Nhs

Why wouldn’t our NHS saints help a dying man?

We all think pretty highly of ourselves these days, free from old-fashioned ideas about sin. We’re good people. And yet… I read in a letter in a local newspaper recently a description of an event in the writer’s own home which shows that we might also be becoming monsters. The letter-writer, Jane, was a lady in her late fifties who cared at home for a husband, Fred, with terminal brain cancer. As Jane’s letter explained, Fred had fallen recently on to the bathroom floor, and as she was unable to lift him, she telephoned for help. Seven medics arrived and rushed to the scene. All seven then stalled. Though Fred

Jeremy Hunt has promised to get serious about NHS health tourism before. Is he serious this time?

This morning, we wake up to the news that the government is now serious about collecting money from health tourists – those who come to the UK to use the NHS without being entitled to it. We have, alas, heard this before. For weeks now, we have been reading about a crisis in A&E — a symptom, we’re told, of a funding crisis in the National Health Service more generally. Since I started working for the NHS almost 45 years ago, this has been a familiar theme: the system is creaking, but a bit more tax money should suffice. To many of us who have seen the system close at

Tom Goodenough

What the papers say: Will the Government’s plan to tackle health tourism work?

NHS hospitals will charge foreign patients who are not eligible for free, non-emergency treatment up front from April, Health Secretary Jeremy Hunt will announce today. It’s a controversial step, but one likely to go down well with voters angry at people from abroad using NHS services without paying. The move is designed as a way of finally meeting a target for hospitals to recoup some £500m from overseas patients – something hospitals have, until now, fallen well short of doing (just £289m was collected in 2015/16). It’s a step which, unsurprisingly, has been greeted with praise in this morning’s newspaper editorials. The Sun says if this new change of rules

Rules for loneliness

An old acquaintance died recently. A friend of mine, who was closer to him than I was, rang to tell me. She’d known him for 40 years and looked after him at various times when he fell ill. He was diagnosed with cancer three weeks ago and died suddenly in hospital last week. She tried to find out what happened, but as she is not next of kin (he had no relations) she will probably never know. Within the monolith of the NHS, patients, particularly the elderly, are able to disappear from view as effectively as prisoners in the Soviet gulag. If they don’t re-emerge alive, no except a close

Letters | 26 January 2017

What is a university? Sir: As a former Russell Group vice chancellor, I think that Toby Young’s appeal for more universities (Status anxiety, 14 January) needs several caveats. First, what is a university? Recently some have been created by stapling together several institutions without any substantial element of research and renaming them as a university. There is even some suggestion that research is inimical to good teaching, because some university researchers with a duty to teach shirk it. But the presence of a weighty research community lends a university an invaluable ambience. In America, many colleges that teach only to the bachelor degree are well regarded without possessing the title of university.

Losing patients

For weeks now, we have been reading about a crisis in A&E — a symptom, we’re told, of a funding crisis in the National Health Service more generally. Since I started working for the NHS almost 45 years ago, this has been a familiar theme: the system is creaking, but a bit more tax money should suffice. To many of us who have seen the system close at hand, another question presents itself: what if the NHS were to cut down on waste? And perhaps recover costs from the health tourists who turn up for treatment to which they are not entitled? I first made the case for doing so

Letters | 19 January 2017

Particle of faith Sir: Fraser Nelson draws our attention to the most worrying aspect of economists getting it wrong, which is their reluctance to recognise it (‘Don’t ask the experts’, 14 January). Some economists, seduced by sophisticated mathematical models, aspire to the status of, say, particle physicists, who can tell us they have found something called the Higgs boson. The fact that we tend to believe the particle physicists despite being more familiar with prices, jobs and buying and selling than with quantum equations comes down to physicists having a long track record of heeding the biologist E.O. Wilson’s advice: ‘Keep in mind that new ideas are commonplace, and almost

The NHS is a vast, gaping, fathomless void

The language of the left is a truly transformative grammar, so I suppose Noam Chomsky would heartily approve. There are words which, when uttered by a leftie, lose all sense of themselves — such as ‘diverse’ and ‘vibrant’ and ‘racist’. It is not simply that these words can mean different things to different people — it is that when the left uses them they are at best a euphemism and at worst a downright lie. And from that you have to draw the conclusion that their whole political edifice is built upon a perpetually shifting succession of imaginative falsehoods. Such as when they tell you you’re a ‘denier’ of something

Word perfect | 12 January 2017

All that’s needed for Radio 4’s One to One series (Tuesdays) to succeed is a sharp-eyed interviewer, ready with the right question at the right time, and an articulate guest, not afraid to speak freely and openly, but with integrity, all too rare these days. In the opening programme, Julia Bradbury talked to Dr Martin McKechnie, an A&E consultant, about the challenges he faces day in day out. It was a timely reminder that not everything in the NHS is broken beyond repair. Most striking, perhaps, was not so much Dr McKechnie’s calm fortitude in the face of terrible human distress (remarkable thoughthis was) but the way he casually dismissed

NHS chief puts up a fight as No 10 row goes public

With the NHS in the midst of a ‘humanitarian crisis’ according to the Red Cross, No 10 appeared to try to pass some of the blame onto NHS chief Simon Stevens this morning, with reports that Theresa May’s senior aides think he is ‘insufficiently enthusiastic and responsive’ when it comes to reducing spending. So, it was bad-timing — or perhaps a case of Downing Street wanting to strike the first blow — that Stevens was hauled before the Public Accounts Committee this afternoon to discuss the problems facing the NHS. Setting the tone for a feisty testimony, Stevens began by contradicting the Prime Minister’s claim that the NHS was given more funding than he

Isabel Hardman

Will more people start paying to see a GP?

One of the many groups getting stick for the current pressure on NHS emergency wards are GPs, criticised for their long waiting lists and inflexible hours which lead to people pitching up at A&E with sore shoulders and the flu. The GP contract, which allowed primary care physicians to opt out of out-of-hours cover, is the popular scapegoat for this, but there’s also the question of whether there are enough GPs in the system at the moment to serve the number of patients who need them. Some patients are giving up on the free NHS primary care system. The doctor can see you now, in your living room, via webcam, using

Why isn’t Labour focusing its efforts on the NHS crisis?

Jeremy Corbyn will shortly give his speech on Labour’s position on freedom of movement, hopefully clarifying whether that is his pre-briefed position that the newspapers published this morning, or his position as set out in his Today programme interview. It was initially briefed that he was ‘not wedded’ to the idea of freedom of movement, but then said Labour would not stop any EU citizens from coming to the UK. To add to the confusion over this policy announcement which appeared to be moving the Labour party to the right on immigration, the Labour leader then did the equivalent of shouting ‘look at that massive left-wing squirrel over there!’ in

Sam Leith

Is there a war on the old?

What’s it like being old? Rotten, says Professor John Sutherland in his latest book The War On The Old — and it’s made worse by what he sees as a systematic and malevolent conspiracy to airbrush the elderly and their problems out of public life. He’s not just complaining about the NHS’s niggardly rationing of Viagra. While millennial pundits moan smugly about the triple-lock pension and free TV licenses, he argues, their grandparents are waiting years for routine operations, being ignored by the political classes and dying of neglect in privatised old folks’ homes. The picture he paints is of something close to a programme of extermination. In this week’s

Jeremy Hunt has a point about A&E

One of the supposed rules of modern politics is that you shouldn’t tell the voters they are wrong. So, Jeremy Hunt saying that a large part of the problem at A&E is people turning up who shouldn’t, is going to come in for some criticism. One can almost hear Labour readying its denunciation of the Health Secretary for trying to blame patients for the NHS crisis that Tory cuts have caused. But Hunt is right about people turning up to hospital too readily. He cites NHS England’s numbers which show that up to 30 per cent of those attending A&E don’t need to be there. It should be noted, though,

Tom Goodenough

What the papers say: An overdue overhaul for mental health and May’s Trump-sized opportunity

Theresa May is launching yet another attempt to define herself as a politician today with a major speech on tackling the ‘hidden injustices’ of mental illness. The Prime Minister has won plaudits for taking on an issue which often gets ignored, says the Daily Telegraph. Yet it’s true that we have been here before, the paper says – pointing out that David Cameron made a similar pledge only a year ago. So what’s different? The Telegraph says there are ‘obvious benefits’ to May’s strategy to finally get to grips with this issue. But with the NHS in such a mess, her targets will be ‘hard to achieve’. There’s little doubt,

Letters | 24 November 2016

Prisons and the public Sir: Your leading article on the sorry state of our prisons (19 November) was very welcome. However, you refer to the ‘public demand’ for sending offenders to prison. I have to query this. I cannot think of any occasion when the public has been consulted on prisons or sentencing policy or on the exceptionally high cost of incarceration. We currently have an unthinking and punitive culture, generated by tabloid newspapers and politicians competing to show how tough they are. It is hardly surprising that the coalition government’s search for savings targeted prison staff and community supervision, with results that can be seen today. Peter Barker (former

Poor mental health care is a ‘stain’ on our country. But whose fault is that?

Today’s warning from every former Health Secretary from the past 20 years about inadequate mental health provision raises a number of questions. The first is whether the government really is serious about its pledge to make parity of esteem between physical and mental health a priority. Mental health has become more of a political issue in recent years, which is a good thing: parties now worry about their standing on the issue because society has become better at talking about mental illness, and therefore more people are aware of the shockingly inadequate treatment that their friends and family are receiving when they fall ill. The Tories became anxious in 2015

Real life | 17 November 2016

The Israeli chef and I have become firm friends since he moved out of my flat. He has his own place now, and is trying to find a job. I take him horse riding at the weekends. On the way down the A3 he asks me all sorts of questions about his new life in Britain and the things he is struggling to make sense of. Like why he can’t get a work visa. He is very upset about this. ‘You have to understand,’ I explain, ‘that the mistake you made was to come here legally and apply to the system honestly and openly, stating clearly that you wanted to

Barometer | 3 November 2016

Strike force Nissan is to expand its plant in Sunderland, building two new models there. The Japanese company is praised for not losing a day to strikes in three decades in the city. But labour relations weren’t always so good. — In 1953, when part of Nissan’s business was assembling Austin cars in Japan under licence, the company suffered a bitter 100-day strike. Occupying US forces became involved, helping the Japanese government to arrest union leaders. — As a result of the strike, a new, less militant union was formed, with a Harvard-educated leader. The union accepted job losses but became involved in discussions over new technology. Global race And where

What the papers say: Should Carney stay?

Mark Carney’s appointment in 2013 as Governor of the Bank of England was almost universally applauded. Yet more recently Carney has become something of a divisive figure. His interventions during the referendum campaign angered many. While his economic policies have also come in for criticism, leading some to call for Carney to quit. So should the Bank of England chief listen to his critics or is it best for Britain’s economy that he stays put? The Daily Telegraph says Carney has been hit by ‘referendum shockwaves’ and suggests that the attacks levied against him during the referendum – whether true or not – have undoubtedly placed him in an uncomfortable position.