Nhs

The Conservatives can become the party of mental health — here’s how

For too long, Westminster has overlooked mental health. It has been languishing in funding obscurity for decades as a forgotten arm of the NHS. But thankfully, there was a shift in priorities during the last Parliament as all political parties woke up to the importance of providing good mental health care. The issue rose so far up the policy agenda that the merits of different types of long-term psychotherapy became the subject of repeated and impassioned debate in the Cabinet Office. All parties have realised that mental ill-health is a problem that affects everyone. Currently one in four people struggle with mental health issues every year and the number is

What did ‘#IminworkJeremy’ Hunt actually say about doctors working weekends?

Well, it’s fair to say that Jeremy Hunt’s going to have a fun time at the next doctors’ conference he attends. There’s the #Iminworkjeremy trend on social media of furious doctors pointing out that they already work at weekends, and are not playing golf, as they believe the Health Secretary claimed. There’s the multiple petitions calling on the Health Secretary to resign, be sacked, or be subject to a vote of no confident in Parliament. And there are the furious op-eds from doctors who feel completely undervalued. Now, doctors do work weekends, and they also work twilight shifts and long weeks of nights, and they also have to certify people as dead

Real life | 16 July 2015

Insomnia has a lot to answer for. I have not been sleeping well for years but a few months ago I stopped sleeping at all. By that I don’t mean I sleep a little bit. I mean I sleep never. And since I stopped sleeping, I have been teetering on a knife-edge. It is, I can reveal, barely possible to behave in accordance with the law if you have had no sleep for a significant time. I suspect a large proportion of the prison population just needed a sleeping pill to make them into responsible citizens. As for women’s prisons, they must be jam-packed with menopausal desperados needing HRT whose

Poor form

Not long ago, I woke up in hospital, in pain, with a damaged back, but grateful for the sleep that a couple of doses of morphine had secured. ‘Morning,’ said a sixtysomething man who appeared by the side of the bed. ‘I’m Derek, I’m a volunteer here.’ ‘Hello Derek.’ ‘I’ve bought you some cornflakes.’ I wanted to hug him. ‘Also…’ He produced a sheet of paper. Oh no. ‘There are a few questions here about how you’ve found your stay with us. I can fill them in for you if you want…’ Luckily I was too weak to get angry. ‘Could you just leave it there, Derek? I might look

A trip to Greece might make Charlotte Church fear national debt

It is amazing what some people are willing to listen to on a Saturday.  I have just watched Charlotte Church’s speech to the small fringe of ‘anti-austerity’ activists in Westminster at the weekend. And my reaction is very much ‘Coo!’  Of course I knew how humourless this portion of the left can be, with their beliefs that Ukip is a ‘fascist’ party and that the current government is secretly selling off all schools and hospitals.  But even I didn’t think that they would wish to spend their weekends hearing lectures on David Cameron’s ‘neo-liberal vernacular’ from Charlotte Church.  Yes, she actually used that phrase in her speech. Highlighting one of the problems of the

Imposter syndrome

As graduates of the country’s best university, most former Cambridge students neither seek nor expect much in the way of public sympathy. Last weekend, however, the frontrunner in the Labour leadership contest, Andy Burnham, attempted to elicit a little. Describing his journey from a Merseyside comprehensive to Cambridge as the thing which ‘brought me into politics’, he told of his bewilderment when, as a prospective English student, he was asked at his interview, ‘Do you see a parallel between The Canterbury Tales and modern package holidays?’ He was, he said, ‘still pondering what the question meant when I arrived at Warrington station six hours later and when the rejection letter

The government has found new momentum for NHS reform

The PM’s first policy speech in this Parliament was devoted to the NHS and marked a big shift in tone compared to the election.  The campaign message was somewhat defensive, majoring on the extra spending that the Conservatives would provide (and leading some to ask where the extra £8 billion a year was coming from).  11 days after the election, the message was very different. ‘The NHS must step up,’ said Cameron.  His key phrase was ‘There is no choice between efficiency savings and quality of care’. That was an unsubtle rejoinder to the health leaders who had been arguing, even during the election campaign itself, that much more money

Letters | 11 June 2015

The long arm of the FBI Sir: The White House may be less willing than it was to play the role of the world’s policeman in international affairs, but the FBI seems eager to be the world’s cop. No doubt, as Martin Vander Weyer has noted (Any other business, 6 May), the US Attorney General has been ‘careful to assert that many of the allegedly corrupt schemes of the Fifa officials so far arrested were planned in the US, and that US banking and “wire” services were used.’ Still, we are told that the FBI is also investigating matters such as the award of the next two world cups to

Portrait of the week | 4 June 2015

Home David Cameron, the Prime Minister, toured Europe trying to gain support for reforms to favour Britain’s position in the European Union. Angela Merkel, the Chancellor of Germany, said she did not rule out treaty changes in Europe and would be a ‘constructive partner’ of Britain in seeking reforms. Nick Clegg, the former deputy prime minister, was found to be on a list of 89 figures from the EU banned from entering Russia. Jeremy Hunt, the Health Secretary, said he would do something to reduce the cost of agency staff for the NHS in England, which amounted to £3.3 billion last year. The government, which has reduced its stake in Lloyds

Podcast: the high priests of health and the collapse of Andy Coulson’s perjury trial

Is the NHS bossing around the British people too much? On this week’s View from 22 podcast, Douglas Murray and Christopher Snowden discuss this week’s Spectator cover feature on the high priests of health and how the NHS is telling us how to live our lives. Does this level of continued intrusion show that the NHS is unsustainable on its current form? And what are the myths of the so-called obesity epidemic? James Forsyth and Isabel Hardman also discuss the latest in the Labour leadership contest. Why has Yvette Cooper struggled to define what she stands for? Can Liz Kendall make up the lost ground to the other candidates? And is there anything that will harm Andy Burnham’s chances? We also look back on

Big fat myths

[audioplayer src=”http://rss.acast.com/viewfrom22/thehighpriestsofhealth/media.mp3″ title=”Douglas Murray and Christopher Snowden discuss whether the NHS is too bossy” startat=35] Listen [/audioplayer] Like all failing projects, or popular cults, the NHS needs scapegoats. Britain’s health service is plagued by an endless stream of deviants who are a ‘burden’ on its resources. Otherwise known as patients, they are the drinkers, smokers and fatsos who, we are told, will bring the NHS to its knees unless lifestyles are regulated by the state. Smokers were a useful scapegoat for a while. Now it’s the obesity ‘time bomb’. As Simon Stevens, the chief executive of the NHS, recently put it, ‘The new smoking is obesity.’ He claims that fatties

Doctors’ orders

[audioplayer src=”http://rss.acast.com/viewfrom22/thehighpriestsofhealth/media.mp3″ title=”Douglas Murray and Christopher Snowden discuss whether the NHS is too bossy” startat=35] Listen [/audioplayer]On a radio discussion show shortly before the general election I made the not terribly original point that the NHS had become our national religion. The first caller immediately objected. ‘No, it’s not,’ he said. ‘The NHS is far more important than a religion — it’s about life and death.’ Ignoring the theological presumption for a moment, this view is common enough. Even when not ‘in crisis’, the NHS is now perennially said to be ‘under pressure’ and so becomes an ever-larger part of what government does and the public expects. George Osborne refuses

Health podcast special: does technology spell the end of the waiting room?

Technology has the huge potential to transform the healthcare system. In this View from 22 podcast special, The Spectator’s Sebastian Payne discusses how technology is revolutionising healthcare with Professor Simon Wessely, the president of the Royal College of Psychiatrists, Dr James Kingsland, the President of the National Association of Primary Care and Kate Newhouse, the CEO of Doctor Care Anywhere. Are new technologies helping to alleviate pressures on the health service? Is the NHS making the best use of the newest technologies available? And does Britain’s current GP system meet the patient’s increasing demands for flexibility? This podcast was sponsored by Doctor Care Anywhere

Labour leadership contenders make their case at health questions

The odd thing about the Labour leadership contest is that while it runs, two of the most different candidates, Liz Kendall and Andy Burnham, must work together in the Shadow Health team. Today they had a chance to show how well they perform in the Commons, speaking within minutes of one another at the first questions of the new Parliament. Kendall asked about access to GPs, asking Jeremy Hunt why he had failed to meet his promises in this area. Her delivery was not particularly confident: she read her question and was nowhere near as forceful as Burnham, who came later. Hunt congratulated the Shadow Health Minister on her return

Jeremy Hunt reminds Simon Stevens about £22 billion in NHS savings

Jeremy Hunt has fired a warning shot at the NHS, saying that the time for excuses over cost savings is over. In an op-ed for the Telegraph, the Health Secretary has helpfully reminded the NHS that £22 billion in efficiency savings are expected, in return for an extra £8 billion a year from the government: ‘Eight billion was what the NHS asked for. But with that commitment from taxpayers, the time for debating whether or not it is enough is over: the NHS now needs to deliver its side of the bargain, which is to make substantial and significant efficiency savings.’ In particular, Hunt has singled out the £3.3 billion spent on agency doctors on nurses.

Portrait of the week | 28 May 2015

Home A Bill to enable a referendum on whether voters wanted Britain to ‘remain’ in the European Union figured in the Queen’s Speech. Another Bill prohibited any rise in income tax rates, VAT or national insurance before 2020. Tenants of housing associations would be given the right to buy their homes. Provision for Scottish devolution was promised in fulfilment of the recommendations of the cross-party Smith Commission. A ‘powerhouse’ in the north was to come into being through cities being given powers over housing, transport, planning and policing. Laws on strikes would be tightened. Red tape for business would be reduced, and a new quango set up to invigilate late

Cameron’s seven-day GP service is a mad promise straight out of ‘Yes, Prime Minister’

I love the series Yes, Minister and Yes, Prime Minister for many reasons, among them the timeless, elegant dialogue that can be applied to today’s politics. Hearing the pledge emanating from Number 10 that very soon the UK will enjoy a ‘seven-day a week GP service’, conveniently devoid of any details as to how that service will be funded, staffed or brought to fruition, I am reminded of the following exchange: “Humphrey, I’ve been thinking.” “Good.” “I’m sure you will agree that so far my Premiership has been a great success” “Oh indeed!” “Yes, and I’ve been asking myself what I can do to continue this run of success.” “Have you

Rory Sutherland

The importance of selective inefficiency

Readers of a certain age may remember choosing a cassette player in the 1980s. In theory the process was simple: we would have read reviews of competing devices in audiophile publications and then bought whichever device scored best in terms of sound quality, reliability and value for money. Except we didn’t do this, did we? We went into Comet, looked at three or four examples we considered most attractive, and then pressed the ‘eject’ button on each of them. Invariably we bought the cassette player with the most elegant eject action. If it gracefully whirred open with a sweet damping movement, that was a clincher. Any device in which the

Dying Without Dignity: a report on end-of-life care that shames the NHS

The name says it all. ‘Dying Without Dignity’ is the parliamentary health ombudsman’s report into over 300 complaints of the neglect of terminally ill patients by the NHS. The BBC this morning highlights two horrible examples. One mother had to call an A&E doctor to come and give her son more pain relief because staff on the palliative care ward he had been on had failed to respond to her requests. A 67-year-old man’s family learned of his terminal cancer diagnosis through a hospital note – before he knew himself. This ‘failed every principle of established good practice in breaking bad news’, says the report. Julie Mellor, the ombudsman, uses uncompromising language: ‘Our investigations have found

What should Jeremy Hunt do next to the NHS?

The Tories barely talked about the NHS during the election campaign. It was an area of Labour strength, and one Ed Miliband and Andy Burnham were keen to talk about as much as possible. But now they’re back in with a majority, the Conservatives are keen to start talking about the health service again, and to start trying to erode that Labour poll lead on the issue. David Cameron and Jeremy Hunt yesterday announced their plans for a seven day NHS, but though announcements are always very handy for getting attention, the Tories need to strike a balance between lots of new initiatives and too much meddling that upsets people