Nhs

The ringfence cycle

By now, George Osborne had hoped to have completed his austerity programme. Instead, he finds himself making what is, still, the most ambitious round of cuts of any finance minister in the developed world. The Chancellor is paying the price for the leisurely pace that he decided to take in the last parliament – due to his habit of buying time by deferring pain. The Chancellor still doesn’t seem to be in too much of a rush. In his spending review statement this week, he decided to spend some £83 billion more over the parliament than he said he would at the general election.  Foreign aid is not just protected, but

James Forsyth

The spending cuts Osborne flatly refused to make

[audioplayer src=”http://rss.acast.com/viewfrom22/thegreatfakewar/media.mp3″ title=”Fraser Nelson, James Forsyth and Isabel Hardman discussing the Autumn Statement and Spending Review” startat=870] Listen [/audioplayer]The Autumn Statement on 25 November had long been circled in Downing Street diaries as the season’s defining political moment. Its importance only grew after the Lords rejected the government’s tax-credit changes and George Osborne announced that he would present his revised proposals in this statement. But now it is not even seen as the defining political moment of this week, pushed down the news agenda by the terrorist threat in Europe and David Cameron’s decision to make the case to the Commons for Britain extending its anti-Islamic State bombing into Syria.

Letters | 19 November 2015

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

How ‘stress management’ can make your blood pressure soar

We seem to be in the grip of a terrible stress epidemic. According to a new study by the Chartered Institute for Personnel and Development, a professional body for managers in human resources, two fifths of all organisations stated that stress-related absence has increased. It even causes terrorism, apparently: the mother of Paris suicide bomber Ibrahim Abdeslam said she believes her son might have blown himself up because of stress. The total number of cases of work-related stress, depression and anxiety in the past year was 440,000, according to the Health and Safety Executive, up from 428,000 cases two years earlier. So extensive is this plague that, in the HSE’s

Nobody will ever forgive the right if they destroy the BBC

Nowhere does the right show its isolation from its own country more vividly than when it demands the destruction of the BBC. The corporation is not like the telephone system, which you can pass into private ownership without anyone noticing. It is as integral to Britain as the monarchy and the NHS, which is why Scottish nationalists devote so much energy to denouncing it. We are a small country, which is becoming smaller. In the world that is coming, Asian and African countries will have huge populations beside which Britain’s market of 70 million will seem puny.  Hence we subsidise culture that simply would not be produced in the private sector.

Jeremy Hunt clashes with opposition MPs on junior doctors’ strike

Jeremy Hunt was grilled by MPs from Labour, the SNP and Green Party at Health Questions today on whether his department is responsible for the impending junior doctors’ strike. The Health Secretary said he was happy to talk to the BMA at any time and the government is simply fulfilling a ‘manifesto commitment’ for a seven-day NHS, as well as acting in the best interests of patients: ‘This is essential for the constituents of all honourable members, whichever side of the House they’re sitting on, and this government will always stand on the side of patients and the weekend mortality rates are not acceptable and that’s why we’re doing something about it’.

Diary – 12 November 2015

One of my constituents has been in an Indonesian prison since May. Journalist Rebecca Prosser was arrested with her colleague Neil Bonner while working on a documentary for National Geographic about piracy in the Malaccan Strait. Their visas hadn’t come through when filming started and they were arrested by the Indonesian navy and locked up in a prison with 1,400 men and 30 women. The family had been warned that publicity would only make things worse so I have been working behind the scenes to try to get her home. I’ve been ambushing Philip Hammond and Hugo Swire as they come out of the division lobby after 10 p.m. votes,

A trust betrayed

[audioplayer src=”http://rss.acast.com/viewfrom22/jeremyhunt-scatastrophicmistake/media.mp3″ title=”Dr Clare Gerada and Fraser Nelson discuss the row over junior doctors” startat=34] Listen [/audioplayer]Like many of my fellow junior doctors, I trusted a Conservative government with the NHS. If it’s to stay strong and up to date, a health service cannot remain static. It needs not just money but carefully thought-out reform — as well as a strong economy to support it. Just after the general election, David Cameron laid out the problem as he saw it: a ‘weekend effect’ where a patient admitted to hospital on a Sunday is 16 per cent more likely to die than one admitted on a Wednesday. ‘So seven-day care isn’t

The wrong cuts

[audioplayer src=”http://rss.acast.com/viewfrom22/jeremyhunt-scatastrophicmistake/media.mp3″ title=”Dr Clare Gerada and Fraser Nelson discuss the row over junior doctors” startat=34] Listen [/audioplayer]It has long been rumoured that when Jeremy Hunt took over as Health Secretary, Cameron told him to do one thing with the NHS: keep it out of the headlines. Given that the NHS is an enormous institution, the public take an avid interest in it and it is frequently rocked by scandals and financial difficulties, this was no easy task. Until a few weeks ago, Hunt had managed it with aplomb. And then the junior doctor fiasco happened. It has been cataclysmic, one of the worst public relations disasters to rock a government

Matthew Parris

Here’s what’s wrong with the ‘public sector ethos’

An infuriating benefit of readers’ online comments beneath the efforts of a columnist like me is that as you read the responses an understanding dawns of the column you ought to have written. Some readers are stupid, unpleasant or obsessive; but most are not. As you learn their reactions you see where your argument was not clear, where you were short of information, and where you were simply wrong. But more than that, you sometimes tumble for the first time to where the nub of a problem that perhaps you danced around may lie. Last Saturday I wrote for the Times about the self-righteousness of spokesmen for public services threatened

We could end HIV

You have probably never heard of Truvada, but it is a pharmacological breakthrough that has the potential to consign Aids to the history books. The drug effectively makes its users immune to the HIV virus. In the US, the Food and Drug Administration approved Truvada for use over three years ago. Truvada is even covered by insurance companies. It formed the backbone of New York’s HIV strategy, published this summer, which aims to halt the spread of the infection and reduce new HIV infections to near-zero by 2020. Yet in this country, a conspiracy of silence surrounds Truvada, or Pre-Exposure Prophylaxis (PrEP), as it is termed. The NHS claims that

Lord Warner resigns the Labour whip

Lord Warner has resigned the Labour whip in protest at the direction in which Jeremy Corbyn is taking the party, Patrick Wintour has revealed tonight. Warner was a minister of state at the Department of Health under Tony Blair. Now, Corbyn supporters will be quick to point out that Lord Warner is hardly a household name and that he was at the far Blairite end of the party. Both of these statements are true. But Warner’s departure should still worry Labour. All parties are coalitions and no leader should want to be losing former ministers from the party at any point in their leadership, let alone this early. One footnote

Watch: SNP’s Stewart Hosie asks interviewer ‘why are you doing this?’ as he flounders on NHS and oil

Pity Stewart Hosie, the SNP’s deputy leader. He appeared on the Daily Politics today to defend the party’s North Sea oil revenue projections and its record in government on health spending. He seemed rather unprepared. When questioned by Andrew Neil on the SNP’s comically inaccurate projections for oil revenue (it expected over £8 billion by now; only £500 million emerged), he was asked how on earth he would have filled that gap. Would he have cut spending by 14 per cent, raised taxes by 16 per cent — or a combination of the two? ‘We didn’t win the referendum, Andrew,’ he said — as if that were an answer. He then went

Nicola Sturgeon explains how a second independence referendum could be ‘unstoppable’

Nicola Sturgeon has a plan about how to achieve another independence referendum, even if there won’t be a pledge for one in the SNP’s next manifesto. On the Today programme, Sturgeon pointed the finger at the Tories in Westminster — the bogeymen she believes will help the nationalists make the case for independence: ‘I think we do what we have done over a period of years: we continue to make the argument for the economic and social and political case for Scotland to be independent country and I believe very strongly the onus is on those who support independence to do that. I also though happen to think that there will be things our opponents

When the boys come home

Matthew Green, former Financial Times and Reuters correspondent, remains unimpressed by officialdom’s response to casualties who aren’t actually bleeding: Ever since October 1914, when ‘Case One’ arrived in Myers’s care, the system for tending to the mental wellbeing of soldiers has grown up in a piecemeal and ad-hoc fashion, overshadowed by the Army’s stubborn ambivalence towards psychological injury (Dr Charles Myers was the Cambridge psychologist seconded to the Royal Army Medical Corps who first used the term ‘shell shock’.) Green acknowledges that ‘experience teaches that the psychological wounds of war have proved stubbornly difficult to treat’. Nevertheless, he concludes that despite millions of pounds of public and private money being

Out of the ashes | 10 September 2015

As a nation, we are learning to accept that our firemen are more and more redundant. The Fire Brigades Union fights austerity at every turn; its spokesmen say that every reduction in station numbers or jobs is a threat to public safety. One of their campaign posters even showed David Cameron and George Osborne alongside the words, ‘They slash. You burn.’ But the statistics undermine the union’s manipulative language of doom. The cuts have been matched by a continuing decline in dangerous fires. According to figures released at the end of last month, the fire brigades attended 495,000 incidents in the year 2014–15, a decrease of 42 per cent compared

James Delingpole

The NHS was great for Girl, but I still don’t like it

When Girl came off the horse it didn’t look like a bad fall. More like an involuntary and rather hurried dismount. She’d landed on her feet, that was the main thing, so I wasn’t initially too concerned when she lay writhing and yelling on the grass. Nasty sprain I thought. Give it five minutes… But five minutes later she was still on her back, still in pain, and I began to worry. Mainly for my darling Girl’s sake, of course, but partly for my own. ‘Oh God oh God,’ I thought. ‘She’s supposed to be going back to school tomorrow. I am going to be in such shit with her

Letters | 20 August 2015

The morality of the A bomb Sir: In questioning whether we should celebrate VJ Day (Diary, 15 August), A.N. Wilson is confusing ‘why’ with ‘how’. The debate on the rights or wrongs of the nuclear attack will continue probably until long after the grandchildren of the last survivors have passed on. What should not be forgotten is the necessity to defeat the cruel, expansionist, militaristic regime that arose in Japan between the wars. Something happened to Japan during that period. The treatment of Allied prisoners of war and the atrocities in China during the second world war are well documented. What is less well known is the Japanese treatment of

Cheat sheet: what Jeremy Corbyn stands for

Given by most metrics Jeremy Corbyn is on track to win the Labour leadership contest, his policies deserve to be examined and discussed. Based on his speeches and pamphlets, here is a summary of what Corbyn has pledged to do in key policy areas. There is a surprising amount of detail. Economy Corbyn’s economic ideas have been outlined in a document: The Economy in 2020. His approach for ‘growth not austerity’ is one of his most comprehensive policy areas. Corbynomics, which we’ve looked at in the past, is based on raising taxes and using the proceeds to invest in the economy. He has promised to ‘cut some of the huge tax reliefs and subsidies on offer