Nhs

In defence of Love Island’s Dr Alex George | 6 June 2018

Love it or hate it, you’re likely well aware that season four of Love Island launched on Monday night. The media frenzy is impossible to escape. Traditional and social media are a-buzz about the contestants, the couplings, and the budding drama that is bound to escalate in coming weeks. But the first episode had its critics – and I’m not just referring those who think the sexual escapades of Brits on holiday shouldn’t be at the top of the news agenda. One of the contestants received particularly intense backlash from the public – presumably not for the same reasons the ladies didn’t step forward to choose him, but because of

Letters | 31 May 2018

What the NHS needs Sir: James Forsyth and Fraser Nelson are right (‘The great Tory health splurge,’ 26 May): an extra 3 per cent will not solve the Tories’ political problem. Labour will still trumpet NHS deficiencies, waste will continue and the NHS will demand ever more resources. Only structural change will solve the problems inherent in our state healthcare monopoly. First, we need to set sustainable limits on what the NHS should provide, learning from other countries how to restrain demand responsibly. Second, we need to look beyond how adult social care is funded, to how it should fit with the NHS. Third, we must slash the top-heavy bureaucracy

Can Ruth Davidson snap Theresa May out of her Brexit delusion?

Ruth Davidson’s Glasgow speech is making headlines about the NHS because that’s where most political village attention is right now. We all know that a big government announcement on health funding is coming and Davidson knows it too. As a former hack, she also knows how to hijack someone else’s story, so her speech is deftly done. (In the trade, this would be known as byline banditry, and it’s Jeremy Hunt’s byline she’s attempting to bandit, or at least share.) But I’m more interested in what she said about immigration. Yes, she repeated a previous call to scrap the stupid “tens of thousands” target because it’s, well, stupid. That’s not

The problem taxing the Tories

Political Cabinet on Tuesday was treated to a polling presentation that highlighted the dilemma the Tories are facing. When voters are asked what the most important issue facing the country is, they reply Brexit and the NHS. But when they are asked what the most pressing issue for them personally is, they say the cost of living. And what’s the most popular Tory policy since the election? The stamp duty cut for first time buyers. As I write in the Sun this morning, the political implications of all this is clear: Voters, who are most worried about the cost of living, won’t thank politicians who hike their taxes. Several of

The Spectator Podcast: Health Cheque

In this week’s issue, the Spectator reveals that the government is planning a significant yearly increase in the NHS’s budget. But, Lara Prendergast asks in the podcast, isn’t this the £350 million a week bus pledge? And how will the government pay for this (00:40)? We also talk about the difficulties in modern adoption with Prue Leith (15:30), and finally, we talk to Martin Tyler and Mark Palmer on whether this year’s World Cup, held in Russia, is set to be the most political ever (26:35). One of the most infamous images of the EU referendum campaign was that bus. The one which promised £350 million to the NHS each

Fraser Nelson

The great Tory health splurge

A fortnight before Philip Hammond delivered his last Budget, the chief executive of the NHS gave a speech making the case for more funding. Simon Stevens had brought with him picture of a Vote Leave poster, promising £350 million a week for the health service, which he showed to his audience. What a good idea, he said. He wasn’t coming out as a Brexiteer, but he did think the Leavers had a point about giving an extra £350 million a week to the National Health Service. In fact, he went so far as to say that the ‘public want to see’ this promise honoured. And if politicians don’t cough up?

Podcast: Why do we insist on worshipping the NHS?

Nigel Lawson once wrote that ‘the National Health Service is the closest thing the English have to a religion’. It’s a justly celebrated line because it rings so true – though the second half of the sentence, even more uncomfortably true, is invariably left out: ‘… with those who practise in it regarding themselves as a priesthood’. This summer, adherents of our national quasi-religion are marking the 70th anniversary of its foundation by St Aneurin Bevan. The ceremonies – less preposterous but just as intense as Danny Boyle’s tribute to the NHS in Britain’s Olympic opening ceremony – have the unqualified blessing of our actual religions. For example, Liverpool’s Catholic

Capitalism won’t fix the NHS’s bureaucracy problem

James Delingpole is right, of course, to extol the virtues of capitalism (‘We don’t deserve capitalism’, 5 May) but wrong to imagine that if only we stuck to strict capitalist principles we could cure problems like the allegedly system-clogging bureaucracy in the NHS. The United States probably has the most ‘capitalistic’ health service in the world; but it has seen an even greater rise in numbers of bureaucrats than the NHS, contributing to its ranking as the world’s most expensive healthcare system. Or take US universities: they too operate on a very capitalistic model which has seen student fees rise steeply over the past three decades and has burdened the

If you want £10k at 25, you should have to compete for it

Would it really be fairer, in an inter-generational sense, to whack an ‘NHS levy’ on pensioners while giving every 25-year-old £10,000 to help them buy a first home or start a business? These are recommendations by the Resolution Foundation, chaired by former Tory minister Lord Willetts, to address what it sees as a breakdown in the ‘contract’ between young and old. That contract allegedly says that each generation should expect to be better off than its parents — but in the current economic climate, many of our delicate ‘millennials’ believe they’re going to end up worse off, unable to afford their own homes and saddled with the ever-rising cost of

Revealed: the truth about the latest NHS funding poll

Last week there was an exclusive in the Times – widely followed up – revealing majority support for NHS-linked tax rises. ‘For the first time in more than a decade, a majority of Britons say that they are personally willing to pay more to increase spending, according to the respected British Social Attitudes survey’. It followed this up by a leading article to this breakthrough, saying: ‘Ministerial hearts may be gladdened, therefore, by a new poll published in The Times today. It suggests that 61 per cent voters back higher taxes to fund the health service, with 25 per cent saying that the government should raise existing taxes and 36

May announces NHS funding boost

Who is the most powerful person in government at the moment? In normal times, the automatic answer would be the Prime Minister, but things are rather more complicated at the moment. Theresa May’s stock has risen in recent weeks, thanks to her confident handling of the Salisbury attack – and partly because Labour is in a terrible mess. But today we learned a little bit more about quite how influential one of her ministers has become. The Prime Minister spent this afternoon giving evidence to the Commons Liaison Committee, the powerful group of select committee chairs who grill the Prime Minister periodically. She was in her usual defensive mode of

There isn’t as much consensus on NHS funding as you might think

Is there really a cross-party consensus on tax rises for the health and social care system? A group of MPs from across Parliament has written to Theresa May calling for a year-long parliamentary commission on funding for all branches of the health system. Meanwhile Jeremy Hunt is calling for a ten-year settlement for the NHS, attacking a ‘feast or famine’ approach to funding it. ‘There’s no doubt that NHS staff right now are working unbelievably hard and they need to have some hope for the future, but their real concern is this rather crazy way that we have been funding the NHS over the last 20 years,’ he told ITV’s

We were never going to take back control of our fishing waters

My decision to vote Remain was driven in part by an exercise in which I tried to identify anyone close to me in Yorkshire — family, neighbour, business owner, farmer — who was worse off as a result of UK membership of the EU. The only people uncontestably in that category, I concluded, were the east-coast fishermen whose livelihoods have been eroded by 45 years of punitive quotas and unfair competition. So I felt for them on Monday, when their interests were traded away yet again as part of the Brexit ‘transition’. Instead of being released from the Common Fisheries Policy in March 2019, as Environment Secretary Michael Gove proclaimed

The Tory tax bombshell

The single most important domestic policy decision that the Conservatives must take is what to do about public spending. After the snap election went so wrong last year, many Tories rushed to blame ‘austerity’. Gavin Barwell, now Theresa May’s chief of staff, said this was one of the principal reasons he had lost his Croydon Central seat. Even the Chancellor, Philip Hammond, admitted that the public was weary of the long slog to balance the books. This belief — that the public has had enough of austerity — explains why the Tories aren’t behaving as governments traditionally do. Normally, they make tough fiscal choices in the early years of a

The American tax system is a one-way street

Last week, the New York Times ran a very un-New-York-Times-y article, ‘Resentment Grows Over Who Gets Health Care Aid’. It contrasts two women in New Hampshire. Married with one child at 30, last year Gwen Hurd paid more than $11,000 for her family’s health insurance, purchased through the Affordable Care Act exchange. They had to shell out $6,300 per person — $18,900 — before the insurance kicked in. Both parents were working. Their pre-tax earnings just exceeded the $82,000 cut-off for government insurance subsidies. The couple dropped date night, and couldn’t save for retirement. A few miles away, single and living at home, an aspiring opera singer of 28 is careful to

Letters | 1 March 2018

Corbyn and the zeitgeist Sir: Your leading article is right about university tuition fees and the fruitlessness of Tory half-measures, name-calling and then unedifying policy-swapping (‘Corbyn’s useful idiots’, 24 February). But I believe the writing is on the wall for the wider involvement of ‘free markets’ in the public sector. We have seen growing public support for taking the railways and water companies back into public ownership as people justifiably ask what is in it for them under the current system. In the NHS, as Max Pemberton makes clear (‘Wasting away’, 24 February), the internal market has been a wasteful disaster. We were told that costs would be driven down

Lionel Shriver

The all give and no take of US taxes

Last week, the New York Times ran a very un-New-York-Times-y article, ‘Resentment Grows Over Who Gets Health Care Aid’. It contrasts two women in New Hampshire. Married with one child at 30, last year Gwen Hurd paid more than $11,000 for her family’s health insurance, purchased through the Affordable Care Act exchange. They had to shell out $6,300 per person — $18,900 — before the insurance kicked in. Both parents were working. Their pre-tax earnings just exceeded the $82,000 cut-off for government insurance subsidies. The couple dropped date night, and couldn’t save for retirement. A few miles away, single and living at home, an aspiring opera singer of 28 is

American Healthcare and the NHS

Donald Trump recently disparaged Britain’s National Health Service for “going broke and not working,” leading Health Secretary Jeremy Hunt to express his pride in a system “where all get care no matter the size of their bank balance.” But the news has been filled for months with stories of people unable to access care they need under the NHS, regardless of their efforts or financial resources. Beyond the nationalistic pride and defensiveness of politicians both sides of the Atlantic, how do British and American healthcare really compare? Are both sides as crazy as the other imagines, or do they each know something the other can learn from? Sweeping generalizations regarding

Wasting away

The NHS is in dire straits. I never thought I’d say this but as a doctor, and having seen the extent of the current crisis, I’d be scared if a family member had to go into hospital. Despite the best efforts of staff, the pressures are such that it’s all too easy for mistakes to be made. Doctors and nurses are going to work fearful of the situation they will find. They know how unsafe it is, and yet they are utterly powerless to do anything about it. The predictable response is to call for more money to be hurled at the NHS. It’s all because of cuts, they say.

Letters | 8 February 2018

Stop knocking May Sir: I find this knocking of Theresa May increasingly depressing (‘Theresa’s choice’, 3 February). She has a terrible job which she was dropped into when David Cameron resigned. She was a Remainer, yet she is expected to steer the UK through the Brexit process of leaving the EU with no experience, as it has never happened before. She needs all the support she can get, so please give it to her. No one wants her job right now anyway. Lindy Wiltshire Alton, Hants My NHS experience Sir: I am very glad to hear that Mr Hawkes has had better experiences in NHS hospitals than I did (Letters, 3 February).