Health

Chris Whitty on the Omicron variant

This is an edited transcript of Professor Chris Whitty’s remarks at today’s Downing Street press conference The existing situation is almost entirely Delta.  In terms of numbers of cases, it is broadly flat. In younger children, there is quite significant transmission at this point in time, and rates are increasing in many parts of the country. At the other end of the spectrum, as a result of the booster programme almost certainly, rates are beginning to drift downwards in people over 60 and particularly people above 70. So we’re seeing an improvement in the group who are most vulnerable.  The numbers going to hospital are gradually decreasing. This is not a

Frustration grows with Boris, but the social care cap passes

MPs have approved the government’s social care cap in the Commons. But the vote doing so was narrow, and there seem to have been a lot of Conservative MPs either abstaining (which would be a rebellion against a three-line whip) or absent. Some will have been unwell, and ‘slipped’, as it is known, for other reasons. But some may have agreed with the whips that their car was due to break down or a tooth due to need emergency dental work, thus preventing them from voting against this controversial amendment. Others, like Matt Hancock, gave such rousing speeches in its favour that casual observers might have been forgiven for thinking

The best podcasts about money

Stories about money are never about money. They are about pain, about family, about atrocity, about luck, about health, about politics. And while we get a kind of vicarious thrill from listening to other people’s financial tales of woe, whether we are morally condemning a millennial for buying a daily flat white when she could be putting that $3 into a savings account that earns zero interest in the hopes that the city she lives in won’t be underwater from rising sea levels by the time she has enough for a deposit or just feeling gratitude that we are better off than the poor shmuck explaining their hundreds of thousands

Central planning won’t solve the problem of GP shortages

Under plans being considered by ministers, GPs in affluent parts of England could be barred from taking jobs in wealthy areas to force them to work in deprived areas, in a bid to address health inequalities. The solution to doctor shortages, apparently, is to make the job less attractive. This would be the healthcare equivalent of the government taking charge of the hospitality industry and informing the owners of the Ivy that all new restaurants should be located in towns north of the Watford Gap, to ensure the pleasures of fine dining are evenly enjoyed across the country. And yet the Social Market Foundation (SMF) who put forward this proposal

Britain is running desperately short of midwives

On Sunday 21 November, midwives will be holding peaceful vigils in city centres around the country as part of March with Midwives UK. Is this another group of public sector workers campaigning for greater pay and longer holidays? Unfortunately not – if the problem was that simple, a remedy would have easily been found by now. The nation’s midwives are instead taking action to preserve the women in their care and their profession from desperate and dangerous staffing shortages. I am in my third decade working as a consultant obstetrician. In all that time, I have never seen the midwives I know and work with so demoralised, so drained and so

Sleaze isn’t the biggest danger to Boris Johnson

This week’s events have undoubtedly done the government damage. But I suspect that ultimately its fate will be determined by whether its gamble of raising taxes to put more money into the NHS results in much lower waiting lists — or just grumpy taxpayers. Reducing the backlog will require more capacity. So, it is worrying that the Department of Health doesn’t know how many extra doctors and nurses it will need to clear the backlog. The government is currently miles off even its pre-pandemic target of 6,000 extra doctors by 2024. Optimistic numbers suggest there might be 300 more than in 2019, but others think things have gone backwards. If these

Do you really need to see the GP in person?

Only later, perhaps even a decade later, as the pandemic of 2020-22 shrinks in our rear-view mirror, may we be able to assess its enduring consequences. So I am only speculating when I suggest that one of these may be the beginning of the slow death of general practice in the United Kingdom. And, no, this will not be a column attacking Britain’s GPs, whom I think to be mostly dedicated and hard-working men and women whose careers are demanding, whose work is difficult, and who are not paid excessively for the hours and expertise they bring to their vocation. Rather as with the class for which we use the

Boris has no answer to the backlog crisis

Jeremy Hunt asked an entirely reasonable question of the Prime Minister today in the Commons — and got an entirely unreasonable answer. Hunt raised an amendment he is tabling which would require Health Education England to produce regular forecasts for the numbers of doctors and nurses that the UK needs to train. This is quite a small thing to ask for, but Johnson’s response was first to dodge his way around the question, and then to turn the issue into a party political attack on Labour. He said: My right hon. friend is absolutely right that we have to ensure that our NHS has the staff that it needs. That

Will education be the big Budget loser?

Which departments will fare the worst from this week’s Budget? It won’t be the Department for Health and Social Care. Over the past few days, new funding announcements have appeared in the papers meaning the NHS will be handed another £5.9 billion. That’s in addition to the £12 billion a year investment it will receive as a result of the health and social care levy. Meanwhile, Whitehall sources suggest that Michael Gove has had some luck in his push for more funds for the levelling up agenda. Where the mood music is less positive is education. When Sir Kevan Collins stepped down from his role as Boris Johnson’s education catch-up tsar over the

Do we want the nanny state tracking our every step?

The best thing that can be said about the government’s latest anti-obesity scheme is that it’s cheap. For now. The new HeadsUp app, which will track people’s diet and exercise regimes and reward them with cinema tickets, clothes vouchers and the like, has a price tag of £3 million. This is peanuts in public health terms. The NHS burns through £3 million every eight minutes. It amounts to 4p for every man, woman and child in the UK. The bad news is that it is only a pilot scheme. If bribing people with their own money is seen to ‘improve rates of physical activity and inspire healthier eating’, as the Office

Sam Leith

Why did we decide that Covid was over?

Look, I don’t know much epidemiology. Can’t pretend to. So what follows is, necessarily, a personal finger to the wind. But perhaps it chimes with your experience.  First time round — back in the days when we were all huddled indoors, leaving the house only to stand on the doorstep of a Thursday night to bang pans with a wooden spoon, or making solo expeditions to a denuded supermarket where we do-si-dohed around each-other in the aisles… yes, back in those days, I didn’t know very many people who got Covid. Acquaintances, the odd friend. Some scary stories. Some scarier statistics. But not so many ‘rona stricken friends. Could we inch

Javid says no to restrictions – for now

Is the government considering activating its ‘plan B’ Covid plans? Not yet.  After the Business Secretary played down talk of new restrictions this morning, Sajid Javid used today’s press conference to confirm that he would not be implementing the back-up plan ‘at this point’. However, the Health Secretary suggested that further measures – namely vaccine passports, work-from-home orders and mask mandates – could not be ruled out if the data substantially worsens. The main message from the press conference: get vaccinated There was a marked change in tone from Javid since the days soon after his appointment as Health Secretary when he declared that there was ‘no going back’. He said that

Sajid Javid is right to make the NHS more accountable

The health secretary has announced more money for the National Health Service. It’s a story we’ve heard time and time again – but this time the details are different. Sajid Javid has committed an additional £250 million for GP health practices to assist them in expanding their hours and upping the number of face-to-face appointments they offer. In-person appointments plummeted during lockdown and have never recovered: they are now hovering around 60 per cent, compared to 80 per cent pre-pandemic. So what’s new? In short, the money comes with more accountability. A league table is being created to rank surgeries on how many in-person appointments they offer. Patients will also

‘I’m entitled not to listen to Sage’: an interview with Sajid Javid

In six years Sajid Javid has had six cabinet jobs. He has been culture secretary, business secretary, communities secretary, home secretary and chancellor — and, just over 100 days ago, he was made Secretary of State for Health. When we meet on stage for an interview at Tory party conference, I ask him about his credentials for the job. He has none. ‘But that’s not unusual for a health secretary,’ he chirps. And experience? He has visited a few hospitals. He then offers the story of his early run-in with the NHS. As a child, he had his appendix removed in hospital. ‘Next thing I remember is being back at

Boris Johnson and the Tory identity crisis

The Tory conference in Manchester will be a relatively muted affair. In part, this is because — as I say in the Times today — of the fuel crisis. Ministers are acutely aware that even if petrol queues ease this weekend, the autumn will be full of such difficulties. What is known in government as the EFFing crisis — energy, fuel and food — will be a theme of the next few months. Even cabinet optimists think the shortage of lorry drivers will produce flare-ups over the coming months as supply chains come under pressure. Johnson’s conference speech will be in line with his recent Gaullist turn But conference will also

John Ferry

The SNP’s NHS meltdown

When he’s not falling off his scooter like he’s auditioning for the role of Inspector Clouseau in the Pink Panther franchise, the gaffe-prone Scottish health minister, Humza Yousaf, is mired in a multitude of Scottish NHS crises. This month saw Britain’s armed forces parachuted in to prop up the Scottish Ambulance Service. Nicola Sturgeon was forced to call on the military after distressed patients had to wait hours, and sometimes even days, for an ambulance – one of the most harrowing cases involved a frail Glasgow pensioner who died after waiting 40 hours for an ambulance to arrive. Dig into the government statistics and the scale of the crisis facing the

There’s one upside to having Parkinson’s disease

I am just back from my final salmon fishing trip of the year. I have never had a worse season and have hardly cast a line. This autumn’s almost unprecedented sunshine has been terrible for fishing; the river Tweed had been reduced to a dribble, through which even Alex Salmond could easily lead an invasion force from Scotland to England while wearing a three-piece suit. I returned to find a letter from Salmon & Trout Conservation lying on the mat. It is bizarre that the only friends these fish have are those who want to stick a hook in them. The chief executive sounded at his wits’ end as he

End of the line: it’s time to rethink the queue

Flying to Kalamata this week, I did my own little bit to reduce the terrible queues at Heathrow Terminal 5. Heroically, I stacked up the grey luggage trays once they’d been emptied by passengers coming through security. As a result, there were more loaded trays for people to pick up, and a smaller tailback of passengers — including me — waiting to pick up their unloaded trays. It was just a tiny example of the hundreds of things that could be done to reduce queues in airports, hospitals, train stations, supermarkets… The British may be famous for their patient queueing but it doesn’t mean we actually like doing it. So

The NHS blood tube shortage should concern us

One of the great lessons from the early stages of the pandemic was the need to shorten supply chains and make them more robust. This was especially true for medical supplies. Just-in-time supply chains have been developed over the years to increase efficiency, but had never been tested in a global crisis when demand for certain medical products is high and supply is weak. The government ended up paying huge sums for PPE which, in some cases, was not even suitable for use. The shortage raises eyebrows because a plastic tube is, after all, a plastic tube It seems the lesson has not entirely been learned. There is now a shortage of

Am I alone in not wanting to download the Covid app?

As I begin, I’m tortured by the doo-do-doo-do of The Twilight Zone’s theme music. I’ve hurtled back in time. Suddenly I’m a wise-ass, liberty-loving journalist who’s had it up to my eyeballs with intrusive, ineffectual top-down nanny-ism, and I’m pooping on yet another pitiful feint at ‘doing something’ by the lumbering big state. OK, check. This feels dead familiar. But I went to a poncier school, my hair is way weirder, and it seems that my name is Boris Johnson. Consider this, then, an act of either plagiarism or ventriloquism. If with a tad more alliteration (I’m keener on assonance myself), Boris of a few years back would have written