Nhs

Today

Michael Gove

Has Reform peaked? – racism allegations & Farage's toughest week yet

45 min listen

After a summer in which Nigel Farage seemed to bend the news cycle to his will, Michael and Maddie ask whether the party’s momentum is slipping. Do the allegations dredged up from Farage’s schooldays mark a decisive turning point – or, perversely, strengthen his outsider appeal? And with questions over Reform’s election spending, defections from the Conservatives, and the small matter of finding 500 people to staff a government, is the insurgent right entering its moment of vulnerability? Then: two stories that lay bare a crisis in women’s healthcare. Baroness Amos’s damning interim review of maternity services and the astonishing employment tribunal ruling in the Sandy Peggie case raise the

Thursday

Rod Liddle

Hands off my prostate

Too much information. That’s what you’re about to get. I wouldn’t read another line if I were you. I will be talking, at length, about my prostate and, by extension, my old fella and why I will not let the medical clergy anywhere near either of them, not the private medics or the chaotic maniacs who work for the NHS. I don’t mind whipping it out for you, though – and so this is an article which is both repulsive in its personal revelatory details and will also, if anyone takes it seriously, result in 230 premature deaths over the next decade or something. I don’t think it’s going to

Thursday

Gareth Lyon

How the budget will damage the NHS

This week’s budget will have a substantial impact on the NHS – just not in the way the Chancellor has talked about or may have hoped for. Starting with pay, the Chancellor has announced that from April the minimum wage will rise to £12.71 per hour for people over the age of 21. What the Chancellor seems to have forgotten is that in the NHS, many domestic support workers, housekeeping assistants, drivers, nursery assistants, security officers and some healthcare assistant and secretarial roles are currently paid lower than the proposed minimum wage increase. Unions estimated that at least 200,000 of these workers were impacted by the last increase of the

Thursday

Melanie McDonagh

Would you pay £65 for toothpaste?

Time was, you didn’t look forward to going to the dentist. Even for routine stuff, your highest aspiration would be to get it over as quickly as possible with as little unpleasantness as possible. Most of the procedures seem pretty mechanical, including having the most sensitive bits of your teeth scraped with a metal thing. That was what I thought before I encountered Anti-Ageing Dentistry at the Nejati clinic in Belgravia, where the founder – it seems wrong to call Brandon Nejati a mere dentist – talks about ‘pampering’. This is where a really expensive luxury spa meets dentistry and it’s the most obvious example of how oral care is

Thursday

Michael Simmons

Why your weight loss jab is ballooning in price

‘A friend of mine who’s slightly overweight, to put it mildly, went to a drug store in London,’ Donald Trump said aboard Air Force One. Earlier he had told reporters: ‘He was able to get one of the fat shots. “I just paid $88 and in New York I paid $1,300. What the hell is going on? It’s the same box, made in the same plant, by the same company.”’ You can see why the dealmaker-in-chief was irked. And when Trump is irked, someone usually pays the price. In May, the President signed an executive order for ‘most-favoured-nation prescription drug pricing for American patients’. It was a warning to drug

Thursday

Lloyd Evans

The problem with psychiatrists? They're all depressed

Edinburgh seems underpopulated this year. The whisky bars are half full and the throngs of tourists who usually crowd the roadways haven’t materialised. There’s a sharp chill in the air too. Anoraks and hats are worn all day, and anyone eating outdoors in the evening is dressed for base camp. Perhaps tourists don’t want to travel because they’re too depressed. That’s the specialism of Dr Benji Waterhouse, an NHS shrink, who writes and performs comedy about his patients. Dr Benji is an attractive presence on stage with his crumpled Oxfam clothes and his dreamy, half-shaven look. He could be the guy who tunes up U2’s guitars. His act is very

Thursday

Natasha Feroze

Will the junior doctors regret picking a fight with Wes?

13 min listen

The dispute between the British Medical Association (BMA) – a trade union for doctors – and the government continues, following the five-day strike by junior doctors. Doctors argue that pay is still far below relative levels from almost two decades ago, combined with the cost of study, the cost of living and housing crises, as well as challenging conditions within the NHS. Nevertheless, with an average pay rise of 5.4% for resident doctors this year, support for the strikes appears to be falling – both with the public at large, and within the BMA. Health Secretary Wes Streeting has hit back at the BMA and said they ‘will not win

Margaret Mitchell

The NHS is to blame for Bonnie Blue

Channel 4’s documentary begins as the ‘adult content creator’ Bonnie Blue (real name: Tia Billinger, 26, Derbyshire) prepares to beat the world record of men shagged in 12 hours. Spoiler: she beats it, raising the bar to 1,057, though she was a bit nervous that no one would show up. You might wish to see her cry – because you despise her, or because you need some sign she’s human – but the worst she suffers is a nasty flu. It does somewhat clarify things to discover that Bonnie Blue had been an NHS financial recruiter Bonnie Blue was prohibited from selling the tape on OnlyFans – the porn website

Melissa Kite

Our B&B is the opposite of organic

‘You need a Wwoofer,’ said the guest as he luxuriated in the big armchair by the roaring fire in our sitting room. We looked at him blankly for a moment before I replied: ‘We have a woofer. Two woofers.’ And I nodded to the spaniels lying at our feet. ‘No, I’m talking about the Wwoof scheme,’ he said, a hint of his Welsh accent showing through. ‘World Wide Opportunities on Organic Farms. A Wwoofer is someone who comes to work for you for nothing in return for learning about organic principles.’ The big old house on the hill seduces them with her Georgian charm. She’s a flirt of a building

Thursday

Melissa Kite

How to spot a troublesome Airbnb review

The guest who thought our farm was in the town centre was very cross indeed. She got out of her car by the old fountain and stood hands on hips surveying the meadows sloping from the big old house towards the rugged mountains beyond. She was wearing knee-length khaki safari shorts, so you’d have thought she’d be pleased to pitch up in the middle of nowhere. But she looked askance at the rolling hills and affected to be shocked by the reality of what was clearly pictured and described on the booking site. She asked how she and her husband were supposed to walk to their drinks party in town

Thursday

The Spectator

Letters: Why we need libraries

NHS origins Sir: Your leading article ‘Wes or bust’ (5 July) credited Labour with founding the NHS. In fact, the NHS was founded during the second world war by the Labour, Liberal and Conservative coalition. The speech with the famous line ‘free at the point of use’ was in fact made by Winston Churchill. He made it because he was PM and it was his job. For Labour to claim to be the initiator is somewhat disingenuous. Edward Hirst Aston, Sheffield All aboard Sir: Michael Gove is quite right (‘Tracks of my tears’, 5 July): the retirement of the royal train is sad news for those of us who like

The Spectator

Portrait of the week: Rachel Reeves cries, Rishi Sunak joins Goldman Sachs and a six-month bin strike

Home Rachel Reeves, the Chancellor of the Exchequer, had given a theme to the week by sitting weeping behind Sir Keir Starmer during Prime Minister’s Questions. She later said: ‘It was a personal issue.’ Sir Keir said: ‘She will be Chancellor for a very long time to come.’ No. 10 said she and the Prime Minister were ‘in lockstep’. The government found itself short of the £5 billion it had meant to save in the welfare bill, thwarted by its own MPs. The Office for Budget Responsibility said that, with rising debt, ‘The UK’s fiscal position is increasingly vulnerable’. Asked whether she would rule out tax rises in the autumn, the

Thursday

Isabel Hardman

So much is still unanswered about NHS reform

Given we have known for a good while that Labour thinks the way to save the health service is to move care out of hospitals and into the community, you might have expected today’s NHS ten-year plan to explain how the government is going to do that. The preventive agenda is not a new idea that needs explaining, it’s been around for the entire 77-year history of the health service. The problem, therefore, is not the lack of an idea, it’s that reform never actually happens. The important and urgent priorities of waiting lists and emergency units always end up dominating, and the neighbourhood health centres, walk-in clinics, polyclinics or the ‘health

Oscar Edmondson

NHS reforms: Labour puts on a brave face

14 min listen

Today Wes Streeting – with the help of Keir Starmer and Rachel Reeves – announced his 10 year plan for curing the NHS. It’s all about creating a ‘Neighbourhood Health Service’, but what does actually mean in practice?  Much of the plan was leaked in advance: first, focusing on preventing disease before it becomes too late; second, improving community healthcare services to help reduce pressure on hospitals; and third, embracing the tech revolution to bring the NHS into the ‘digital age’. One of the glaring omissions is a chapter on how this will all be delivered. Perhaps the most notable part of today’s launch was the decision to include Rachel

The Spectator

For the NHS, it’s Wes or bust

Labour swept to power on a pledge to ‘save the NHS’. As shadow health secretary, Wes Streeting said he would go ‘further than New Labour ever did’ to clear the health service’s backlog and, to achieve this, he claimed old taboos would be torn up, including the use of the private sector to improve services. Failure to clear the backlog now will be hugely politically consequential for this government. Partly because of how important the NHS is to the voting public, but more so because of the emotional resonance the service and its ‘free-at-the-point-of-use’ model has for Labour, both its MPs and its supporters. If the party that founded the

Monday

Tim Shipman

Does Starmer still want to be PM?

13 min listen

There have been a number of navel-gazing interviews with the Prime Minister over the weekend. Across thousands and thousands of words, he seems to be saying – if you read between the lines – that he doesn’t particularly enjoy being PM. In better news, Labour seems to have quelled the welfare rebellion. Liz Kendall is making a statement in the Commons this afternoon, in which she will outline the concessions that Labour has made on its controversial welfare bill. All in, the cost has spiralled by £3 billion per calendar year – which an already put-upon Chancellor will have to find. Whilst it remains the largest rebellion of this government,

Thursday

Melissa Kite

Why must B&B guests give us advice?

‘You could mow all this lawn here and it would look a treat,’ said the arborist, returning from a stroll around the grounds, which were looking resplendent in the sunshine. ‘Yes, yes, mow the grass. Good idea,’ I said, for the builder boyfriend has told me I have to agree with the customers. No matter what they say, no matter how obvious their suggestions, just smile and say ‘Good idea.’ Old houses are like horses. Passing strangers feel ownership of them. Once they encounter them, they proclaim how they would care for them, because they decide from their soulful look that the owners must be neglecting them – when the

Thursday

Melissa Kite

Must my fish and chips come with a side of geopolitics?

‘Our boys went to Lebanon and trained Hezbollah!’ shouted the drunk Irish lad in the fish and chip shop as an Indian man behind the counter silently fried chips. ‘Chucky ar la!’ the lad shouted, or Tiocfaidh ar la, to correctly spell in Irish the slogan of the IRA, meaning ‘Our day will come.’ And he went on shouting this, over and over, as the Indian fellow stared down into the fryer, and the Friday night customers formed a queue in this small fast-food joint in a West Cork harbour town. The Irish lad was not getting the message that the Hindu chap frying chips was probably not a massive

Thursday

Martin Vander Weyer

It’s time to get rid of the Rich List

Here’s a takeover tale that captures the zeitgeist. It involves two FTSE 250 companies and some deep-pocketed US investors – and I’ll explain it as simply as I can. In essence, how would you feel if your GP surgery fell into the hands of American investors associated with the book title Barbarians at the Gate? The first of the two London-listed companies is Assura, which owns 600 NHS surgeries and diagnostic facilities and has accepted a cash offer of £1.6 billion from a pair of New York investment giants. They are Stone-peak, which holds a huge global portfolio of infrastructure assets, and Kohlberg Kravis Roberts, whose initials KKR may be

Mary Wakefield Mary Wakefield

I’ve reached zero tolerance on zero tolerance

I know an astonishing 89-year-old who climbs mountains, uses a chainsaw and has the muscular, vice-like grip of a gym-built thirtysomething. He refuses pills and painkillers and considers it vital to embrace life’s most horrifying experiences. Last week the astonishing 89-year-old tore his Achilles tendon (leaping into a moving car), was driven to A&E and referred for an ultrasound. On the way to the scanning room, helped along by a male nurse, he put his injured leg down by mistake and yelled: ‘FUCK!’ At this, the nurse turned on his heel and walked off, saying: ‘I don’t have to put up with this.’ This is the 89-year-old’s version of events,