Nhs

Jeremy Hunt and Andy Burnham’s NHS battle heats up

Two politicians unashamedly and eternally at one another’s throats are Jeremy Hunt and Andy Burnham, scrapping over who cares more about ‘Our NHS’. Today Hunt has written to Burnham complaining about a story in the Sunday People this weekend that 1,800 nurses have left the NHS in two months. Hunt is accusing Burnham of dodgy figures, writing: ‘As you will know as a former Secretary of State for Health, nursing numbers are subject to seasonal variation, which means there is always a temporary dip in the summer months – including when you were in office. You selected a random time period in order to present the most alarming scenario possible

Portrait of the week | 4 December 2014

Home The government spent days announcing how the Autumn Statement would allocate funds. ‘Frontline’ parts of the National Health Service would get an extra £2 billion for the time being, £750 million of it diverted from elsewhere in the Department of Health budget. Another £1.1 billion from bankers’ fines would go to support GPs. Labour said it would give the NHS twice as much. Out of the £15 billion already set aside by the government for roads, a tunnel would be built for the A303 past Stonehenge. Of £2.3 billion (over six years) earmarked for flood prevention, only £4.3 million was set aside for the Somerset Levels, but £196 million for the

James Forsyth

The very model of a political Chancellor

Autumn Statements lack the drama and traditions of the Budget. Gladstone never delivered one, there is no Autumn Statement box and no possibility of a dram of whisky as the chancellor delivers it. But this year’s Autumn Statement was more important, and more substantial, than next year’s Budget will be: the Liberal Democrats are adamant that March is too close to the general election for the Budget to do anything other than update the fiscal forecasts and set out the duty rates. The test this week isn’t economic but political. As with last year, the Tories have spent the autumn racing down a rabbit hole after a populist policy initiative:

Why you have to listen to this year’s Reith Lectures

Each year the Reith Lectures come round as Radio 4’s annual assertion of intellectual authority, fulfilling the BBC’s original aspiration to inform and educate (although not always to also entertain). Each year, though, it’s hard not to feel a certain resistance to Lord Reith’s lofty legacy. Radio might be the perfect format for delivering a talk. Perfect for the lecturer because there is just an audience of one to focus on. Perfect for the listener because there’s nothing else to distract you. No intrusive soundscape. No other voices to confuse. But not all intellectual giants have the ability to communicate, nor an understanding of radio’s particular qualities. Sometimes the lectures

Surgical league tables: no, thank you

After the Bristol Heart Scandal in the 1990’s, the speciality of cardiac surgery rose to the occasion, leading the way in publishing individual surgeon’s mortality figures and self-audit, which made it perhaps the most transparent speciality in the UK, and thus consolidating its long-held position as a world leader in the training of surgeons and patient safety. Professor Bruce Keogh, head of NHS England, recently announced that NHS surgeons will now be asked to submit their mortality data online to public scrutiny, and failure to do so will result in medical purgatory. The cardiac surgery experience suggests that ‘league tables’ will improve outcomes; I disagree. The public deserves competence from

Tories to shut up about immigration and talk about the economy instead

There is a simple political test for the autumn statement, does it make the economy Topic A again? The Tories’ election strategy relies on the economy being the dominant issue of the campaign. If it is not, it is very hard to see how Cameron and co can win.   The Tories want everything to be seen through the prism of the economy. Hence Osborne’s emphasis this morning that he can only put an extra £2 billion into the NHS because the economy is strong.   In recent months, immigration has supplanted the economy as voters’ top concern. This has been to Ukip—and not the Tories—benefit. This is why Cameron’s

PMQs sketch: In sickness and in health

Health, health, health. Viewers of PMQs must be sick of it by now. Health this, health that. Health, health. On and on. Ad nauseam. Today’s exchanges involved the usual tussle over which Superman can save the NHS. Dave and his virile economy or Ed with his honked out assertions that he’s the patient’s champion? The only place where healthcare isn’t massively overstretched is west Africa. Tory Edward Garnier revealed that a spanking new hospital in Sierra Leone, completed with UK money, and run by Save the Children, is currently treating just five patients. So that’s how you hit waiting time targets. Run the place so badly that everyone runs in

Reckless criticised by Medway NHS for Ukip election leaflet

Mark Reckless is in trouble for reckless campaigning. One of his promotional leaflets (pdf), noting his plans for the NHS in Rochester and Strood, features a photo of Reckless alongside the Medway NHS Trust chief executive Phillip Barnes. Unsurprisingly, the local NHS chiefs aren’t happy about this. By using a photo of Barnes and Reckless, taken when he was the Conservative MP for Rochester, on a campaign leaflet the Medway NHS trust believes it may be taken as ‘inferring that both Dr Barnes and the hospital were supporting Mr Reckless’ campaign.’ Shena Winning, chair of the Medway Hospital NHS Foundation Trust, has written to Reckless over the weekend, asking him to

How does naturopathy work? A bit like a flying vacuum-cleaner to Mars

Every so often you read a piece about alternative medicine that asks: how does it work? How does homeopathy work, how does acupuncture work, etc. There was a piece in the Telegraph recently that asked: how does naturopathy work? There was a complicated answer about ‘healthy electromagnetic frequencies’ and so on; ‘bioresonance’, ‘modalities’, and a marvellous quote about how ‘Every cell in the body puts out a certain electromagnetic frequency, that can be measured – a healthy stomach cell sounds different to a healthy brain cell…’ Presumably those words have some sort of meaning to someone. But the problem with this piece – and with an awful lot of other

Old, vulnerable and hungry – the shocking view from inside the NHS

I am leaving London soon, coming to the end of my time as a voluntary hospital visitor working from a chaplaincy in a London teaching hospital. I have been roaming around a variety of wards for the last three years, only one day a week, but in those few hours I have seen quite a lot. The most disturbing things have been the poor quality food, which cannot aid anyone’s recovery, and the neglect of the very old and vulnerable, the patients rather ominously labelled ‘bed blockers’. On my last visit, the Anglican chaplain was not in the hospital, so instead of attending a morning service with him in the

Keep your hair on! Seven tips for doing so, past Movember

[audioplayer src=”http://traffic.libsyn.com/spectator/TheViewFrom22_30_Oct_2014_v4.mp3″ title=”Henry Jeffreys and Sarah Coghlan join Mary Wakefield to discuss Movember and other wackiness.” startat=1456.1] Listen [/audioplayer]Some men are growing facial hair for Movember but lots of people are just trying not to go bald. Male pattern baldness affects half of men over the age of 50, according to the British Association of Dermatologists. But that’s not all – half of women over the age of 65 are also grappling with hair loss. Usually, though, their hair thins, rather than disappearing quite so radically as it does in men. So what can both sexes do to preserve their crowning glory, or mitigate what they’ve lost? 1. See your

Is the way our hospitals treat old people down to underfunding – or organised neglect?

I am leaving London soon, coming to the end of my time as a voluntary hospital visitor working from a chaplaincy in a London teaching hospital. I have been roaming around a variety of wards for the last three years, only one day a week, but in those few hours I have seen quite a lot. The most disturbing things have been the poor quality food, which cannot aid anyone’s recovery, and the neglect of the very old and vulnerable, the patients rather ominously labelled ‘bed blockers’. On my last visit, the Anglican chaplain was not in the hospital, so instead of attending a morning service with him in the

Overpaid, underworked, ineffectual – the myth of the NHS doctor

[audioplayer src=”http://traffic.libsyn.com/spectator/TheViewFrom22_15082013.m4a” title=”Andrew Haldenby and Sean Worth join Sebastian Payne to discuss NHS reforms.”] Listen [/audioplayer] GPs enjoy the salary of bankers, regularly pulling in £100,000 for a five-day week, with no on-call or weekend duties and a lovely taxpayer-funded holiday every year. I know this because it says so in the papers, so it must be true. Stories of GP largesse are far from accurate, and bear testament only to the media’s desire for sensationalism. GPs are the true medical heroes of the NHS, the soldiers in the trenches, too loyal to the metaphorical army to revolt, protest or express opinions, lest such opinions serve as an indirect abrogation

Herbal medicine – not just for new-age hippies anymore

Lacking in pep? Looking for some extra zing as winter sets in? The Spectator recommends our energy conference on 1 December. Tickets are still available, sign up here. Society is changing fast because we live longer. But the NHS was designed for a different age where the gap between retirement and death was much smaller. The result is that the health service’s financial footings are fragile and require new ways of delivering health to keep spending at sustainable levels. A new roadmap for reform of the NHS has been produced by Sir Simon Stevens. But there is a large hole where herbal medicine should be. Sadly, it does not merit a single

How do you solve a problem like the NHS? The Spectator asks the experts

So ingrained is the NHS as part of British life that it’s hard to imagine it disappearing. But it can’t go on as it is: its budget is being squeezed while its costs are rising and people are demanding more from it than ever. We want ongoing treatment for chronic conditions; exemplary care for our growing elderly population; the latest drugs; the highest standards of care across the country; and the NHS’s founding principles – the provision of universal care free at the point of use – to be adhered to. Earlier this year The Spectator held its first health lunch with a round-table discussion to coincide with preparations for

How to defuse Britain’s £1.45 trillion public-debt time-bomb

Last week’s public-finance statistics were truly dreadful. They showed that despite a year of fairly robust economic growth, UK government borrowing since the start of the financial year 2014 to 2015 was actually 10 per cent higher than in the same period in 2013 to 2014. Once again, it seems, our public finances will be in deficit by more than £100 billion this year. Running sustained deficits of this kind adds to the overall debt burden. According to the new ONS figures, public-sector net debt is currently £1.45 trillion (79.9 per cent of GDP) – meaning we are paying just over £50 billion per year in debt-interest payments. Whilst debt

Having an abortion means ending a life. Even pro-choice students should realise that

Last week, the Tab, an online student tabloid, published an article by an anonymous Cambridge student entitled ‘I shouldn’t have been aggressively reminded of my abortion at Freshers Fair’. The author was complaining that she had been upset by a stand at the fair run by Cambridge Students For Life, an anti-abortion student society. The stall, she argues, had no place at an event that is meant to welcome new freshers, and was offensive to her personal choices. Her article certainly offended me. Her own abortion, she tells us, ‘crosses my mind only once in a blue moon, and never tinged with regret’. It is clear that she considers abortion

Fraser Nelson

The NHS Wales disaster vindicates Tony Blair, not David Cameron

[audioplayer src=”http://traffic.libsyn.com/spectator/TheViewFrom22_23_January_2014_v4.mp3″ title=”Charlotte Leslie and James Forsyth join Sebastian Payne to discuss the NHS.” startat=1410] Listen [/audioplayer] As someone who believes that a Labour government would be a calamity for Britain, I ought not to mind the recent fuss about NHS Wales. Yes, it is a disaster – as the Daily Mail has been cleverly highlighting. And it has been run by Labour for 15 years, so they’re guilty as charged. Jeremy Hunt, the Health Secretary, makes this point powerfully today. But if the English NHS is much better by comparison to Wales, it’s not because of him, nor because of David Cameron. It’s because of Tony Blair. The NHS

How to cure bad breath (and continue eating smelly foods)

Have you ever tried that good old test for halitosis – licking your wrist, letting it dry, then having a good whiff – and been shocked at the result? The bad news is that mints don’t work, but here are a few tips that might succeed in making your breath smell sweeter. Brush your tongue As well as brushing your teeth, you need to brush your tongue, if an American study is anything to go by. Levels of smelly sulphur compounds caused by food bacteria dropped by 53% in people who brushed both teeth and tongue for a minute twice a day for a fortnight. Scrape your tongue Even better,

Spectator letters: In defence of the GMC and Ukip members, and how Rachmaninov spelled Rachmaninov | 23 October 2014

Health check Sir: I have to take issue on (at least) three counts with Dr Vernon Coleman and his absurd suggestion that the GMC should be abolished (‘Get rid of the GMC’, 18 October). I administer the annual appraisal and revalidation process at an acute hospital. First, revalidation of licensed doctors is based on an evidence-based annual appraisal which is designed to demonstrate that doctors are up to date and fit to practise — surely not too much to ask? It takes the average doctor about five hours each year to complete the ‘reams of forms’. Secondly, the colleague and patient ‘report forms’ are required once during the five-year revalidation