Nhs

David Cameron was grilled today on plans for a ‘7-day NHS’. This is his attempt to iron out a slight kink in the NHS schedules. The trouble is that although our heroic doctors and nurses keep regular hours our deadly diseases are hopelessly unpredictable and like to smite us down whenever they feel a bit grim and reaperish. Perhaps we should write to them about it. In practice this means that NHS efficiency varies widely over the ‘7-day cycle’ or ‘week’ as it’s known. Get ill on a Tuesday and you’ll probably be at a party on Friday. Get ill on a Saturday and you’ll probably be at a funeral

The BMA needs to think carefully about its next steps. In recent weeks, it has become abundantly clear that there is more to this than just the junior doctors’ contract, or indeed the rate of pay for Saturday daytime work. The union can walk away with the deals brokered by Sir David Dalton – which include major concessions on pay and hours – and start to work with the NHS on the wider issue of morale. Or it can continue to do its part to make junior doctors feel worse. Only one of these options will help the NHS meet the very real challenge that it faces. Sadly, peacemakers tend not to prosper within the

A few months ago, paramedics were on the brink of industrial action. They had legitimate grievances. Ambulance services were being run down, their staffing levels were dangerously thin — and the mismanagement (much of it exposed by Mary Wakefield in The Spectator) was horrendous. But in the end they stepped back from the brink — for good reason. It went against their nature to endanger lives, and in addition it would have been a tactical mistake. If a single patient died as a result of the strike, paramedics would have lost public sympathy. Should a nationalised health service really use the unwell as a bargaining chip? English doctors have not

This is a bleak day for the NHS. The doctors strike has gone ahead and some 3,000 operations have been cancelled. Talks broke down last night, and the British Medical Association has shown it is quite prepared to put patients in the firing line in its dispute over a deal that would mean a pay rise, not a pay cut, for 99 per cent of doctors. From 8am this morning, only emergency care will be provided. Treatment for that once-virulent condition, the British disease of strikes, has largely been successful. The number of working days lost to industrial action in the first ten months of last year was the second-lowest

I’ve never understood the phrase ‘died peacefully’. Two weeks ago I watched my mother die, in the very same NHS hospital where I watched my father die almost ten years earlier. There was nothing peaceful about it, at least from my unwanted ringside seat. The end — acute pneumonia providing the final nail in a soon-to-be purchased coffin — was painfully slow. It dragged on and on and on. She struggled for her last breaths and appeared distressed, confused and frightened to the end. The last time I had been to St Helier hospital in south London was September 2005, as my father slowly slipped away. Naturally the memories came

Treatment for that once-virulent condition, the British disease of strikes, has largely been successful. The number of working days lost to industrial action in the first ten months of last year was the second-lowest since records began. Pay and conditions have been relentlessly improving. Since the Winter of Discontent in 1979, the average worker’s disposable income has almost doubled. And no thanks to pressure from trade unions: the steady progress comes from the transformative effects of an open economy and a free market. In the 1970s and early 1980, it was miners, steel workers, railwaymen, bin men, and British Leyland car workers who earned the worst reputations for trade union

The NHS and politicians Sir: The NHS is indeed in need of fundamental reform, but Max Pemberton’s excellent article (‘The wrong cuts’, 14 November) exemplifies why politicians are least well qualified to conduct it. The public loves the NHS and has every reason to distrust political meddling. NHS England should become a public corporation with a five-year charter similar to that applying to the BBC. Of course politicians must decide the total budget and agree the strategic goals, but that is a far cry from deciding the pay and hours of every category of staff. Politicians have no managerial skills and should leave that to the professionals. Tim Ambler Cley next