Health

Look, I don’t know much epidemiology. Can’t pretend to. So what follows is, necessarily, a personal finger to the wind. But perhaps it chimes with your experience.  First time round — back in the days when we were all huddled indoors, leaving the house only to stand on the doorstep of a Thursday night to bang pans with a wooden spoon, or making solo expeditions to a denuded supermarket where we do-si-dohed around each-other in the aisles… yes, back in those days, I didn’t know very many people who got Covid. Acquaintances, the odd friend. Some scary stories. Some scarier statistics. But not so many ‘rona stricken friends. Could we inch

Is the government considering activating its ‘plan B’ Covid plans? Not yet.  After the Business Secretary played down talk of new restrictions this morning, Sajid Javid used today’s press conference to confirm that he would not be implementing the back-up plan ‘at this point’. However, the Health Secretary suggested that further measures – namely vaccine passports, work-from-home orders and mask mandates – could not be ruled out if the data substantially worsens. The main message from the press conference: get vaccinated There was a marked change in tone from Javid since the days soon after his appointment as Health Secretary when he declared that there was ‘no going back’. He said that

In six years Sajid Javid has had six cabinet jobs. He has been culture secretary, business secretary, communities secretary, home secretary and chancellor — and, just over 100 days ago, he was made Secretary of State for Health. When we meet on stage for an interview at Tory party conference, I ask him about his credentials for the job. He has none. ‘But that’s not unusual for a health secretary,’ he chirps. And experience? He has visited a few hospitals. He then offers the story of his early run-in with the NHS. As a child, he had his appendix removed in hospital. ‘Next thing I remember is being back at

The Tory conference in Manchester will be a relatively muted affair. In part, this is because — as I say in the Times today — of the fuel crisis. Ministers are acutely aware that even if petrol queues ease this weekend, the autumn will be full of such difficulties. What is known in government as the EFFing crisis — energy, fuel and food — will be a theme of the next few months. Even cabinet optimists think the shortage of lorry drivers will produce flare-ups over the coming months as supply chains come under pressure. Johnson’s conference speech will be in line with his recent Gaullist turn But conference will also

One of the great lessons from the early stages of the pandemic was the need to shorten supply chains and make them more robust. This was especially true for medical supplies. Just-in-time supply chains have been developed over the years to increase efficiency, but had never been tested in a global crisis when demand for certain medical products is high and supply is weak. The government ended up paying huge sums for PPE which, in some cases, was not even suitable for use. The shortage raises eyebrows because a plastic tube is, after all, a plastic tube It seems the lesson has not entirely been learned. There is now a shortage of

You always remember when a prime minister calls you to ask you to take on a new role, and you remember the reaction of your loved ones, too. My mum was delighted — like many Asian mothers she wanted at least one of her five sons to be a doctor and she was thrilled that I would be, as she put it, ‘working in healthcare’ after all these years. My wife was concerned about the pressures of the role and what it might mean for our family. And my daughter was worried that I might not look the pinnacle of health walking through the famous Downing Street door, due to

Effective cabinet ministers are ones who work out what they want to do in a department on arrival, and then stick to that very small set of priorities whatever the political winds and storms. Michael Gove had this approach in the Education department, setting himself three priorities and then focusing on getting them delivered. Not only did he then replicate this approach in his subsequent Whitehall briefs, but he also inspired other ministers to do the same. Jeremy Hunt, who largely modelled himself on Gove when he became health secretary, also gave himself a small list of things he wanted to do in his time overseeing that brief. Now, it

Are the Conservatives going to repeat their mistakes of a decade ago on NHS reform? If a week is a long time in politics, perhaps ten years is such a lengthy period that it erases the memory entirely. The current Health and Social Care Bill is due for publication any day now and contains much of the same potential for an almighty political row as the Andrew Lansley reforms of 2011. Senior Whitehall figures and MPs have predicted that Matt Hancock’s new legislation could be ‘Lansley mark ii’, as I write in today’s i paper. In talking to MPs across the Conservative party, from backbencher to minister, and from lockdown sceptic to restrictions

Along with many of my colleagues, I have been arguing for years that the current structure of the NHS cannot survive. Giving the health service endless money won’t make a significant difference, unless its core structures are changed. It is therefore very interesting to see that Matt Hancock, in the middle of the pandemic, has unveiled a package of major changes to healthcare, the essence of which is to reverse the Lansley reforms. One of the reforms the health secretary is taking aim at is the purchaser/provider split, which I have identified in the past as one of the ‘four crumbling pillars of the NHS’. The split involves regional panels