Nhs

Doctor’s note Sir: Your leading article ‘Labour vs labour’ (21 September) follows a recent theme that I have noticed in The Spectator, in which the government is criticised for allowing public pay rises without implementing changes to working practices to increase productivity. I cannot comment on other sectors but I work in the NHS, working closely with junior doctors as colleagues and am involved in training them. Your article appears to imply that if they worked harder or differently, productivity would improve. While I accept that NHS productivity may not have improved (or may have worsened over recent years), my experience as a GP and trainer is that my productivity

The TV talent show star was due to arrive at 5 p.m., and would be checking into our house long before we were ready to open it as a B&B. I said yes to the lady in the village who organises events, and she told me to expect this singer who is very popular in Ireland, and his band, who would be performing at the local folk festival. Kids, babies, female friends holding babies. I leaned to my friend: ‘They can’t all be staying at mine, can they?’ I spent weeks trying to make our partially renovated Georgian house look acceptable, and then the builder boyfriend had to go to

Sitting ducks Sir: James Heale is right to highlight the important question about Rishi Sunak’s replacement (‘Who will lead the Tories?, 13 July). A weak leader will be a sitting duck for Nigel Farage to target, resulting in a worsening split on the right and an open goal for Labour to exploit at the next general election. They need a bold, principled and pragmatic leader who is prepared for fierce resistance by Reform UK. All the proposed candidates are great at preaching to their own respective choirs, but are any of them prepared to bravely fight for their beliefs like a Margaret Thatcher? They need to reinvent themselves, akin to

The NHS spends around £6.5 billion every year treating obesity. People who are overweight cost the health service twice as much as those who maintain a healthy weight. Half of all cancer cases are linked to obesity and being severely overweight significantly increases the risk of other conditions, such as diabetes, strokes and heart attacks. No public health campaign or intervention has ever worked. Obesity rates have nearly doubled in the UK since the 1990s. More than 60 per cent of adults are overweight. It’s hoped that weight-loss injections, known as GLP-1 agonists – semaglutide (also known as Wegovy or Ozempic) and the more recent market entry tirzepatide (Mounjaro) –

Question time Sir: Your leading article ‘Sense prevails’ (13 April) is a valuable précis of the Cass Review into NHS gender treatment. However, it also raises several questions. How are the actions of these individuals, groups and organisations different from those of others who have been found to have acted unprofessionally, causing harm to patients who were entitled to place trust for their health in them? Where was the ethical and executive management oversight within the NHS? What other unproven ‘treatments’ are being carried out under the ever-growing demands for more money to be allocated to the NHS? Finally, what sanctions are to be meted out – or will we

At the Centre for Rare Diseases, the car park was full and lots of people were milling about. I pulled into a private space I wasn’t meant to be in so that I could let my mother out of the car by the front door. I then sat in the car waiting, watching the rare people come and go. On further inspection of the website, it turns out that a rare disease is not necessarily something that happens rarely. A rare disease is a condition affecting less than one in 2,000 people. However, ‘with more than 7,000 individual rare diseases, their collective prevalence is about one in 17 of the

Home Rishi Sunak, the Prime Minister, said that Britain needed to build new gas-fired power stations to ensure energy security. GDP grew by 0.2 per cent in January. The number of people of working age classed as economically inactive rose to 9.25 million, compared with 8.55 million in February 2020, according to the Office for National Statistics. Among those aged 16 to 34, economic inactivity was rising; among those aged 35 to 64 it had fallen. Long-term sickness accounted for 2.7 million people not in work, 600,000 more than four years ago. The National Health Service employed more than two million for the first time, more than a third of public-sector workers.