Winter has once again exposed the pressures that sit just beneath the surface of the NHS. Since mid‑December, the familiar combination of flu, Covid, norovirus and cold weather has collided with workforce shortages and industrial action. None of this is unexpected, but this year the impact feels sharper.

To kick off 2024, our anonymous blogger and practice manager gives their thoughts on worsening financial pressures, vaccination campaigns, and the forthcoming general election.