Dementia

A stranger to oneself

Wendy Mitchell was diagnosed with dementia at the age of 58, three years ago. At the time, she was a non-clinical team leader in the NHS, managing rosters for hundreds of nurses and keeping much of the information stored in her head. She lived in York and had brought up two much-loved daughters on her own. She was clearly efficient, organised and independent. Mitchell realised something was wrong when, after a series of falls, she experienced a distinct lack of energy (she had been a keen runner and walker): a ‘fog’ in her head. The diagnosis was slow — her GP initially told this fit and able woman that ‘there

Fixing social care is key to the future of the NHS

On 12 September, The Spectator hosted a round-table dinner, sponsored by Bupa, to discuss the future of healthcare in Britain, involving MPs and practitioners. This is a summary of the evening’s discussion. We are forever being told that the health and social care system is in crisis thanks to government ‘cuts’. The trouble is that political parties which try to be honest about the rising cost of healthcare, and come up with solutions as to how we will fund it, tend to be given a rough reception – as the Conservatives discovered when they launched their manifesto for this year’s election, which saw their proposals for social care funding damned

Speed limit | 19 October 2017

Slow radio is popping up everywhere at the moment — programmes that have no outward form but just meander through the schedule, and often, but not always, are played out live in real time. In spite of their spontaneous feel and free flow these programmes have usually been carefully orchestrated, and that’s part of slow radio’s appeal: crafted to sound like life itself, impressionistic, en plein air, long-running. It’s not to everyone’s taste — too slow, too redolent of nostalgia for a mystical past where there was once time and space to think. Who wants to follow Horatio Clare’s every footfall as he tramps for ten miles along Offa’s Dyke

Light at the end

It’s an irony of our secular age that the more we fear death, the more enticing we find it. The past few years have seen a slew of bestsellers on the subject — Atul Gawande’s Being Mortal, Julian Barnes’s Nothing to be Frightened Of, Paul Kalanithi’s When Breath Becomes Air, Henry Marsh’s Do No Harm (a title taken from the Hippocratic Oath —an oath no doctor actually swears). To this crowded field Robert McCrum brings a book both intensely personal — he reflects not only on his mortality but on the death of his marriage — and coolly objective. It’s proof, yet again, that death makes for lively reading. Twenty-one

How the dementia tax – a ‘nasty party’ policy – lost Theresa May her majority

Pundits and pollsters have spent the last year trying to explain what the Brexit vote meant. Was it right-wing or left-wing? Was it about immigration or sovereignty? Was it a bit racist? They’ll do the same for this election – trying to pinpoint where it all went so humiliatingly wrong for Theresa May. But to me one answer, even so soon after shock result – and before we’ve been able fully to analyse the results – stands out by a mile: the dementia tax.  There are five reasons, I’d argue, why it ruined Theresa May’s election campaign and may have been the key factor in destroying her parliamentary majority. 1. It was a ‘nasty

This election will be remembered as a triumph for the wealthy

This dismal, unnecessary election, conducted between the scream of police sirens and the murders of civilians, will be remembered for one thing only: the dementia tax. In years to come, political pros will shake their heads at the naivety of Theresa May. She appeared invincible, they will say. All she had to do was to keep quiet, turn up and she would win a landslide victory. Then she faced one of the great questions of the day. Everyone says they want politicians to do that. Who has not exclaimed that they must stop listening to focus groups and be brave? May was, and see how she has suffered. The PM

May’s mistakes

On the eve of the US presidential election, experts at Princeton university decided that Donald Trump had a 1 per cent chance of being elected. Before the last general election, Populus, the opinion poll firm, gave David Cameron a 0.5 per cent chance of winning a majority. Much is made of the need to look at ‘the data’ when considering political arguments, but so often it is a wildly inaccurate guess with a decimal point at the end to give an aura of scientific specificity. So when we read that Jeremy Corbyn has just a 17 per cent chance of becoming prime minister, this does not mean that the election is in

Letters | 1 June 2017

Ignoring the hadith Sir: Douglas Murray and Jenny McCartney (‘The known wolf’ and ‘A war on joy’, 27 May) are correct to cite hatred of women and young girls and fear of their independence as a trigger for terrorist violence — witness Malala Yousafzai. But it is of course not the only trigger since, denial notwithstanding, it is against the generic and non-gender-specific ‘infidel’ that the Koran fulminates. The prohibition said to exist against killing women and children in war is not found in the Koran (of divine infallibility) but in the hadith (of debatable provenance on a case-by-case basis). The alleged prohibition thus forms a secondary and ultimately dispensable

James Forsyth

Weak and wobbly

When Theresa May decided to go for an early election, she transformed the nature of her premiership. Up to that point she had been the steady hand on the tiller, righting a ship of state buffeted by the Brexit referendum. By going to the country to win her own mandate, she sought to become more than that. She wanted her own sizeable majority and, in so doing, invited comparison with the two prime ministers who have done the most to shape modern Britain: Margaret Thatcher and Tony Blair. She was asking to be judged against their electoral triumphs. At the start of this campaign, May looked comfortable in this company.

A dementia tax would be a euthanasia bonus

Had Theresa May not on Monday summarily abandoned her manifesto threat to raid the savings of those who end up senile in care homes, I had planned to defend the idea here in terms that might have added to her woes.  I’ll do so regardless. The so-called dementia tax would, over time, have become a euthanasia bonus. And that would be a good thing. As I argued on this page two weeks ago, morality is the father of religion, and not the other way around. Secular morality can be largely explained by social Darwinism. For a society to prosper it requires an ethical framework that boosts, rather than encumbers, the

U-turns matter less than journalists think, especially if voters like the result

This is the latest in a series of posts that could be entitled ‘things I could never say when I was a political journalist but now I can.’  Today’s topic: U-turns. The bottom line: they don’t matter, or at least, they don’t matter anywhere near as much as most of the coverage of them suggests. Theresa May has changed her mind on social care. Political Twitter is still, as I type, in the sort of excited spasm that suggests that this is an event that will change EVERYTHING.  To some, Mrs May has shattered forever her image as a strong, steady leader. A slightly more sophisticated take suggests that she’s shattered

Five reasons why the ‘dementia tax’ U-turn was inevitable

‘The Tory “dementia tax” could backfire for Theresa May’ was the Coffee House take last Thursday, perhaps the first mention of that phrase in the media last week. It took a few days for the announcement to sink in, and for the ‘dementia tax’ tag to stick. But it most certainly has backfired now. Jeremy Hunt tells the Evening Standard that the government wants to ‘make sure that people who have worked hard and saved up all their lifetimes do not have to worry about losing all their assets’. It seems there will, after all, be a cap on what an individual has to spend on care. Theresa May has separately promised a consultation that will at

Tom Goodenough

Theresa May forced into ‘dementia tax’ U-turn by Jeremy Corbyn

Theresa May promised ‘the first ever proper plan to pay for – and provide –social care’ in the party’s manifesto. Four days later, that plan has now changed. The Prime Minister has said that there will, after all, be a cap on the amount people have to pay for the cost of their care. So what made May change her mind? Jeremy Corbyn, according to the PM. May said that ‘since my manifesto has been published, my proposals have been subjected to fake claims made by Jeremy Corbyn’. The reaction to the policy, May suggested, meant that the government would ditch the manifesto plan. The Labour leader doesn’t get a lot

James Forsyth

Theresa May forced to defend U-turn in her most difficult interview yet

Today was not a day that Theresa May will want to repeat anytime soon. In the morning, she had to U-turn on one of the centrepieces of her election manifesto and in the afternoon, she faced the most difficult interview she has had as Prime Minister. Theresa May never really got onto the front foot in her half-hour interview with Andrew Neil. She spent the first ten minutes of the interview claiming that the principles behind the Tories’ social care policy hadn’t changed, while Andrew Neil hammered the point that something has: there is now a cap whereas the manifesto had explicitly rejected one. May was also uncomfortable on the

Diary – 18 May 2017

On the heels of the Today programme’s invitation to discuss ‘cultural appropriation’ (again), the New York Times reported the disheartening fate of a Canadian magazine editor, Hal Niedzviecki. ‘Anyone, anywhere, should be encouraged to imagine other peoples, other cultures, other identities,’ he wrote, gamely proposing an Appropriation Prize for the ‘best book by an author who writes about people who aren’t even remotely like her or him.’ After the usual social media shitstorm, Niedzviecki had to resign. The Times correctly quoted me asserting that this cockamamie concept threatens ‘our right to write fiction at all’. You can’t claim exclusive title to a culture as to real estate, territorial incursions into

The cops should have said: it’s just Stephen Fry, what did you expect?

Coming to a workplace near you, perhaps — masturbation breaks. The policy was first recommended by a psychologist at Nottingham Trent ‘University’ and has now been supported by Dr Cliff Arnall, who is a life coach. These brief moments of respite in the working day would, according to old Cliff, result in less aggression, higher productivity and more smiles. I’m sure he’s right. ‘I’ll read the lesson in a few minutes, Justin, I’m just off for a quick Sherman. Pass me that copy of the Tablet, will you?’ I do wonder if in some workplaces — the BBC commissioning centre, all advertising agencies, Channel 4 News, the Law Society —

Old, unhappy, far off things

August Geiger led an unremarkable life. Born in 1926, the third of ten children of a Catholic farming family in western Austria, the most unusual thing about him was his unwillingness ever to leave Wolfurt, the village where he had grown up. He built a house there, for his schoolteacher wife and their children, and refused ever to go on holiday. His wife had suggested that they go on a walk and call it their honeymoon, but August rejected even this slight change in his routine. It was, therefore, particularly poignant that when he developed Alzheimer’s disease, August’s dominant obsession became his desire to go home. Nothing could convince him

Low life | 20 October 2016

In 1999 I went to the doctor about the impotence. Don’t worry, he said. I have good news for you. He prescribed a new drug called Viagra to get me over the psychological hump. It worked; spectacularly. In 2001 I went to the doctor mumbling about depression. Don’t worry, he said. I have good news for you. He prescribed a new drug called Prozac to lift me out of it. Within three months I was back on the poop deck of this ship of fools with the wind in my hair and salt spray on my face. In 2013 I went to the doctor because I couldn’t pee. A blood

Shaw thing

T.E. Lawrence is like the gap-year student from hell. He visits a country full of exotic barbarians and after a busy few months rescuing them from their spiritual frailties, and helping them emulate their Western superiors, he returns home and never stops boring on about it. ‘How much I learned from them,’ he gushes, when what he means is, ‘How much they learned from me.’ That’s always been the view of Lawrence’s critics, among them fellow British army officers, who saw him as a reckless, attention-seeking fantasist. Howard Brenton’s new play offers a more charitable portrait of Lawrence as a brilliant, sensitive, rootless genius. The action opens with him newly

Letters | 3 March 2016

What might have been Sir: Harry Mount points out that Boris Johnson is two years older than David Cameron (Diary, 27 February). Both, however, began their careers in the same year. On 15 June 1988 I interviewed David Cameron for a post in the Conservative Research Department; on 26 July it was Boris’s turn (‘Johnston’ in my diary). The former was signed up to cover trade and industry issues (memorably forgetting the trade figures when Mrs Thatcher asked him for them). Boris was invited to follow in the footsteps of father Stanley, who had been the department’s first environment expert in the Heath era. But journalism lured him away. Would