Nhs

Yesterday

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,

Melissa Kite

Speed traps are designed to make you fail

The builder boyfriend returned from a trip to London to inform me he was being done for speeding at 32mph, for crying out loud. He was flashed by a camera crawling uphill in a 30 zone going through the almost middle-of-nowhere in the Ashdown Forest, on his way to visit his sister in Sussex for the weekend. A few weeks after I completed a speed awareness course for doing an improbably incorrect 40mph on a dual carriageway during a trip to see my parents in Coventry, we were going round the same rigmarole with him. He showed me his letter from the Sussex Police on his return to Ireland. It

Thursday

Melissa Kite

The £486 driving licence con

By changing the address on my driving licence, I was somehow signed up to something that began charging my credit card £39 a month and was going to carry on charging for ever. It was Barclaycard that spotted it and warned me it was a ‘scam’ in a text alert. Had I really agreed to a recurring payment to a company called British Drive? I had no idea what British Drive was, and at first suspected it was an insurance policy, or the firm that organised my recent speeding course. Eventually, I realised it could be something to do with going on to the DVLA website – or so I

Thursday

Lloyd Evans

The case for replacing nurses with robots

Tending is a work of activism on behalf of the NHS. The script brings together the testimony of 70 nurses in a show spoken by three performers. It’s full of surprises and shocks. All NHS nurses are obliged to annotate their actions as they work. ‘If you haven’t documented it, you haven’t done it,’ they’re told. A nurse estimates that she spends 20 per cent of her time caring for patients and the rest of it chronicling her doings on bits of paper. There appears to be no feedback mechanism that enables the nurses to help managers find ways to improve the service. A nurse tells the story of a

Thursday

Melissa Kite

Aren’t women wonderful?

The mole specialist was wearing a pink Chanel-looking suit and pink diamanté shoes. By mole specialist, I don’t mean someone turned up dressed in Chanel to deal with moles on our land. I mean I went to see a top London dermatologist about a mole I was worried about, and when I walked into her office she looked so fabulous all I wanted to do was talk to her about her Jackie O miniskirt and jacket, given a twist with the sparkly stilettos. Before I could do that, however, she complimented me on my long striped coat. ‘Villa Gallo,’ I said, sitting down in front of her desk on the

Dan Hitchens

The assisted suicide bill should not survive

Until about six months ago, it would have been hard to find a more inoffensive politician than the Labour backbencher Kim Leadbeater. A well-liked, upbeat, down-to-earth Yorkshirewoman, she entered politics because of a personal tragedy, the murder of her sister, the MP Jo Cox, in 2016. When asked on a Spectator podcast what was the worst piece of advice she had ever received, Leadbeater half-joked: ‘Have you thought about being an MP?’ Visibly a normal, friendly person plunked down in SW1, she won many admirers and attracted little controversy. Then in September Leadbeater came top of the private members’ ballot and chose to take up the cause of assisted suicide.

Katy Balls and Michael Gove

‘We’re going to a more radical place’: Wes Streeting on his plans for the NHS

A copy of a leading article from The Spectator is stuck to the wall of Wes Streeting’s office in the Department of Health. ‘Is Wes Streeting the Hamlet of the Health Service?’ we asked in October, warning against the perils of inaction. ‘We were so riled by it we stuck it there to hold ourselves to account,’ Streeting explains. ‘We’re going further than your prescription, though. We thought it was insufficiently radical.’ The Health Secretary has certainly been busy. Over the past few months, he has unveiled a range of reforms, including abolishing NHS England. His Blairite zeal annoys some in Labour. He languishes in 21st place in LabourList’s cabinet

Thursday

Lucy Dunn

Why Labour are abolishing NHS England

10 min listen

It was widely briefed that the main focus of Sir Keir Starmer’s speech in Yorkshire today was his plan to do away with Whitehall red tape. What was kept under wraps was the Prime Minister’s plans for the NHS – specifically to scrap NHS England. In a bid to tackle bureaucracy in the health service, the PM this morning told reporters that the ‘arms-length NHS’ needed to go – adding that the move will ‘shift money to the front line’ and free the health service to ‘focus on patients’. What’s the point of abolishing NHS England? And are Labour ‘doing the things that the Tories only dreamed of’?  Lucy Dunn

Lucy Dunn

The ‘physician associate’ will see you now…

There is a war being waged in NHS hospitals. On one side are overstretched junior doctors in understaffed wards. On the other: physician associates (PAs) or, to use the more disparaging term, ‘noctors’.   Since 2003, non-medical graduates have been able to gain entry to hospital wards and GP practices if they complete a two-year clinical course that leaves them a ‘physician associate’ or ‘anaesthesia associate’. At first, PAs were rare – ten years ago there were fewer than 150 in England. Since the pandemic, however, the numbers have exploded. There are now approximately 4,000 PAs working in England and Wales.  PAs are supposed to help doctors with the time-consuming administrative

Thursday

William Moore

Why Ukraine’s minerals matter, the NHS’s sterilisation problem & remembering the worst poet in history

42 min listen

This week: the carve-up of Ukraine’s natural resources From the success of Keir Starmer’s visit to Washington to the squabbling we saw in the Oval Office and the breakdown of security guarantees for Ukraine – we have seen the good, the bad and the ugly of geopolitics in the last week, say Niall Ferguson and Nicholas Kulish in this week’s cover piece. They argue that what Donald Trump is really concerned with when it comes to Ukraine is rare earth minerals – which Ukraine has in abundance under its soil. The conventional wisdom is that the US is desperately short of these crucial minerals and, as Niall and Nicholas point

Flora Watkins

Why is the NHS pushing pregnant women towards sterilisation?

It was a routine antenatal appointment. I’d done it twice before and knew the format. The obstetrician runs through the risks of an elective caesarean (ELCS). We agree a date, I sign the forms, then make a plea for adequate pain relief after the surgery, which I know will be ignored. So I was blindsided by her opening gambit. ‘Why don’t we tie your tubes when we’ve got the baby out?’ she said, or something similar – I don’t recall the exact words, but I do remember the heat in my chest, the confusion and fear. ‘What?’ ‘It’s your third child, isn’t it, so why don’t we tie your tubes

Tuesday

Flora Watkins

Nurses shouldn’t have tattoos

Of all the aspects of dating that make me grateful I came off the market when I did – ghosting, choking, sober socialising, facial hair like Brahms’s beard – it’s the spread of large-scale visible tattoos that makes me feel like I got the last chopper out of ’Nam. Neck tattoos and sleeves were once either indicators of prison gang allegiances or the preserve of thrash metal bands and their fans. Although perhaps the most heavily inked man in rock is Travis Barker, drummer of pop-punk crossover tarts Blink-182. His whole head is tattooed, as is Kerry King’s of Slayer, who also has ‘God Hates Us All’ down his left

Thursday

The Spectator

Portrait of the week: Andrew Gwynne sacked, Trump saves Prince Harry and a £30m refund over moths

Home Andrew Gwynne was sacked as a health minister and suspended from the Labour party for making jokes about a constituent’s hoped-for death, and about Diane Abbott and Angela Rayner. Oliver Ryan, a member of the WhatsApp group where the jokes were shared, had the Labour whip removed and 11 councillors were suspended from the party. Asked about 16,913 of 28,564 medics registering to practise medicine in Britain last year having qualified abroad, Wes Streeting, the Health Secretary, said there was ‘no doubt’ that ‘the NHS has become too reliant’ on immigration. The government issued guidance saying that anyone who enters Britain by means of a dangerous journey will normally

Thursday

Dot Wordsworth

Does Keir Starmer know what a ‘drag anchor’ does?

The language of sailing ships is as treacherous as a lee shore. Words seldom mean what they suggest or are pronounced phonetically. So if you climb the ratlines, you may reach the top by means of the futtock shrouds, unless you can use a lubber’s hole. When Sir Keir Starmer insisted last week that the NHS waiting-list is ‘a drag anchor on our economy and our country’, his metaphor was obscure to his listeners and unhelpful to his argument. A drag anchor is a useful thing: a device towed underwater by a sailing ship in order to keep it pointing into the waves and to lessen leeway. In other words,

Thursday

The Spectator

Letters: In private schools, struggling children find the help they need

Growing problem Sir: The first leading article of the year (‘Growing apart’, 4 January) points to the gap in economic growth between the US and the UK, while the first cover piece (‘Shift key’) identifies a shift rightwards in values and voting intention, in reaction to the bigger state model of Keir Starmer’s government. Sandwiched between the two is ‘Reeves’s new year’s resolution’, in which James Heale tells us of the Labour Growth Group, a WhatsApp group with 99 MPs that is only marginally more credible than a Turkeys for Christmas cabal. Have these Labour MPs studied the research cited in Jon Moynihan’s excellent Return to Growth? Has Rachel Reeves?

Friday

Oscar Edmondson

Is Labour serious about social care reform?

14 min listen

Happy New Year and – of course – happy new long-term social care plan. Not only has Labour announced a ‘longer-term’ solution to a problem the party itself has acknowledged is urgent by setting up a commission that won’t report until 2028, but it has also taken steps to make that reform even harder to realise by saying it is looking for a ‘cross-party solution’. Should we interpret this as Labour kicking the can down the road? And is Labour developing a reputation for shirking its responsibility when it comes to the most vulnerable in society? Oscar Edmondson speaks to Isabel Hardman and James Heale. Produced by Oscar Edmondson.

Thursday

Katy Balls

Starmer’s Streeting problem

18 min listen

A vote on assisted dying was supposed to be one of the easiest reforms for Keir Starmer’s government. To many, including the Prime Minister himself, a law allowing terminally ill patients to choose to die would be a self-evidently progressive and historically significant change. But he has faced unexpected pushback from his Health Secretary, the very cabinet member who would have to enforce the legislation. Streeting has not only said that he will be voting against but that he is doing so because he fears the bill could harm existing health services. Where does Starmer go from here? Could we be looking at a reshuffle? Also today we had the

Wednesday

Owen Matthews

The appalling truth about London’s ambulance service

‘An old lady’s fallen down – quick! She’s bleeding. Come help.’ An elderly woman lay on the entrance steps of the block of mansion flats, food from a Tesco bag spilled around her, blood spreading on the stone. It was clear she’d tripped and banged her forehead, opening a large gash over her right eye. The courier had already tried to call an ambulance, but been put on hold. He had to continue his delivery run, so he’d begun ringing doorbells to summon assistance. The lady was groggy but awake. I asked her name – Daphne. I helped her sit up, slowly, and propped her against the doorway’s cold brickwork.

Friday

Kate Andrews

Can Labour save its Budget?

After the Office for Budget Responsibility’s assessment of the Budget was published on Wednesday, the cost of government borrowing started to rise. Yesterday, those costs hit their highest levels this year, with the 10-year gilt yield peaking just over 4.5 per cent and the five-year gilt yield exceeding 4.4 per cent, before settling slightly by the end of the day.  Labour need this trend to stop. The further borrowing costs rise and the pound falls, the more expensive Reeves’s Budget becomes, as investors demand a higher return for lending to the UK. Moreover, the longer jitters persist, the more certain it will seem that markets have not bought Labour’s fiscal