Health

Volunteers won’t save the NHS this winter

Workers are balloting for industrial action, attending mass demonstrations and preparing to strike. A ferocious tug-o’-war between trade unions and employers is playing out across the country. Though striking RMT members have been accused of ‘ruining Christmas’, the country’s greatest fears should be reserved for the NHS, which will see ambulance workers and nurses walk out before January, when junior doctors in England cast their vote on industrial action. Is there a solution? A leaked briefing from the Department of Health and Social Care suggests that the government believes volunteers could act as a buffer while healthcare staff take action this winter.  The 31-page report reveals that NHS performance is

For my 60th birthday, I’m taking up smoking

Next month I will be 60. It’s an unwelcome landmark birthday as far as I’m concerned but they say that taking up a new hobby or pastime is a good way to combat the advances of old age. So I’ve decided to take up smoking. It was either that or something physical such as cycling or jogging or walking football but, to quote Ronnie Barker in Porridge: ‘What, with these feet?’ Besides, older cyclists look ridiculous, serious runners tend to look ten years older than they really are and as for walking football… what’s the point? No, smoking is easier, more pleasurable, more relaxing and even allows me to multi-task.

Why can’t I give blood?

I read about the national shortage of blood last week with a feeling of gloomy inevitability. The brains of the nation are scrambled, Westminster’s insane, of course the country’s bleeding out. But at least, I thought, I can help a bit. I’ve given blood in the past and I enjoy it. There’s the feeling of warmth and purpose, and biscuits. I’d never fork out for a packet of custard creams, but like most English women and men I’m a sucker for one or two free on a saucer in a medical setting. Our blood donor scheme is actually all-round cheery. Each country has its own circulatory system, a flow out

The mystery of chronic Lyme disease

I struggled to pull myself out of bed in the morning. I slept for hours at lunch breaks and was having a hard time focusing. I was working six days a week as an editor at one of the world’s largest newspapers. I needed to concentrate. It was my first year there on a fixed-term contract. I didn’t have the security of knowing I would be hired afterwards; I had limited scope to make mistakes. Articles that required extensive fact-checking, style correction and careful proofreading felt like an insurmountable obstacle. What was wrong with me? I booked a doctor’s appointment to check my vitamin levels. I’m anaemic, so thought that could

Smoking is more hassle than it’s worth

I gave up smoking one year ago this week, as part of a series of pitiful capitulations to the forces of coercive conformity. As far as I see it, the path to the grave is lined with compromise after compromise until, at the moment of the final rattle, one has become a travesty, physically and spiritually, of the person one used to be. Not that I would want to overdramatise the whole thing, mind. I more usually tend to present my dis-avowal of smoking as a kind of glorious epiphany. One moment I smoked, the next I didn’t. And in a sense that is true: no doctors were involved, there

Is Coffey good for health?

Even though Liz Truss won’t start forming her government until after she has seen the Queen at Balmoral, many of the top roles are already nailed down. The latest dead cert is Thérèse Coffey, who will be Health Secretary and Deputy Prime Minister. The seniority of this role tells us a number of things. One is that Truss wants her strongest supporters close to her. Not only was Coffey pro-Truss from the outset, she is also one of her closest friends in politics. Linking the deputy and health jobs also signals that the new Prime Minister is taking the NHS backlog seriously. It would be a bizarre choice for a

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

How the ancients treated gout

Medical problems come and go in the media, and at the moment the flavour of the month appears to be gout (from Latin gutta, a ‘drop’, seeping into a joint). For the Greek doctor Hippocrates, gout (Greek podagra, ‘foot-trap’) was the ‘fiercest, longest and most tenacious of all joint diseases’. But since the ancients did not know that excess uric acid, a natural product of the body, was its cause, their remedies were futile. Pliny the Elder claimed that wet seaweed was the answer. Scribonius Largus was at least original, the first to suggest electrification for medical purposes: he backed torpedo fish (an electric ray) for curing gout (some types

Why I donated a kidney to a stranger

One year ago I walked into an operating theatre, dressed in a tiny surgical nightie. Over the next three hours, through various keyhole incisions in my belly, my left kidney was cut from its pillow of protective suet and extracted from below the belt line. The kidney was rinsed through, put on ice and boxed up. It was then zoomed by car from my Bristol hospital to Birmingham, where a surgical team was waiting with a prepped male patient. Over the next few hours, the kidney was plumbed into the groin of a man whose name I still don’t know. He was in his forties and extremely ill. That evening

Yoga has become a hot cultish mess

Ommm… are you in the lotus position? Then I’ll begin. The studio was literally Hades, four industrial heaters blasting in each corner. We were crouching on our knees, sweat dripping, foreheads to the floor. It was a weekday morning. Then our instructor said the six words I can never unhear. ‘Flower your anus to the sky,’ he ordered all the middle-aged WFH men in shorts and yummy mummies in crop tops in this crunchy-granola bit of north-west London. He jutted his rock-hard buns heavenwards as an exemplar of the uttana shishosana pose or, as I prefer to call it, ‘kneeling’. When did the lines blur and yoga become a hot

How we fell for antidepressants

The French novelist, Michel Houellebecq, with his accustomed acuity about modern culture, titled his last novel but one Serotonin. By then, of course, this famous neurochemical had become the key to a perfect human existence, too little or too much of it resulting in all the little problems that continue to plague mankind. If only we could get the chemical balance in our brains right, all would be well, life would return to its normal bliss! After the commercialisation of Prozac, people started talking about the chemical balance in their brains in much the same way as they talked about the ingredients of a recipe. As Peter D. Kramer put

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

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

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

Why I won’t have a Covid booster

In the news recently, we’ve heard from multiple Britons who’ve lost family members or sacrificed their own health to Covid’s not-really-vaccines. But anecdotes lack statistical heft. Sceptical viewers might too easily dismiss individual stories of the harms caused by the biggest inoculation rollout in history as freakish aberrations, mere coincidence (could relatives who happened to have been recently vaccinated really have died from something else?) or put it down to the cost of doing business at scale. An official UK government report recently said that more than 2,200 Britons may have been killed by vaccine-induced injuries, but there’s plenty more hard evidence in governmentally collected databases that these fatalities are

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

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,

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

Monkeypox, Covid and the trouble with our species

I hate to be one of those columnists who says ‘I told you so’. But I told you so. Looking back this week through the vast underground vaults at Spectator HQ I see that centuries ago in April 2020 I explained the problem with us humans as a species. As I said back then, someone always shags a monkey. There are almost eight billion of us on this planet today, and the likelihood that we’re all going to make judicious decisions all the time is vanishingly small. The mating decisions of the species alone are notoriously prone to trial and error. And the entire future of our species rides perpetually

The truth about Britain’s Covid deaths

There has been a considerable hoo-hah in the press about the recent World Health Organisation report estimating Covid-related deaths internationally during the pandemic. The measurement chosen has been ‘excess deaths’ – the difference between the number who died during the pandemic and the number who, on average, died in the same place before the pandemic struck. This has enabled us to compare the British figures with excess deaths across the rest of Europe per 100,000 of the population; and it appears we’re not, after all, at the top of the death-league, but near the middle. Though its methodology has attracted serious criticism, I was struck by the report. But what