Nhs

The dangers of cancer screening

Within five years, we could find out how genetically predisposed we are to developing certain types of cancer. Through DNA screening, the most susceptible of us will be prompted to adapt our lifestyles accordingly and ultimately reduce the risk of developing the disease. The breakthrough has been hailed as the ‘the biggest leap forward yet in understanding the genetic basis of cancer’. But at what cost? The good news is clear enough. Researchers at the Institute of Cancer Research and Cambridge University have identified 74 ‘single nucleotide polymorphisms’ – small physical elements found on human DNA – that correlate with the probability of developing ovarian, breast and prostate cancer.  Of these, 16 are

David Nicholson should have no future in the NHS

When T.S Eliot spoke of the folly of trying to ‘Devise systems so perfect, that nobody will need to be good’, he effectively described a distinction between the left – who instinctively turn to systems to get things done, and the right – who tend to believe in focusing on individuals, people, and their values. In a world where the centre-ground has become over-crowded with political parties all frantically claiming it, and a rainbow array of party hues (Blue Labour, Red Tories), this is a distinction that still makes some sense. In fewer areas is this distinction seen more clearly than how we think of our public services. Whether we

Could a digital and more transparent NHS prevent another Mid Staffs scandal?

Digital politics is all the rage. Take what Rachel Sylvester described in today’s Times as ‘digital Bennism’ — an online movement that is becoming increasingly influential to the Labour party’s campaign methods. And in the forthcoming Spectator, I’ve a piece discussing why policymakers are adopting internet-centric ideals to challenge the traditional way of doing things. The government’s digital ventures were discussed at Policy Exchange this afternoon. Rohan Silva — David Cameron’s senior policy advisor — said the government’s digital work is the ‘most radical thing people haven’t heard of’. Silva contrasted Labour’s strategy of using IT to ‘gather ever-more information and power for the government’ with the current mission to

Letter to PM: ‘Nicholson must go with all speed’

Earlier, I blogged that Tory MP Charlotte Leslie planned to raise concerns with the Prime Minister about Sir David Nicholson’s incorrect select committee evidence. She’s now written a letter, which I’ve seen, telling David Cameron that the NHS chief executive ‘must go with all speed’, and reminding the Tory leader that she has the backing of 60 colleagues. The letter is pretty strong stuff. It says: ‘I am deeply concerned that the man who currently leads the largest employer in the country has not only overseen a culture that has damaged our NHS, but has now given a false account to a Select Committee in this way. I know you

Isabel Hardman

David Cameron under fresh pressure to sack David Nicholson after select committee blunder

David Cameron is coming under fresh pressure to force out NHS chief executive Sir David Nicholson this afternoon. The health boss has had to apologise to the Public Accounts Committee, after his evidence yesterday was directly contradicted by whistleblower Gary Walker’s testimony to the Health Select Committee today. Nicholson told the PAC that Walker ‘didn’t identify himself as a whistleblower at that moment in time, nor did he raise with me any issues of patient safety’. But today Walker produced a letter which said ‘I assume the Department of Health has a policy on whistleblowing and would therefore like this letter to be considered in that context’. Nicholson’s letter of

Jeremy Hunt continues his quest to make the Tories the party of the NHS

Jeremy Hunt used his address to the Conservative Spring Forum this afternoon as the next step in his quest to make the Conservatives the party of the NHS, not Labour. His speech was in some ways quite formulaic: it started with good news about health care in this country, then praise for the ‘extraordinary’ staff working in the NHS. But then it moved on to his duty ‘to be honest about the failures’ of the health service too. He said: ‘If you care about something you don’t try to sweep problems under the carpet – you expose them, sort them out and make things better. And by criticising us when

Letters | 14 March 2013

Sir David must stand down Sir: Reading the reports of Sir David Nicholson’s evidence before the House of Commons Health Committee on 5 March 2013 (Leading article, 9 March), it seems to me inconceivable that he could remain in his post. We are informed by the Prime Minister that in the current circumstances the NHS is unable to do without him. But nobody is indispensable and in any case, to judge by Sir David’s recent performance, he is incompetent, a hopeless leader, has a very poor memory and is more interested in saving his skin than in the wellbeing of NHS patients. While he remains in his post, the anger

Isabel Hardman

Mid-Staffs scandal: The Tories must beware focusing solely on Andy Burnham

MPs were debating accountability in the NHS following the Mid-Staffs scandal today, and as part of that, the argument about who – if anyone – should be held responsible continues to rumble on. Charlotte Leslie and many of her Tory colleagues want to see Sir David Nicholson gone (and The Telegraph‘s Robert Winnett reports that senior government figures are considering a route by which he can exit). But the focus of Jeremy Hunt and other Conservatives is on Andy Burnham instead. Today Hunt said: ‘[Nicholson] does bear some responsibility. He said himself ‘we lost our focus’, he has apologised and has been held to account by this House and others. But

Letters | 7 March 2013

Gove’s history lessons Sir: ‘The idea that there is a canonical body of knowledge that must be mastered,’ says Professor Jackie Eales, ‘but not questioned, is inconsistent with high standards of education in any age.’ This is not true. Primary education is, or should be, all about just such a body of knowledge. This gives children a foundation of fact, preferably facts learnt by heart. Without it, they cannot begin to reason, and develop valid ideas, in the secondary stage. It may be a tight squeeze to get them through English history up to 1700 by the age of 11, but it is better than not covering the ground at

If David Cameron wants to save the NHS, he should sack David Nicholson

Twenty-five years ago, when he had left the Communist party and taken over as chief executive at Doncaster Royal Infirmary, Sir David Nicholson made a point of promising his staff a ‘job for life’. He has certainly stuck to his ideology. This week he admitted his part in the Mid Staffordshire hospitals scandal, in which up to 1,200 patients died from poor care and neglect. He confessed that as chief executive of the Shropshire and Staffordshire Strategic Health Authority — the body which was supposed to oversee Stafford Hospital — he had failed to notice its high death rates. And yet still he appears to believe that he has the

1922 Committee: Tory MPs call on Sir David Nicholson to go

Tonight’s meeting of the 1922 Committee of Tory MPs was dominated by calls for Sir David Nicholson to quit as NHS Chief Executive over the Mid Staffs scandal. Bill Cash, who was the MP for Stafford and now represents the Staffordshire seat of Stone, stood up and asked, ‘is there a single person in this room who thinks Nicholson shouldn’t go?’ Only one person indicated that they disagreed with Cash. I understand that more than 10 MPs followed Cash’s lead and made the case that Nicholson had to go if accountability in public life was to mean anything. Those calling for Nicholson’s departure were emphatically not the usual suspects. Indeed, I

Isabel Hardman

Tories set Labour in their crosshairs over Mid-Staffs

After today’s slightly confusing PMQs line from the Prime Minister about unidentified ‘people’ who ‘should be thinking of their positions’ after the Mid-Staffs scandal, ministers and loyal backbenchers have gone out to bat for the government. After PMQs, the Prime Minister’s sources refused to say who these ‘people’ were who needed to consider their positions. But now Jeremy Hunt has written a piece for ConHome saying ‘Labour can and will be held accountable for what happened at Mid-Staffs’. He then warns that the party appears to have learned no lessons at all from the Francis Report and that the public shouldn’t trust them again: ‘Labour’s reaction to Mid Staffs has

Who should we blame for the Mid-Staffs scandal?

As the row over who knew what and when in the Mid-Staffordshire tragedy grows, it’s worth taking a close look at the data involved. When you consider the Mid-Staffs scandal across the timeline of the previous government, the findings present extremely uncomfortable evidence for which the Labour party must be held to account. There are two key measures. These are the number of ‘expected deaths’, weighing up the age and condition of patients admitted to hospital, against the actual total number of deaths occurring. The difference between the two figures is known as ‘unexplained deaths’. We have this data for Mid Staffordshire dating back to 1996- and overall, it is

Lib Dems avoid conference grief on NHS

Norman Lamb’s announcement today that the government will re-write regulations on competition in the NHS seals up one source of grief for the Lib Dems ahead of their spring conference this weekend. Activists had been threatening an awkward showdown with the leadership on the section 75 regulations, and instead ministers (its notable that Lib Dem Lamb was sent out to bat for the government today rather than a Conservative) can go to their party and argue that they are keeping check on the Conservatives when it comes to the NHS. But this has a flipside, which is that the row over secret courts will gain more momentum now activists’ minds

Isabel Hardman

David Nicholson’s select committee session: five key points

Sir David Nicholson didn’t deliver the most confident performance before the Health Select Committee this morning, but he didn’t leave the session looking fatally wounded. Here are the key points from his evidence: 1. No-one knew what was going on. The NHS is such a big organisation that, as Nicholson admitted, it was perfectly possible for the Strategic Health Authority that he oversaw had no idea that there were concerns about the Mid-Staffordshire Trust. He said: ‘We had no idea, the information was never brought to the SHA… we didn’t see any of the information that would lead you to believe that this was going on, shocking as it is.’

Why did no Tory attack Vince Cable for his opposition to the NHS budget ring fence?

This weekend David Cameron argued that the Tories are the ‘only party simultaneously committed to proper investment in the NHS and bringing down immigration’. This makes it all the odder that the Tories didn’t seize on Vince Cable’s comments on the Sunday Politics yesterday. The Business Secretary declared: ‘I’ve always been very critical of ring fencing but the policy under this government I accepted as part of the coalition arrangements.’ In other words, if Cable—the senior Liberal Democrat economic spokesman—had his way, the health budget would not be ring-fenced. But this comment seems to have gone unnoticed by the Tories; there was no press release from a Tory MP highlighting it.

How to be an anti-politics party in government: make the public sector accountable

One of the lessons from last week’s Eastleigh by-election – and indeed the Italian elections – is that voters don’t like politicians at the moment. It’s easy for those like Nigel Farage to mop up this anti-politics sentiment in the same way as Nick Clegg could say before the 2010 election ‘the more they attack each other, the more they sound the same’. But how does the Conservative party try to appeal to those voters fed up with the Establishment of which it is so clearly a part? David Cameron can hardly start attacking himself, after all. There is one thing that the Tories could do – and which their

Fraser Nelson

The NHS cancer surgeon who blew the whistle on foreigners scamming the NHS

Today’s Sunday Times splashes on news that David Cameron is going to crack down on health tourism – that is, foreign nationals coming to Britain primarily to claim free treatment on the NHS. There have been anecdotal reports of this for some time, but the official figures suggest that there is no health tourism problem, because the number of foreign nationals treated amounts to less than 0.5 per cent of the NHS budget. Of course, the official figures wouldn’t show a problem. The scam involves people being marked down as eligible, even though they are ineligible. Statistics are, as so often, unreliable witness. More reliable are those who work in

Why David Nicholson must go

As the Mid-Staffs tragedy unfurls, it becomes more and more apparent that contrary to the insistence of former Labour Ministers and Prime Ministers, this was not an isolated case, but an appalling example of problems evident throughout the NHS. Indeed, back in 2008, the then Labour Government received reports from respected international health consultants warning of a culture of fear and compliance within the NHS; a place where the emphasis was on ‘hitting the targets, but missing the point’ and patient safety came second to presenting a set of statistics suitable for dispatch-box delivery. Ironically, these reports had been commissioned to commemorate the 60th anniversary of the NHS, but far

Letters | 28 February 2013

Healing the world Sir: We most warmly commend the courage of Professor Meirion Thomas (‘The next NHS scandal’, 23 February) in lifting the lid on the appalling abuse of the NHS by foreign visitors. It has been going on for years but has been covered up by the culture of fear that has pervaded that organisation. We stand ready to support the professor in parliament if that should prove necessary. Regrettably, the present position is even worse than he described. The relevant quango (the Primary Care Commissioning group) issued instructions last July that GPs must accept an application for registration from any foreign visitor who is here for more than