Nhs

Monday

Isabel Hardman

Tories drop weak policy areas for ‘six election priorities’ launch

Why have the Conservatives left out immigration and the NHS – two of the three issues that voters consistently cite as the most important in forming their decision about who to back in the General Election – out of their list of six priorities? Among the deficit, jobs, taxes, education, housing and retirement there is no room for the health service, immigration or Europe: which also tend to be the things David Cameron and Ed Miliband fight most vehemently over at Prime Minister’s Questions. Labour is very pleased about this, and is pretending to be very cross that the Prime Minister is ignoring the NHS. Presumably Ukip will be similarly

Friday

Andrew Haldenby

Private companies can deliver exactly what the NHS needs

The end of the private management of Hinchingbrooke Hospital is not a dagger in the heart of NHS competition and reform. It does not mean, as the BBC’s business editor wrote today, that a private business cannot run an acute hospital (which is an extraordinary statement given that such businesses routinely do so in other countries). Competition is at the heart of the NHS England Five Year Forward View (5YFV), which all major political parties have supported. The degree of successful private sector delivery in and around health is often underestimated. The much-used figure is that 6 per cent of the NHS budget is spent on private providers (i.e. just

Isabel Hardman Isabel Hardman

Circle’s exit from Hinchingbrooke is a serious blow to competition in the NHS

This morning’s announcement by Circle that it will be leaving the contract to run Hinchingbrooke Hospital makes it even more difficult politically for anyone who believes in greater competition in the NHS to make their case. Opponents of private sector involvement in healthcare provision will say – with good reason – that this shows you cannot trust anyone other than the public sector to stick with a hospital in the tough times. Proponents will point out that ultimately providers leaving is better than entrenched failure. But in a way Circle needed to perform in a way that was atypical of the market: I had to succeed and it had to

Tarek S Arab

When the NHS is treated like a religion, is it any wonder whistleblowers are considered pariahs?

I will start by publicly apologising to Professor Meirion Thomas; in a moment of folly, I erroneously signed a petition decrying his alleged ‘disrespect’ of colleagues, in the wake of one of his articles in the Daily Mail. In my defence, my newborn was crying at the time and I was sleep deprived. Now, however, I believe that the undignified manner – see the abuse and attacks against him, as detailed in last week’s Spectator – in which members of his own profession reacted to his views speaks ill of the medical profession and says a lot about how public discourse has deteriorated. I have read Professor Thomas’ articles. I

Thursday

The Spectator

Letters: The silencing of Meirion Thomas; finding the Cross of St George in Tuscany; and healthy scepticism about NHS privatisation

This turbulent surgeon Sir: I have taken Meirion Thomas to task before in your letters pages, saying that since one third of NHS professional staff are immigrants, it would seem churlish to deny health visitors access to the very doctors we have poached from them. Meirion Thomas is not a whistle-blower (‘Bitter medicine’, 3 January) — he has not told us anything that our own prejudices haven’t already informed us of. And quite rightly he is being encouraged by his colleagues to zip it. Is there any business, let alone political party, that would tolerate such pointless, if not divisive, mudslinging from within? Dr Tom Roberts Derby Medical cover-ups Sir: Freddy

Sebastian Payne

Podcast: the 2015 campaign begins, Charlie Hebdo and Britain’s A&E crisis

Will the next Parliament be impossible to handle? On this week’s View from 22 podcast, James Forsyth and Compass’ Neal Lawson discuss the latest Spectator cover feature on the challenges facing Ed Miliband or David Cameron if either manage to secure a majority on 7 May 2015. Will the Labour left or Tory right prove too troublesome for the respective leaders? Should Miliband or Cameron be the most worried? And are we on the brink of major electoral reform? Hugo Rifkind and Isabel Hardman also discuss the A&E crisis facing Britain and the problems of the NHS being used a political football. Who is to blame for the current crisis and will the government

Hugo Rifkind Hugo Rifkind

So the near collapse of A&Es around the country is all my fault?

Oh, I see. So it’s my fault. There I was, thinking that the general swamping and near collapse of accident and emergency services in hospitals across Britain might be the result of, you know, some sort of systemic problem within the NHS. With me, a mere member of the public, just being an occasional victim. But no! Apparently it’s all because I took my wailing two-year-old daughter in, one Sunday afternoon last year, to get some antibiotics for her ear. This is good to know. For, had I not been told that all this was the fault of chumps such as me heading to such places for the sorts of

Wednesday

Lloyd Evans

PMQs sketch: In which today’s big loser is the NHS

Everyone predicted a sombre PMQs. It was anything but. A mood of opportunistic and lacerating silliness dominated today’s exchanges. The NHS – poor thing – was fought over like a bunny rabbit caught by two packs of ravening hounds. Miliband’s aim was to take the word ‘crisis’ and gum it to the health service with Superglue. He accused Cameron of destroying walk-in centres, wrecking social care and wasting billions on reorganisation. In reply Cameron airily waved five billion brand new pounds to be spent on social care which he says Labour opposes. Then he blundered by asking Miliband to suggest a solution to the problem. This not only validated Miliband’s

William Cook

A & E just saved my son’s life. Let’s not forget how important it is

We were lucky. The ambulance came in half an hour. By then my teenage son Edward was unconscious. He’d had a headache the day before, but by the evening he seemed to be getting better – sitting on the sofa, watching telly, annoying his little sister. We’d been through the meningitis checklist on the NHS website: no rash; no stiff neck; no aversion to bright light. He ate a big supper and went to bed. In the small hours he started vomiting. We thought it was the norovirus. By dawn he was delirious. Then he stopped responding altogether. My wife and I went with Edward in the ambulance. The paramedics

James Forsyth James Forsyth

PMQs: Playing Punch and Judy with the NHS

Today’s PMQs was, predictably, about the NHS. But the Punch and Judy nature of the session seemed particularly small in the light of events in Paris. After expressions of solidarity with the French, normal business was resumed. Ed Miliband was enjoying himself, confident that he was on his party’s chosen turf. He piled into Cameron accusing him of blaming patients for the crisis and demanding that he apologise to those who have had to wait for more than four hours. Cameron fended him off, but didn’t look particularly comfortable. However, he had a good counter-attack ready, attacking Miliband for allegedly having told the BBC’s Nick Robinson that he wanted to

Isabel Hardman Isabel Hardman

Labour seeks urgent question on A&E crisis

Andy Burnham has put in a request for an urgent question on the A&E crisis, I have learned. The question, which the Speaker has yet to decide whether or not to grant, is as follows: URGENT QUESTION Rt Hon Andy Burnham MP To ask the Secretary of State for Health if he will make a statement on the major incidents that have been declared at a number of hospitals and on A&E performance in England. This might seem rather unsurprising at first glance, and it would be on any other day of the week. Today Ed Miliband will face David Cameron at PMQs and as I blogged earlier, it would

Isabel Hardman Isabel Hardman

How will Ed Miliband use the A&E crisis at PMQs?

Towards the end of 2014, David Cameron was finding PMQs ‘boring’. He knew that it was turning into a session where each week both he and Ed Miliband basically said the same thing over and over again, usually with a long string of statistics that the other couldn’t quibble while in the Chamber. He would talk about the importance of a strong economy, while Miliband would talk about the NHS. And then everyone would filter back out of the Chamber having learned nothing. Well, today the Prime Minister will probably find PMQs takes the same ‘boring’ format, but if Miliband crafts something less stunningly dull than a string of statistics

Hugo Rifkind Hugo Rifkind

The A&E crisis must be all my fault, obviously

A preview of Hugo Rifkind’s column in this week’s Spectator, out tomorrow… Oh, I see. So it’s my fault. There I was, thinking that the general swamping and near collapse of accident and emergency services in hospitals across Britain might be the result of, you know, some sort of systemic problem within the NHS. With me, a mere member of the public, just being an occasional victim. But no! Apparently it’s all because I took my wailing two-year-old daughter in, one Sunday afternoon last year, to get some antibiotics for her ear. This is good to know. For, had I not been told that all this was the fault of

Tuesday

Alex Massie

Does anyone in London actually know how the Barnett Formula works?

We’ve just had two years of intensive constitutional politics. Time enough, you’d think, for even London-based politicians and commentators to work out how British politics actually works. But if you think that you’d be wrong. Very wrong. Consider our old friend the Barnett Formula. Antiquated and not entirely fit for purpose – it being a 1970s convenience that was itself an updated version of the 1880s Goschen Formula – but hardly a mystery or a terribly complicated piece of financial wizardry. And yet it seems that almost no-one in the Westminster village actually understands how Barnett works. Yesterday, you see, Jim Murphy promised that he would use Scotland’s share of

Isabel Hardman Isabel Hardman

Is the NHS ‘crisis’ too complex for politicians to solve?

Is the NHS in crisis, or isn’t it? Jeremy Hunt doesn’t want to use the word, telling the Today programme that ‘there’s a huge amount of pressure’, while Norman Lamb argued that ‘I wouldn’t describe it as a crisis’ but ‘I readily acknowledge that the system is under intense pressure’. Few politicians want to describe something they’re notionally responsible for as ‘in crisis’ (though Lamb isn’t afraid to use pretty strong language about some areas of his portfolio, including mental health). But whatever word they use, ministers know that things aren’t hunky dory in accident and emergency departments at the moment – and this hasn’t been a cold winter. The

Thursday

Freddy Gray

How the NHS silenced a whistleblowing doctor

Almost two years ago, a cancer surgeon named Joseph Meirion Thomas decided that he could no longer keep quiet about what he regarded as a major abuse of the NHS. The Francis inquiry into the scandal at Stafford Hospital had just published its report, reminding doctors of their ‘duty of candour’. Thomas interpreted that to mean that health professionals ‘should feel supported and protected should they ever need to speak out.’ In that spirit, he wrote in The Spectator about ‘health tourism’ — foreign nationals using NHS services to which they are not entitled, placing an already overburdened system under yet more strain. His article caught the attention of Jeremy

James Forsyth James Forsyth

Even Ukip don’t dare break the unhealthy consensus on the NHS

There’s an irony about Ukip’s rise. Nigel Farage party’s popularity is driven by a widespread sense that the main parties are all the same. Yet in the past four years, the differences between the Labour party and the Conservatives have grown substantially, on issues from the size of the state to an EU referendum. In an election year you might expect parties to converge in the centre ground as they chased swing voters. It won’t happen this time. Labour is determined to stop left-wingers defecting to the SNP and the Greens, while the Tories, who have long had their own issue on the right because of Ukip, believe that their

Wednesday

Tom Chivers

How not to be taken for a mug by misleading health stories this New Year

The Christmas/New Year period is always fun for health balls. Because we like drinking lots of wine and eating lots of chocolate around this time of year, newspapers like to pick up on weird little studies which purport to show that those things are good for us, while leaving out inconvenient details, stuff like ‘the study was on some tissue samples in a petri dish’ or ‘the study was on a chemical which exists in wine in trace amounts but we’re pretending it’s about wine in general’ or ‘obviously chocolate isn’t good for you, for God’s sake’. So here are some hints and tips to avoid being taken for a

Wednesday

Lloyd Evans

PMQs sketch: Three senior politicians are accused of mass murder

Time travel came to PMQs today. The leaders discussed what year it will be in 2020. The answer, naturally, isn’t 2020. Ed Miliband quoted the OBR and claimed that the Coalition plans to shrink the state to the sort of slim-line figure it last sported in the 1930s. Rubbish, said Cameron. His diet will trim the national waistline to the dimensions it enjoyed in the late 1990s. Kenneth Clarke wittily chipped in to remind us that Blair’s government only hit this modest target by adopting the budget limits of the previous Tory administration. In which the chancellor was K Clarke. That was funny. Not much else was. Miliband’s gnashers are

Wednesday

Isabel Hardman

Who privatised Hinchingbrooke hospital? And does it matter?

When it comes to rows about the NHS, these days it doesn’t rain, it pours. In fact, fights between the parties about who cares more/privatised the most are turning into a weather bomb, such is their frequency. Today Nick Clegg turned up to Prime Minister’s Questions determined to highlight Labour hypocrisy on the health service, and he managed to shoehorn it in to an answer to Harriet Harman’s question about people trusting the Lib Dems (or not). The Lib Dem leader said: ‘In fact, the Shadow Health Secretary, sitting there demurely, is the only man in England who has ever privatised an NHS hospital, and they dare to lecture us.