Simon John Duffy

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While many of these are new challenges to the NHS, they are longstanding issues in social care (which has often learned the hard way about what works and what does not work when tackling such issues). Although a number of different approaches have been developed over time, two of the Against this background, this short discussion paper seeks to summarise(More)
A patient with acute asthma developed severe sensorimotor neuropathy while being ventilated with isoflurane and receiving vecuronium and fentanyl. The neuropathy resolved spontaneously within three months of the episode. This unusual complication may result from prolonged use of inhalational anaesthesia or of vecuronium, or both.
In Hegel au Spinosa:' Pierre Macherey challenges the influence of Hegel's reading of Spinoza by stressing the degree to which Spinoza eludes the grasp of the Hegelian dialectical progression of the history of philosophy. He argues that Hegel provides a defensive misreading of Spinoza, and that he had to "misread him" in order to maintain his subjective(More)
In the early 21st century, elements of the English welfare state are in the middle of a ‘transformation’ process based on the concepts of personalisation and self-directed support (HM Government, 2007; Glasby and Littlechild, 2009; Carr, 2010; Needham, 2010). Beginning in adult social care, these approaches seek to recast users of state welfare away from(More)
Although it might seem like an unusual place to start, English adult social care is currently undergoing something of a self-proclaimed ‘revolution’ (and one that might well have even more significant implications for broader public services). In 2003, the English Department of Health (together with several local authorities and national learning disability(More)