Health

The march of the ‘menosplainers’

I think we’ve reached peak menopause. You simply can’t switch on the radio, open a newspaper or watch telly without some fiftysomething media babe banging on about her hot flushes, sudden rages and the feeling of going mad. Davina McCall has just made a whole TV show about it (Sex, Mind and the Menopause), and her book Menopausing is out this month. McCall has likened her symptoms to those felt by people with a brain tumour. Clearly, she has never known anyone with a brain tumour, because those symptoms are a little more significant than simply forgetting where you left your keys, or feeling suddenly hot. I’m not saying there

The NHS failing mothers is nothing new

Can Sajid Javid really say, as he did this afternoon in the Commons, that the government is taking action to ensure ‘that no families have to go through the same pain’ experienced by those affected by the biggest maternity scandal in the history of the NHS? The Ockenden inquiry into the maternity services at the Shrewsbury and Telford Hospital NHS Trust published its final report today, concluding that ‘repeated’ failures in care may have led to the deaths of more than 200 babies, and of nine mothers. The individual stories of stillborn babies, infants severely and sometimes fatally harmed, and women’s pain being dismissed are deeply distressing. What is worse

Isabel Hardman

Are we falling out of love with the NHS?

Clap for carers now feels like ancient history. Public satisfaction with the NHS is at its lowest since 1997, according to a new study out today. The British Social Attitudes Survey finds overall satisfaction with the health service at just 36 per cent, a record-breaking fall of 17 points since 2020. People often relate to the health service through GPs and their experience of A&E. The latter has experienced a record-breaking 15 point fall, now at 39 per cent satisfaction, its lowest level since the BSA started asking questions about A&E in 1999. It’s worth remembering that in 1997, when public satisfaction with the NHS as a whole was at just 34

Could the private sector help fix the NHS backlog?

The Conservative plan to tackle the NHS backlog has, so far, run roughly along the lines of the New Labour approach to the hefty waiting lists in the health service at the turn of the century. More money, more flexibility when using the private sector and greater ‘patient choice’ (which in this context translates as patients who’ve been waiting a very long time being able to get treatment in another part of the country where waiting lists aren’t quite so bad). So far, the main difference is that ministers are just shouting a bit less at hospitals (though GPs might argue they are bearing the brunt this time instead) than

Britain is facing a cancer care timebomb

As many as 100,000 patients had a cancer that was missed, or had their diagnoses or treatments delayed during the lockdowns of 2020 and 2021. That’s the shocking finding of a recent study by the Institute of Cancer Policy at King’s College London. The experts conclude that some patients will already have died, many still haven’t been diagnosed and others will already have a more advanced cancer as a result of the delays. And it is likely this figure of 100,000 will continue to rise as more data from 2021 and early 2022 is analysed. In other words, there could not be a more important time to fix cancer care

The delicate business of writing poetry

Living, as Clive James put it, under a life sentence, and having refused chemotherapy, I find I respond to the time issue in contradictory ways. On the one hand, I read avidly, almost as if I’ll be tested at some later date. I am morbidly well-informed on current affairs, the status of the old white male and the situation in Ukraine. I crawl through Lucretius and Horace in search of wisdom. On the other hand, I avoid my favourite filmic masterworks (Chinatown, On the Waterfront, The Remains of the Day, Saturday Night and Sunday Morning) in favour of Secret Army, The Edgar Wallace Mystery Theatre and any 1950s thriller that

Did Storm Eunice really break records?

Blow by blow Did Storm Eunice really set a new record for wind speed in England? A 122 mph gust measured at the Needles on the Isle of Wight is, according to the Met Office, provisionally the fastest ever recorded in England. Greater speeds have been measured in Scotland: 173 mph on Cairngorm summit on 20 March 1986 and 142 mph at Fraserburgh on 13 February 1989. Northern Ireland, too, has recorded a faster gust, of 124 mph at Kilkeel, County Down on 12 January 1974. Last week’s record is only provisional. One suspect detail is that it is more than 30 mph faster than any gusts recorded elsewhere. The

The healing power of medieval austerity

Eighty yards west of the high terrace where I’ve sat for three weeks recuperating is a hospice built for Napoleon’s veterans. Solidly constructed high up in the south-facing cliff-face, it comprises a complex of walkways and balconies interconnected by precipitous staircases. It is easy to imagine the battered survivors of Leipzig and Borodino perched up there on those ledges exposing their sabre cuts and bullet wounds to Dr Sun. Which we’ve had plenty of lately. Sun-worshippers of an envious disposition look away now: the year so far has been almost cloudless. Every day the same pale blue horizon. Freezing nights, though. At sundown I ferry my collection of pot-grown cacti

I got Covid (again) – is it time I got jabbed?

I got Covid a couple of weeks ago. Second time for me, which was annoying because I’d told Caroline that natural immunity provided better protection than the vaccines. She’s the only member of our household who’s been jabbed and began to feel quite smug as we all tested positive, one after another. It didn’t matter how much data I presented her with showing how quickly vaccine effectiveness against Omicron wanes, not least because I couldn’t prove I’d got Omicron. As far as she was concerned, I’d lost the argument. While I was ill I read the following sentence in an article by Ed West, which put the wind up me:

The art of choosing ‘healthy’ wine

I’m entirely convinced that, when drunk in moderation, wine is good for us, with its benefits far outweighing its potential harm. It certainly reduces stress, a contributory factor in around a fifth of all heart attacks, and helps us socialise, raising our ‘feel-good’ dopamine and serotonin levels. All of which should make us think twice about a completely dry January, whatever the level of our festive indulgence. Red wines are high in chemical compounds such as resveratrol – an antibiotic agent and antioxidant which some studies suggest might play a part in protecting against heart attacks, strokes and cancer – and saponin, an antioxidant which might help reduce cholesterol. If

Why is the Treasury blocking a helpful health reform?

The Health and Care Bill is having a predictably stormy passage through parliament, popping up in the Lords next week for its second reading. If you’d paid only cursory attention to its closing stages in the Commons then you might be forgiven for thinking the legislation is largely about reform to social care and privatisation of the NHS. In reality, the social care policy was inserted at the last minute, and it’s only an amendment covering the cap on care costs, while privatisation has become something left-wing politicians like to warn is about to happen regardless of what’s in the bill before them (more on that here). It is not

Chris Whitty on the Omicron variant

This is an edited transcript of Professor Chris Whitty’s remarks at today’s Downing Street press conference The existing situation is almost entirely Delta.  In terms of numbers of cases, it is broadly flat. In younger children, there is quite significant transmission at this point in time, and rates are increasing in many parts of the country. At the other end of the spectrum, as a result of the booster programme almost certainly, rates are beginning to drift downwards in people over 60 and particularly people above 70. So we’re seeing an improvement in the group who are most vulnerable.  The numbers going to hospital are gradually decreasing. This is not a

Frustration grows with Boris, but the social care cap passes

MPs have approved the government’s social care cap in the Commons. But the vote doing so was narrow, and there seem to have been a lot of Conservative MPs either abstaining (which would be a rebellion against a three-line whip) or absent. Some will have been unwell, and ‘slipped’, as it is known, for other reasons. But some may have agreed with the whips that their car was due to break down or a tooth due to need emergency dental work, thus preventing them from voting against this controversial amendment. Others, like Matt Hancock, gave such rousing speeches in its favour that casual observers might have been forgiven for thinking

The best podcasts about money

Stories about money are never about money. They are about pain, about family, about atrocity, about luck, about health, about politics. And while we get a kind of vicarious thrill from listening to other people’s financial tales of woe, whether we are morally condemning a millennial for buying a daily flat white when she could be putting that $3 into a savings account that earns zero interest in the hopes that the city she lives in won’t be underwater from rising sea levels by the time she has enough for a deposit or just feeling gratitude that we are better off than the poor shmuck explaining their hundreds of thousands

Central planning won’t solve the problem of GP shortages

Under plans being considered by ministers, GPs in affluent parts of England could be barred from taking jobs in wealthy areas to force them to work in deprived areas, in a bid to address health inequalities. The solution to doctor shortages, apparently, is to make the job less attractive. This would be the healthcare equivalent of the government taking charge of the hospitality industry and informing the owners of the Ivy that all new restaurants should be located in towns north of the Watford Gap, to ensure the pleasures of fine dining are evenly enjoyed across the country. And yet the Social Market Foundation (SMF) who put forward this proposal

Britain is running desperately short of midwives

On Sunday 21 November, midwives will be holding peaceful vigils in city centres around the country as part of March with Midwives UK. Is this another group of public sector workers campaigning for greater pay and longer holidays? Unfortunately not – if the problem was that simple, a remedy would have easily been found by now. The nation’s midwives are instead taking action to preserve the women in their care and their profession from desperate and dangerous staffing shortages. I am in my third decade working as a consultant obstetrician. In all that time, I have never seen the midwives I know and work with so demoralised, so drained and so

Sleaze isn’t the biggest danger to Boris Johnson

This week’s events have undoubtedly done the government damage. But I suspect that ultimately its fate will be determined by whether its gamble of raising taxes to put more money into the NHS results in much lower waiting lists — or just grumpy taxpayers. Reducing the backlog will require more capacity. So, it is worrying that the Department of Health doesn’t know how many extra doctors and nurses it will need to clear the backlog. The government is currently miles off even its pre-pandemic target of 6,000 extra doctors by 2024. Optimistic numbers suggest there might be 300 more than in 2019, but others think things have gone backwards. If these

Do you really need to see the GP in person?

Only later, perhaps even a decade later, as the pandemic of 2020-22 shrinks in our rear-view mirror, may we be able to assess its enduring consequences. So I am only speculating when I suggest that one of these may be the beginning of the slow death of general practice in the United Kingdom. And, no, this will not be a column attacking Britain’s GPs, whom I think to be mostly dedicated and hard-working men and women whose careers are demanding, whose work is difficult, and who are not paid excessively for the hours and expertise they bring to their vocation. Rather as with the class for which we use the

Boris has no answer to the backlog crisis

Jeremy Hunt asked an entirely reasonable question of the Prime Minister today in the Commons — and got an entirely unreasonable answer. Hunt raised an amendment he is tabling which would require Health Education England to produce regular forecasts for the numbers of doctors and nurses that the UK needs to train. This is quite a small thing to ask for, but Johnson’s response was first to dodge his way around the question, and then to turn the issue into a party political attack on Labour. He said: My right hon. friend is absolutely right that we have to ensure that our NHS has the staff that it needs. That

Will education be the big Budget loser?

Which departments will fare the worst from this week’s Budget? It won’t be the Department for Health and Social Care. Over the past few days, new funding announcements have appeared in the papers meaning the NHS will be handed another £5.9 billion. That’s in addition to the £12 billion a year investment it will receive as a result of the health and social care levy. Meanwhile, Whitehall sources suggest that Michael Gove has had some luck in his push for more funds for the levelling up agenda. Where the mood music is less positive is education. When Sir Kevan Collins stepped down from his role as Boris Johnson’s education catch-up tsar over the