Nhs

Monday

Sam Leith

We still love our failing NHS

A new poll about the NHS, the Sunday Times tells us, has discovered ‘a decline in support’ for the National Health Service. The story spoke of ‘wide dissatisfaction about the state of the health service’, under the headline: ‘Britain falls out of love with the NHS’. The figures from the poll itself tell a slightly different story. The headline finding was that three people in five are now not confident that they would receive timely treatment were they to fall ill tomorrow. But these three people in five aren’t necessarily saying they’ve ceased to approve of the NHS. It seems to me that they are simply affirming what they’ve read

Thursday

The Spectator

Letters: How to reform the GMC

Overhaul the GMC Sir: Max Pemberton’s cogent criticism of the GMC (‘Unfit for purpose’, 20 August). is one of the more nuanced and on the nose of those that I have read. A client of mine was reprimanded and subjected to a fitness-to-practise investigation after an attempted suicide following a financial crisis. The experience worsened his mental health, which then prolonged the investigation. Other clients have been forced to sell their homes or relocate. Some initial steps I implore the GMC to take include limiting the length of investigations, improving mental health reporting, providing more support for doctors about fitness-to-practise issues, and overhauling how evidence is handled. Deepika Raino Director

Thursday

Lloyd Evans

A four-way race between poet, actor, video artist and sound engineer: Edinburgh Festival's Burn reviewed

In a new hour-long monologue, Burn, Alan Cumming examines the life and work of Robert Burns. The biographical material is drawn from Burns’s letters, and the poems are read out in snatches. You won’t learn much except that Burns was a poor farmer who later worked as a taxman. To represent his many flings with women, a few high-heeled shoes are dangled on strings above the stage but this looks strangely cheap given that huge sums have been lavished on graphic imagery projected onto a big screen at the rear. Flashing lights and surges of music add to the sense of distraction. Cumming’s performance centres on dance, which looks like

Wednesday

Isabel Hardman

Finally, some justice for the infected blood scandal's victims

Why has the greatest patient scandal in the history of the NHS rumbled on for so long before its victims even start to see justice? It shouldn’t have taken 40 years for there to be an answer Today the government awarded £100,000 in interim compensation to around 4,000 survivors of the contaminated blood scandal, as recommended by Sir Robert Francis, who published a report on the matter earlier this year. They have been fighting for 40 years for justice that, as yet, does not cover the bereaved parents and children of those who were infected with HIV and Hepatitis C when they were given dirty blood products for their haemophilia

Thursday

The Spectator

Letters: The Tavistock is a national health scandal

The race isn’t run Sir: Bravo Fiona Unwin (‘Rooting for Rishi’, 6 August) for the best piece I have read on the grassroots take on the Conservative party’s leadership election. Having attended several such hustings both this time and over the years, this one does remind me of 2005: David Davis vs David Cameron. Lots of career-focused senior MPs backing an early front-runner, and then quiet reflection from the life-experienced sensible grassroots membership. Few predicted the 2005 winner until that electric party conference speech. This time, with dozens of events like the one the vice-president of West Suffolk describes, the typical Spectator reader rather than the Westminster hack will select

Mary Wakefield

How 'kindness' became big business

In those moments when I most fear that the West is on the skids, I find it helps to make a list of end-time signs, phenomena that indicate decay, like sparks along a piece of faulty wiring. So far my list goes like this: NFTs; babyccinos; liver-flavoured ice-cream for dogs; the fashion for encouraging children to cut off their genitals; the fact that Rowan Williams, former Archbishop of Canterbury, thinks it deeply wrong to talk them out of it; freak shakes; Heinz ‘pink’ sauce; gannets dead all down the North Sea coast; swearing six-year-olds still in nappies (says my teacher friend in the North-East); risking nuclear war over Ukraine; the

The Spectator

Portrait of the week: Energy bills up, NHS waiting lists down and hosepipes off

Home Energy bills will be £4,266 for a typical household by January, according to the consultancy Cornwall Insight, which had put the sum at £3,616 only a week earlier. Ofgem had decided since then to shorten the period over which suppliers can recover their costs. Gordon Brown, prime minister 2007-10, declared that Boris Johnson, the Prime Minister, and Liz Truss and Rishi Sunak, competitors to succeed him, must hold an emergency Budget to deal with the ‘financial timebomb’ of energy prices. ‘If they do not,’ he said, ‘parliament should be recalled to force them to do so.’ Liz Truss, in an interview with the Financial Times, said she would help

Thursday

Lionel Shriver

Good riddance to the Tavistock

Most push notifications that pop up on my tablet concern impending catastrophe. But last week, one newsflash made my day. Glory hallelujah, the NHS is closing the Tavistock. A clatter of tattletales have warned since 2005 that the UK’s only clinic for minors confused about which sex they are – having been encouraged to be confused by British media and their own teachers – was fast-tracking children into often irreversible treatments in the service of ideologically driven ‘gender affirmation’. At last the Cass report has determined that the clinic’s practices are unsafe. The Tavistock will close by the spring, which by my calculation is seven months too late – if

Thursday

James Kirkup

Why the Tavistock clinic had to be shut down

There are many reasons why what is sometimes crudely called ‘the trans issue’ is important. One is the political failure that left the legitimate views of many women (and men) ignored by decision-making individuals and bodies, who instead prioritised the views of interest groups and campaigners. Another is the multiple failures of governance that have seen numerous public bodies fail to deal properly and responsibly with questions of real public interest, because of their enthusiasm to follow the subjective agenda of interest groups rather than amass and act on objective evidence. Simply put, organisations that are supposed to make decisions on the basis of facts have sometimes chosen to proceed

Fiona Mountford

The small NHS failings that let down patients like my mother

I would be the first to admit that the NHS has done a lot for my mother this year. It gave her the emergency blood transfusion that undoubtedly saved her life, followed by several iron infusions and umpteen scans and tests. It has treated a series of infected leg ulcers and provided consultations with senior medical figures and countless more outpatient appointments. It has supplied her with swanky new hearing aids and nursed her through Covid. During her four months in hospital, in two separate stays of nine and seven weeks, it came up with three meals a day, not all of them involving ravioli, mash and gravy, and a

Tuesday

Tim Knox

How to fix the NHS

That the NHS is in intensive care appears to be beyond doubt. The health service in England needs 12,000 doctors and 50,000 nurses and midwives, and waiting lists are expected to rise to 9.2 million by March 2024. The question now is what to do. It’s a question that has been asked before, and the answers have been poor. One more heave at reform, a task force here, a task force there, another few billion all over the place and all will be well, so the defenders of the NHS claim. What they overlook, however, is that there have been more than a dozen major reform programmes over the past

Saturday

Isabel Hardman

Can Rishi Sunak heal the NHS?

Rishi Sunak’s big pitch this weekend is to grip the NHS waiting list crisis. It makes political sense, given the terrifying size of these lists now, with some trusts declaring their waits ‘unmanageable’. By the time of the next election, the crisis in the NHS is going to seem monstrous. Ethical concerns tend to end up fading whenever a government has failed to do the long-term planning it could have done The former chancellor is worried that the surge in people seeking private treatment is ‘privatisation by the back door’. James and I discuss the wider context of this on our latest Coffee House Shots podcast, agreeing that if people

Thursday

The Spectator

Letters: What William Blake meant

Procurement profligacy Sir: In response to Susan Hill’s query ‘Who allows the profligacy in NHS hospital procurement to continue?’ (‘Best medicine’, 16 July), it seems the national scale of public sector bureaucracy is just too great. Given the size and spending power of the NHS, no one should come close to achieving equal efficiencies in economies of scale, nor gain better prices from suppliers. But this is not the case. As a non-clinical procurement professional in the NHS, having come from the private sector, I’ve been surprised to consistently find the national purchasing authority of the NHS (formerly ‘NHS Supply Chain’, now ‘SCCL’) to be the worst pricing option available

Tuesday

Kate Andrews

There’s little to celebrate on the NHS’s birthday

Birthday celebrations for the NHS this year are relatively quiet. In recent years the health service has received multi-billion pound top-ups from the taxpayer, not to mention high praise from politicians across the political spectrum. This may be in part because the government has already seen to the big NHS pledges, including the 2.5 per cent National Insurance hike, split between workers and employers, which is bringing in roughly £6 billion to pay for Covid catch-up. But no doubt this year’s notable silence is also linked to just how bad that catch-up is going. It’s never been credible to claim the NHS is the ‘envy of the world’; the health

Sunday

Debbie Hayton

The NHS’s disturbing trans guidance for children

Sajid Javid spoke some sense earlier this week when he said that the word ‘woman’ should not be removed from NHS ovarian cancer guidance. The Health Secretary was responding to the revelations that the NHS website had been stripping the word ‘woman’ from its advice pages. But fine words are only a start. The Health Secretary needs to get a grip on an NHS website that seems in thrall to magical thinking on sex and gender. The problem is wider than he might realise. Quite apart from the row over the advice to women seeking advice on cervical cancer and ovarian cancer, the NHS is currently hosting a page entitled,

Wednesday

J. Meirion Thomas

Medical emergency: general practice is broken

In March 2020, as the health service prepared for the first Covid wave, NHS England encouraged GPs to adopt a new system called ‘total triage’. The aim was to reduce the number of patients in clinics in order to protect GPs, their staff and patients themselves from the virus. If patients hoped this system was a temporary, emergency measure, they were wrong. Under ‘total triage’, patients had to provide far more details of their (sometimes sensitive and embarrassing) symptoms to a receptionist or on an e-consultation form. They would then be allocated a telephone consultation with their GP or another health professional such as a nurse, pharmacist or physiotherapist. In

Thursday

Charles Moore

The endless tiny errors of the NHS

I wrote recently elsewhere about Jeremy Hunt’s good new book examining unnecessary deaths in the NHS. Someone should write a companion volume about the other end of the scale of seriousness – the literally millions of small mistakes and obstructions effected by ‘the envy of the world’. Since 2014, I have found myself in hospitals many times, though never as a patient. Four close family relations or in-laws have died in hospital in that time, and several living members of my family have received various treatments. This has involved, I think, eight NHS hospitals and dozens of visits. In only one case has a major misdiagnosis contributed to otherwise avoidable

Thursday

Michael Simmons

Six graphs that show how the NHS is collapsing

If you called an ambulance last month you probably faced quite a long wait. Figures released this morning show the average time for an ambulance to arrive after a ‘category two’ call-out was 51 minutes, only slightly down from 61 minutes in March. This is still nearly three times longer than the 18 minute target for category two emergency calls, which include serious conditions such as strokes or chest pain.  Pressure is mounting within hospitals too, with 12 hour A&E waits reaching a new high: one in 20 patients now have to wait half a day or more for treatment after arriving at hospital. Category one emergency calls – where there

The Spectator

How hard is it to see an NHS dentist?

Biergate Sir Keir Starmer was facing the scandal of ‘beergate’. Biergate is a lane in the Lincolnshire village of Grainthorpe. It is a noted area for grain production, although the origin of the name is not clear as it has also been recorded as Beargate on old maps. – It would not be happy hunting ground for Starmer or Labour as it has both a Conservative district and county councillor. – One thing you won’t find close by is beer. The village used to have a pub, the Black Horse Inn, but it closed in 2017. Not sharing Bill Gates declined to deny that he is shorting Tesla shares. What

Thursday

Isabel Hardman

Excl: NHS tries to ditch the focus on ‘normal births’ after scandal

It’s only been two weeks since the Ockenden report on the maternity scandal at the Shrewsbury and Telford Hospital NHS Trust came out. That report criticised – among many other things – a focus on ‘normal birth’ and a low Caesarean section rate which had harmed some of the mothers and babies in the cases it had investigated. Job adverts give the impression that some sections of the NHS aren’t prepared to learn the lessons from Ockenden Since then, though, there have still been job adverts going out from other NHS trusts for midwives who are interested in ‘normality’ – the common term for a vaginal delivery, preferably without instrumental