Nhs

Podcast: Jeremy Hunt’s catastrophic mistake

Is Jeremy Hunt spoiling for a fight with the wrong people? On the latest View from 22 podcast, Dr Clare Gerada debates this week’s Spectator cover feature on junior doctors with Fraser Nelson. Does the government have the right intentions about reforming the NHS? Why is the fight over working hours and pay for junior doctors proving so toxic? Are these doctors actually being offered an 11 per cent pay rise, or is this simply spin? And what does the row say about how the government is treating public sector employees? Christopher Buckley and Freddy Gray also discuss this week’s Republican presidential debate and whether Marco Rubio is the most likely candidate to receive the nomination. Is Donald Trump becoming a

A trust betrayed

[audioplayer src=”http://rss.acast.com/viewfrom22/jeremyhunt-scatastrophicmistake/media.mp3″ title=”Dr Clare Gerada and Fraser Nelson discuss the row over junior doctors” startat=34] Listen [/audioplayer]Like many of my fellow junior doctors, I trusted a Conservative government with the NHS. If it’s to stay strong and up to date, a health service cannot remain static. It needs not just money but carefully thought-out reform — as well as a strong economy to support it. Just after the general election, David Cameron laid out the problem as he saw it: a ‘weekend effect’ where a patient admitted to hospital on a Sunday is 16 per cent more likely to die than one admitted on a Wednesday. ‘So seven-day care isn’t

The wrong cuts

[audioplayer src=”http://rss.acast.com/viewfrom22/jeremyhunt-scatastrophicmistake/media.mp3″ title=”Dr Clare Gerada and Fraser Nelson discuss the row over junior doctors” startat=34] Listen [/audioplayer]It has long been rumoured that when Jeremy Hunt took over as Health Secretary, Cameron told him to do one thing with the NHS: keep it out of the headlines. Given that the NHS is an enormous institution, the public take an avid interest in it and it is frequently rocked by scandals and financial difficulties, this was no easy task. Until a few weeks ago, Hunt had managed it with aplomb. And then the junior doctor fiasco happened. It has been cataclysmic, one of the worst public relations disasters to rock a government

Matthew Parris

Here’s what’s wrong with the ‘public sector ethos’

An infuriating benefit of readers’ online comments beneath the efforts of a columnist like me is that as you read the responses an understanding dawns of the column you ought to have written. Some readers are stupid, unpleasant or obsessive; but most are not. As you learn their reactions you see where your argument was not clear, where you were short of information, and where you were simply wrong. But more than that, you sometimes tumble for the first time to where the nub of a problem that perhaps you danced around may lie. Last Saturday I wrote for the Times about the self-righteousness of spokesmen for public services threatened

We could end HIV

You have probably never heard of Truvada, but it is a pharmacological breakthrough that has the potential to consign Aids to the history books. The drug effectively makes its users immune to the HIV virus. In the US, the Food and Drug Administration approved Truvada for use over three years ago. Truvada is even covered by insurance companies. It formed the backbone of New York’s HIV strategy, published this summer, which aims to halt the spread of the infection and reduce new HIV infections to near-zero by 2020. Yet in this country, a conspiracy of silence surrounds Truvada, or Pre-Exposure Prophylaxis (PrEP), as it is termed. The NHS claims that

Lord Warner resigns the Labour whip

Lord Warner has resigned the Labour whip in protest at the direction in which Jeremy Corbyn is taking the party, Patrick Wintour has revealed tonight. Warner was a minister of state at the Department of Health under Tony Blair. Now, Corbyn supporters will be quick to point out that Lord Warner is hardly a household name and that he was at the far Blairite end of the party. Both of these statements are true. But Warner’s departure should still worry Labour. All parties are coalitions and no leader should want to be losing former ministers from the party at any point in their leadership, let alone this early. One footnote

Watch: SNP’s Stewart Hosie asks interviewer ‘why are you doing this?’ as he flounders on NHS and oil

Pity Stewart Hosie, the SNP’s deputy leader. He appeared on the Daily Politics today to defend the party’s North Sea oil revenue projections and its record in government on health spending. He seemed rather unprepared. When questioned by Andrew Neil on the SNP’s comically inaccurate projections for oil revenue (it expected over £8 billion by now; only £500 million emerged), he was asked how on earth he would have filled that gap. Would he have cut spending by 14 per cent, raised taxes by 16 per cent — or a combination of the two? ‘We didn’t win the referendum, Andrew,’ he said — as if that were an answer. He then went

Nicola Sturgeon explains how a second independence referendum could be ‘unstoppable’

Nicola Sturgeon has a plan about how to achieve another independence referendum, even if there won’t be a pledge for one in the SNP’s next manifesto. On the Today programme, Sturgeon pointed the finger at the Tories in Westminster — the bogeymen she believes will help the nationalists make the case for independence: ‘I think we do what we have done over a period of years: we continue to make the argument for the economic and social and political case for Scotland to be independent country and I believe very strongly the onus is on those who support independence to do that. I also though happen to think that there will be things our opponents

When the boys come home

Matthew Green, former Financial Times and Reuters correspondent, remains unimpressed by officialdom’s response to casualties who aren’t actually bleeding: Ever since October 1914, when ‘Case One’ arrived in Myers’s care, the system for tending to the mental wellbeing of soldiers has grown up in a piecemeal and ad-hoc fashion, overshadowed by the Army’s stubborn ambivalence towards psychological injury (Dr Charles Myers was the Cambridge psychologist seconded to the Royal Army Medical Corps who first used the term ‘shell shock’.) Green acknowledges that ‘experience teaches that the psychological wounds of war have proved stubbornly difficult to treat’. Nevertheless, he concludes that despite millions of pounds of public and private money being

Out of the ashes | 10 September 2015

As a nation, we are learning to accept that our firemen are more and more redundant. The Fire Brigades Union fights austerity at every turn; its spokesmen say that every reduction in station numbers or jobs is a threat to public safety. One of their campaign posters even showed David Cameron and George Osborne alongside the words, ‘They slash. You burn.’ But the statistics undermine the union’s manipulative language of doom. The cuts have been matched by a continuing decline in dangerous fires. According to figures released at the end of last month, the fire brigades attended 495,000 incidents in the year 2014–15, a decrease of 42 per cent compared

James Delingpole

The NHS was great for Girl, but I still don’t like it

When Girl came off the horse it didn’t look like a bad fall. More like an involuntary and rather hurried dismount. She’d landed on her feet, that was the main thing, so I wasn’t initially too concerned when she lay writhing and yelling on the grass. Nasty sprain I thought. Give it five minutes… But five minutes later she was still on her back, still in pain, and I began to worry. Mainly for my darling Girl’s sake, of course, but partly for my own. ‘Oh God oh God,’ I thought. ‘She’s supposed to be going back to school tomorrow. I am going to be in such shit with her

Letters | 20 August 2015

The morality of the A bomb Sir: In questioning whether we should celebrate VJ Day (Diary, 15 August), A.N. Wilson is confusing ‘why’ with ‘how’. The debate on the rights or wrongs of the nuclear attack will continue probably until long after the grandchildren of the last survivors have passed on. What should not be forgotten is the necessity to defeat the cruel, expansionist, militaristic regime that arose in Japan between the wars. Something happened to Japan during that period. The treatment of Allied prisoners of war and the atrocities in China during the second world war are well documented. What is less well known is the Japanese treatment of

Cheat sheet: what Jeremy Corbyn stands for

Given by most metrics Jeremy Corbyn is on track to win the Labour leadership contest, his policies deserve to be examined and discussed. Based on his speeches and pamphlets, here is a summary of what Corbyn has pledged to do in key policy areas. There is a surprising amount of detail. Economy Corbyn’s economic ideas have been outlined in a document: The Economy in 2020. His approach for ‘growth not austerity’ is one of his most comprehensive policy areas. Corbynomics, which we’ve looked at in the past, is based on raising taxes and using the proceeds to invest in the economy. He has promised to ‘cut some of the huge tax reliefs and subsidies on offer

Letters | 13 August 2015

Islington isn’t indifferent Sir: I was shocked to read Mary Wakefield’s article accusing Islington’s middle classes of ‘extreme indifference’ to the death of our young people (1 August). As the local MP and a resident of N1, I can assure you that all these losses are deeply felt. It is provocative to suggest that there is a ‘strange apartheid’ in my constituency — and profoundly offensive to try to link this to the deaths of black and white youngsters. I can assure you that both I and my constituents are deeply saddened by the deaths of any Islington lads, such as Alan Cartwright, Stefan Appleton, Joseph Burke-Monerville and Henry Hicks.

Real life | 13 August 2015

Surely it can be no coincidence that the road by which one enters St George’s Hospital, Tooting, is called Effort Street. The taxi trundled along this road, pulling up at the drop-off point in front of the Lanesborough Wing, home to the specialist I have been assigned. It has taken the best part of two years of effort to get to Effort Street, badgering my GP until both she and I were so tired of my ‘change of life’ symptoms that I got the feeling the NHS agreed to let me see a gynaecologist just to stop me making doctors appointments. The Lanesborough, unlike Effort Street, is very badly named

Stop health tourism

Speaking after the Stafford hospital scandal in 2010, the then newly appointed Health Secretary, Andrew Lansley, grandly announced plans for a charter to support whistleblowers. The government, he said, would ‘create an expectation that NHS staff will raise concerns about safety, malpractice and wrongdoing as early as possible’. We now know just how that fine pledge worked out. In 2013 this magazine ran a piece by J. Meirion Thomas, then a cancer specialist at the Royal Marsden hospital in London, about his concerns at how the NHS was being exploited by health tourists. He had tried, he said, to expose an ineligible foreign patient but had as a result been

The Conservatives can become the party of mental health — here’s how

For too long, Westminster has overlooked mental health. It has been languishing in funding obscurity for decades as a forgotten arm of the NHS. But thankfully, there was a shift in priorities during the last Parliament as all political parties woke up to the importance of providing good mental health care. The issue rose so far up the policy agenda that the merits of different types of long-term psychotherapy became the subject of repeated and impassioned debate in the Cabinet Office. All parties have realised that mental ill-health is a problem that affects everyone. Currently one in four people struggle with mental health issues every year and the number is

What did ‘#IminworkJeremy’ Hunt actually say about doctors working weekends?

Well, it’s fair to say that Jeremy Hunt’s going to have a fun time at the next doctors’ conference he attends. There’s the #Iminworkjeremy trend on social media of furious doctors pointing out that they already work at weekends, and are not playing golf, as they believe the Health Secretary claimed. There’s the multiple petitions calling on the Health Secretary to resign, be sacked, or be subject to a vote of no confident in Parliament. And there are the furious op-eds from doctors who feel completely undervalued. Now, doctors do work weekends, and they also work twilight shifts and long weeks of nights, and they also have to certify people as dead

Real life | 16 July 2015

Insomnia has a lot to answer for. I have not been sleeping well for years but a few months ago I stopped sleeping at all. By that I don’t mean I sleep a little bit. I mean I sleep never. And since I stopped sleeping, I have been teetering on a knife-edge. It is, I can reveal, barely possible to behave in accordance with the law if you have had no sleep for a significant time. I suspect a large proportion of the prison population just needed a sleeping pill to make them into responsible citizens. As for women’s prisons, they must be jam-packed with menopausal desperados needing HRT whose

Poor form

Not long ago, I woke up in hospital, in pain, with a damaged back, but grateful for the sleep that a couple of doses of morphine had secured. ‘Morning,’ said a sixtysomething man who appeared by the side of the bed. ‘I’m Derek, I’m a volunteer here.’ ‘Hello Derek.’ ‘I’ve bought you some cornflakes.’ I wanted to hug him. ‘Also…’ He produced a sheet of paper. Oh no. ‘There are a few questions here about how you’ve found your stay with us. I can fill them in for you if you want…’ Luckily I was too weak to get angry. ‘Could you just leave it there, Derek? I might look