Nhs

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

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

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

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:

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

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

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

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

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.

‘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

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