Nhs

Jeremy Hunt has a point about A&E

One of the supposed rules of modern politics is that you shouldn’t tell the voters they are wrong. So, Jeremy Hunt saying that a large part of the problem at A&E is people turning up who shouldn’t, is going to come in for some criticism. One can almost hear Labour readying its denunciation of the Health Secretary for trying to blame patients for the NHS crisis that Tory cuts have caused. But Hunt is right about people turning up to hospital too readily. He cites NHS England’s numbers which show that up to 30 per cent of those attending A&E don’t need to be there. It should be noted, though,

Tom Goodenough

What the papers say: An overdue overhaul for mental health and May’s Trump-sized opportunity

Theresa May is launching yet another attempt to define herself as a politician today with a major speech on tackling the ‘hidden injustices’ of mental illness. The Prime Minister has won plaudits for taking on an issue which often gets ignored, says the Daily Telegraph. Yet it’s true that we have been here before, the paper says – pointing out that David Cameron made a similar pledge only a year ago. So what’s different? The Telegraph says there are ‘obvious benefits’ to May’s strategy to finally get to grips with this issue. But with the NHS in such a mess, her targets will be ‘hard to achieve’. There’s little doubt,

Letters | 24 November 2016

Prisons and the public Sir: Your leading article on the sorry state of our prisons (19 November) was very welcome. However, you refer to the ‘public demand’ for sending offenders to prison. I have to query this. I cannot think of any occasion when the public has been consulted on prisons or sentencing policy or on the exceptionally high cost of incarceration. We currently have an unthinking and punitive culture, generated by tabloid newspapers and politicians competing to show how tough they are. It is hardly surprising that the coalition government’s search for savings targeted prison staff and community supervision, with results that can be seen today. Peter Barker (former

Poor mental health care is a ‘stain’ on our country. But whose fault is that?

Today’s warning from every former Health Secretary from the past 20 years about inadequate mental health provision raises a number of questions. The first is whether the government really is serious about its pledge to make parity of esteem between physical and mental health a priority. Mental health has become more of a political issue in recent years, which is a good thing: parties now worry about their standing on the issue because society has become better at talking about mental illness, and therefore more people are aware of the shockingly inadequate treatment that their friends and family are receiving when they fall ill. The Tories became anxious in 2015

Real life | 17 November 2016

The Israeli chef and I have become firm friends since he moved out of my flat. He has his own place now, and is trying to find a job. I take him horse riding at the weekends. On the way down the A3 he asks me all sorts of questions about his new life in Britain and the things he is struggling to make sense of. Like why he can’t get a work visa. He is very upset about this. ‘You have to understand,’ I explain, ‘that the mistake you made was to come here legally and apply to the system honestly and openly, stating clearly that you wanted to

Barometer | 3 November 2016

Strike force Nissan is to expand its plant in Sunderland, building two new models there. The Japanese company is praised for not losing a day to strikes in three decades in the city. But labour relations weren’t always so good. — In 1953, when part of Nissan’s business was assembling Austin cars in Japan under licence, the company suffered a bitter 100-day strike. Occupying US forces became involved, helping the Japanese government to arrest union leaders. — As a result of the strike, a new, less militant union was formed, with a Harvard-educated leader. The union accepted job losses but became involved in discussions over new technology. Global race And where

What the papers say: Should Carney stay?

Mark Carney’s appointment in 2013 as Governor of the Bank of England was almost universally applauded. Yet more recently Carney has become something of a divisive figure. His interventions during the referendum campaign angered many. While his economic policies have also come in for criticism, leading some to call for Carney to quit. So should the Bank of England chief listen to his critics or is it best for Britain’s economy that he stays put? The Daily Telegraph says Carney has been hit by ‘referendum shockwaves’ and suggests that the attacks levied against him during the referendum – whether true or not – have undoubtedly placed him in an uncomfortable position.

TB or not to be

If you are 70-plus, the shadow of TB will have hung over your childhood and youth, as it did mine, and Linda Grant’s new novel strikes many a chord. My maternal aunt had the disease, and spent months in a sanatorium like the one described in The Dark Circle, but finally had a thoracotomy (removal of a lung and seven ribs). She was also given the ‘new’ wonder drug Streptomycin and together with the operation, it cured her to live until she was 86. From the sanatorium, she sent me drawings of herself lying under a blanket on the freezing terrace halfway up a mountain. I only include these personal

PMQs Sketch: Theresa May torpedoes Jeremy Corbyn in six syllables

Today we saw government without opposition. At least without opposition in the hands of the Opposition leader. Rambling, disorganised Jeremy Corbyn spent his six questions getting nowhere over the health service. Familiar catcalls were heard on both sides. ‘You wasted billions.’ ‘No we invested billions.’ Mrs May attempted to break the record-book by insisted that ‘half a trillion’ will be spent on health during this parliament. Corbyn’s backbenchers took up the cause. The Labour party is teeming with broken princes and queens-across-the-water who spend their time brooding, and muttering, and plotting their route back to power. Any chance to expose Corbyn as a waffling nuisance is happily seized. Lisa Nandy

Corbyn leaves Ukip an open goal, and they miss it

Jeremy Corbyn is taking Labour ever further away from its traditional working class voters in the north and the midlands. As I say in The Sun today, the party now has a leader who didn’t sing the national anthem at St Paul’s, a shadow Chancellor who has praised the IRA, a shadow Home Secretary who thinks promising ‘controls on immigration’ is shameful and a shadow Foreign Secretary who sneers at those who fly the English flag. This presents Ukip with an open goal and a chance to do to Labour in the north and the midlands what the SNP did to in Scotland following the independence referendum. Indeed, half of

Question time | 6 October 2016

At my wife’s first 12-week scan, I was expecting — and duly got — that much-documented sense of thrilled wonder at the grey blobby thing on the screen. What came as a genuine shock, though, was realising the scan also had the entirely undisguised aim of calculating the baby’s chances of Down’s syndrome, on the apparent assumption that, if they were high, we’d want to terminate. In the event, this wasn’t a dilemma we faced — which possibly makes it easy to take the moral high ground. Even so, the whole process left me feeling both uneasy and rather naive. How long had this been going on? Did everybody else

Food of love

Modern Britain scratches its head over children who are overfed, not underfed, while guilt-ridden mothers stand accused of feeding children badly even if they are not obese. These are not insignificant troubles since childhood obesity is set to cost the NHS many millions in years to come. But as a new exhibition at the Foundling Museum in London will show, infant and child nutrition is not a new science and the challenge of nurturing, not least keeping children alive before the age of five, was taken just as seriously two centuries ago as it is now. Feeding the 400 is the first show at the museum, built on the site

Corbyn’s NHS plans reveal why Labour is doomed

The NHS was the defining issue of the Labour leadership campaign because both candidates knew it had the power to get their supporters fired-up. But only Jeremy Corbyn wilfully ignores the differences between his supporters and the wider electorate. His post-election flagship policy, after all, is the removal of private sector involvement in the NHS. And with the thoughtful, dispassionate hand of shadow health secretary Diane Abbott grasping the rudder, Labour’s course appears well and truly set. Unfortunately for the dwindling part of the Labour party still keen on governing, voters – as opposed to Labour activists – don’t actually tend to care whether they are looked after by the

The quiet patriot

History teaches no lessons but we insist on trying to learn from it. There is no political party more sentimental than the Labour party. The stone monument of Labour history is Clement Attlee’s 1945–51 administration, so any biography of the great man is, inevitably, an intervention into the present state of the party, even if it comes supported with all the best scholarly apparatus. The last major biography of Attlee was Kenneth Harris’s official work, more than 30 years ago, in 1982. There is a neat symmetry to the fact that Harris was writing during the last occasion that the Labour party decided to join hands and walk off a

Letters | 8 September 2016

What Swedes don’t say Sir: Tove Lifvendahl is, unfortunately, exactly right in her analysis of Swedish immigration and asylum policy (‘Sweden’s refugee crisis’, 3 September). Those in Sweden who support free movement and free trade feel it has long been obvious that the consensus in the riksdag would lead to disaster. Last autumn saw a celebrity-studded ‘Sweden Together’ celebration of the open-border immigration policy. Then, just six weeks later, we experienced the closure of borders and passport controls enforced on the Öresund bridge connecting Sweden to Denmark. The flow of immigrants is now at five per cent of its peak, but the Öresund region, or the Greater Copenhagen area — a

Labour must share the blame for the junior doctors’ row

The BMA’s decision to cancel the first of its planned five-day strikes yesterday was justified as a response to concerns over patient safety. Yet these warnings were nothing new. The General Medical Council issued frank advice to doctors hours earlier saying the strikes could harm patients. And the former Department of Health director Sir John Oldham – who also wrote Labour’s health policy review two years ago – also said the strikes were unethical. These interventions followed last week’s statement from the Academy of Royal Medical Colleges that, wait for it, made it clear the strikes would cause ‘real problems’ for the NHS. But amidst those warnings, Labour’s silence on patient safety was deafening. In an interview last weekend,

The BMA sees (some) sense over junior doctor strikes

Junior doctors have scrapped plans to strike next week. In a dispute which looks increasingly messy and interminable, this is a small token of welcome news. But whilst the BMA has made the right decision in this instance, they are still sticking with their threat to stage three five-day walkouts in October, November and December. What’s more, in justifying why they called off the strike which was due to start on September 12, they’re trying to have their cake and eat it. After all, when industrial action was announced last week, patient safety – that all important concept which the BMA had trumpeted in the earlier stages of this row – seemed to have

status

Whenever I try to use the NHS I end up feeling like Bruce Willis’s character in The Sixth Sense. No one can see me. It is as if I don’t exist. And unlike Dr Malcolm Crowe in the movie, I have not, as I wait in hospital and GP surgery queues, found an ally with a special gift which enables him to see me when no one else can. No one has ever come up to me and whispered: ‘I see sick people!’ Instead, I languish like a ghost in every south London minor injury clinic, A&E and doctor’s surgery. Recently, I received a letter informing me that my local

Lloyd Evans

Words of wisdom

Dominic Frisby is an actor best known for voicing the booking.com adverts (‘Booking dot com, booking dot yeah’). Voiceover specialists can earn large fees for a morning’s work and they have endless time in which to ponder where their money ends up. Frisby is irked by the UK tax regime, whose code-book is four times longer than Chilcot. He argues persuasively that our sprawling system should be replaced with a land value tax. Set at the right level this would ensure the abolition of all other duties, and those of us who don’t own property would pay no council tax, no income tax, no VAT, and no duty on fuel,

The Spectator’s notes | 4 August 2016

The Daily Telegraph revealed on Tuesday that Michael Spencer, the chief executive of Icap, has been blocked for a peerage by the House of Lords Appointments Commission (Holac). All the indignation just now is against David Cameron’s resignation honours list, packed with his ‘cronies’, who allegedly include Mr Spencer. It is misdirected. The real anger should go against the pharisaical bureaucracy which has been imposed upon patronage. No one is allowed to know why Mr Spencer has been blocked, yet the world knows that he has been because, supposedly, he has ‘the wrong sniff’ about him. His company was fined by regulators for transgressions in relation to Libor, but he