Nhs

The NHS shouldn’t fund a drug that prevents HIV

What would you say if a powerful cyclists’ pressure group ganged up on the NHS and lobbied it to provide free cycle helmets to anyone who asked for one, accusing it of having on its hands the blood of every helmet-less cyclist who died while the NHS tried to spurn the demand? I think I can guess the answer in the case of most readers: shove off and buy your own helmets. Why, then, does it become such a different matter when the National Aids Trust demands that the NHS provide a free supply of a drug known as Pre-Exposure Prophylaxis, or PrEP, to people who want to have unprotected

How Vote Leave plan to persuade the electorate that there are real risks to staying in the EU

The IN campaign’s plan for victory in this EU referendum is relatively simple.  ‘Do you want the status quo or the riskt alternative?’, is how one Cameron ally sums it up. To date, Remain—aided by the various government dossiers—have been pretty effective at pushing this message. That is why they are ahead in the polls. So, Vote Leave know that they need to push the risks of staying in, up the agenda. I write in The Sun this morning that their message in the coming weeks will be that ‘wages will be lower and taxes will be higher if stay in the EU’. Their argument will be that the continuing

Long life | 26 May 2016

When your mind suddenly goes wonky, you may be the one person who doesn’t realise that there is something wrong with it. That’s what happened a month ago when I was on a country holiday in Tuscany with my wife. It was lovely weather, and lunch had been laid out of doors. I had cooked a sea bass and was feeling rather pleased with myself. We were both happy, and things could hardly have been better. But everything began to go wrong when my wife decided to ask if I could pass her a knife. A knife? I didn’t know what a knife was. I had never heard of such

James Forsyth

Immigration dominates first BBC EU debate

The Lincoln-Douglas debate it was not, but we have just had the first prime time TV debate of this EU referendum. With Alex Salmond and Alan Johnson for In and Liam Fox and the UKIP MEP Diane James for Out speaking to an audience of 18 to 29 year olds in Glasgow. Many in the audience wanted to complain about the tit for tat tactics of the two sides in this referendum campaign or to condemn the scaremongering by both sides; interestingly, they seemed very sceptical of the Treasury’s forecasts of economic pain if the UK left the EU. One audience member, though, seemed to object to the idea that

James Delingpole

Counting on sheep

Going Forward (BBC4, Thursdays) is a BBC comedy about the continuing adventures of Kim Wilde, the fat, cynical but lovable nurse character played by former nurse Jo Brand. Now she has quit the NHS and is working in the private sector for a company called Buccaneer 2000 — which is, of course, exactly what a healthcare company would call itself in order to allay potential criticisms that it was backward-looking, heartless and rapacious. This is one of the series’ big problems. It wants to be naturalistic, almost fly-on-the-wall, observational comedy, with the dog wandering casually in and out, and parents and kids saying just the kind of things we all

What now for Jeremy Hunt?

The junior doctors strike will be remembered not only as the first time in NHS history that a complete walk out took place, but also for its viciousness. Both the British Medical Association and the Government can share their blame in this. Jeremy Hunt’s threat to ‘impose’ contracts on junior doctors was unhelpful in its forcefulness, even if his frustration was understandable. Whilst the rhetoric used by the BMA has also scarcely painted the association in a good light. Junior doctors may have had their concerns about patient safety but this was also a dispute about pay and to suggest otherwise was disingenuous. It seems, at last however, that an

A deal has been reached in the junior doctors dispute

A deal has been reached between the government and the BMA on the new junior doctors contract. The deal now needs to be approved by a BMA ballot. Details of the deal are still emerging, but I understand that rather than junior doctors working the 11 Saturdays a year that the government wanted them to, they will now work 6 weekends a year. The marginal cost for a hospital of employing a junior doctor will fall by roughly a third if this deal goes through. The government has given some ground elsewhere. Doctors returning from maternity leave will be entitled to catch up on the skills training that they have

In praise of doctors’ handwriting

My baby and I excel at blood tests. He (tiny, jaundiced) stretches out naked under the hospital’s hot cot-lamps like a Saint-Tropez lothario. The nurse rubs his foot to bring blood to his veins, and I lean over the cot to feed the greedy midget, who squawks just once as he’s stabbed. I watch the drops bulge and drip and I puzzle over the NHS and its mysteries. Why do nurses collect baby blood in glass straws with an opening no wider than a pin? It’s like an impossible task set by a whimsical tyrant. Even more surreal is the way the NHS handles patient records. Because the midget and

Polly’s pleb adventure

Down and Out in Paris and London is a brilliant specimen from a disreputable branch of writing: the chav safari, the underclass minibreak, the sojourn on the scrapheap that inspires a literary monument. Orwell’s first book was turned down by Faber boss T.S. Eliot, who received the script under its original title, Confessions of a Dishwasher. New Diorama’s dramatisation brilliantly captures the raffish sleaziness of Paris in the 1920s. Orwell’s crew of thieves, parasites and drifters come across as comradely and charming in this magnificently squalid setting. The austere lighting and the ingenious stage effects are done with tremendous economy. There are flashes of bleak humour too. Orwell’s anvil-faced landlady

The death of the author

The ‘journey’ — at least the one played out in public — begins with an announcement that you are incurable. Patient waiting follows, described in monthly essays written for a respected publication. Jenny Diski (non-small cell adenocarcinoma, London Review of Books) calls this personally singular but culturally familiar experience the race from ‘the Big C to the Big D’. Surely the hope is not to reach the end in the fastest time. But if you take too long, your audience’s sympathy might tinge with suspicion, as Clive James (B-cell lymphocytic leukemia, the Guardian) recently described, now a survivor of several years. Claiming a title for your cancer memoir has also

Hunt hits back – but is he now pulling his punches?

Jeremy Hunt has not done himself any favours in the past with his comments about junior doctors. But today – the first time junior doctors have ever walked out without providing emergency cover – was the time for sounding conciliatory. The Health Secretary said it was a ‘very, very bleak day for the NHS’. Hunt went on to add that: ‘The reason this has happened is because the Government has been unable to negotiate sensibly and reasonably with the BMA over a manifesto pledge’. His emphasis on the Conservative’s ‘manifesto pledge’ is a clear part of the Health Secretary’s tactics to win over the public and Hunt repeated his focus

All-out strikes will not kill patients. An exodus of junior doctors will

Until now, it has not been clear to most people what the junior doctors’ strikes are all about. It began about a total pay cut masquerading as a ‘basic pay rise’. Then it became about protecting doctors’ family and social lives at weekends. Most recently, there have been accusations of sexism. Somewhere in the middle, the more marketable concern about patient safety was introduced, and has risen to the forefront of the junior doctors’ campaign. Last time I wrote, I considered the plausibility of these claims. I suggested that the strikes are primarily about doctors’ quality of life. This is no cause for shame: everyone has the right to campaign

James Forsyth

Junior doctors should be completely ashamed by today’s strike

The junior doctors’ strike that starts today has a strong claim to be the most selfish and irresponsible piece of industrial action in British history. They are refusing to carry out even emergency care between 8am and 5pm today and tomorrow. This walk out, the first all-out strike since the NHS’s creation, isn’t over some issue of high principle. It’s about money. The main sticking point in their negotiations with the government is that Saturday shouldn’t be treated as a normal working day. The BMA’s suggestion at the weekend that it was prepared to call off the walk out if the government didn’t impose the new contract, but instead pilot it

Watch: Dennis Skinner tells Jeremy Hunt to ‘wipe that smirk off his face’

Given that the last time Dennis Skinner criticised a Tory Cabinet member in the Chamber he was ejected from the Commons, the Beast of Bolsover was on remarkably mild form today. Following Jeremy Hunt’s statement on the planned junior doctors strike, Skinner told the Health Secretary that he ought to ‘wipe that smirk off his face’: ‘When the Secretary of State came into the chamber today I don’t know whether he realises it or not but there is a smirk and arrogance about him that almost portrays the fact that he’s delighted in taking part in this activity. He could start negotiations today. Wipe that smirk off his face. Get down to some

Tom Goodenough

Today in audio: Jeremy Hunt stands firm ahead of junior doctors strike

Jeremy Hunt has been facing questions in the Commons ahead of tomorrow’s junior doctors strike. The Health Secretary said the industrial action was ‘wholly unjustified’ and said ‘we are proud of the NHS but we must turn that pride into actions’: His sentiment wasn’t enough to placate Dennis Skinner, however, with the MP for Bolsover telling Hunt to ‘wipe that smirk off your face’: Labour’s Heidi Alexander insisted tomorrow would be one of the saddest days in the NHS – and said that the Health Secretary was to blame: Nicky Morgan also faced a tough time in the Commons as she defended Tory plans for all schools to become academies

Tom Goodenough

Jeremy Hunt steps up war of words with junior doctors ahead of strike

Now that Jeremy Hunt has rejected a proposed cross-party pilot scheme for new junior doctors’ contracts it seems this week’s strike looks certain to go ahead. The industrial action is due to start tomorrow morning and junior doctors will walk out again on Wednesday, but the war of words for this week has already begun in earnest. The Health Secretary has fired the opening salvo in his letter to Dr Mark Porter. Hunt said the strike: ‘…seriously risks the safety of many who depend on the NHS’ Dr Porter, the BMA council chair, has been on Today defending the industrial action which will see junior doctors walking out and not

Stress point

In the 1920s, the anthropologist Margaret Mead studied the people of New Guinea. She noticed that they hunted birds and squirrels but not flying squirrels. The tribesmen explained that they didn’t like flying squirrels: a thing should be either a bird or a squirrel. They wanted nothing to do with the dirty things. And while New Guineans of the 1920s were not leaders of scientific inquiry, Mead concluded that they were quite unstressed at work. Bear with me, because I think the flying squirrel may just be the answer to the stress epidemic that is killing us. Apparently, we’re dying of work-related stress. The media, psychologists and union leaders say

Diary – 7 April 2016

It’s clear that Vladimir Putin has had a facelift, which might explain why Wendi Deng would take an interest in him. But a friend who met him was surprised enough to ask his translator why it was so obvious. ‘Surely he has enough money to get a better one done?’ he said. ‘Oh yes,’ she replied. ‘But here in Russia, a facelift is a status symbol so everyone has to be aware that it’s been done.’ I wonder if the reason American women continue to go for the wind-tunnel effect favoured by Joan Rivers isn’t based on the same social pressure. Wealth and power have their own looks. After nearly 50

The scan said my baby wouldn’t live. It was wrong

When my unborn baby was a five-month-old fetus, twisting about in the internal dark, he was given a death sentence by a man I shall call Anton. We’d gone, my husband and I, for a 20-week scan at our local hospital. Anton was our designated sonographer; we arrived in his room bright-eyed and anxious, as even elderly first-time parents are. We looked to Anton for reassurance, but Anton looked only at his assistant, a sulky 19-year-old sexpot from Romania. The sexpot tried seven times to dig into the vein in my right arm, then began on the left. ‘Don’t worry, good practice, try again,’ said Anton to her, kindly. ‘No,

What was this bed-blocker doing on my ward?

There’s some journalistic research you’d really never do by choice. Spending four days in an NHS hospital with a life-threatening pulmonary embolism, for example. Unfortunately it was out of my hands. I fell off a horse, one thing led to another, and suddenly there I was, lying in what I imagine is a reasonably typical NHS ward being tended by all those multi-ethnic nurses and hard-pressed doctors you read about in the newspapers but rarely encounter yourself because in order to do so you have to be quite seriously ill. So: what have I learned? First, that it’s not as bad as you’ve long feared, especially not for anyone hardened