Nhs

It’s Asco week in Chicago: the biggest meeting of clinical oncologists in the world. McCormick Place convention centre, the largest in the US, is filled to its 2.6 million square foot capacity with people talking about cancer. And one of the hottest topics being discussed is something called proton therapy, a possible new tool in the anti-cancer arsenal. But does it actually work? Given that two private proton therapy machines have already been built in the UK, and that two more NHS machines are on their way at a cool £250 million, you’d think we’d know. The sad truth is that, for many cancers, the medical jury is still out

The receptionist fixed me with a withering stare. I had just filled out a repeat prescription form and politely inquired of the girl behind the desk how I would know when it was ready. She harrumphed and asked where I usually picked my prescriptions up from. I told her the pharmacy on site, you know, the one next door to the surgery, the one just there, in the car park of this building. The one you could see out the window. That one. She stared at me as though I were explaining that I collected my prescriptions from the international space station. ‘I’ll look it up,’ she said, as though

A leaflet came through my door from the NHS inviting me to take part (if that is the right term) in Cognitive Behavioural Therapy. What a kind offer, I thought. They must know I’m stressed. Fine, so I didn’t think that. I thought: what a blasted cheek! This leaflet is a mailshot, clearly, and has been distributed to every home in my area at a cost of goodness knows how much. I looked at the glossy thing in all its impudence and presumption and decided to chase after the postman. He was three doors down when I caught up with him and he wore a cheery smile as usual. ‘Can

For years, Britain has been failing to train enough doctors and has been importing them instead. This has been a well-known and much lamented fact, raising several ethical issues. Is it right for us to rob developing countries of their much-needed medics? Simon Stevens, the head of the NHS, said at the Spectator’s health summit this week that Britain should stop ‘denuding low-income countries of health professionals they need’. Quite so. Which makes it all the more shocking that last year, for the first time ever, the UK imported more doctors than it trained. And the problem Stevens highlights has, under his leadership, been getting steadily worse.  Look at the

Some medical experts claim that Lyme disease is worse than cancer. It’s not a competition, but I do know one thing: at least if you’ve got the Big C you get sympathy, understanding and prompt treatment. With Lyme you’re pretty much on your own. This isn’t a plea for public sympathy. I’ve had Lyme for God knows how long — decades possibly — and though it has disrupted my health and my life in myriad weird, torturous and sometimes hideous ways, I still consider myself one of the fortunate ones. First, it hasn’t killed me; second, I’ve had some state-of-the-art stem cell treatment which with luck will eventually cure me.

‘Gene test for sale on NHS,’ blared the headlines last weekend, sparking some anxiety and confusion. The story is that Genomics England, a company owned by the Department of Health, has announced that it’s seeking people who are willing to pay to have their DNA sequenced. The fee has not yet been specified but it will probably be around £500, depending on how much the analysis is subsidised. Each volunteer will receive a personalised health report and will agree to share their anonymised genetic data with researchers in the hope of improving genetic prediction of diseases and creating the sort of healthcare that’s fit for the future. The story has

Today’s NHS 10-year plan is the health service’s response to the £20.5 billion funding boost announced by ministers last year. The Prime Minister is unveiling further details of the plan this morning, with NHS England chief executive Simon Stevens doing his own broadcast tour to sell it. He argues that the plan ‘tackles head-on the pressures our staff face’ and also ‘sets a practical, costed, phased route map for the NHS’s priorities for care quality and outcomes improvement for the decade ahead’. The plan is a good metaphor for the May government, too: its announcement was delayed from its original launch date of late autumn, there is a £1 billion

Left at the Dementia Café, right at the Sleep Office, past the Spiritual Care Centre… This was my journey through the ground floor of my local hospital until I came to the physiotherapy department where the Calf Stretching Education Group was being held. Hospitals are very different places nowadays from the forbidding buildings of my childhood where doctors and nurses in starched uniforms used to attempt to cure people. Now they host Costa Coffee shops and M&S mini food halls and art exhibitions along the walls, which you peruse in spite of yourself as you pass these marvellous new departments. You wonder what happens at the Dementia Café and the

If you are wondering, any more than usual, how your tax is being spent, you should know that I have been summoned to a Calf Stretching Education Group. According to the letter from the NHS, it has come to the attention of my local hospital that I have tight calf muscles. ‘We would like to invite you to the Calf Stretching Education Group in order to give you the opportunity to manage your condition better.’ My condition is still a little unclear to me, but it has something to do with a lump on the side of my toe. I went to see a specialist about a bunion and she

Obviously it is wrong to attack NHS staff. But does the government’s new ‘zero tolerance’ policy consider why such attacks take place? There are eternal reasons, such as the inherent nastiness of some people, and wider social ones, such as drug abuse. Are there also specific NHS-related ones too, though? The worst aspects of the NHS are not usually medical: they are to do with a bureaucracy which puts patients last. It is utterly extraordinary, for example, that a waiting time of four hours in A&E is now the norm or even, it would seem, the (often missed) target. Often have I sat there wondering not at the aggression of

Since the Budget, economists have pointed out that Britain is turning into a health service with a government attached. The NHS was protected from what Philip Hammond calls ‘austerity’, yet it has emerged as the big winner from his abandonment of the old Tory idea that government should live within its means. The plan is for more debt, more spending, more tax and a lot more NHS. At the start of the last decade, the NHS accounted for 23 per cent of government spending on public services: this figure is now set to rise to 39 per cent. And then, no doubt, further still. Simon Stevens, the chief executive of