Nhs

After Mid-Staffs, the NHS needs whistleblowers – and whistleblowers need protection from the public

It is impossible, I would have thought, to have heard Debbie Hazledine’s account on the Today programme of her late mother’s mistreatment at Mid Staffs Hospital and not to have thought ill of the hospital in question. An institution in which such callousness thrived for so long must have few friends left, you might imagine. And yet the strangest thing about the Mid Staffs scandal is the defensive feeling it has inspired. The ‘Save Mid Staffs’ campaign has been vocal at points, while Julie Bailey, the Mid Staffs whistleblower, appears to have been persecuted. In front of this backdrop, a debate about what should happen to wards in failing hospitals has morphed into a full-on slanging

The return of the family doctor?

Ministers have described the deal on GP contracts, negotiated by the government and the British Medical Association (BMA), as a return to the days when GPs were family doctors. Certainly, it is a step in that direction. The contract, which will come into force next April, revives the personal link between doctor and patients aged 75 or over, and makes GPs responsible for out of hours care. The Department of Health says that GPs will also be: offering patients same-day telephone consultations; offering paramedics, A&E doctors and care homes a dedicated telephone line so they can advise on treatment; coordinating care for elderly patients discharged from A&E; regularly reviewing emergency

Portrait of the week | 14 November 2013

Home EDF Energy said it would put up prices by 3.9 per cent. BT Sport spent £897 million on the rights to show Champions League football for three years, provoking a 10 per cent fall in BSkyB shares. The rate of inflation fell from 2.7 per cent to 2.2, as measured by the consumer prices index; as measured by the retail prices index, it fell from 3.2 per cent to 2.6 per cent. Unemployment fell by 48,000 to 2.47 million. Barratts, with 75 shoe shops, went into administration. Flybe, the Exeter-based airline, announced plans to cut 500 jobs. Plans were published for an airport on an artificial island off Sheppey in the Thames Estuary,

Sir Bruce Keogh denies that he is proposing two tier A&E

Sir Bruce Keogh’s anticipated review into accident and emergency has been published today to a chorus of praise and boos. The Mail describes it as a ‘sticking plaster’. The Independent is cautious. The Guardian is critical. And the Telegraph and the Sun are more positive. Sir Bruce Keogh gave a masterly performance on the Today programme, which may go some way to calming fears in the press. He said that the current system, which was designed in the 70s for the 70s, is unsustainable. At the root of his analysis is the belief that the present system is inefficient because patients have to go to the NHS to receive attention,

David Cameron prepares for winter of discontent in A&E

There are two important NHS stories in the papers today. First, the Times reports (£) that A&E departments are facing severe pressures because of historic staff shortages. The paper notes: ‘Half of all senior doctor posts go unfilled at accident and emergency departments, putting unsustainable pressure on life-or-death care. The College of Emergency Medicine (CEM) says that 383 of the 699 specialist registrar posts in A&E have been left vacant over the past three years, stretching emergency ward doctors beyond capacity and driving up waiting times. The shortfall in senior doctors deprives A&E departments of the ability to see 766,000 people each year, since the CEM points out that each registrar

Why Cameron’s NHS lines didn’t quite work at PMQs today

Though the NHS made a welcome change from endless bickering about energy bills at today’s PMQs, the exchanges were just as unedifying. There is very little gain in the sort of fact war that David Cameron and Ed Miliband tried to indulge in, as there is no killer fact that can silence an opponent on the NHS. Instead, the exchanges descended very quickly into ‘let me give the right honourable gentleman the facts about the NHS under this government’, ‘we have a Prime Minister too clueless to know the facts’ and ‘once again, the right honourable gentleman is just wrong on the facts’. Each man used his own ‘simple facts’

Isabel Hardman

Another rotten culture, another political risk on the NHS

The allegations of a cover-up at Colchester General Hospital suggest something rotten in a culture, once again. The police have been called in by the Care Quality Commission to investigate claims that documents about patients’ care were falsified and that managers bullied staff into doing this so that cancer care at CGH could meet its targets. Bernard Jenkin, the local MP, placed great emphasis in his interview on Today on the problems with culture in the NHS, which Health Secretary Jeremy Hunt is trying to resolve with a series of reforms to NHS leadership. But there will inevitably be a row about the role of targets in this scandal as

The next bitter battle over the NHS is looming

It’s been a while since we had a nice big fat NHS row, but those who enjoy watching Andy Burnham and Jeremy Hunt fight over the ‘party of the NHS’ crown can rest assured that there’s a really bitter one coming up this autumn. NHS England has spent the past few months consulting on a change to the way clinical commissioning groups are funded that could end the current arrangement where more money per capita is spent on patients in deprived areas. The formula currently being considered would make the number of elderly people in an area a more important factor in the size of the grant that each CCG

I got a call from Jeremy Hunt about health tourism — but he still doesn’t get it

On Monday morning, Jeremy Hunt’s diary secretary rang me to arrange a time for me to speak to the Secretary of State over the telephone. I had already received an email from his special adviser the previous week, saying, ‘The two points which the independent research make clear are central to what you’ve been saying for a long time; namely that health tourism is a huge problem with a substantial cost to the NHS and the current system is an unfair burden on frontline staff.’ When Jeremy rang, he was charming, full of praise, and eager to tackle the issue of health tourism — the exploitation of the NHS by

The View from 22 — tomorrow’s news today

The Daily Mail appear to be avid readers of The Spectator but we’re pleased that they now follow our weekly podcast, the View from 22, just as closely. It yesterday ran a story based on the comments of one of our podcast guests, Professor J Meirion Thomas, saying that £200 NHS levy on foreigners ‘will attract more health tourists’: Top cancer surgeon claims move would be a ‘disaster’. What the Mail had to say about Thomas’ take on Jeremy Hunt’s efforts to tackle health tourism is powerful stuff: ‘Professor Thomas, a cancer specialist, was one of the first whistleblowers to expose the financial impact of non-British residents seeking free healthcare on the

Simon Stevens could turn out to be Jeremy Hunt’s Mark Carney

Remember the name Simon Stevens. He’s is the new chief executive of the NHS in England and is going to be absolutely crucial to whether the government can make its health reforms work. Stevens is a former Labour special adviser. However, he comes from the reformist wing of the party. He used to advise Alan Milburn and Tony Blair on the NHS. But a profile in today’s Guardian reveals just how impressively radical Stevens is. Denis Campbell writes that Stevens favours local pay in the NHS. He is also, Campbell says, keen on the idea of independent GPs competing with existing GP surgeries for patients, in the hope that this

How the Spectator helped blow the whistle on health tourism

In February, an NHS surgeon came to The Spectator’s offices to discuss a piece he felt it was time to write. He wanted to blow the whistle on health tourism. Professor J. Meirion Thomas knew he was taking a tough decision, given the hostile reaction of the doctors’ unions and civil servants to anyone who makes the slightest criticism of the NHS. But the Francis Report into the Stafford Hospital scandal had just come out, reminding GPs of their ‘statutory duty of candour’. The professor said that he would like to expose what he regarded as the systematic abuse of the NHS. His Spectator article was read at the highest

NHS whistleblower: health tourism crackdown is an ineffective ‘disaster’

Will the government’s plans to tackle abuse of the NHS by foreigners make any difference? The surgeon who first blew the whistle on health tourism, Professor J. Meirion Thomas, believes they aren’t going far enough and may even have a negative impact. He first spoke out in the pages of The Spectator and gives his verdict on this week’s View from 22 podcast. The independent report and proposals, particularly the levy on students and temporary foreign visitors, won’t make much difference says Thomas: listen to ‘Prof J Meirion Thomas on Britain’s health tourism ‘disaster’’ on Audioboo

The View from 22 podcast: police vs liberty, health tourism and Westminster’s economic week

Are the police wasting too much time on Twitter instead of catching criminals? On this week’s View from 22 podcast, Nick Cohen looks at what Britain’s fall in crime has done to policing methods. Is the fall responsible for the police’s heightened in what people say on social media? What does this mean for our civil liberties and freedom of speech? Consultant NHS surgeon J. Meirion Thomas also joins to explain how The Spectator helped blow the whistle on health tourism abuses. Will the government’s plans to tackle systematic abuses by migrants work? How much effect will the levy on students and temporary visitors have? Are the figures quoted by the Department of

Finally, an end to health tourism in Britain?

‘When this paper reported a senior surgeon’s warning that health tourism could be costing the NHS “billions”‘, begins today’s leader in the Daily Mail on the government’s efforts to clamp down on treating foreign nationals. That’s one (rather cheeky) way of putting it. Another way is ‘When this newspaper reported a piece that appeared in The Spectator and made it a cover’. For our subscribers, it was that familiar feeling of déjà lu — when you read in the newspapers something you first saw in our pages. But the problem of NHS tourism, which Prof J Meirion Thomas exposed, is at last being addressed. Dr Thomas’ original Spectator article appeared in

Labour just don’t get it – the NHS is about patients not process

Sometimes the small points say a great deal.  Yesterday Steve Rotherham, the Labour MP for Liverpool Walton, tabled a written parliamentary question about emails I obtained from the Care Quality Commission under Freedom of Information about patient safety concerns at Basildon. Steve Rotheram: To ask the Secretary of State for Health if he will carry out an internal investigation into which officials in his Department released confidential emails to the hon. Member for North East Cambridgeshire. [170605] Norman Lamb: The Department understands that this parliamentary question relates to the release of emails sent or received by the then chief executive of the Care Quality Commission (CQC) during the month of

The View from 22 podcast: fat Britain, Westminster reshuffles and Obamacareless

Does Britain have an obesity problem? On this week’s View from 22 podcast, Fraser Nelson discuses the bizarre steps taken by the NHS to deal with our growing weight problem. Do we have such a thing as a ‘fat gland’? Why is Britain’s changing size so rapidly? And according to Fraser, Nottingham is the ‘fattest’ part of our country and deep fried Mars bars really are a delicacy. James Forsyth and Isabel Hardman also discuss this week’s Westminster reshuffles, what they mean (if anything) for the man for the street and who’s up and who’s down in the the cabinet and shadow cabinet. What do the changes says about the

Andy Burnham’s last stand

The details of the government reshuffle are currently being hammered out at the 8.30 Downing Street meeting. But as MPs and ministers nervously wait for the call from the Number 10 switchboard, Ed Miliband will be plotting his own changes to his top team for later this week. And as key Shadow Cabinet members such as Liam Byrne look vulnerable, one shadow minister who is holding on with all he’s got is Andy Burnham. The Shadow Health Secretary is very popular with the party’s grassroots, but he is also politically vulnerable because of his connections to the previous Labour government. But though Ed Miliband failed to publicly back Burnham at

The knives are out for Andy Burnham

When David Cameron first addressed Parliament on the Francis Report, he told MPs that he didn’t want to seek scapegoats. Some of his MPs were disappointed that the Tory leadership wasn’t going after Andy Burnham or Sir David Nicholson. Well, the latter has left, and the former is looking vulnerable in a forthcoming Labour reshuffle, and for months the gloves have been off. After gaining access to a dossier of emails suggesting that Labour tried to stop the Care Quality Commission informing the public about failings at Basildon Hospital, Tory MP Stephen Barclay, who has been digging away on this for months, has called for Burnham to resign. He said:

Jeremy Hunt aims for the moral high ground on the NHS

Jeremy Hunt has an unusual way of delivering a forceful speech. He pulls a worried, frowny face, and speaks in a special growly sort of voice when he wants to criticise his opponents, but doesn’t shout, or indeed really raise his voice at all. Today he delivered a particularly forceful speech to the Conservative conference on why the Tories are the ‘party of the NHS’. He used that phrase ‘our NHS’ that Andy Burnham likes to deploy as part of his emotive pitch to voters on the health service. Hunt used the same emotive pitch today, arguing that Labour placed ideology above what works for patients, and that it failed