Nhs

Numbers 10 & 11 need to find a better way of working together

Philip Hammond should be sending George Osborne a case of the finest claret. For Osborne’s decision to accept the editorship of the Evening Standard, has distracted Westminster’s from  this week’s spectacular Budget reversal. But, as I say in The Sun this morning, the fallout from it will be felt for some time. Even Hammond’s Cabinet allies admit that ‘Of course, he’s damaged’ by the whole issue. But those in May’s circle are blunter. Pointing out the mistake was ‘staring you right in the face’ before he made it and that the National Insurance hike on the self-employed ‘was pushed back several times’ by Number 10. They predict that ‘his arrogance

Diary – 16 March 2017

In the NHS clinic where I work, adults who suspect they may have Asperger syndrome wait almost a year for a diagnosis. The clinic takes referrals from all over Cambridgeshire and Peterborough (a population of 860,000), but we have to see all of them in the hours of a single full-time doctor. And the clinic is not given funds to run a follow-up support service once someone has been diagnosed. These individuals struggle to socialise, are neurologically different, and are overlooked because their disability is invisible. Many have experienced bullying in childhood, underemployment in adulthood and exploitation because of their social naivety. Many are made to feel inferior despite their

The Budget exposed a myth: people don’t want to pay more tax to fund the NHS

Perhaps the most interesting thing about the debate on the increase in National Insurance Contributions for the self-employed is that it lays bare the lie that people are happier to pay more tax to fund the NHS. In December, the Guardian reported a study that suggested that 70 per cent of people would ‘happily pay an extra 1p in every pound if that money was guaranteed to go to the NHS’, while almost half of the 1,000 people surveyed said that they would even pay an extra 2p in the £. Where are these people now?  A 2p in the £ increase suggested for a sub-section of people (a sub-section, don’t forget that currently

Labour haven’t hit rock bottom yet

Copeland was a truly awful result for Labour. But as I say in The Sun this morning, the really alarming things for Labour is that things can get worse for them. Many Labour MPs have been operating on the assumption that the NHS will keep the party’s loses down to a manageable level in 2020. But Copeland suggests that this hope is misplaced. Labour went all in on the health service there and had no shortage of material to work with, the maternity unit at the local hospital is under threat. By the end of the campaign, Labour’s message was perilously close to vote for us or the baby gets

What you need to know before buying health insurance for kids

If you’ve had enough of battling to get the kids a doctor’s appointment, or don’t want them waiting months to be seen by a specialist, there is an alternative. You could take out children’s private medical insurance that will pay for some or all of the diagnosis and treatment your child may require. Such policies come with a long list of benefits. For example, most offer same-day video and phone consultations and can arrange specialist appointments and procedures much faster more than through the NHS. ‘Another valued benefit,’ says Kevin Pratt, consumer affairs editor at MoneySupermarket.com, ‘is the cash payment that is made to the parent for each night that

Corbyn fumbled his NHS attack at today’s PMQs

When Ed Miliband was asking the questions at PMQs, we didn’t think we were living through a vintage age of parliamentary debate. But every week, Miliband’s performances looks better by comparison. Jeremy Corbyn went on the right topic today, the NHS, but his questions were all over the place and lacked coherence. Indeed, at one point it was hard to tell what the actual question was. But, I suspect, that Labour will feel that if Corbyn has managed to bump the NHS up the agenda ahead of the two by-elections on Thursday, then it will have been a worthwhile exercise. But it is telling that any advantage Labour gained from

Why wouldn’t our NHS saints help a dying man? | 11 February 2017

We all think pretty highly of ourselves these days, free from old-fashioned ideas about sin. We’re good people. And yet… I read in a letter in a local newspaper recently a description of an event in the writer’s own home which shows that we might also be becoming monsters. The letter-writer, Jane, was a lady in her late fifties who cared at home for a husband, Fred, with terminal brain cancer. As Jane’s letter explained, Fred had fallen recently on to the bathroom floor, and as she was unable to lift him, she telephoned for help. Seven medics arrived and rushed to the scene. All seven then stalled. Though Fred

Why wouldn’t our NHS saints help a dying man?

We all think pretty highly of ourselves these days, free from old-fashioned ideas about sin. We’re good people. And yet… I read in a letter in a local newspaper recently a description of an event in the writer’s own home which shows that we might also be becoming monsters. The letter-writer, Jane, was a lady in her late fifties who cared at home for a husband, Fred, with terminal brain cancer. As Jane’s letter explained, Fred had fallen recently on to the bathroom floor, and as she was unable to lift him, she telephoned for help. Seven medics arrived and rushed to the scene. All seven then stalled. Though Fred

Jeremy Hunt has promised to get serious about NHS health tourism before. Is he serious this time?

This morning, we wake up to the news that the government is now serious about collecting money from health tourists – those who come to the UK to use the NHS without being entitled to it. We have, alas, heard this before. For weeks now, we have been reading about a crisis in A&E — a symptom, we’re told, of a funding crisis in the National Health Service more generally. Since I started working for the NHS almost 45 years ago, this has been a familiar theme: the system is creaking, but a bit more tax money should suffice. To many of us who have seen the system close at

Tom Goodenough

What the papers say: Will the Government’s plan to tackle health tourism work?

NHS hospitals will charge foreign patients who are not eligible for free, non-emergency treatment up front from April, Health Secretary Jeremy Hunt will announce today. It’s a controversial step, but one likely to go down well with voters angry at people from abroad using NHS services without paying. The move is designed as a way of finally meeting a target for hospitals to recoup some £500m from overseas patients – something hospitals have, until now, fallen well short of doing (just £289m was collected in 2015/16). It’s a step which, unsurprisingly, has been greeted with praise in this morning’s newspaper editorials. The Sun says if this new change of rules

Rules for loneliness

An old acquaintance died recently. A friend of mine, who was closer to him than I was, rang to tell me. She’d known him for 40 years and looked after him at various times when he fell ill. He was diagnosed with cancer three weeks ago and died suddenly in hospital last week. She tried to find out what happened, but as she is not next of kin (he had no relations) she will probably never know. Within the monolith of the NHS, patients, particularly the elderly, are able to disappear from view as effectively as prisoners in the Soviet gulag. If they don’t re-emerge alive, no except a close

Letters | 26 January 2017

What is a university? Sir: As a former Russell Group vice chancellor, I think that Toby Young’s appeal for more universities (Status anxiety, 14 January) needs several caveats. First, what is a university? Recently some have been created by stapling together several institutions without any substantial element of research and renaming them as a university. There is even some suggestion that research is inimical to good teaching, because some university researchers with a duty to teach shirk it. But the presence of a weighty research community lends a university an invaluable ambience. In America, many colleges that teach only to the bachelor degree are well regarded without possessing the title of university.

Losing patients

For weeks now, we have been reading about a crisis in A&E — a symptom, we’re told, of a funding crisis in the National Health Service more generally. Since I started working for the NHS almost 45 years ago, this has been a familiar theme: the system is creaking, but a bit more tax money should suffice. To many of us who have seen the system close at hand, another question presents itself: what if the NHS were to cut down on waste? And perhaps recover costs from the health tourists who turn up for treatment to which they are not entitled? I first made the case for doing so

Letters | 19 January 2017

Particle of faith Sir: Fraser Nelson draws our attention to the most worrying aspect of economists getting it wrong, which is their reluctance to recognise it (‘Don’t ask the experts’, 14 January). Some economists, seduced by sophisticated mathematical models, aspire to the status of, say, particle physicists, who can tell us they have found something called the Higgs boson. The fact that we tend to believe the particle physicists despite being more familiar with prices, jobs and buying and selling than with quantum equations comes down to physicists having a long track record of heeding the biologist E.O. Wilson’s advice: ‘Keep in mind that new ideas are commonplace, and almost

The NHS is a vast, gaping, fathomless void

The language of the left is a truly transformative grammar, so I suppose Noam Chomsky would heartily approve. There are words which, when uttered by a leftie, lose all sense of themselves — such as ‘diverse’ and ‘vibrant’ and ‘racist’. It is not simply that these words can mean different things to different people — it is that when the left uses them they are at best a euphemism and at worst a downright lie. And from that you have to draw the conclusion that their whole political edifice is built upon a perpetually shifting succession of imaginative falsehoods. Such as when they tell you you’re a ‘denier’ of something

Word perfect | 12 January 2017

All that’s needed for Radio 4’s One to One series (Tuesdays) to succeed is a sharp-eyed interviewer, ready with the right question at the right time, and an articulate guest, not afraid to speak freely and openly, but with integrity, all too rare these days. In the opening programme, Julia Bradbury talked to Dr Martin McKechnie, an A&E consultant, about the challenges he faces day in day out. It was a timely reminder that not everything in the NHS is broken beyond repair. Most striking, perhaps, was not so much Dr McKechnie’s calm fortitude in the face of terrible human distress (remarkable thoughthis was) but the way he casually dismissed

NHS chief puts up a fight as No 10 row goes public

With the NHS in the midst of a ‘humanitarian crisis’ according to the Red Cross, No 10 appeared to try to pass some of the blame onto NHS chief Simon Stevens this morning, with reports that Theresa May’s senior aides think he is ‘insufficiently enthusiastic and responsive’ when it comes to reducing spending. So, it was bad-timing — or perhaps a case of Downing Street wanting to strike the first blow — that Stevens was hauled before the Public Accounts Committee this afternoon to discuss the problems facing the NHS. Setting the tone for a feisty testimony, Stevens began by contradicting the Prime Minister’s claim that the NHS was given more funding than he

Isabel Hardman

Will more people start paying to see a GP?

One of the many groups getting stick for the current pressure on NHS emergency wards are GPs, criticised for their long waiting lists and inflexible hours which lead to people pitching up at A&E with sore shoulders and the flu. The GP contract, which allowed primary care physicians to opt out of out-of-hours cover, is the popular scapegoat for this, but there’s also the question of whether there are enough GPs in the system at the moment to serve the number of patients who need them. Some patients are giving up on the free NHS primary care system. The doctor can see you now, in your living room, via webcam, using

Why isn’t Labour focusing its efforts on the NHS crisis?

Jeremy Corbyn will shortly give his speech on Labour’s position on freedom of movement, hopefully clarifying whether that is his pre-briefed position that the newspapers published this morning, or his position as set out in his Today programme interview. It was initially briefed that he was ‘not wedded’ to the idea of freedom of movement, but then said Labour would not stop any EU citizens from coming to the UK. To add to the confusion over this policy announcement which appeared to be moving the Labour party to the right on immigration, the Labour leader then did the equivalent of shouting ‘look at that massive left-wing squirrel over there!’ in

Sam Leith

Is there a war on the old?

What’s it like being old? Rotten, says Professor John Sutherland in his latest book The War On The Old — and it’s made worse by what he sees as a systematic and malevolent conspiracy to airbrush the elderly and their problems out of public life. He’s not just complaining about the NHS’s niggardly rationing of Viagra. While millennial pundits moan smugly about the triple-lock pension and free TV licenses, he argues, their grandparents are waiting years for routine operations, being ignored by the political classes and dying of neglect in privatised old folks’ homes. The picture he paints is of something close to a programme of extermination. In this week’s