Nhs

Thursday

The Spectator

Unhealthy spending

Since the Budget, economists have pointed out that Britain is turning into a health service with a government attached. The NHS was protected from what Philip Hammond calls ‘austerity’, yet it has emerged as the big winner from his abandonment of the old Tory idea that government should live within its means. The plan is for more debt, more spending, more tax and a lot more NHS. At the start of the last decade, the NHS accounted for 23 per cent of government spending on public services: this figure is now set to rise to 39 per cent. And then, no doubt, further still. Simon Stevens, the chief executive of

Thursday

The Spectator

Barometer | 11 October 2018

Global warnings How much time do we have to save the world from catastrophic climate change? 5 years         (according to the WWF, 2007) 5 years         (International Energy Agency, 2011) 3 years      (Christiana Figueres of the United Nations, 2017) 12 years   (IPCC, 2018) Doctor the figures The NHS estimated it had been defrauded of £1.29 billion in 2016-17. By whom? Patients £341m NHS staff £94m Opticians £79m Dentists £126m Chemists £111m GPs £88m   Home stretch What percentage of 25-34-year-olds can afford the cheapest local properties with the aid of a mortgage worth 4.5 times their salary now, compared with ten years ago? 2006 / 2016 London 59 / 35

Peter Jones

Babylon’s NHS

Financial constraints combined with a shortage of staff have brought the NHS to a situation so desperate that it is proposing that doctors treat patients, not one by one, but in groups of 15 or more. It is good to see the NHS finally catching up with the cutting-edge thinking of the ancient Babylonians. Let the great Greek historian Herodotus (c. 490-c. 425 bc) explain… Herodotus travelled throughout the Near East as part of his mission to discover the deep origins of the conflict between Persians and Greeks that led to the famous Persian wars (490-479 bc). But he was also fascinated by human behaviour and assiduously recorded the customs of those

Tuesday

Isabel Hardman

Hancock’s holding line sums up the Tory party’s policy problem

So much of this Conservative conference has felt like a holding line from the party leadership, as though having the event in Birmingham has been inconvenient timing and something to survive, rather than enjoy. Mind you, this is the theme of Theresa May’s leadership generally: not only has the Prime Minister survived against the odds over the past year and a half, she has also given the impression that this survival is more important than, say, making decisions on Britain’s future trading relationship with the EU, or pushing ahead with domestic reform. If you want a domestic example of how cautious the Tories are being at this conference, you need

Thursday

James Walton

Medical examination

Surprising I know, but judging from The Foreign Doctors Are Coming (Channel 4, Tuesday), Britain mightn’t be such a bad place after all. The programme followed a group of medics from non-EU countries whose dream is to work for the NHS, but who first had to pass a practical exam in Manchester known, for reasons left unexplained, as PLAB 2. ‘When I landed in Britain it felt like a breath of freedom,’ said a young Pakistani woman. ‘People here are helpful,’ declared Ahmed from Egypt as he walked the Manchester streets. ‘I see you have no problem with other cultures.’ Meanwhile, it also seems as if our doctors are less

Thursday

Lloyd Evans

The NHS at 70 (plus)

Alan Bennett’s new play, Allelujah!, is an NHS drama set in a friendly hospital in rural Yorkshire. Colin, an ambitious local boy turned metropolitan yuppie, has arrived from London to visit his sick father and he takes the opportunity to assess the efficiency of the hospital on behalf of his bosses at the health department in Whitehall. Meanwhile, a TV crew has found evidence that a staff member is murdering elderly patients to create vacant beds for new arrivals. Bennett’s sentimental adoration of the NHS leads him to misrepresent a couple of political issues. It’s false to suggest that any well-run hospital is bound to be flogged to the commercial

Tuesday

Isabel Hardman

Hancock’s health hour

Matt Hancock has been ambitious for a big Cabinet job for a good while. He’s finally got it, and today the new Health Secretary had his first outing in the Commons with departmental questions. Every new Secretary of State wants to make their mark on the job, showing how they’re different to their predecessor, and setting out their priorities for the portfolio. Jeremy Hunt was particularly good at the latter, making patient safety his focus as Health Secretary. Hancock has clearly paid attention to how the longest-serving Health Secretary approached the job, and last week gave a speech setting out three priorities: workforce, technology and prevention. His message was clear

Monday

Isabel Hardman

The trouble with social prescribing for mental illness

It’s a measure of how much the debate around mental health has changed that Matt Hancock’s latest announcement on social prescribing for mental illness isn’t being written up as mere quackery. The Health and Social Care Secretary today pledged a £4.5 million fund for these schemes, which include gardening, arts clubs, running and so on. Hancock is worried about possible over-prescription of anti-depressants and the associated risk of diagnosis creep, whereby people who are not depressed but quite understandably struggling with life events such as a bereavement are given a medical diagnosis and handed pills that aren’t really going to help them. As I’ve written before, anti-depressants are not without

Thursday

The Spectator

Letters | 5 July 2018

Technical issues Sir: Martin Vander Weyer’s supposition that car manufacturers are holding back investment due to Brexit seems to be wishful thinking (Any other business, 30 June). Having worked for years for one of the largest international vehicle manufacturers in both finance and export, I can assure him that the investment cycle is almost entirely to do with the product and almost not at all with political concerns. Car manufacturers, and particularly German ones, are faced with several serious issues which have nothing to do with Brexit. The diesel emissions manipulation issue and whether diesel engines are acceptable will impact on their decisions about petrol vs diesel engine lines, and the likely

Kate Andrews Kate Andrews

Is 70 years of the NHS really something to celebrate?

Seventy years ago, when the National Health Service was founded, the UK established the principle of universal access to healthcare. Rich or poor, young or old, you have the right to obtain treatment for your condition. It set a standard amongst the rest of the world, that healthcare is a vital part of a safety net that all wealthy countries should strive to provide. In 1948, this was a new and progressive ideology, far ahead of its time. It’s important to be proud of one’s history – but 1948 is long gone. What exactly is the UK celebrating today? Universal access is no longer a unique feature of British healthcare. Almost every developed country

Tuesday

Katy Balls

How is Theresa May’s NHS funding boost landing with voters?

How is Theresa May’s big £20bn funding pledge landing with the public? That’s the question Tory MPs are beginning to ask. The Prime Minister’s – currently unfunded – early birthday present for the NHS to celebrate its 70th birthday was announced to much fanfare last month. It was meant as an agenda setting policy that would help to define her premiership, show there was more to Mayism than Brexit and boost the Tories’ standing with voters. As of yet though, signs of an immediate Tory boost are absent. A YouGov poll – taken 25-26 June about a week after it was announced – puts the Tories ahead with a five-point

Monday

Isabel Hardman

Why Whitehall is failing to solve the social care crisis

The government’s cash boost for the NHS isn’t going to solve its problems. That’s the verdict of pretty much every independent spending scrutiniser, including the National Audit Office’s Comptroller, Amyas Morse. He’s said today that the £20bn founding increase announced by Theresa May and Jeremy Hunt will maintain current standards, but won’t enable the health service to grow as the population needs it to. There is also no way that the cash set out recently will solve one of the biggest drains on the health service: the crisis in social care. The Treasury only agreed money for the NHS, not the services that many patients need to be able to

Sunday

Matthew Taylor

Sunday shows round-up: NHS preparing for a no deal Brexit

Simon Stevens: the NHS is making ‘significant preparations’ for no deal Brexit This morning Andrew Marr sat down for an interview with the Chief Executive of NHS England. With the 70th anniversary of the foundation of the NHS approaching this week, Marr asked Simon Stevens about the implications of a no deal Brexit on the health service, and whether he was making appropriate preparations for such an event: “There is now significant planning going on around all the scenarios," says @NHSEngland Boss Simon Stevens, including a no-deal scenario to ensure that medical supplies are not disrupted #marr pic.twitter.com/Io5yPctoX8 — The Andrew Marr Show (@MarrShow) July 1, 2018 AM: …When you

Thursday

The Spectator

Barometer | 28 June 2018

Nursing numbers Was there ever a time when the NHS wasn’t in crisis? According to a report by NHS Health Improvement in February 2016, the health service was then short of 15,000 nurses. A year later the Royal College of Nursing was claiming a shortfall of 24,000. But that is a lot less than the shortage of nurses reported in its early years. In December 1948, five months after the NHS was founded, it was reported by the government to be short of 48,000 nurses, 30 per cent of the number employed. The shortage meant that 53,000 beds were lying unused (a disproportionate number in women’s psychiatric care). In early 1949

Charles Moore Charles Moore

The Spectator’s Notes | 28 June 2018

Gordon Brown, echoing Aneurin Bevan, says that the greatest gift that the NHS brings to people is ‘serenity’. He is surely right that this is what it brought 70 years ago — for the simple, important reason that people would no longer need to say of treatment, ‘I just can’t afford it’. But comparable ‘serenity’ is provided, in different ways, in, for example, Germany, the Netherlands and Australia. Defenders of today’s NHS have to explain not why it is more serene than pre-1948, but whether it matches the current arrangements of comparable countries. ‘Serenity’ is not the word one would apply to many British hospitals today. In these Notes last

James Forsyth James Forsyth

Jeremy Hunt tells Tories that a ‘low taxes at all costs’ party would lose the next election

In conversation with Andrew Neil at a Spectator event this evening, Jeremy Hunt defended the principle of increasing taxes to pay for more spending on the NHS. He warned Tories unhappy with the idea that if in an election you offer voters a choice between a low taxes at all costs party and decent public services, they’ll vote for decent public services. He said that this extra money for the NHS was needed to deal with a ‘once in a generation change in demography’ and that it was important that the Tories show the public they are on the right side of this argument. In language reminiscent of David Cameron,

Monday

Katy Balls

What is Jeremy Hunt up to?

‘What you can see is someone who has the instincts of a Brexiteer, but the cautious pragmatism of a Remainer, which is where I think the British people are.’ This is how Jeremy Hunt tried to sell Theresa May’s leadership on the Andrew Marr sofa this Sunday. After a choppy few weeks for No. 10, the Health Secretary made clear that he felt May was still the right person for the job of Prime Minister. Perhaps it’s just pure coincidence then that one could also substitute Hunt’s name with May’s in that endorsement. Like May, Hunt is a Remainer turned Brexiteer. A point he also proved on Sunday when he

Thursday

Katy Balls

Treasury X Factor: Tory MPs belatedly summoned to find the money for NHS pledge

How do you find the money to pay for a £20bn NHS funding pledge? Usually such discussions – and eventual calculations – would be made before the money was announced. However, Theresa May decided to ditch the rulebook this week when she unveiled her government’s funding package to boost health spending by an average of 3.4 per cent over the next five years. Far from a fully costed pledge, May referred to a rarely-sighted Brexit dividend, potential borrowing and future tax rises. The uncertainty has led to criticism from Jeremy Corbyn’s Labour – not usually known for fiscal restraint. But happily it seems the Treasury now has a plan – or

Matthew Parris Matthew Parris

Lost in the NHS maze

Next month the National Health Service turns 70. The institution is greatly loved, and not for nothing. The fear of ill-health runs deep in most of us and is ineradicable; but the fear of not being able to afford treatment, which must haunt most of the world’s population, has been abolished in Britain — and for that inestimable benefit we have the NHS to thank. It is, of course, possible to overrate the quality of this country’s health care. Many do. All things considered, and in a world of first-, second-, third-, fourth- and fifth-rate medical provision, I’d say we British get a second-rate health service for the price of

Tuesday

Why are NHS funding critics silent on Quantitative Easing?

After the prime minister’s announcement that the NHS would be given a large boost in funding only partly paid for by taxes, some backbenchers called for fiscal responsibility. For them it is paramount that a government should live within its means and avoid increasing the budget deficit. And yet they have nothing to say about monetary policy. Quantitative Easing (QE), the creation of money out of thin air by the Bank of England, with the intention of boosting demand has been carried out in a manner highly beneficial to owners of existing assets. The Bank’s website explains how it works. It buys bonds from the private sector with money that