Nhs

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

Wednesday

The Spectator

Letters: How to save the NHS

The survey says Sir: David Butterfield’s 21 years of experience of higher education (‘Decline and fall’, 26 October) chimes with my 35. But the decline in the rigour of university education which he so deftly describes has not been entirely self-willed. Successive governments have championed a consumerist understanding of higher education. Students have become consumers and academics have become service providers. The reduction in the intellectual demands of undergraduate courses and grade inflation are due to the annual National Student Survey. Universities are in thrall to this and make ever greater efforts ‘to enhance the student experience’. This includes pandering to the desire of most students to have fewer essays,

Tuesday

Oscar Edmondson

The problem with Labour’s ‘sticking plaster politics’

14 min listen

Wes Streeting has been out on the airwaves this morning, giving us a better idea of what will be in the Budget when it comes to the NHS. In an attempt to resuscitate a ‘broken but not beaten’ NHS, he has announced a cash injection reported to be up to £7 billion – including £1.57 billion for new surgical hubs, scanners, and radiotherapy machines. The Health Secretary did stress, however, that this will not be enough to save the NHS from a winter crisis. How far will this money go? Oscar Edmondson speaks to James Heale and Isabel Hardman. Produced by Oscar Edmondson.

Thursday

Melissa Kite

My boyfriend, the hedgehog hero

‘I’m making a hedgehog rescue ladder,’ said the builder boyfriend, who was on his knees in the farmyard, drilling a series of mini rungs into place on two mini rails. The builder boyfriend keeps going to check but the hedgehog seems very happy, snoozing away in its comfy box I should have known. Why did I even ask? Of course he was making a hedgehog rescue ladder. The BB doesn’t like to admit it, but beneath the gruff exterior he has such a soft spot for all living creatures that he often bends down to pick up stranded worms from pavements and roads. It is a charming contradiction in his

The Spectator

Is Wes Streeting the Hamlet of the health service?

Is Wes Streeting the Hamlet of the Health Service? Is this undoubtedly talented and thoughtful young Labour prince fatally irresolute when it comes to doing what he knows must be done? Few politicians have articulated so clearly the need for reform of our healthcare system. Streeting’s insistence that the NHS should be a service not a shrine angered all the right people, which is to say the BMA. It marked a welcome departure from the treacly displays of affection which have hitherto characterised ‘debate’ about the health service. More recently, the Health Secretary has frankly admitted that the NHS is letting patients down and acknowledged its manifold inefficiencies. The need

The Spectator

Portrait of the week: Budget leaks, prisoners released and Israel kills Hamas leader

Home Rachel Reeves, the Chancellor of the Exchequer, was expected to freeze tax thresholds in the Budget on 30 October, to swell government income as more working people were brought into higher tax bands. Before Labour formed a government, she had said that the Conservatives, by freezing tax thresholds, were ‘picking the pockets of working people’. Weeks of speculation on the Budget were encouraged by leaks and by constant questioning of ministers about how Labour would keep to its manifesto undertaking not to raise taxes on ‘working people’ by increasing income tax, national insurance or VAT. The International Monetary Fund raised its growth forecast for the United Kingdom to 1.1

Wednesday

Sam Leith

Rachel Clarke: The Story of a Heart

48 min listen

My guest in this week’s Book Club podcast is Rachel Clarke, author of the Baillie Gifford longlisted new book The Story of a Heart. Rachel tells me how she came so intimately to tell the story of 9-year-old Keira, whose death in a car accident and donation of her heart gave a chance at life to a dying stranger, Max. She describes the medical and conceptual changes that led up to that extraordinary possibility and explains how, as a medic, you have to be able to combine technical professionalism with a sense of the sanctity of the human beings you work with. And she catches us up on how Max is

Martin Vander Weyer Martin Vander Weyer

Wahed’s alarming Tube adverts

As the interminable Budget wait goes on, so does the trawl through the Chancellor’s bin bags. I refer to the old tabloid method of digging in celebrities’ dustbins for evidence of depravity or scandal; in Rachel Reeves’s case, that would mean piecing together shredded Treasury analyses on all the various tax wheezes floated since July. One curry-smeared paper no doubt addresses the pros and cons of an inheritance raid on ‘aristocrats and landowners’; beneath the Red Bull cans and pizza crusts, might there be another headed ‘Clawbacks on Enterprise Investment Scheme’? Not that there have been substantive rumours, mind you. But that’s rather the point: having had so many draft

Sunday

Isabel Hardman

Does Wes Streeting’s ten-year NHS plan amount to anything?

The Health Secretary is making a big fanfare about a cash boost in the Budget and a new plan to reform the NHS so that it becomes a more community-based, prevention-focused service. But at the moment, his plan for the health service is very much in nascent form: the government is nowhere near close to publishing it and is instead going to start asking for ideas from the public and healthcare workers.  Wes Streeting’s ministerial colleague Stephen Kinnock sketched out how this consultation would run when he spoke at The Spectator’s health fringe at Labour conference. He told us that there would be a lengthy ‘national conversation’ about what people