Nhs

I’ve never seen a film like it: Ordinary Love reviewed

Ordinary Love stars Lesley Manville and Liam Neeson as a long-married couple whose lives are disrupted when she is diagnosed with breast cancer. Not very Christmassy, you might think, but it’s not a ‘cancer story’, as has been said in some quarters, it’s a love story, told profoundly and beautifully and honestly rather than cloyingly or sentimentally. Chances are, it may even stay with you longer than any Richard Curtis film. I can’t guarantee it, but am quietly confident this will be so. The screenplay is by the Northern Irish playwright Owen McCafferty whose own wife, Peggy, underwent breast cancer treatment, and the film is directed by Lisa Barros D’Sa

Boris promises an extra 50,000 nurses – but where’s he going to find them?

This election campaign has long since descended into a contest to see who can spray around the largest sums of cash. So it should come as no great surprise that the Conservatives promised an eye-catching initiative to outdo Labour on nurse numbers. Jeremy Corbyn wants to provide an extra 20,000 new nurses but Boris has now promised an extra 50,000 – topping the Labour leader (until tomorrow morning, of course, when Corbyn can be more or less guaranteed to up his offer to 100,000 nurses). We seem to be heading for the NHS equivalent of a military state. Instead of seeing people in military uniforms on every train, bus and

How an NHS crisis could lose the election for Boris Johnson

The poor performance of the NHS relative to government targets is turning into a major headache for the PM. The point is that Johnson and the Vote Leave team won the EU referendum largely on the basis of their controversial promise to invest £350m a week into the health service. They were acutely aware that money for a public health service matters hugely to poorer people and matters disproportionately more than for those on higher incomes – who have the double benefit of being able to afford both private healthcare and healthier lifestyles. Johnson’s consigliere and Vote Leave campaign supremo Cummings has often said it was the £350m promise wot won it

To solve Britain’s social care crisis, follow the Dutch example

More than a decade ago, four Dutch nurses decided something needed to be done about their country’s care in the community. Back then, it was almost as bad as it is in Britain now — where a recent report found that at least 400 pensioners a week sell their homes to pay for social care. Nursing in the Netherlands had taken a terrible turn in the 1990s, when the government decided healthcare should be more ‘professional’. The ensuing bureaucracy and management doubled the cost, and the quality plummeted. Nurses were forced to spend more time on paperwork and, for want of help, elderly patients ended up in hospital when they

How many people have swum the Channel?

Journey’s end Holidaymakers are being flown home after travel company Thomas Cook failed. The idea might have horrified the company’s eponymous founder, whose first excursion was a temperance outing from Leicester to Loughborough on 5 July 1841, on a charter train from the Midland Railway Company. All 500 tickets were swiftly sold. A holiday from Leicester to Liverpool and North Wales followed in 1845, including several nights in temperance hotels and a night-time ascent of Snowdon. Thomas Cook went on to organise trips to the 1851 Great Exhibition for 150,000 from the Midlands. Financial health A Labour activist and parent of a patient accused the Prime Minister on a visit

Watching Stephen Fry was like being in the presence of a god

Stephen Fry lies prone on an empty stage. A red ball rolls in from the wings and bashes him in the face. He stands up and introduces himself as Odysseus, stranded on an island-kingdom as he makes his way home after the Trojan War. The ball had escaped from the hands of a clumsy maidservant who was playing on the beach with a local princess. Now Fry, as Odysseus, begs her help and asks for a petticoat to cover his nakedness. This tale comes from Homer’s Odyssey, Book Six, but Fry doesn’t quote the reference he merely plunges on with the story. Odysseus shows up at the palace of the

Bill of health

It would be daft for someone to offer you £1.8 billion and you turn it down. That sort of money isn’t to be sniffed at. This is how much Boris Johnson announced he would give to the NHS as an extra funding boost. And I don’t want to seem churlish or ungrateful — after all, those of us who work in the health service are always banging on about how NHS resources are near breaking point. But I have some reservations. The first is the most basic — I’m not sure this is quite the cash windfall it’s made out to be. While Boris has assured us that ‘this is

The Spectator Podcast: the latest plot to oust Corbyn

When Labour moderates tried to oust Jeremy Corbyn in 2016, their attempt only made him stronger, protected by swathes of loyal members. But this year, is the tide turning for Corbyn, as even supporters begin to doubt him? First, there were the abysmal European Election results, which for many Corbynites were particularly painful because they disagree with the leadership’s ambiguous stance on Brexit. Then, last week’s BBC Panorama brought out a dark side to the leadership – the press team’s defensive response to the programme, accusing whistleblowers of being ‘disaffected’, disheartened many most loyal to the project. One high profile Corbynite I spoke to told me that they were disappointed

James Kirkup

It’s time to listen to the NHS gender clinic whistleblowers

Why are increasing numbers of children designated as transgender? Are the resulting medical interventions safe and justified and in the best long-term interests of those children? These are questions of public interest. Some of the answers being offered are troubling, to say the least. One such answer came this week, and deserves attention from politicians and journalists. It’s an open letter from Dr Kirsty Entwistle, formerly a clinical psychologist at the Gender Identity Development Service, the main NHS service for children who might be transgender. It’s a long piece and should be read in full. But here are a few key extracts: “I think it is a problem that GIDS

Striking the wrong note | 18 July 2019

Every summer for the past six years, Bayreuth has risen to its feet to acclaim an English Brünnhilde. Catherine Foster, from Nottingham, was the heroine of Frank Castorf’s anti-capitalist staging of Richard Wagner’s Ring cycle. The director was booed to the rafters, the singer hailed as saviour. Three perfectionist conductors, Kirill Petrenko, Marek Janowski and Christian Thielemann, insisted on her return each year. Across Europe, Foster commands the roles of Elektra, Isolde, Senta (Flying Dutchman) and Turandot. At 44, she is approaching her vocal prime. So it is a bit odd to find that no British company has offered her a leading role, or presently plans to do so. Six

Health warning

Everyone agrees something dramatic has to be done to help the NHS. It is crumbling and the canary in the mine is general practice. I work as a psychiatrist but my GP colleagues are almost all frazzled, overworked and frustrated at not being able to give the care they want to their patients. They’re quitting in their droves. So it makes sense that politicians, desperate for a quick and easy answer to an overwhelming and complex problem, have leapt on technology as a solution. And, in particular, on  the idea of an app that offers a GP consultation via your mobile phone. In theory, it sounds great: the patient can

Hancock given hard time over sugar tax and social care

On the subject of MPs who hope Boris Johnson might give them a job, Matt Hancock was before the Health Select Committee this afternoon, where he ended up taking a fair bit of flak for what the current government hasn’t done, and what the next administration might do. After his own failed leadership bid, the Health and Social Care Secretary backed Johnson, which made for a very awkward section in today’s hearing about the sugar tax. Hancock was repeatedly pressed on Johnson’s pledge to review ‘sin taxes’, including the one on sugary drinks, and he repeatedly answered that the most important thing was to look at the evidence behind the

Doctor who? | 27 June 2019

Last October, Phil Coleman, a journalist on the Carlisle-based News & Star, went to cover the trial of Zholia Alemi, a 56-year-old consultant psychiatrist who was accused of forging the will of an 84-year-old dementia patient in an attempt to inherit her £1.3 million estate. During the trial, Phil realised this complex scam could not have been the work of an amateur fraudster, and suspected previous mischief. How right he was. It turned out that Alemi had been practising in the NHS for 23 years without a medical qualification. Originally from Iran, Alemi moved as a young woman to New Zealand where she claimed she had graduated in medicine from

Letters | 13 June 2019

The benefits of indecision Sir: Belgium has often been without a government for months on end without suffering any economic collapse. In Britain in recent decades governments with large majorities and led by ideologically driven prime ministers have made disastrous decisions on welfare reform, foreign policy and selling off social housing. Isabel Hardman is correct to say that ‘decisions are needed to solve problems that have festered for years’ (‘The in-tray of horrors’, 8 June). However her analysis should also consider the benefits of government paralysis: the damage that has been avoided because superficial and ill-thought-out policies never saw the light of day. Ivor Morgan Lincoln A doctor writes Sir:

Playing chicken | 6 June 2019

Why is it that free trade, which almost everyone agrees is good when conducted with other European countries, suddenly becomes something to be feared when it is proposed with the United States? What is it about American chicken which means that Britons who eat it happily enough when they are on holiday are supposed to fear it when it is imported? And if Americans can offer world-class, well-priced medical services to Britain through the National Health Service, how is that a threat to our social fabric? On his state visit to Britain this week, President Donald Trump reiterated his desire to do a ‘comprehensive’ trade deal with Britain. Given that

Protons and cons

It’s Asco week in Chicago: the biggest meeting of clinical oncologists in the world. McCormick Place convention centre, the largest in the US, is filled to its 2.6 million square foot capacity with people talking about cancer. And one of the hottest topics being discussed is something called proton therapy, a possible new tool in the anti-cancer arsenal. But does it actually work? Given that two private proton therapy machines have already been built in the UK, and that two more NHS machines are on their way at a cool £250 million, you’d think we’d know. The sad truth is that, for many cancers, the medical jury is still out

An agonising vigil

Memoirs about giving birth, a subject once shrouded in mystery, have become so popular that another may seem otiose. We are all produced in variations of anxiety, pain and delight: what is the point of labouring labour? Two years ago, the novelist Francesca Segal gave birth to twins ten weeks prematurely. Her account of their struggle to survive in the neo-natal units of two London hospitals could be mawkish, banal and of no interest to anyone save those who have experienced a similar ordeal. That it is, in fact, as gripping as a thriller and as moving as a love story is testament to her exquisite writing and deep humanity.

Real life | 30 May 2019

The receptionist fixed me with a withering stare. I had just filled out a repeat prescription form and politely inquired of the girl behind the desk how I would know when it was ready. She harrumphed and asked where I usually picked my prescriptions up from. I told her the pharmacy on site, you know, the one next door to the surgery, the one just there, in the car park of this building. The one you could see out the window. That one. She stared at me as though I were explaining that I collected my prescriptions from the international space station. ‘I’ll look it up,’ she said, as though

Real life | 2 May 2019

A leaflet came through my door from the NHS inviting me to take part (if that is the right term) in Cognitive Behavioural Therapy. What a kind offer, I thought. They must know I’m stressed. Fine, so I didn’t think that. I thought: what a blasted cheek! This leaflet is a mailshot, clearly, and has been distributed to every home in my area at a cost of goodness knows how much. I looked at the glossy thing in all its impudence and presumption and decided to chase after the postman. He was three doors down when I caught up with him and he wore a cheery smile as usual. ‘Can

Letters | 4 April 2019

About the Bible Sir: I was confirmed by Richard Holloway as a schoolboy at Fettes College, and then taught by John Barton while an Anglican ordinand at Oxford University. So I was intrigued to read Holloway’s review of Barton’s latest book, A History of the Bible (30 March), and disturbed by their conclusions. Indeed, both the book and the review go a long way to explaining why the median size of a Church of England congregation is 28, and why numbers are at an all-time low. One doesn’t have to be an anti-intellectual fundamentalist to believe in orthodox biblical Christianity, or to realise that being a disciple of Christ means