Jeremy hunt

So the near collapse of A&Es around the country is all my fault?

Oh, I see. So it’s my fault. There I was, thinking that the general swamping and near collapse of accident and emergency services in hospitals across Britain might be the result of, you know, some sort of systemic problem within the NHS. With me, a mere member of the public, just being an occasional victim. But no! Apparently it’s all because I took my wailing two-year-old daughter in, one Sunday afternoon last year, to get some antibiotics for her ear. This is good to know. For, had I not been told that all this was the fault of chumps such as me heading to such places for the sorts of

Is the NHS ‘crisis’ too complex for politicians to solve?

Is the NHS in crisis, or isn’t it? Jeremy Hunt doesn’t want to use the word, telling the Today programme that ‘there’s a huge amount of pressure’, while Norman Lamb argued that ‘I wouldn’t describe it as a crisis’ but ‘I readily acknowledge that the system is under intense pressure’. Few politicians want to describe something they’re notionally responsible for as ‘in crisis’ (though Lamb isn’t afraid to use pretty strong language about some areas of his portfolio, including mental health). But whatever word they use, ministers know that things aren’t hunky dory in accident and emergency departments at the moment – and this hasn’t been a cold winter. The

The new CEO of the Arts Council has been announced – Guardianistas won’t be happy

It is difficult to describe with equanimity the culture shock that has been administered to Arts Council England, the 69 year-old benefits office for the creative industries. Invented by Maynard Keynes to nurture the grass shoots of an English renaissance with a few quid here and there – £25,000 for Covent Garden, £2,000 for the LSO – ACE has burgeoned into a mighty quango that distributes £1.9 billion of public cash and £1.1 billion of lottery money over three years. It feeds not only the performing arts but museums, galleries, monuments, public libraries, poetry and pottery. It is a nanny state in miniature which, over the past generation, has become

Jeremy Hunt and Andy Burnham’s NHS battle heats up

Two politicians unashamedly and eternally at one another’s throats are Jeremy Hunt and Andy Burnham, scrapping over who cares more about ‘Our NHS’. Today Hunt has written to Burnham complaining about a story in the Sunday People this weekend that 1,800 nurses have left the NHS in two months. Hunt is accusing Burnham of dodgy figures, writing: ‘As you will know as a former Secretary of State for Health, nursing numbers are subject to seasonal variation, which means there is always a temporary dip in the summer months – including when you were in office. You selected a random time period in order to present the most alarming scenario possible

Call them crazy – the foolhardy new incentives for dementia diagnoses

Remember this time last year, when Jeremy Hunt decried the ‘national shame’ of neglected old people suffering from undiagnosed dementia? The health secretary lamented that fewer than half of dementia cases are ever diagnosed, and promised ‘to make a big change.’ His initiative got rave reviews at the time. Now that the details are in, not so much. ‘A bounty on the head of certain patients’ is how the head of the Patients Association characterised NHS England’s new scheme, to pay doctors £55 per patient whom they diagnose with dementia. The so-called ‘Dementia Identification Scheme‘ began on October 1 and runs through March 31. It is, per the NHS document,

The fascinating history of dullness

At least I’ve got my husband’s Christmas present sorted out: the Dull Men of Great Britain calendar. It is no doubt intended ironically, as travelling the country photographing old pillar-boxes, for example, does not strike me as being in the least bit dull. I had thought that dull, in reference to people, was a metaphor from dull in the sense of ‘unshiny’. ‘Dieu de batailles!’ as the Constable of France in Henry V exclaims of the English, ‘where have they this mettle?/ Is not their climate foggy, raw and dull?’ But I was quite wrong, as so often. It started off (in the form dol) meaning ‘foolish’. In English almost as

If David Cameron wants seven-day GP clinics, he’ll need market reform

Today, David Cameron will pledge that if he’s re-elected he’ll give everyone access to a family doctor seven days a week. He will say:- “People need to be able to see their GP at a time that suits them and their family. That’s why we will make sure everyone can see a GP seven days a week by 2020. We will also support thousands more GP practices to stay open longer, giving millions of patients better access to their doctor. This is only possible because we’ve taken difficult decisions to reduce inefficient and ineffective spending elsewhere as part of our long-term economic plan. You can’t fund the NHS if you

Revealed: The hidden crisis in Britain’s ambulance services

[audioplayer src=”http://traffic.libsyn.com/spectator/TheViewFrom22_28_August_2014_v4.mp3″ title=”Mary Wakefield and Julia Manning discuss the ambulance crisis” startat=63] Listen [/audioplayer]Last month I wrote about the weird exodus of paramedics from London’s ambulance service. Flies would blanch at the rate they’re dropping, and so I was curious — and also anxious. Everyone who lives in this heaving city relies upon 999, and 999 relies upon paramedics. The official reason, given to me by Mr Jason Killens, the tough-sounding director of operations at the London Ambulance Service (LAS), was that they’re leaving because they’re underpaid. But as I wrote back then, I wasn’t convinced. It turns out Mr Killens wasn’t quite convinced either, because since we spoke, the

Jeremy Hunt opens the attack on the Working Time Directive

For years, Secretaries of State for Health have studiously ignored one of the most corrosive regulations to the NHS: the European Working Time Directive. Although the EU is not supposed to have any remit over health, this ‘health and safety’ directive limits junior doctors’ hours to an average of 48 hours per week, with added ECJ judgements imposing compulsory immediate compensatory rest time should hours be breached – and ‘on-call’ time classed as work, even if the doctor is fast asleep. This rigid imposition is neither healthy, nor safe; with junior doctors complaining that it has led them to do illicit work to get sufficient hours of training in, unpaid,

Five things you need to know about the NHS’s Jimmy Savile report

The NHS has released the findings of its investigations into Jimmy Savile’s relationship with several hospitals and the accusations of abuse. Leeds General Infirmary has been the location of the most shocking incidents, which occurred from 1962 to 2009. Victims have reported abuses ranging from inappropriate comments to sexual assault and rape. Here are the five things you need to know about the latest Savile revelations: 1. Savile ‘interfered with the bodies of deceased patients’ Long-circulated rumours about Savile and necrophilia appear to have some credence, according to the Leeds report. It appears his unfettered access to the Leeds General Infirmary led to an interest in the mortuary which  ‘was

‘A great experience during my colposcopy’ – inside the NHS’s new Accountability Hub

Sunlight is said to be the best of disinfectants. Jeremy Hunt has taken up this mantra with the launch of the NHS’s Accountability Hub today. As well as offering information about your nearest GP or hospital, the NHS Choices website is now full of patient safety indicators which, according to the Department of Health, offer an ‘unprecedented amount of patient safety information to allow patients, regulators and staff to see safety performance across a range of indicators.’ All sounds like a good idea, so I had a poke around to see how much information was available on two hospitals I’ve had the pleasure of visiting — one in London, one

Let’s not stop at Maria Miller. Let’s get rid of the Department of Culture completely

The arts world will not shed a tear at the news that Maria Miller has resigned. Though it was Jeremy Hunt who wielded the axe to the arts budget, it was Maria Miller who spearheaded a shift in philosophy in the Department of Culture, Media and Sport that arguably annoyed the luvvies even more than the cuts had done. Breaking the only rule that the arts world still deem sacred, Miller demanded, in her only keynote arts speech last April, that culture ditched the art-for-art’s-sake argument for its existence and replace it with an art-for-the-economy’s-sake argument. ‘When times are tough and money is tight, our focus must be on culture’s

In praise of those who have improved healthcare in Staffordshire

Last week, the House of Commons considered the vital matter of the Francis Report – one year on. It is quite difficult at this stage in the tragedy of Stafford hospital to recall how it all came about and the difficulties that those of us who experienced it had to endure, the patients and the victims in particular. There was complete and total resistance, a granite-like refusal, to having a proper look at what was going on. A tooth and nail battle had to be fought to get the Inquiry in the first place, under the Inquiries Act 2005. I was absolutely astonished that successive Secretaries of State completely refused,

What the NHS owes the Tories

[audioplayer src=’http://traffic.libsyn.com/spectator/TheViewFrom22_23_January_2014_v4.mp3′ title=’James Forsyth discuss the NHS with Charlotte Leslie MP’ startat=1430] Listen [/audioplayer]Pinned to the wall of Jeremy Hunt’s office in the Department of Health is an A1 piece of paper detailing that week’s ‘Never Events’. It catalogues the mistakes that have been made in NHS hospitals that should never have happened: people having the wrong leg amputated, swabs being left inside patients after surgery and the like. This grim list is a rebuke to the glib, Danny Boyle-style rhetoric which dominates all political debate about the NHS and treats any attempt to examine the failings of British health care as heresy. One can’t imagine Andy Burnham, the last

Gendercide, abortion and hypocrisy of the pro-choicers

There was a lovely little ultrasound picture of a foetus to illustrate the Independent’s splash today about the incidence of sex-selective abortions in Britain. According to the paper’s analysis of ONS statistics, the incidence of second daughters among immigrants from Pakistan and Bangladesh and possibly those from other countries such as India isn’t quite the same as in the population at large. Either immigrants from these groups are, more than the rest of us, having child after child until they have a boy or they are simply aborting second pregnancies where the foetus is a girl in order to ensure their next child is a boy: most probably, according to

After Mid-Staffs, the NHS needs whistleblowers – and whistleblowers need protection from the public

It is impossible, I would have thought, to have heard Debbie Hazledine’s account on the Today programme of her late mother’s mistreatment at Mid Staffs Hospital and not to have thought ill of the hospital in question. An institution in which such callousness thrived for so long must have few friends left, you might imagine. And yet the strangest thing about the Mid Staffs scandal is the defensive feeling it has inspired. The ‘Save Mid Staffs’ campaign has been vocal at points, while Julie Bailey, the Mid Staffs whistleblower, appears to have been persecuted. In front of this backdrop, a debate about what should happen to wards in failing hospitals has morphed into a full-on slanging

The return of the family doctor?

Ministers have described the deal on GP contracts, negotiated by the government and the British Medical Association (BMA), as a return to the days when GPs were family doctors. Certainly, it is a step in that direction. The contract, which will come into force next April, revives the personal link between doctor and patients aged 75 or over, and makes GPs responsible for out of hours care. The Department of Health says that GPs will also be: offering patients same-day telephone consultations; offering paramedics, A&E doctors and care homes a dedicated telephone line so they can advise on treatment; coordinating care for elderly patients discharged from A&E; regularly reviewing emergency

Sir Bruce Keogh denies that he is proposing two tier A&E

Sir Bruce Keogh’s anticipated review into accident and emergency has been published today to a chorus of praise and boos. The Mail describes it as a ‘sticking plaster’. The Independent is cautious. The Guardian is critical. And the Telegraph and the Sun are more positive. Sir Bruce Keogh gave a masterly performance on the Today programme, which may go some way to calming fears in the press. He said that the current system, which was designed in the 70s for the 70s, is unsustainable. At the root of his analysis is the belief that the present system is inefficient because patients have to go to the NHS to receive attention,

The next bitter battle over the NHS is looming

It’s been a while since we had a nice big fat NHS row, but those who enjoy watching Andy Burnham and Jeremy Hunt fight over the ‘party of the NHS’ crown can rest assured that there’s a really bitter one coming up this autumn. NHS England has spent the past few months consulting on a change to the way clinical commissioning groups are funded that could end the current arrangement where more money per capita is spent on patients in deprived areas. The formula currently being considered would make the number of elderly people in an area a more important factor in the size of the grant that each CCG