Medicine

NHS GPs should charge for appointments. Here’s why

The Chairman of the Royal College of GPs recently said that ‘general practice has radically altered over the last five years, with ballooning workloads and more and more patient consultations having to be crammed into an ever-expanding working day.’ The blame for this tends to be put on a growing and ageing population or an ever-increasing range of ailments. It might also be put on the last Labour government for changing the way in which GPs work, by rewarding them for preventing, not just treating, illness. Whatever the cause, the solutions are more numerous and often ineffective. NHS Direct is for the most part staffed by poorly trained non-medics who

Valium’s 50th birthday: little to celebrate

A recent report published by the charity MIND – which paints a troubling, and important portrait of Britons driven to alcohol, cigarettes and prescription medication to differing extents by the stress of working-life – makes it a prescient moment to cast the mind back to a series of very strange goings-on. The time was the late 1950s, the place a hospital canteen in the North of England. Perhaps pickings in that week’s British Medical Journal had been lean – or patients that day exasperating – because the topic of conversation was a newspaper article about a Swiss circus-master who had found a drug to calm his tigers. A series of

Contamination

A shrouded skull flanked by serpents above a tureen inscribed with the words, ‘There is death in the pot’ (2 Kings 4:40), ornaments the title page of A Treatise on the Adulterations of Food by Frederick Accum (1820). Accum details hair-raising additions to food in the pursuit of profit, not just alum to bread but lead pigments to anchovy sauce and laurel berries to custard (which made three little children in Yorkshire fall insensible for ten hours, and lucky to survive). Alum is a mineral otherwise used as a styptic. Three decades on, Tennyson in Maud wrote: ‘Chalk and alum and plaster are sold to the poor for bread /

Swine Flu Panic

The latest news should obviously have you feeling Very, Very Afraid: Mexico has revised down the suspected death toll from swine flu from 176 to 101, indicating that the outbreak may not be as bad as was initially feared. Health Minister Jose Angel Cordova told the BBC that, based on samples tested, the mortality rate was comparable with that of seasonal flu. You don’t say! Will this be reflected in the media coverage? Don’t be silly. I mean, the hospitals are sending people home even though they don’t have swine flu…

The world of big brother

If the past is a foreign country, who governs it? Who has the right, particularly in dealing with his parents and siblings, to patent very private memories, and sell them to the public? These are questions that generally nag at the readers of family memoirs, and it is a measure of the quality of The Music Room that it does not provoke them. William Fiennes is driven neither by self-indulgence nor a desire to rub salt into old wounds, but by an urge to comprehend and dignify the past, in its joys and its sorrows; to give it shape and meaning. This is, essentially, a prequel to The Snow Geese,