Sir Liam Joseph Donaldson (born 3 May 1949) is a British physician. He was formerly the Chief Medical Officer for England, being the 15th occupant of the post since it was established in 1855.[1][2] As such, he was principal advisor to the United Kingdom Government on health matters and one of the most senior officials in the National Health Service (NHS).
In December 2009 it was announced that he planned to retire from this role in May 2010, although he said that, if the influenza pandemic should unexpectedly worsen, he would have postponed his retirement.[1] On 1 July 2010 he was appointed the Chairman of the Independent Monitoring Board overseeing the polio eradication initiative coordinated by the World Health Organization.[3]
Donaldson was appointed as Chief Medical Officer in 1998. Between 1994 and 1998 he was Regional Director for the NHS Region of Northern and Yorkshire, and prior to that Regional Medical Officer and Regional Director of Public Health for the Northern Regional Health Authority. He began his career as a surgeon before training in public health.
Academic and other posts
Donaldson is visiting professor in the University of Leicester's Department of Epidemiology and Public Health, and also holds an honorary Chair of Applied Epidemiology at Newcastle University. In August 2009 he became Chancellor of Newcastle University, replacing Lord Patten of Barnes, who stood down after 10 years in office.[9] Donaldson retired from this role in the summer of 2019.[5]
the University of Leicester (MD, 1981), and he was also a lecturer in the Department of Community Health, and subsequently Senior Lecturer in Epidemiology for four years.[13]
Donaldson was involved in devising the Modernising Medical Careers (MMC) system and the Medical Training Application Service (MTAS). This has been very controversial since its inception, with officials from the DH proclaiming success although it has been outrightly rejected by a large group of trainees and consultants.[25] It champions competence rather than excellence and substantially reduces the length of the training programme required to become a consultant.[26]
In an unprecedented demonstration against this system, around 12,000 junior doctors marched against MMC and the associated MTAS in March 2007.[27] Subsequently, Prof. Alan Crockard the National Director of MMC resigned stating that the project had "lacked clear leadership from the top for a very long time". A colleague of Crockard, Prof. Shelley Heard, also resigned. The BMA[28][29] and senior doctors[30] have called repeatedly for his resignation in this matter.
Britain's drinking problem
In March 2009, to combat what he referred to as the country's drinking problem or 'passive drinking', Donaldson recommended setting a minimum price per unit of alcohol at 50p and tightening licensing laws. Despite Prime Minister Gordon Brown's opposition to the move, Donaldson said he would continue to push his case, just as he had with the successful ban on smoking in public places.[31]
Controversy
Donaldson angered civil liberties campaigners, GPs, and the BMA's spokesman for IT in December 2006 by recommending that GPs should forward letters from patients, requesting that personal medical data not be uploaded to the Spine centralised NHS database, to Health Secretary Patricia Hewitt.[32][33]
Publications
Liam Donaldson is co-author of a standard text book of public health,[34] a history of the Chief Medical Officer of England[35] and over 130 papers in peer review journals.[1] He has also written a foreword for a book on clinical audit.[36]
In his role as Chief Medical Officer, Donaldson has produced a number of major reports, including:
The expert patient: a new approach to chronic disease management for the 21st century (2001)[40]
The removal, retention and use of human organs and tissue from post-mortem examination (2001)[41]
Getting ahead of the curve: a strategy for combating infectious diseases (2002)[42]
At least five a week: Evidence on the impact of physical activity and its relationship to health (2004)[43]
Good doctors, safer patients: Proposals to strengthen the system to assure and improve the performance of doctors and to protect the safety of patients (2006)[44]