It’s an easy-to-use, attractive, “start up”, called “CubeSocial” – their blog is a very good introduction to their approach, in fact. Where good ideas come from, in the context of innovation and the enlightenment, is all down to our social interactions. The whole is considered to be more than the sum of the individual parts, and often, through notions such as “the adjacent possible“, new innovative ideas can emerge. The environment is considered to be crucial for forging links between individuals and their ideas, and this is indeed at the heart of the internet – idea creation is mooted to have been previously the domain of “the coffee house”.  Here’s Steven Johnson, a major proponent of network innovations, on the network philosophy.

 

CubeSocial is an innovation in the true principles of network design. It builds on an important concept in corporate management; that social capital can be as important as, or even more important, than material resources. The platform is available here. Its stated aim on its home page, which is uncluttered, accessible and informative, is ‘Discover your contacts’ social media profiles, join the right conversations and grow your business’. Its aim is to mine information in your social media profiles, including the usual suspects such as Twitter, LinkedIn and Facebook, and to construct intelligently the conversations which are taking place within them. Its market positioning is clear, in that it seems ideally placed for an individual within any jurisdiction. Its pricing strategy, such that you can opt to pay for a ‘basic’ or ‘plus’ package, makes sense as a classic price discrimination strategy, outlined here; the cost of the package is reasonable, and the two basic tiers allow for personal and corporate customers.

 

 

 

 

 

There are many basic features of CubeSocial which are attractive, and indeed vital for it functioning as a valid innovative contribution. One is trialability – in other words, you can see if CubeSocial is for you, without parting with any money – and compatibility, in that it works well with various cloud social media platforms and operating systems effortlessly. Is CubeSocial doing anything fundamentally different from another service? The questions it poses are indeed sensible (reproduced below), but the danger is that incorrect use of CubeSocial might mean that you are missing out on potential clients. If it works well, it would save time, and potentially sort out the signal from noise which is the ultimate nirvana of networking.

The questions are:

?    How can I use social media to get to know my existing clients better?

?    How can I find people that need my product or service right now?

?    Which social media platforms are relevant to my business and where should I invest my time?

Like all innovations, the ‘success’ of the innovation will ultimately be determined by its uptake, and feedback from customers. Whilst many technological innovations seem like a ‘fun’ idea, the acid test will be as to whether personal or corporate customers will wish to allocate resources into a platform of CubeSocial. There may be some people who enjoy using Facebook or Twitter, who are very hands-on, who will prefer to use their selective attention cognitively to filter the mass of information themselves. I have no idea how customers will react to it, other than the product is very attractively presented, is very easy to use, and does not suffer from any technical issues. It is very reliable, being built on the Microsoft Azure cloud platform. The risks of using CubeSocial are indeed the same for the use of any of the social media platforms built into it, like Facebook: privacy, security, and confidentiality. I have personal experience of Microsoft Azure as a cloud platform, and can faithfully report that it is considered to be excellent within the industry. Supplier stability is essential in this regard.

Part of the difficulties in understanding whether the approach will be useful for the customer of CubeSocial lies in the known difficulties with the ‘network approach’ in technological innovation. That is where it is critically to be aware of the existence of ‘lead users’ in its adoption, which are provided in a testimonials page of CubeSocial. I found most relevant this testimonial by @JonBloor, as Jon is a significant lead user with an expertise in both business law and technology. Jon provides the following.

The concept is simple, but well executed …worth a look for anyone using Twitter for business purposes (lawyers or otherwise)

More network clients do not necessarily mean a higher quality of information, as introducing more clients can introduce more ‘noise’.  Noise is nothing new, of course; there was a lot of noise even in coffee houses, as depicted by Hogarth.

 

 

 

 

 

 

 

There is no doubt that CubeSocial has the ability for individuals to develop ‘the slow hunch’ before the epiphany of their idea creation. There will clearly be people who will benefit from CubeSocial, and those who will not, and this does not necessarily depend upon the size of their network. Some networks will contain ‘stars’, individuals who are highly connected within their networks, or ‘boundary spanners’, individuals who will broker relationships between the networks. The problem comes if the network which have a high number of ‘isolates’, individuals who might be relatively disconnected from the network, but who do turn out to be surprisingly ‘high worth’ at some stage.

In summary, CubeSocial is more than another cloud invention. The idea behind it as an innovation, and its value and worth will be ultimately determined by its customers. If CubeSocial can build a sound business case for its uptake in corporate clients, the business plan of CubeSocial would be in safe territory, I feel. Clients will be quick to note that CubeSocial is fast to implement any technological improvements to make the platform ‘better’, such as the recently announced Gmail integration.

David Cameron is wrong on the NHS corporate restructuring for these reasons



In an interview where David Cameron tried to tell John Humhrys he was wrong, Humphrys identified that Cameron was showing no leadership on the bankers.

The interview can be heard here:
http://news.bbc.co.uk/today/hi/today/newsid_9363000/9363655.stm

David Cameron is wrong about the NHS restructuring for the following:

It is wrong simply to focus on outcomes at the treatment end; much more could and should be done at the diagnosis end (health policy analysts find outcomes useful, but what they’re actually measuring are objective benefits).  Much of the fundamental issue for the next decade will be the early diagnosis of the disease especially cancer, and there needs to be some focus on the efficacy of screening methods at the other end too (e.g.for colon cancer, breast cancer, COPD).

It is no good just talking about length of survival times, because there has to be a proper analysis of the quality-of-life and well being of patients with chronic morbidity including dementia.

The Doctors were not asking for the changes – the BMA is opposed to it, and to my knowledge the Royal College of Physicians shows little interest in it in a very positive direction. The King’s Fund certainly think it is a calamity.

2-3 years is a very short time to produce ‘the biggest reorganisation’ in the first time; it will involve £1.4 bn in the first year. John Humphrys was right to correct the figures that Cameron produced on the basis of actual evidence from the Kings Fund.

Satisfaction is at an all time high now with the NHS – this cannot be divorced from the record spending by Labour in the last parliament.

David Cameron denied the NHS IS getting better. This must means that he thinks that all aspects of it are getting worse. THIS IS A LIE.

John Humphrys asked that the NHS was in fact changing to a Federal Health Service. Cameron saying that there are already regional variations is frankly irrelevant. Humphrys is correct saying that an analogy between GPs and free schools is an extremely poor analogy; I am shocked that David Cameron is idiotic enough even to suggest it.

There’s no point Cameron trade-union bashing, as there are many ordinary nurses, doctors and other health-professionals who are non-Labour members who are highly critical of his insane policy.

If Andrew Lansley is so well respected, why does the whole of RCN disagree with him? The man is not well respected amongst the health professionals.

Dr Shibley Rahman Queen’s Scholar; BA (1st Class), MA, Bachelor of Medicine, Bachelor of Surgery, Doctor of Philosophy, Diploma of the Membership of the Royal College of Physicians (MRCP(UK)); FRSA, LLB(Hons).

Member of the Fabian Society.

Anybody who doesn't understand the brilliance of Mandelson clearly doesn't 'do' irony



BBC4 aired a programme last night with the title, “Mandelson – The Real PM?

It was enormously revealing about Lord Peter Mandelson as a person, in his extremely professional working style as a politician, as well as general demeanour as a person.

You can still watch this documentary which is about 75 minutes long here on the BBC website.

Anybody who doesn’t understand the brilliance of Mandelson clearly doesn’t ‘do’ irony. Lord Mandelson seems to embue inherent contradictions from the word go – a very guarded person privately, but a branding expert. Indeed, he is clearly very enthusiastic about marketing and branding, given his lifelong commitment to reversing the rot in Labour pre-(Blair and Campbell); he is also deeply passionate about his credentials as a professional politician, being the grandson of Herbert Morrison, Baron Morrison of Lambeth, who held the offices of Home Secretary, Foreign Security, and Deputy Prime Minister, and so he should be.

He is clearly intensely funny. The way that he makes mincemeat of low-quality journalists, especially at the BBC, was something which had me in total hysterics. He blatantly does not suffer fools gladly, and, while personally I feel he might have done better in his Prelims at the University of Oxford, he is clearly an intellectual: he has focus, enthusiasm and highly-structured analytical thoughts.

He was very driven in working for Gordon Brown, and he should indeed be proud that he was acknowledged as being the chief troubleshooter for Brown in the election campaign. He has also been remarkably full of praise for Tony Blair, about whom he is clear that he does not blame for his departure over the infamous Robinson debacle. He points his wrath very heavily in the direction of Alastair Campbell, making an extremely clever remark that he can co-exist with certain people, without liking them or being friends with me. I too am very specific regarding myself, on this point.

Mandelson shows ambition, enthusiasm and focus, with wit and extreme hard work, and he deserves to be successful. As for the ‘Prince of Darkness’ label, he has branded himself extremely successful, but Mandelson is a parody. Not being able to go beyond the depth of what he is getting at will make many people fall at the first fence. Like Andrew Gibson from the Telegraph says, he is like a supreme figure-skating champion who delights in skating over the thinnest of ice, and, like me, I suspect he enjoys fighting the most when most attacked. He does not need to worry about what people think of him – because he has won, and he knows, I hope, that he is better than his sharpest of critics.

I have been deeply cynical about Lord Mandelson previously. But not anymore – I feel honoured to give him my unfettered respect, even though I do not happen to agree with him on some issues, especially Ed Miliband.

Dr Shibley Rahman on decision-making in dementia



Why bother study decision-making in dementia? This is the issue tackled by a new paper by Prof. Manes’ team in Argentina. The paper from Prof Facundo Manes’ group, published in Nature (Neurology Reviews), indeed does provide the first ever comprehensive review of decision-making in dementia (including the neurodegenerative diseases), that I am aware of. There are certainly various reasons that I can think of, in complete agreement with the authors. Firstly, patients themselves suffer from abnormal decision-making, and this is bound to have an effect on their day-to-day lives. Secondly, it is possible that the medical profession may be able to do something about them one day. This is related to a third powerful reason, that each of the dementias carries with a unique ‘profile badge’ as they’d say on Facebook. This profile is a different type of response to decision-making situations, e.g. more conservative, more risky, more impulsive, more time-consuming, and it’s considered that this has something to do the part of the brain affected.

The link to the paper is here.

Nat Rev Neurol. 2010 Oct 12. [Epub ahead of print] Decision-making cognition in neurodegenerative diseases. Gleichgerrcht EIbáñez ARoca MTorralva TManes F from the Institute of Cognitive Neurology (INECO), Favaloro University, Castex 3293 (1425), Buenos Aires, Argentina.

I first became interested in dementia when I was studying my finals in Cambridge in 1996. Notwithstanding it, I did a Ph.D., awarded by the University of Cambridge in 2001. I was the first person in the world to demonstrate that patients with early behavioural variant frontotemporal dementia displayed a risky profile, but that it was not impulsive, because such patients took a long time to reach their problematic decisions. I note, interestingly, that this has been found to be a possible pattern of behaviour when patients with behaviour variant frontotemporal dementia are driving, anecdotally, but this has never been investigated formally to my knowledge, but these accounts have been very few in number, and do not constitute a reliable observation.

Most relevantly to Prof Manes’ article, I showed that the most likely place to pinpoint the pathology was the orbitofrontal lobe (or ventromedial prefrontal cortex), discussed as being important for ‘action selection’ in decision-making in the model proposed. This is closely connected with the ventral parts of the ‘striatum’ in the midbrain, and it is possible that the orbitofrontal lobe, ventral striatum and the insula have a special role to play in this decision-making, whether normally or abnormally.

The review contains a very nice picture of this ‘brain circuitry’, otherwise known in the trade as ‘distributed neuronal network’. It doesn’t matter if you go for another view of the brain, called ‘localization of function’ – decision-making without the orbitofrontal cortex is like a plasma screen without a cathode ray tube. I’ve got that right, haven’t I?

The most obvious feature of dementia, certainly in patients with Alzheimer’s disease, is memory loss. The authors allude to this being a problem in studying decision-making in dementia; when patients have other more prominent problems, making ‘pure’ decision-making hard to study. I found that my eight patients reported in Brain had no problems with standard tests, including those traditional tests of frontal lobe function.

I thought that this article was a brilliant contribution to the literature, and meticulously researched according to the plethora of published studies we are lucky to have so far.

Bravo!

Dr Shibley Rahman is an expert in behavioural variant frontotemporal dementia.

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