Nhs

In our hard-pressed NHS, must sympathy be rationed too?

Sometimes I have a quiet time as a voluntary hospital visitor. But recently I’ve witnessed a lot of distress from people of all ages and types. The other week I saw an elderly Middle Eastern man bent over a bin in a ward corridor, crying almost uncontrollably. I asked him the problem and he stuttered out that he had been watching his daughter sleeping, and he believed she was going to die. I went off to find a nurse as I felt I didn’t know enough about his situation or hers to help. The nurse wouldn’t tell me anything due to patient confidentiality. I returned alone to the man and

Put people before Burnham’s platitudes: Competition in healthcare benefits patients

We are used to political parties trying to claim credit for any positive development that happened during their time in office. The Labour Party’s current stance on healthcare is the exception to this rule. It represents the rare phenomenon of a party denigrating one of the best bits of its legacy. In the mid-2000s, the Labour government managed to inject a dose of competition into the once sclerotic provider-centric NHS. If shadow health secretary Andy Burnham is now positioning himself against the entry of private providers into the NHS, he is really positioning himself against one of his party’s biggest achievements. It is due to Labour’s legacy that patients now

Jeremy Hunt opens the attack on the Working Time Directive

For years, Secretaries of State for Health have studiously ignored one of the most corrosive regulations to the NHS: the European Working Time Directive. Although the EU is not supposed to have any remit over health, this ‘health and safety’ directive limits junior doctors’ hours to an average of 48 hours per week, with added ECJ judgements imposing compulsory immediate compensatory rest time should hours be breached – and ‘on-call’ time classed as work, even if the doctor is fast asleep. This rigid imposition is neither healthy, nor safe; with junior doctors complaining that it has led them to do illicit work to get sufficient hours of training in, unpaid,

Stephen Dorrell: The NHS still has plenty to learn

If anyone thought Stephen Dorrell would take a break from talking about health after standing down as chairman of the House of Commons health select committee, they were quite wrong. The Spectator finds him in his Portcullis House office preparing to give a speech to the think tank Reform — his first since quitting the post — on how to make the health system better at delivering social care. He has no intention of leaving the NHS alone, even though he’s no longer leading the group of MPs whose job it is to scrutinise health policy. But, strangely, he stumbles when asked if he’s proud of the NHS. ‘Pride is a funny

What Germans are worst at

What Germans do worst Some things Germans aren’t very good at: — Making reliable car engines. According to a survey by Warranty Direct last year, Audi came bottom, BMW seventh from bottom and Volkswagen ninth from bottom out of 36 manufacturers for engine failures. — Making love. According to a spurious website survey of 15,000 women in 2009, German men were the world’s worst lovers, the main complaint being that they were ‘smelly’. (Englishmen were second worst.) — Cricket. But they are not the worst. Germany lies between Ghana and Japan in division 8 of the ICC World Cricket League. This makes them the 42nd best team in the world, above France. International health service The government announced new charges to tackle health

Rod Liddle

The NHS ‘wellbeing’ monkey deserves to die

My young daughter has a furry beaver — lifelike in all but its eyes, which to me seem cold and dead. I bought it for her in the United States and I think it has pride of place within her impressive menagerie of anthropomorphised cuddly toy animals. There are also countless wolves which we have to hide when her grandmother comes to stay, in case she puts them in a sack and burns them, or just throws them in the garage. Grandma is an evangelical Christian of a somewhat uncompromising brand and believes that wolves, living or inanimate, are agents of Beelzebub. As, of course, are bats. Incidentally, when the Rapture

Mary Wakefield

The ambulance service is in a state of emergency

Tom leant back against the bathroom wall, his face streaked with blood from the nosebleed, eyes half shut like an owl. ‘I’m passing out,’ he said. Then his legs gave way and he slumped to the floor. ‘Tom? Tom?’ I shook him but — nothing, no response. His hands began an awful looping tremor. Five minutes before, I hadn’t been much worried, a little bossy even, enjoying playing nursemaid to a friend. It’s only a nosebleed T. Now. Don’t tip your head back, you’ll choke. Lean forward over the sink, pinch your nose. Like this. Here. As Tom lost consciousness, so my reality changed. This was a different world — one

Farewell, Speccie

So we are all going to have to pay for fatties to have stomach bands and bypasses, are we? It may be ‘cost-effective’ to treat the obese before they go on to develop diabetes and other medical problems, but I’m not sure how much sympathy they will get when we already hear about cancer patients having operations delayed and drugs withheld because of stretched NHS budgets. According to the OECD, Hungarians are the most obese people in the EU, followed by Brits. Rather surprisingly, Romanians are the least fat. Surprising, because on a recent holiday to the island of Lefkada, there were a huge number of Bulgarians, Serbs and Romanians.

Mental health and benefits: ministers get the wrong end of the stick

Every so often when ministers are considering a policy, they send a little kite up to see how it’s received. Sometimes it gets hit by a lightning bolt of fury from a party’s target voters, and is never heard of again. Sometimes it flutters about and no-one plays a blind bit of notice. And sometimes the kite gets rapturous applause. There seems to be a mixed response to the kite flown today that people with anxiety and depression could be forced to have a talking therapy such as cognitive behavioural therapy or risk losing their benefits. On the one hand, it’s welcome that ministers want to help people with mental

How Wales was betrayed by its (Labour) government.

In England, success in life is bound up with where you went to school. In Wales, where I come from, the standard of education can be so miserable that you’d do better to get expelled. I did. I’d just spent three days in ‘isolation’ in my south Wales comprehensive — banished to a cubicle with a CCTV camera — for misbehaviour. As I left the grounds, I lit a cigarette. A teacher accosted me. I got lippy and she smacked me across the face. I was expelled soon after. Thank God. If you want good schooling in Wales, you’d be best to go private. If you’re taken ill, make sure

We are all numbers in Labour’s computer now

In 1975 Margaret Thatcher said in her ‘Free Society’ speech to the Conservative Party Conference: ‘Some Socialists seem to believe that people should be numbers in a state computer. We believe they should be individuals. We are all unequal. No one, thank heavens, is like anyone else, however much the Socialists may pretend otherwise. We believe that everyone has the right to be unequal but to us every human being is equally important.’ Mr S could not help but recall these fine words after an email arrived from the Labour Party asking him to enter chunks of personal data into its website, such as his postcode and date of birth,

James Forsyth

Ed Miliband needs to mix things up to avoid Cameron’s PMQs attacks

Ed Miliband’s first few questions to David Cameron today were about the various inquiries into child abuse. Miliband wasn’t interested in creating controversy: he didn’t ask about whether Lady Butler-Sloss was the right person to run the inquiry given that her late brother was Attorney General when Geoffrey Dickens handed his file to the Home Secretary. But then Miliband turned to the NHS and the atmosphere in the House flipped. listen to ‘PMQs: Cameron and Miliband’ on Audioboo Cameron defiantly defended his use of statistics from last week. But it was once Miliband had asked his last question that Cameron went into full attack mode. He started denouncing Labour and

Alex Massie

The problem with the NHS? The soft bigotry of low expectations.

In many ways I’ve endured enjoyed a very fortunate life. Not least because, perhaps unusually, I’ve had almost no dealings with the National Health Service. I mean, apart from a couple of vaccinations before trips to heathen foreign parts I’ve hardly seen a doctor since I left school. This surprises me as much as it may surprise you. So I’m never quite sure what passes for ‘good’ service on the NHS. What is normal in an organisation of its size, diversity and complexity? And how, in any case, do we measure ‘success’? I have a sneaking suspicion that we often do so by rebadging failure as normal. As I type this, you see,

PMQs sketch: Miliband’s integer attacks dissolve into a whirl-pool of squiggles

It was damn close. And it scored top marks for effort. Miliband’s plan today was to prove that Cameron’s NHS policy is a disaster. And to prove it with Cameron’s own admissions. Or omissions. ‘It’s four years since his top-down re-organisation of the NHS,’ began Miliband in that quiet, meticulous manner that always foretells a forensic ambush. ‘Have the numbers waiting for cancer treatment got better or worse?’ Cameron instinctively dodged the question. Miliband moved on to A&E waiting times. Cameron shifted and ducked again. Miliband asked about numbers waiting over four hours on a trolley. Cameron ran for cover. With each refusal Miliband triumphantly recited the figures that the

James Forsyth

PMQs: Cameron and Miliband revisit their youthful indiscretions

Today’s PMQs will not live long in the memory. Ed Miliband led on the NHS and the debate quickly turned into a statistical stalemate. Indeed, at the end Andy Burnham tried via a point of order—with little success—to get Cameron to admit that one of his numbers was wrong. listen to ‘PMQs: ‘Cheer up folks, it’s only Wednesday!’’ on Audioboo Miliband was in a confident mood at the despatch box because he knew he was on strong ground on the NHS. But in a week where Labour is trying to burnish its economic credentials, it is telling that Miliband didn’t choose to go on the economy. Once the Labour leader

Five things you need to know about the NHS’s Jimmy Savile report

The NHS has released the findings of its investigations into Jimmy Savile’s relationship with several hospitals and the accusations of abuse. Leeds General Infirmary has been the location of the most shocking incidents, which occurred from 1962 to 2009. Victims have reported abuses ranging from inappropriate comments to sexual assault and rape. Here are the five things you need to know about the latest Savile revelations: 1. Savile ‘interfered with the bodies of deceased patients’ Long-circulated rumours about Savile and necrophilia appear to have some credence, according to the Leeds report. It appears his unfettered access to the Leeds General Infirmary led to an interest in the mortuary which  ‘was

‘A great experience during my colposcopy’ – inside the NHS’s new Accountability Hub

Sunlight is said to be the best of disinfectants. Jeremy Hunt has taken up this mantra with the launch of the NHS’s Accountability Hub today. As well as offering information about your nearest GP or hospital, the NHS Choices website is now full of patient safety indicators which, according to the Department of Health, offer an ‘unprecedented amount of patient safety information to allow patients, regulators and staff to see safety performance across a range of indicators.’ All sounds like a good idea, so I had a poke around to see how much information was available on two hospitals I’ve had the pleasure of visiting — one in London, one

Mental health: Government’s commitment doesn’t match its rhetoric

Professor Sue Bailey, the outgoing President of the Royal College of Psychiatry, has described mental health services in England as a ‘car crash’. Although the language may be alarmist Professor Bailey’s concerns deserve to be taken seriously by all those who care about mental health provision in our country. The truth is that while politicians are much more comfortable talking about mental health than ever before, too often the ambitious rhetoric is ahead of the reality. Of most concern is the decision by NHS England, set against a background of pledged ‘parity of esteem’, to set the price deflator for mental health and community trusts at 1.8 per cent compared

The big fat lie about cholesterol

Though I’m not generally big on banning stuff, there’s one substance I would prohibit without a moment’s hesitation — probably on pain of death if that’s what it took because clearly, where vanquishing monstrous evil is concerned, no sanction is too extreme. I’m talking, of course, about the devil’s semen: semi-skimmed milk. And about its unholier cousin — aka the devil’s urine — skimmed milk. Seriously, almost nothing can conspire to ruin my day more effectively than when I order up a flat white and the barista doesn’t know that only weird faddists with no taste take their coffee made with anything but full fat. Apart from maybe when someone tries to add

DNR notices: A matter of life and death

It was Janet Tracey’s family who brought about a change in the law regarding Do Not Resuscitate notices on patient’s notes in hospital. Thanks to their efforts, hospitals will now have to consult patients and their families before instructing medics that they shouldn’t go out of their way to provide life-saving treatment. Mrs Tracey had made perfectly clear that she wanted to be in on her own case; didn’t matter – she got a DNR notice anyway. I’m not sure whether I was in quite this situation a couple of years ago when my mother was in St Mary’s Paddington after a fall. She succumbed to an infection which she