Nhs

On the NHS front line, we’re braced for what’s coming

From the moment when Boris Johnson announced that the country was moving from containment to ‘delay’ in handling coronavirus, the world’s biggest healthcare organisation has been on a war footing. What doctors like me have witnessed over the past days and weeks has been nothing short of extraordinary. Trusts in the NHS declared a ‘major incident’ on the evening of the announcement, and emergency plans swung into action within hours. By the time I came into work the next morning, managers, who had been up all night, had already started to implement profound changes to the way in which the hospital and services were run, and this continued over the

Doctors and nurses deserve to know if the NHS has enough protective clothing

We are relying on courageous NHS staff to help us through this terrible Covid-19 crisis. So many would say we have a duty to listen to their concerns and anxieties. And as you will be aware, and as the chief executive of St George’s University Hospital’s Jac Totterdell has made explicit, lots of doctors and nurses do not feel that they are being given the appropriate protective clothing. A leading consultant has explained the issue to me. It is probably best if I just use the consultant’s own words. ‘All we get are little plastic aprons that don’t cover your arms or neck or back or lower legs. And no

Will the NHS drop its trans obsession when peak coronavirus hits?

As coronavirus sweeps across the country, I am sure people will be reassured to know that the NHS is doing everything it can to address the pandemic, at such times when a health service’s resources are likely to be overstretched. So it must come as exactly no comfort to see what one section of the NHS was highlighting this Friday: Ensuring pregnant trans men get equal quality care. There may be some lucky people who had to read that twice. Or read it more than once and are still labouring under the impression that the headline includes a glaring misprint. Others, alive to the absurdities of the age, will know

My night in A&E left me worried about the NHS’s coronavirus response

I wish I shared the Prime Minister’s confidence about the ability of the NHS to cope with coronavirus. ‘I have no doubt that with the help of the NHS and its incomparable staff, this country will get through it – and beat it,’ he said on Sunday. Not if my experience in A&E last week is anything to go by. I wasn’t keen to visit A&E in the midst of the current crisis, obviously, and had it been my own health I was worried about I would have stayed in bed. But it was Sasha’s, my 16-year-old daughter. She was pushed down some stairs at a party (not deliberately) and

Lionel Shriver

An open letter to the friend who dropped me after Question Time

I’ve put off sending a private email that’s been ready to go for weeks. Then last Sunday, I read Julie Burchill’s column in the Telegraph about the rigid ideological conformism amidst today’s purportedly ‘creative’ class, and it hit a nerve. Despite our sanctification of inclusivity and diversity, Burchill wrote, ‘exclusivity and groupthink still control the arts’. Because my own small experience of failing the progressive purity test this winter has been repeated up and down this country, it is not   small. Scaled up, the private becomes the public. So I’m finally sending my email as an open letter, allowing the Spectator readership in on a conversation germane to more than my

Full text: Boris Johnson releases coronavirus battle plan

The government has released its official action plan to deal with the coronavirus epidemic, warning people that ‘we are all susceptible to catching this disease’.  During a press conference at Downing Street this morning, the Prime Minister told reporters that the government’s plan involved four phases: ‘contain, delay, research, mitigate’. Boris Johnson said: ‘Let me be absolutely clear that for the overwhelming majority of people who contract the virus this will be a mild disease from which they will speedily and fully recover’.  However, he added: ‘It is highly likely that we will see a growing number of UK cases’. There are currently 51 known cases across the UK.  The four phases involve: 

The four crumbling pillars of the NHS

Now that the Tory party has a mandate for change, it is refreshing to hear that Boris has committed more resources to the NHS and started to reverse some of the government’s blatant own goals, such as the nurses’ bursary cut. But the exponential increasing demand on the service, especially amongst people with more than one chronic condition, and its inability to fill at least 40,000 nursing posts, 10,000 GP positions and 40,000 consultant posts, means money alone will not solve the current impasse. The main problem with the NHS is that it is treated like a religion and doesn’t suffer criticism well. And all attempts by politicians to improve

Labour double down on NHS attack lines in election broadcast

It’s been a hectic election day for the two main parties. Labour managed to move the conversation to their preferred turf – the NHS – following the story of a four-year-old boy forced to sleep on the floor of an overcrowded A&E unit. As Isabel reports, Boris Johnson’s refusal to look at a photo of the boy during an interview has escalated the story further. Health Secretary Matt Hancock was then sent in to calm things down. But that only ignited tensions further after a row ensued over unconfirmed claims a Tory aide was punched leaving a Leeds hospital with Hancock – which were later shown to be false. Labour

Isabel Hardman

Boris Johnson gives himself a hospital pass as he avoids picture of sick child

Is Boris Johnson a robot? I ask this advisedly, given the connotations of that word in the political arena, but the way the Prime Minister responded to questions from a journalist this afternoon does suggest he might be turning into one. He was asked by ITV’s Joe Pike for a response to the photo of a young boy with suspected pneumonia lying on the floor of Leeds General Infirmary, waiting for a bed. It’s a difficult photo for anyone to look at without an emotional response, and Johnson initially refused to see it at all, taking the reporter’s phone out of his hand, and shoving it in his own pocket.

I’ve never seen a film like it: Ordinary Love reviewed

Ordinary Love stars Lesley Manville and Liam Neeson as a long-married couple whose lives are disrupted when she is diagnosed with breast cancer. Not very Christmassy, you might think, but it’s not a ‘cancer story’, as has been said in some quarters, it’s a love story, told profoundly and beautifully and honestly rather than cloyingly or sentimentally. Chances are, it may even stay with you longer than any Richard Curtis film. I can’t guarantee it, but am quietly confident this will be so. The screenplay is by the Northern Irish playwright Owen McCafferty whose own wife, Peggy, underwent breast cancer treatment, and the film is directed by Lisa Barros D’Sa

Boris promises an extra 50,000 nurses – but where’s he going to find them?

This election campaign has long since descended into a contest to see who can spray around the largest sums of cash. So it should come as no great surprise that the Conservatives promised an eye-catching initiative to outdo Labour on nurse numbers. Jeremy Corbyn wants to provide an extra 20,000 new nurses but Boris has now promised an extra 50,000 – topping the Labour leader (until tomorrow morning, of course, when Corbyn can be more or less guaranteed to up his offer to 100,000 nurses). We seem to be heading for the NHS equivalent of a military state. Instead of seeing people in military uniforms on every train, bus and

How an NHS crisis could lose the election for Boris Johnson

The poor performance of the NHS relative to government targets is turning into a major headache for the PM. The point is that Johnson and the Vote Leave team won the EU referendum largely on the basis of their controversial promise to invest £350m a week into the health service. They were acutely aware that money for a public health service matters hugely to poorer people and matters disproportionately more than for those on higher incomes – who have the double benefit of being able to afford both private healthcare and healthier lifestyles. Johnson’s consigliere and Vote Leave campaign supremo Cummings has often said it was the £350m promise wot won it

To solve Britain’s social care crisis, follow the Dutch example

More than a decade ago, four Dutch nurses decided something needed to be done about their country’s care in the community. Back then, it was almost as bad as it is in Britain now — where a recent report found that at least 400 pensioners a week sell their homes to pay for social care. Nursing in the Netherlands had taken a terrible turn in the 1990s, when the government decided healthcare should be more ‘professional’. The ensuing bureaucracy and management doubled the cost, and the quality plummeted. Nurses were forced to spend more time on paperwork and, for want of help, elderly patients ended up in hospital when they

How many people have swum the Channel?

Journey’s end Holidaymakers are being flown home after travel company Thomas Cook failed. The idea might have horrified the company’s eponymous founder, whose first excursion was a temperance outing from Leicester to Loughborough on 5 July 1841, on a charter train from the Midland Railway Company. All 500 tickets were swiftly sold. A holiday from Leicester to Liverpool and North Wales followed in 1845, including several nights in temperance hotels and a night-time ascent of Snowdon. Thomas Cook went on to organise trips to the 1851 Great Exhibition for 150,000 from the Midlands. Financial health A Labour activist and parent of a patient accused the Prime Minister on a visit

Watching Stephen Fry was like being in the presence of a god

Stephen Fry lies prone on an empty stage. A red ball rolls in from the wings and bashes him in the face. He stands up and introduces himself as Odysseus, stranded on an island-kingdom as he makes his way home after the Trojan War. The ball had escaped from the hands of a clumsy maidservant who was playing on the beach with a local princess. Now Fry, as Odysseus, begs her help and asks for a petticoat to cover his nakedness. This tale comes from Homer’s Odyssey, Book Six, but Fry doesn’t quote the reference he merely plunges on with the story. Odysseus shows up at the palace of the

Bill of health

It would be daft for someone to offer you £1.8 billion and you turn it down. That sort of money isn’t to be sniffed at. This is how much Boris Johnson announced he would give to the NHS as an extra funding boost. And I don’t want to seem churlish or ungrateful — after all, those of us who work in the health service are always banging on about how NHS resources are near breaking point. But I have some reservations. The first is the most basic — I’m not sure this is quite the cash windfall it’s made out to be. While Boris has assured us that ‘this is

The Spectator Podcast: the latest plot to oust Corbyn

When Labour moderates tried to oust Jeremy Corbyn in 2016, their attempt only made him stronger, protected by swathes of loyal members. But this year, is the tide turning for Corbyn, as even supporters begin to doubt him? First, there were the abysmal European Election results, which for many Corbynites were particularly painful because they disagree with the leadership’s ambiguous stance on Brexit. Then, last week’s BBC Panorama brought out a dark side to the leadership – the press team’s defensive response to the programme, accusing whistleblowers of being ‘disaffected’, disheartened many most loyal to the project. One high profile Corbynite I spoke to told me that they were disappointed

James Kirkup

It’s time to listen to the NHS gender clinic whistleblowers

Why are increasing numbers of children designated as transgender? Are the resulting medical interventions safe and justified and in the best long-term interests of those children? These are questions of public interest. Some of the answers being offered are troubling, to say the least. One such answer came this week, and deserves attention from politicians and journalists. It’s an open letter from Dr Kirsty Entwistle, formerly a clinical psychologist at the Gender Identity Development Service, the main NHS service for children who might be transgender. It’s a long piece and should be read in full. But here are a few key extracts: “I think it is a problem that GIDS

Striking the wrong note | 18 July 2019

Every summer for the past six years, Bayreuth has risen to its feet to acclaim an English Brünnhilde. Catherine Foster, from Nottingham, was the heroine of Frank Castorf’s anti-capitalist staging of Richard Wagner’s Ring cycle. The director was booed to the rafters, the singer hailed as saviour. Three perfectionist conductors, Kirill Petrenko, Marek Janowski and Christian Thielemann, insisted on her return each year. Across Europe, Foster commands the roles of Elektra, Isolde, Senta (Flying Dutchman) and Turandot. At 44, she is approaching her vocal prime. So it is a bit odd to find that no British company has offered her a leading role, or presently plans to do so. Six

Health warning

Everyone agrees something dramatic has to be done to help the NHS. It is crumbling and the canary in the mine is general practice. I work as a psychiatrist but my GP colleagues are almost all frazzled, overworked and frustrated at not being able to give the care they want to their patients. They’re quitting in their droves. So it makes sense that politicians, desperate for a quick and easy answer to an overwhelming and complex problem, have leapt on technology as a solution. And, in particular, on  the idea of an app that offers a GP consultation via your mobile phone. In theory, it sounds great: the patient can