Nhs

Question time Sir: Your leading article ‘Sense prevails’ (13 April) is a valuable précis of the Cass Review into NHS gender treatment. However, it also raises several questions. How are the actions of these individuals, groups and organisations different from those of others who have been found to have acted unprofessionally, causing harm to patients who were entitled to place trust for their health in them? Where was the ethical and executive management oversight within the NHS? What other unproven ‘treatments’ are being carried out under the ever-growing demands for more money to be allocated to the NHS? Finally, what sanctions are to be meted out – or will we

At the Centre for Rare Diseases, the car park was full and lots of people were milling about. I pulled into a private space I wasn’t meant to be in so that I could let my mother out of the car by the front door. I then sat in the car waiting, watching the rare people come and go. On further inspection of the website, it turns out that a rare disease is not necessarily something that happens rarely. A rare disease is a condition affecting less than one in 2,000 people. However, ‘with more than 7,000 individual rare diseases, their collective prevalence is about one in 17 of the

Home Rishi Sunak, the Prime Minister, said that Britain needed to build new gas-fired power stations to ensure energy security. GDP grew by 0.2 per cent in January. The number of people of working age classed as economically inactive rose to 9.25 million, compared with 8.55 million in February 2020, according to the Office for National Statistics. Among those aged 16 to 34, economic inactivity was rising; among those aged 35 to 64 it had fallen. Long-term sickness accounted for 2.7 million people not in work, 600,000 more than four years ago. The National Health Service employed more than two million for the first time, more than a third of public-sector workers.

There are a fair few trans women – men who want to be seen as ladies – who long to breastfeed real babies, and some who actually give it a good go. A few years ago this would have seemed unthinkably surreal, but I’m afraid this is the new reality and you’ll just have to get used to it. A man who wants to breastfeed first takes hormones to grow breast tissue. Then he uses a technique adapted from something called the Newman-Goldfarb protocol, which was designed to help adoptive mothers breastfeed: he takes hormones and a hefty dose of an anti-nausea medication called domperidone and then begins an intense

When I go home to America next week for Christmas, I’ll go to church – the one my family and I used to attend every Sunday, a few towns over. I visit intermittently throughout the year when I’m back home, but I always go on Christmas Eve. The routine is the same: I sit quietly in the pews, sing along to the carols, and hope to have a second epiphany.   I had my first epiphany – that God exists – when I was a child. This, I’m sure, is the result of having two religious parents who raised me in the church. When I tell my British friends that I

What has Rishi Sunak’s government achieved in its first year? The highlights include a renegotiated Brexit policy and setting more practical net-zero deadlines. But Sunak asked the country to judge him on his ability to deliver his pledges set out at the start of the year. If polls are to be believed, voters are preparing to do just that. Inflation is falling, but that’s largely due to interest rate hikes announced by the Bank of England. The economy is growing, but barely. The NHS waiting list keeps rising – 7.6 million now in England alone. On this last point, no doubt the six-figure salaried consultants who keep striking deserve part

Adulthood was once determined by age, but now we’ve extended childhood far beyond the teenage years. If the government gets its way, the next generation will never grow up: there are reportedly plans to ban cigarette sales to anyone born after 2009. This would mean that, come 2060, 50-year-olds could be begging their elders to pop into the local corner shop to buy them a pack of 20. We need a new metric of adulthood, and I have a proposal. The real mark is not an age or any particular milestone, it’s really when you receive your first piece of unsolicited feedback. It’s a grim but unavoidable rite of passage: having personal

At the age of 59 I thought it was time to get my body thoroughly examined. So last week I trotted off to a health clinic in west London. Not surprisingly, I got a mixed report. Mostly As and Bs, a couple of Ds, and several must-try-harders. The health check consisted of an hour with a man in green hospital scrubs, who I think was a nurse, followed by an hour with a female doctor. It was all trundling along nicely – my weight and BMI were both within the ‘healthy’ range – when something unexpected happened. After attaching electrodes to my body for the purposes of carrying out an

Having lived in the United Kingdom for almost my whole adult life, I like to think I’m well assimilated. I stopped trying to make pleasantries with strangers a long time ago. I skip dinner to stand outside the pub in the dark. Apart from my accent (though Americans tell me that’s changed, too) I think I can just about pass as British. But never for long. At some point, someone starts talking about a health worry or new ailment, and I tell them to see the doctor. Suddenly, the jig is up, and I’m an outsider again. I’m now very familiar with the British aversion to seeking medical care. Still,

No one who has paid any attention to NHS scandals over the past few decades should be at all surprised by the way in which managers at Lucy Letby’s hospital repeatedly dismissed concerns about her. When worried consultants produced considerable evidence to show that the nurse was present at every single event where a baby had dramatically collapsed or suddenly died, they ended up being the ones in the firing line. Management even forced them to apologise to Letby personally at an HR meeting, to which, bizarrely, the nurse brought along her parents. Doctors are suspicious of the calibre of those managing them, and the managers are often on the

Will the fallout from the Lucy Letby case really lead to lasting change in the NHS? The most prolific killer of babies was able to continue even as doctors raised concerns about her – to the extent that the consultants themselves were forced to apologise to her face for a ‘campaign’ of bullying, rather than their concerns being taken seriously about her presence at the deaths or collapse of all the babies at the Countess of Chester hospital. Now, doctors’ union the British Medical Association has turned on NHS managers, saying the time has come for a reckoning for the ‘unaccountable’ bosses. NHS managers are often unfairly maligned: politicians like

The bare platform A 112-space car park built to serve the railway station in the Cambridgeshire village of Manea was used by just three cars in its first week. — The station, formerly a ghost station with one train a week, has been revived but even so is only served by two trains every hour. — Yet had it not been for the Civil War, it could have been the capital of England. Charles I planned an English Versailles there, surrounded by a great city called Charlemont – all built on land reclaimed from the fens. Thanks to the war, however, nothing ever got built. — The name Charlemont lives on