Nhs

NHS England boss Sir Simon Stevens’s final speech today was watched online by hundreds of health service bigwigs. But its main audience was much smaller. It was aimed squarely at just two people: Boris Johnson and Rishi Sunak. Stevens’s main message was about funding. The government, and, in particular, the Treasury, may not be thrilled once they wrap their heads around his statement on the five-million-strong (and Covid-predating) NHS backlog that ‘when the health service is given the backing and the tools we need, we can deliver what’s required’. Translated into plainer language, Stevens was saying: ‘Get your wallets out: this is going to hurt’. The mega-hint here is clear: Sir Simon

In England, the NHS is run by an organisation with an identity crisis. It calls itself NHS England, but that’s just self-promotional branding. In law, it is the NHS Commissioning Board, created by Andrew Lansley’s controversial 2012 reforms which gave the NHS a high level of autonomy from direct government control. The NHS Commissioning Board was first run by ex-Communist Sir David Nicholson; then by a former Labour councillor and ex-New Labour special advisor Sir Simon Stevens, who steps down at the end of July. Based on that trajectory, a cynical observer might suggest that in the distant future even a former Liberal Democrat could one day get the job.

When the National Health Service was formed in 1948, it had three goals: it would meet the needs of everyone, it would be free at the point of service, and its services would be based on clinical need, not ability to pay – a revolutionary, and ambitious, challenge. Fast forward 73 years though and it appears that our NHS – not content with providing health to the nation – has adopted a rather different set of priorities.  Take, for example, the equality and diversity section of its website. Recently it appears that the health service found the time to create a helpful ‘A to Z’ of diverse terms for staff to

The most difficult time for a new secretary of state is normally the first three months in the job. An early mistake can sink confidence among both the public and Whitehall officials. But for Sajid Javid, his first three months as health secretary will be his easiest. The real challenge will come later. The easing of restrictions on 19 July will almost certainly go ahead, which means Javid will be able to point to an early success. I understand that the current plan, which the government will set out next week (though the formal decision on whether to proceed will only be taken a week beforehand), is for a comprehensive

It was always likely that the evidence given by Dominic Cummings to the health and science joint select committee inquiry yesterday would have quite an impact. Cummings certainly has a flair for communication and a revolutionary zeal. On top of that, he has scores to settle when it comes to the Prime Minister’s conduct and his treatment of his former chief advisor. Interestingly though, one of the main targets of Cummings’s ire yesterday was Health Secretary Matt Hancock. Asked by Labour MP Rosie Cooper to rate the performance of the Health Secretary and the department, Cummings went for the jugular: ‘I think the Secretary of State should have been fired

Last night the great and the not-so-good of Westminster piled into London’s O2 Arena to attend the Brit Awards, the UK’s first major in-person ceremony of the Covid era. Special advisers, Cabinet ministers and ordinary backbenchers were among the 4,000 in attendance to trial how live events might work after the pandemic, with no social distancing or face masks for attendees including Liz Truss, Thérèse Coffey and James Cleverly. But the Tories in attendance were presumably not cheering when British singer Dua Lipa collected one of her two awards of the night and dedicated it to British nurse Dame Elizabeth Anionwu, declaring:  There’s a massive disparity between gratitude and respect for frontline workers

The NHS vaccination programme has reached its latest big milestone of offering a jab to everyone in the top nine priority groups three days ahead of schedule. Everyone in government and the health service is celebrating. Boris Johnson has been busy thanking ‘everyone involved in the vaccine rollout which has already saved many thousands of lives’, while NHS chief Sir Simon Stevens has said:  ‘Thanks to our NHS nurses, doctors, pharmacists, operational managers and thousands of other staff and volunteers, the NHS Covid vaccination programme is without a doubt the most successful in our history. It’s one of our tickets out of this pandemic and offers real hope for the

The 10 Downing Street press conferences on Covid-19 tend not to show graphs about cancer care. We see various charts by statisticians and epidemiologists, but the impact of lockdown on patients with time critical conditions such as cancer has been largely ignored. The disruption of cancer services is a global phenomenon, but the suspension of screening services and failure to protect cancer services in the UK has resulted in 40,000 less cancers being diagnosed last year, compared to 2019. The true scale of the cancer backlog has yet to be acknowledged by the UK government, far less prioritised with specific additional funding. Denial could cost lives. Any future cancer strategy

Has the pandemic really been good for the way the NHS treats mental health? That’s the rather startling claim I report on today in my i paper column. Ministers have started to talk — equally surprisingly, it has to be said — about the possibility that they are close to reaching parity of esteem between the treatment of mental and physical health, and that the chaos of Covid is partly responsible. Covid has certainly made it harder for the government to just offer talk and no cash on mental health Now, it slightly depends on what your definition of ‘parity of esteem’ is. If it’s just that party strategists and purse-string-holders

Don’t worry if you missed the press release announcing which Scottish taxes are going up to pay for Nicola Sturgeon’s headline grabbing four per cent minimum pay rise offer for certain front-line healthcare workers, including nurses. You missed it because there wasn’t one. In characteristically hubristic form, the Scottish Government made the announcement just a few hours before the pre-election ‘purdah’ period began, with Sturgeon immediately taking to Twitter to declare:  ‘Our NHS staff deserve more than applause and one per cent is not enough’.  It was a thinly-veiled dig at the offer Boris Johnson’s administration has put forward in England. Normally when a government makes an announcement like this the

The row over the NHS pay rise is taking up most of the political attention when it comes to the health service at the moment. But it’s not the only – or indeed the biggest – problem facing the politicians and officials involved. This morning Matt Hancock appeared before the Health Select Committee, and after being grilled on the proposed pay increase, found himself having to explain why, with just 16 days to go, hospitals still have no idea what their Covid-related funding is going to look like for the next six months and beyond. The NHS budget for 2021/22 still has not been signed off. Hancock insisted that the

Oh dear. Following up this afternoon’s PMQs at which Keir Starmer led on the issue of nurses’ pay, the Labour Party have tonight tweeted a new attack ad featuring a nurse in her branded lanyard. Calling the proposed one per cent pay rise ‘a complete slap in the face’ she says ‘we feel completely betrayed’ adding ‘We’ve cared for this country along with millions of other key workers and we deserve better than this. We deserve to be looked after ourselves.’ https://twitter.com/UKLabour/s… It turns out the nurse in question is Sarah Barber, an elected Ipswich Labour councillor – a fact which is not made clear in her party’s tweet that simply claims ‘Here’s