Nhs

Hancock given hard time over sugar tax and social care

On the subject of MPs who hope Boris Johnson might give them a job, Matt Hancock was before the Health Select Committee this afternoon, where he ended up taking a fair bit of flak for what the current government hasn’t done, and what the next administration might do. After his own failed leadership bid, the Health and Social Care Secretary backed Johnson, which made for a very awkward section in today’s hearing about the sugar tax. Hancock was repeatedly pressed on Johnson’s pledge to review ‘sin taxes’, including the one on sugary drinks, and he repeatedly answered that the most important thing was to look at the evidence behind the

Doctor who? | 27 June 2019

Last October, Phil Coleman, a journalist on the Carlisle-based News & Star, went to cover the trial of Zholia Alemi, a 56-year-old consultant psychiatrist who was accused of forging the will of an 84-year-old dementia patient in an attempt to inherit her £1.3 million estate. During the trial, Phil realised this complex scam could not have been the work of an amateur fraudster, and suspected previous mischief. How right he was. It turned out that Alemi had been practising in the NHS for 23 years without a medical qualification. Originally from Iran, Alemi moved as a young woman to New Zealand where she claimed she had graduated in medicine from

Letters | 13 June 2019

The benefits of indecision Sir: Belgium has often been without a government for months on end without suffering any economic collapse. In Britain in recent decades governments with large majorities and led by ideologically driven prime ministers have made disastrous decisions on welfare reform, foreign policy and selling off social housing. Isabel Hardman is correct to say that ‘decisions are needed to solve problems that have festered for years’ (‘The in-tray of horrors’, 8 June). However her analysis should also consider the benefits of government paralysis: the damage that has been avoided because superficial and ill-thought-out policies never saw the light of day. Ivor Morgan Lincoln A doctor writes Sir:

Playing chicken | 6 June 2019

Why is it that free trade, which almost everyone agrees is good when conducted with other European countries, suddenly becomes something to be feared when it is proposed with the United States? What is it about American chicken which means that Britons who eat it happily enough when they are on holiday are supposed to fear it when it is imported? And if Americans can offer world-class, well-priced medical services to Britain through the National Health Service, how is that a threat to our social fabric? On his state visit to Britain this week, President Donald Trump reiterated his desire to do a ‘comprehensive’ trade deal with Britain. Given that

Protons and cons

It’s Asco week in Chicago: the biggest meeting of clinical oncologists in the world. McCormick Place convention centre, the largest in the US, is filled to its 2.6 million square foot capacity with people talking about cancer. And one of the hottest topics being discussed is something called proton therapy, a possible new tool in the anti-cancer arsenal. But does it actually work? Given that two private proton therapy machines have already been built in the UK, and that two more NHS machines are on their way at a cool £250 million, you’d think we’d know. The sad truth is that, for many cancers, the medical jury is still out

An agonising vigil

Memoirs about giving birth, a subject once shrouded in mystery, have become so popular that another may seem otiose. We are all produced in variations of anxiety, pain and delight: what is the point of labouring labour? Two years ago, the novelist Francesca Segal gave birth to twins ten weeks prematurely. Her account of their struggle to survive in the neo-natal units of two London hospitals could be mawkish, banal and of no interest to anyone save those who have experienced a similar ordeal. That it is, in fact, as gripping as a thriller and as moving as a love story is testament to her exquisite writing and deep humanity.

Real life | 30 May 2019

The receptionist fixed me with a withering stare. I had just filled out a repeat prescription form and politely inquired of the girl behind the desk how I would know when it was ready. She harrumphed and asked where I usually picked my prescriptions up from. I told her the pharmacy on site, you know, the one next door to the surgery, the one just there, in the car park of this building. The one you could see out the window. That one. She stared at me as though I were explaining that I collected my prescriptions from the international space station. ‘I’ll look it up,’ she said, as though

Real life | 2 May 2019

A leaflet came through my door from the NHS inviting me to take part (if that is the right term) in Cognitive Behavioural Therapy. What a kind offer, I thought. They must know I’m stressed. Fine, so I didn’t think that. I thought: what a blasted cheek! This leaflet is a mailshot, clearly, and has been distributed to every home in my area at a cost of goodness knows how much. I looked at the glossy thing in all its impudence and presumption and decided to chase after the postman. He was three doors down when I caught up with him and he wore a cheery smile as usual. ‘Can

Letters | 4 April 2019

About the Bible Sir: I was confirmed by Richard Holloway as a schoolboy at Fettes College, and then taught by John Barton while an Anglican ordinand at Oxford University. So I was intrigued to read Holloway’s review of Barton’s latest book, A History of the Bible (30 March), and disturbed by their conclusions. Indeed, both the book and the review go a long way to explaining why the median size of a Church of England congregation is 28, and why numbers are at an all-time low. One doesn’t have to be an anti-intellectual fundamentalist to believe in orthodox biblical Christianity, or to realise that being a disciple of Christ means

It’s time for the NHS to take care of British junior doctors

For years, Britain has been failing to train enough doctors and has been importing them instead. This has been a well-known and much lamented fact, raising several ethical issues. Is it right for us to rob developing countries of their much-needed medics? Simon Stevens, the head of the NHS, said at the Spectator’s health summit this week that Britain should stop ‘denuding low-income countries of health professionals they need’. Quite so. Which makes it all the more shocking that last year, for the first time ever, the UK imported more doctors than it trained. And the problem Stevens highlights has, under his leadership, been getting steadily worse.  Look at the

The Spectator Podcast: is Brexit a national humiliation?

This week opened with the cautious optimism of a third meaningful vote passing, and ends, as our cover depicts, with Theresa May begging the EU for an extension. After John Bercow’s ruling that May’s Brexit deal cannot be voted on a third time, unless with ‘substantive changes’, the chances of May passing her deal before March 29 seemed further than ever. Now, this week has shown that Brexit is dictated at home by warring factions in the Commons, and dictated abroad by the EU. Even though the EU has given May a third chance at her deal, these past weeks lay bare the government’s inability to run the government, and

Lyme disease and me

Some medical experts claim that Lyme disease is worse than cancer. It’s not a competition, but I do know one thing: at least if you’ve got the Big C you get sympathy, understanding and prompt treatment. With Lyme you’re pretty much on your own. This isn’t a plea for public sympathy. I’ve had Lyme for God knows how long — decades possibly — and though it has disrupted my health and my life in myriad weird, torturous and sometimes hideous ways, I still consider myself one of the fortunate ones. First, it hasn’t killed me; second, I’ve had some state-of-the-art stem cell treatment which with luck will eventually cure me.

Up the spiral staircase

‘Gene test for sale on NHS,’ blared the headlines last weekend, sparking some anxiety and confusion. The story is that Genomics England, a company owned by the Department of Health, has announced that it’s seeking people who are willing to pay to have their DNA sequenced. The fee has not yet been specified but it will probably be around £500, depending on how much the analysis is subsidised. Each volunteer will receive a personalised health report and will agree to share their anonymised genetic data with researchers in the hope of improving genetic prediction of diseases and creating the sort of healthcare that’s fit for the future. The story has

The NHS 10-year plan is a metaphor for Theresa May’s government

Today’s NHS 10-year plan is the health service’s response to the £20.5 billion funding boost announced by ministers last year. The Prime Minister is unveiling further details of the plan this morning, with NHS England chief executive Simon Stevens doing his own broadcast tour to sell it. He argues that the plan ‘tackles head-on the pressures our staff face’ and also ‘sets a practical, costed, phased route map for the NHS’s priorities for care quality and outcomes improvement for the decade ahead’. The plan is a good metaphor for the May government, too: its announcement was delayed from its original launch date of late autumn, there is a £1 billion

Sunday Shows Roundup: Theresa May – Meaningful Brexit vote will ‘definitely’ be in January

As MPs prepare to return to Westminster following the Christmas recess, the Prime Minister has given her first TV interview of the new year. With the deadline for Brexit fast approaching, Theresa May again put the case for her Brexit deal, on which she postponed a crucial Commons vote in December. Andrew Marr asked her if this time, the vote would definitely be going ahead: TM: Yes we are going to hold the vote… The debate will start next week and it will carry on until the following week, but we will be holding the vote. AM: We’re talking about the 15th or 14th? TM: That sort of timing, yes.

Theresa May kicks can down the road on key domestic reforms

Parliament rises for Christmas recess tomorrow – unless the various grinches arguing it should carry on sitting so it can loudly fail to make any decisions on Brexit have their way. MPs are so busy accusing Theresa May of kicking the can down the road on Britain leaving the European Union that few have noticed how many other cans are also bouncing along the tarmac. We had been expecting big announcements on social care reform, domestic abuse legislation and the NHS by the end of this term in Parliament, but all appear to have been delayed. The social care green paper had been delayed repeatedly anyway, but was expected this

Heaven knows we’re miserable now

Jimmy McGovern’s one-off drama Care (BBC1, Sunday 9 December) began with a loving grandmother called Mary having a lovely time with her loving grandchildren. During a laughter-filled visit to the chip shop, she also tested their maths by asking how much their order would cost, and they answered with impressive aplomb. So could it be that McGovern — whose previous work (The Lakes, The Street, Broken etc.) has never been difficult to distinguish from a ray of sunshine — was getting into the festive mood? Well, no. As she drove away from the chippy, Mary slumped forward on to the steering wheel as the children screamed and the car headed

Real life | 15 November 2018

Left at the Dementia Café, right at the Sleep Office, past the Spiritual Care Centre… This was my journey through the ground floor of my local hospital until I came to the physiotherapy department where the Calf Stretching Education Group was being held. Hospitals are very different places nowadays from the forbidding buildings of my childhood where doctors and nurses in starched uniforms used to attempt to cure people. Now they host Costa Coffee shops and M&S mini food halls and art exhibitions along the walls, which you peruse in spite of yourself as you pass these marvellous new departments. You wonder what happens at the Dementia Café and the

Real life | 8 November 2018

If you are wondering, any more than usual, how your tax is being spent, you should know that I have been summoned to a Calf Stretching Education Group. According to the letter from the NHS, it has come to the attention of my local hospital that I have tight calf muscles. ‘We would like to invite you to the Calf Stretching Education Group in order to give you the opportunity to manage your condition better.’ My condition is still a little unclear to me, but it has something to do with a lump on the side of my toe. I went to see a specialist about a bunion and she

Martin Vander Weyer

The Irish border issue is no mere sideshow – and UK ministers are mostly to blame

We may or may not hear news soon of a settlement of the Irish border issue that will allow Brexit to proceed without the calamity of ‘no deal’. Word this week was that Irish taoiseach Leo Varadkar might offer a compromise ‘review mechanism’ for the ‘backstop’ which might otherwise leave the UK locked in a customs union — but like me, you’re probably none the wiser as to what that actually means. History will judge this episode as a disgraceful example of politicians bluffing in the face of tough choices rather than explaining complexities or acknowledging hard facts — set out, in this case, in a Northern Ireland Affairs select