Nhs

The rise of private healthcare could finish off the NHS

The number of Britons turning to private healthcare has risen by a third since the pandemic. The figures from the Private Healthcare Information Network aren’t a surprise: they show that there were more ‘self-pay’ admissions for treatment in 2022 than in any other year the organisation has data for. If long waiting lists remain, then a two-tier healthcare system will become normalised In all, 272,000 people paid for their own treatment (rather than having it financed by insurance). The top four procedures that people either forked out for themselves or had insurance cover were cataract surgery (76,000), chemotherapy (66,000), diagnostic upper GI endoscopies (38,000) and diagnostic bowel colonoscopies (31,000), while

How to bag the best spot in the supermarket car park

Our local Sainsbury’s, though admirable in every other way, has a slightly inflated estimate of the disabled population of Seven-oaks, with all the plum parking spaces near the entrance reserved for blue badge holders. Every time I drive in, a voice from my inner bastard says: ‘Jeez, if it weren’t for all these bloody disabled spaces, I’d be able to park right next to the door.’ This of course is rubbish, because if those spaces were not designated as disabled, other people would have parked in them first. It is a perfect example of asymmetry of perception. In fact, next time you go shopping, it might pay to adopt the

What I got wrong about junior doctors

I recently wrote a column elsewhere about the junior doctors strike. As if often the way with this topic, it resulted in some strong and sometimes vituperative reactions.  It also led to many conversations with people in and around medicine.  Some of them thought I’d got things wrong. That’s a reasonable position to take, and it’s often useful to take criticism seriously. So I had a think about the column again, and concluded that there were indeed a few things I could have done better at.   Retention Of the various ‘you’ve got your facts wrong’ critiques of my column, the one I think that has most weight is that I

Will public sympathy extend to the junior doctors’ strike?

Next month, junior doctors in England will walk out for three consecutive days after an overwhelming majority voted to strike over pay and conditions. Just under 50,000 doctors were entitled to vote in the British Medical Association ballot, and 78 per cent did. Of the votes cast, 98 per cent voted in favour of strike action. The term ‘junior doctor’ refers to newly qualified foundation doctors, as well as all those doctors ranked in between, up until and including senior registrars. These doctors are hoping for a 26 per cent pay rise – a figure they say would amount to ‘full pay restoration’ after the BMA concluded that junior doctors

Keir Starmer is learning to love controversy

For a politician who has set much store by being pretty boring, Keir Starmer seems to be enjoying his current provocative spell. His desire to shake up the ‘nonsense’ bureaucracy in the NHS makes the Sunday Telegraph splash and was a key feature of his interview this morning with Laura Kuenssberg. He argued that ‘the reason I want to reform the NHS is I want to preserve it’ and ‘I think if we don’t reform the health service it will be in managed decline’.  The Labour leader was insistent on the BBC that he didn’t want to touch the ‘founding principle of the NHS’, that it remained free at the

Why did Sunak change tack on private healthcare?

10 min listen

Rishi Sunak has finally answered questions over his healthcare arrangements with a statement in Prime Minister’s Questions, stating that he is currently registered with an NHS GP but has used private healthcare in the past. Is this change in tack an admission that he should have answered the question sooner? Katy Balls talks to Isabel Hardman. Produced by Cindy Yu.

Sunday shows round-up: Sunak – my healthcare arrangements are ‘a distraction’

Rishi Sunak – The NHS ‘is under pressure’ Laura Kuenssberg kicked off her first show of the new year with an interview with the Prime Minister, who now has a maximum of just two years to turn his party’s ailing poll numbers around. The National Health Service has always posed its fair share of political problems, but with the system now suffering from industrial action, alongside what some are calling a ‘twindemic’ of Covid and flu cases, Kuenssberg asked Rishi Sunak if the NHS was in crisis: My healthcare arrangements are ‘a distraction’ Kuenssberg inquired as to whether Sunak used the NHS himself. Sunak was not comfortable being as frank

Rishi Sunak (BBC)
Isabel Hardman

Sunak’s NHS position is on life support

Rishi Sunak is still refusing to say that the NHS is ‘in crisis’. He’s held meetings on ‘NHS recovery’ this weekend, and will have been told in no uncertain terms by healthcare leaders that this is a crisis, probably the worst one the health service has faced in its history. He told Laura Kuenssberg in an interview broadcast this morning that ‘the NHS is under pressure’, and there were ‘unacceptable delays’ in emergency care, but would not accept the ‘crisis’ word. This is because, as I’ve said before,  it is hard for the Tories to blame anyone else for said crisis at this stage of the political cycle.  The line

Doncaster surgery’s Christmas gaffe leaves locals gasping

These days it seems that nobody can ever get through to their doctors’ practice. But one GP surgery left their patients wishing that was still the case this week after accidentally texting them to inform that they had aggressive lung cancer – instead of wishing them a merry Christmas. Askern Medical Practice in Doncaster sent the text message to residents registered with the surgery on Friday 23 December. Distraught locals said they received an initial text informing them that they had an ‘aggressive lung cancer with metastases’, a type of secondary malignant growth. The text even directed patients to fill out a form for people with terminal diseases to claim

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

Has the pandemic made us appreciate nature more?

Out to grass If Liz Truss is forced out of office (and doesn’t also resign her parliamentary seat as Tony Blair did on resigning as prime minister), there will be three ex-PMs sitting on the backbenches of the Commons. When was the last time this happened? — Between Jim Callaghan’s defeat in the 1979 general election and Harold Wilson’s retirement from the Commons four years later, Callaghan, Wilson and Edward Heath were all still in parliament. As for the number of living ex-PMs, we are already at a modern record, with Boris Johnson, Theresa May, David Cameron, Gordon Brown, Tony Blair and John Major. Prior to Johnson’s departure from office,

Letters: The case for legalising cannabis

Paying the price Sir: Lionel Shriver’s piece about university standards rang true to me (‘University is supposed to be hard’, 15 October). When I, then working for a distinctly moth-eaten British university, visited a very famous private college in Massachusetts in 1985, I expressed my envy of his luxurious surroundings to a professor of English. His reply was: ‘Don’t envy us. You have something we don’t have. It’s called standards.’ He went on to say that he had just been warned about his behaviour as he had given a ‘very generous’ B minus for an essay by an ‘idle, insolent, profoundly ignorant pig of a student’, who complained about the

Mary Wakefield

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

Liz Truss can’t ignore the issue of NHS reform

It’s hard to think of any Prime Minister who has entered office surrounded by such low expectations. Liz Truss was backed by just over half of Conservative party members and secured barely an eighth of MPs in the first ballot. Her critics dismiss her as a lightweight, wholly unsuited to tackling the problems now facing the country. The presumption is not just for trouble, but calamity: the fastest drop in living standards in living memory, followed by prolonged recession and worse. So if Truss manages to send inflation into reverse and makes a noticeable cut to taxes by Easter, it will be seen as quite an achievement. She has also

It’s time for some home truths, Rishi

I wonder how many people in the country are bitterly disappointed that Liz Truss pulled out of her exciting one-to-one interview with Nick Robinson? I can think of only two. First, of course, Nick Robinson. Nick was very much looking forward to it. His ideal assignment would be to interview himself for an entire afternoon, but failing that, Liz Truss would do just fine. The other, of course, is Rishi Sunak, who must have been hoping that Liz would dig herself another hole and carry on digging until she emerged somewhere near Maruia Springs, say, in New Zealand’s Southern Alps. I suppose it is just about possible that some of

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

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

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

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

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