Nhs

How ‘kindness’ became big business

In those moments when I most fear that the West is on the skids, I find it helps to make a list of end-time signs, phenomena that indicate decay, like sparks along a piece of faulty wiring. So far my list goes like this: NFTs; babyccinos; liver-flavoured ice-cream for dogs; the fashion for encouraging children to cut off their genitals; the fact that Rowan Williams, former Archbishop of Canterbury, thinks it deeply wrong to talk them out of it; freak shakes; Heinz ‘pink’ sauce; gannets dead all down the North Sea coast; swearing six-year-olds still in nappies (says my teacher friend in the North-East); risking nuclear war over Ukraine; the

Portrait of the week: Energy bills up, NHS waiting lists down and hosepipes off

Home Energy bills will be £4,266 for a typical household by January, according to the consultancy Cornwall Insight, which had put the sum at £3,616 only a week earlier. Ofgem had decided since then to shorten the period over which suppliers can recover their costs. Gordon Brown, prime minister 2007-10, declared that Boris Johnson, the Prime Minister, and Liz Truss and Rishi Sunak, competitors to succeed him, must hold an emergency Budget to deal with the ‘financial timebomb’ of energy prices. ‘If they do not,’ he said, ‘parliament should be recalled to force them to do so.’ Liz Truss, in an interview with the Financial Times, said she would help

Good riddance to the Tavistock

Most push notifications that pop up on my tablet concern impending catastrophe. But last week, one newsflash made my day. Glory hallelujah, the NHS is closing the Tavistock. A clatter of tattletales have warned since 2005 that the UK’s only clinic for minors confused about which sex they are – having been encouraged to be confused by British media and their own teachers – was fast-tracking children into often irreversible treatments in the service of ideologically driven ‘gender affirmation’. At last the Cass report has determined that the clinic’s practices are unsafe. The Tavistock will close by the spring, which by my calculation is seven months too late – if

Why the Tavistock clinic had to be shut down

There are many reasons why what is sometimes crudely called ‘the trans issue’ is important. One is the political failure that left the legitimate views of many women (and men) ignored by decision-making individuals and bodies, who instead prioritised the views of interest groups and campaigners. Another is the multiple failures of governance that have seen numerous public bodies fail to deal properly and responsibly with questions of real public interest, because of their enthusiasm to follow the subjective agenda of interest groups rather than amass and act on objective evidence. Simply put, organisations that are supposed to make decisions on the basis of facts have sometimes chosen to proceed

The small NHS failings that let down patients like my mother

I would be the first to admit that the NHS has done a lot for my mother this year. It gave her the emergency blood transfusion that undoubtedly saved her life, followed by several iron infusions and umpteen scans and tests. It has treated a series of infected leg ulcers and provided consultations with senior medical figures and countless more outpatient appointments. It has supplied her with swanky new hearing aids and nursed her through Covid. During her four months in hospital, in two separate stays of nine and seven weeks, it came up with three meals a day, not all of them involving ravioli, mash and gravy, and a

How to fix the NHS

That the NHS is in intensive care appears to be beyond doubt. The health service in England needs 12,000 doctors and 50,000 nurses and midwives, and waiting lists are expected to rise to 9.2 million by March 2024. The question now is what to do. It’s a question that has been asked before, and the answers have been poor. One more heave at reform, a task force here, a task force there, another few billion all over the place and all will be well, so the defenders of the NHS claim. What they overlook, however, is that there have been more than a dozen major reform programmes over the past

Can Rishi Sunak heal the NHS?

Rishi Sunak’s big pitch this weekend is to grip the NHS waiting list crisis. It makes political sense, given the terrifying size of these lists now, with some trusts declaring their waits ‘unmanageable’. By the time of the next election, the crisis in the NHS is going to seem monstrous. Ethical concerns tend to end up fading whenever a government has failed to do the long-term planning it could have done The former chancellor is worried that the surge in people seeking private treatment is ‘privatisation by the back door’. James and I discuss the wider context of this on our latest Coffee House Shots podcast, agreeing that if people

Letters: What William Blake meant

Procurement profligacy Sir: In response to Susan Hill’s query ‘Who allows the profligacy in NHS hospital procurement to continue?’ (‘Best medicine’, 16 July), it seems the national scale of public sector bureaucracy is just too great. Given the size and spending power of the NHS, no one should come close to achieving equal efficiencies in economies of scale, nor gain better prices from suppliers. But this is not the case. As a non-clinical procurement professional in the NHS, having come from the private sector, I’ve been surprised to consistently find the national purchasing authority of the NHS (formerly ‘NHS Supply Chain’, now ‘SCCL’) to be the worst pricing option available

There’s little to celebrate on the NHS’s birthday

Birthday celebrations for the NHS this year are relatively quiet. In recent years the health service has received multi-billion pound top-ups from the taxpayer, not to mention high praise from politicians across the political spectrum. This may be in part because the government has already seen to the big NHS pledges, including the 2.5 per cent National Insurance hike, split between workers and employers, which is bringing in roughly £6 billion to pay for Covid catch-up. But no doubt this year’s notable silence is also linked to just how bad that catch-up is going. It’s never been credible to claim the NHS is the ‘envy of the world’; the health

The NHS’s disturbing trans guidance for children

Sajid Javid spoke some sense earlier this week when he said that the word ‘woman’ should not be removed from NHS ovarian cancer guidance. The Health Secretary was responding to the revelations that the NHS website had been stripping the word ‘woman’ from its advice pages. But fine words are only a start. The Health Secretary needs to get a grip on an NHS website that seems in thrall to magical thinking on sex and gender. The problem is wider than he might realise. Quite apart from the row over the advice to women seeking advice on cervical cancer and ovarian cancer, the NHS is currently hosting a page entitled,

Medical emergency: general practice is broken

In March 2020, as the health service prepared for the first Covid wave, NHS England encouraged GPs to adopt a new system called ‘total triage’. The aim was to reduce the number of patients in clinics in order to protect GPs, their staff and patients themselves from the virus. If patients hoped this system was a temporary, emergency measure, they were wrong. Under ‘total triage’, patients had to provide far more details of their (sometimes sensitive and embarrassing) symptoms to a receptionist or on an e-consultation form. They would then be allocated a telephone consultation with their GP or another health professional such as a nurse, pharmacist or physiotherapist. In

The endless tiny errors of the NHS

I wrote recently elsewhere about Jeremy Hunt’s good new book examining unnecessary deaths in the NHS. Someone should write a companion volume about the other end of the scale of seriousness – the literally millions of small mistakes and obstructions effected by ‘the envy of the world’. Since 2014, I have found myself in hospitals many times, though never as a patient. Four close family relations or in-laws have died in hospital in that time, and several living members of my family have received various treatments. This has involved, I think, eight NHS hospitals and dozens of visits. In only one case has a major misdiagnosis contributed to otherwise avoidable

Six graphs that show how the NHS is collapsing

If you called an ambulance last month you probably faced quite a long wait. Figures released this morning show the average time for an ambulance to arrive after a ‘category two’ call-out was 51 minutes, only slightly down from 61 minutes in March. This is still nearly three times longer than the 18 minute target for category two emergency calls, which include serious conditions such as strokes or chest pain.  Pressure is mounting within hospitals too, with 12 hour A&E waits reaching a new high: one in 20 patients now have to wait half a day or more for treatment after arriving at hospital. Category one emergency calls – where there

How hard is it to see an NHS dentist?

Biergate Sir Keir Starmer was facing the scandal of ‘beergate’. Biergate is a lane in the Lincolnshire village of Grainthorpe. It is a noted area for grain production, although the origin of the name is not clear as it has also been recorded as Beargate on old maps. – It would not be happy hunting ground for Starmer or Labour as it has both a Conservative district and county councillor. – One thing you won’t find close by is beer. The village used to have a pub, the Black Horse Inn, but it closed in 2017. Not sharing Bill Gates declined to deny that he is shorting Tesla shares. What

Excl: NHS tries to ditch the focus on ‘normal births’ after scandal

It’s only been two weeks since the Ockenden report on the maternity scandal at the Shrewsbury and Telford Hospital NHS Trust came out. That report criticised – among many other things – a focus on ‘normal birth’ and a low Caesarean section rate which had harmed some of the mothers and babies in the cases it had investigated. Job adverts give the impression that some sections of the NHS aren’t prepared to learn the lessons from Ockenden Since then, though, there have still been job adverts going out from other NHS trusts for midwives who are interested in ‘normality’ – the common term for a vaginal delivery, preferably without instrumental

What happened to Tory radicalism?

Whatever advantages money may have brought Rishi Sunak as he rose to become Chancellor of the Exchequer, his wealth has now become a serious hindrance to his career. Whatever decisions he takes, everything is seen through the prism of his personal financial situation. If he rejects demands for greater public spending, he will be accused of throwing the poor to the lions. If he raises taxes, he will be accused of failing to understand how ordinary people are struggling. If he cuts them, he will be accused of pandering to his rich friends. Even acts of private generosity by Sunak seem to arouse suspicion when made public. This week it

Normal people are paying the price for NHS failures

Most people don’t need reminding about the cost-of-living crunch: food, petrol, bills and transport all provide a daily reminder that prices are going up. But today’s energy price cap rise – lifting by almost £700 – provides a headline example of the increasing costs of essential goods.. Alongside it, the National Insurance hike (a 2.5 percentage point rise split between employers and employees) and an average council tax rise of 3.5 per cent both kick in too. But what about the essential services that are supposedly ‘free’? It seems these are getting expensive too. This week the Private Healthcare Information Network released its data on the number of NHS patients

The NHS failing mothers is nothing new

Can Sajid Javid really say, as he did this afternoon in the Commons, that the government is taking action to ensure ‘that no families have to go through the same pain’ experienced by those affected by the biggest maternity scandal in the history of the NHS? The Ockenden inquiry into the maternity services at the Shrewsbury and Telford Hospital NHS Trust published its final report today, concluding that ‘repeated’ failures in care may have led to the deaths of more than 200 babies, and of nine mothers. The individual stories of stillborn babies, infants severely and sometimes fatally harmed, and women’s pain being dismissed are deeply distressing. What is worse

Isabel Hardman

Are we falling out of love with the NHS?

Clap for carers now feels like ancient history. Public satisfaction with the NHS is at its lowest since 1997, according to a new study out today. The British Social Attitudes Survey finds overall satisfaction with the health service at just 36 per cent, a record-breaking fall of 17 points since 2020. People often relate to the health service through GPs and their experience of A&E. The latter has experienced a record-breaking 15 point fall, now at 39 per cent satisfaction, its lowest level since the BSA started asking questions about A&E in 1999. It’s worth remembering that in 1997, when public satisfaction with the NHS as a whole was at just 34

Time is running out for the Tories to meet their promises

Will the Conservatives have much evidence that they’ve helped the country recover from the pandemic by the next election? Even though all the indications are that the party will go for a later poll in 2024, they still do not have much time to fix the big holes that have gaped wider as a result of Covid. In many cases, such as the NHS backlog, the holes were already there before the pandemic, which makes them even harder to close up. Education is another policy area where the rhetoric and time left to fulfil it just don’t seem to match up. This morning I asked Education Secretary Nadhim Zahawi on