Benjamin Hope

UK considers watchdog for private health care

An independent watchdog should be set up to monitor the private and voluntary healthcare industry, proposed a consultation document published last week by the UK NHS Executive (19 June, p 1644). The secretary of state for health, Frank Dobson, led the attack on existing regulatory arrangements, which, he said, “are out of date, unsatisfactory,” and fail to provide “the protection to which the public is entitled.” The report expressed concern about patient safety in the private sector and identified several key areas where change is needed. It said that establishments wishing to register as recognised private healthcare centres should meet a defined set …

Speaking out for the right of women to choose

Dr Nafis Sadik, the executive director of the United Nations Population and Development Fund, recently addressed a British all party parliamentary group on population issues. She tells Benjamin Hope that, although much progress has been made, there is still some way to go Dr Sadik is accomplished at making her point and sticking to it. This, she says, is a habit born in the bad old days when she was routinely ignored and patronised at international meetings. But such tenacity and focus are also essential for her job: her remit is to oversee global public health programmes with minimum concessions to cultural diversity. In fact, the point she makes has changed little since the 1960s, when she first became active in public health while still practising as an obstetrician in Pakistan. Many of her patients were suffering because of premature, poorly managed pregnancies. Yet the same women were not free to take preventive measures. Dr Sadik could accept no justification, whether religious or cultural, for the unnecessarily high levels of abortion and maternal and infant mortality that she encountered. Now, speaking from within the United Nations and backed by a growing body …