Nhs

How do you solve a problem like the NHS? The Spectator asks the experts

So ingrained is the NHS as part of British life that it’s hard to imagine it disappearing. But it can’t go on as it is: its budget is being squeezed while its costs are rising and people are demanding more from it than ever. We want ongoing treatment for chronic conditions; exemplary care for our growing elderly population; the latest drugs; the highest standards of care across the country; and the NHS’s founding principles – the provision of universal care free at the point of use – to be adhered to. Earlier this year The Spectator held its first health lunch with a round-table discussion to coincide with preparations for

How to defuse Britain’s £1.45 trillion public-debt time-bomb

Last week’s public-finance statistics were truly dreadful. They showed that despite a year of fairly robust economic growth, UK government borrowing since the start of the financial year 2014 to 2015 was actually 10 per cent higher than in the same period in 2013 to 2014. Once again, it seems, our public finances will be in deficit by more than £100 billion this year. Running sustained deficits of this kind adds to the overall debt burden. According to the new ONS figures, public-sector net debt is currently £1.45 trillion (79.9 per cent of GDP) – meaning we are paying just over £50 billion per year in debt-interest payments. Whilst debt

Having an abortion means ending a life. Even pro-choice students should realise that

Last week, the Tab, an online student tabloid, published an article by an anonymous Cambridge student entitled ‘I shouldn’t have been aggressively reminded of my abortion at Freshers Fair’. The author was complaining that she had been upset by a stand at the fair run by Cambridge Students For Life, an anti-abortion student society. The stall, she argues, had no place at an event that is meant to welcome new freshers, and was offensive to her personal choices. Her article certainly offended me. Her own abortion, she tells us, ‘crosses my mind only once in a blue moon, and never tinged with regret’. It is clear that she considers abortion

Fraser Nelson

The NHS Wales disaster vindicates Tony Blair, not David Cameron

[audioplayer src=”http://traffic.libsyn.com/spectator/TheViewFrom22_23_January_2014_v4.mp3″ title=”Charlotte Leslie and James Forsyth join Sebastian Payne to discuss the NHS.” startat=1410] Listen [/audioplayer] As someone who believes that a Labour government would be a calamity for Britain, I ought not to mind the recent fuss about NHS Wales. Yes, it is a disaster – as the Daily Mail has been cleverly highlighting. And it has been run by Labour for 15 years, so they’re guilty as charged. Jeremy Hunt, the Health Secretary, makes this point powerfully today. But if the English NHS is much better by comparison to Wales, it’s not because of him, nor because of David Cameron. It’s because of Tony Blair. The NHS

How to cure bad breath (and continue eating smelly foods)

Have you ever tried that good old test for halitosis – licking your wrist, letting it dry, then having a good whiff – and been shocked at the result? The bad news is that mints don’t work, but here are a few tips that might succeed in making your breath smell sweeter. Brush your tongue As well as brushing your teeth, you need to brush your tongue, if an American study is anything to go by. Levels of smelly sulphur compounds caused by food bacteria dropped by 53% in people who brushed both teeth and tongue for a minute twice a day for a fortnight. Scrape your tongue Even better,

Spectator letters: In defence of the GMC and Ukip members, and how Rachmaninov spelled Rachmaninov | 23 October 2014

Health check Sir: I have to take issue on (at least) three counts with Dr Vernon Coleman and his absurd suggestion that the GMC should be abolished (‘Get rid of the GMC’, 18 October). I administer the annual appraisal and revalidation process at an acute hospital. First, revalidation of licensed doctors is based on an evidence-based annual appraisal which is designed to demonstrate that doctors are up to date and fit to practise — surely not too much to ask? It takes the average doctor about five hours each year to complete the ‘reams of forms’. Secondly, the colleague and patient ‘report forms’ are required once during the five-year revalidation

NHS ambulance trouble is more complex than miserly Tories and NHS privatisation

English NHS ambulance services are spending twice as much on private ambulances than they were in 2012, according to Labour, while response-times have lengthened and ambulance staff appear increasingly disgruntled.[audioplayer src=”http://traffic.libsyn.com/spectator/TheViewFrom22_28_August_2014_v4.mp3″ title=”Julia Manning joins Mary Wakefield and Fraser Nelson to discuss the 999 crisis.” startat=50] Listen [/audioplayer] So there’s something else to blame on the Tory government, lest anyone feared a shortage. Shadow Health Secretary Andy Burnham lost no time in charging that ‘these figures show just how quickly the NHS is changing under David Cameron.’ Perhaps. Spectator subscribers, however, know the ambulance troubles are more complex than just miserly Tories and creeping NHS privatisation. Assuming, that is, they caught Mary Wakefield’s inside-look (literally)

PMQs sketch: Cameron and Miliband squabble over the NHS, while saying nothing

It didn’t work. But it was a good idea. David Cameron prepared an ambush for Ed Miliband at PMQs today. The trouble was he attacked the Labour leader for a vice he himself has mastered with conspicuous aplomb: question dodging. Miliband is clearly in trouble. He’s using his only remaining strength, the NHS, to prop up his burgeoning weaknesses. Expect this to continue till next May. There’s always a calamity somewhere in the NHS and for Miliband, ill tidings are like gold dust. He painted a picture of a basket-case health system that would have shamed a failed state in the Middle Ages. Cameron, he said, wasted billions on a

Call them crazy – the foolhardy new incentives for dementia diagnoses

Remember this time last year, when Jeremy Hunt decried the ‘national shame’ of neglected old people suffering from undiagnosed dementia? The health secretary lamented that fewer than half of dementia cases are ever diagnosed, and promised ‘to make a big change.’ His initiative got rave reviews at the time. Now that the details are in, not so much. ‘A bounty on the head of certain patients’ is how the head of the Patients Association characterised NHS England’s new scheme, to pay doctors £55 per patient whom they diagnose with dementia. The so-called ‘Dementia Identification Scheme‘ began on October 1 and runs through March 31. It is, per the NHS document,

Sod the diet and lose weight anyway – here’s how

Who enjoys all that calorie counting? If you hate diets but love the idea of losing a bit of weight, these quick fixes might just help you shift a few pounds – or prevent you from putting on any more. Get enough shut-eye. Research has shown that people who are sleep-deprived eat a lot more the next day than those who are well rested. In one study it was an average 600 calories more. Why? Quite simply, if you stay awake for longer, you’re more likely to have the munchies. Down the dairy. A few studies have suggested that people who eat more dairy products when they’re trying to lose

Labour’s NHS strategy – tax tobacco, save the cancer patients

Labour wants the next election to be about the NHS, one of their strongest issues. Party strategists have been struck by how it has been rising up voters’ list of concerns and now want to keep it there. Ed Miliband’s pledge today that Labour will ensure that people who fear they have cancer are seen and tested for within a week is astute politics. It keeps the NHS near the top of the political agenda. It is also paid for by a levy on the tobacco companies, which have few friends and little public sympathy. Meanwhile Labour can claim that this is a prudent use of £150 million as cancer

Five ways to fight the flu – or why you should curl up with hot fruit cordial

No one likes getting the flu and for some people, in particular the sick and elderly, the virus can prove deadly. So it’s worth taking a few simple steps in a bid to stave it off. 1. Wash your hands. Use soap and water to wash off the germs you pick up on all the surfaces you touch (and make sure you clean them too). Wash hands often and thoroughly – sing “Happy Birthday” or another short song to yourself while you’re doing it. And grasp the tap with a piece of loo paper when you turn it off. Overkill? Maybe. But who wants the flu? 2. Don’t smoke. You’re

How to fix the NHS: a doctor’s prescription

I’m a doctor, and I don’t care about the NHS. In this country, that’s an almost heretical statement — but it’s true. What I mean is that I have absolutely no interest in ensuring its survival simply because it’s a great national treasure. What I care about is making sure that we have the best possible and most cost-effective healthcare system. And as it happens, despite the strikes, panic and doom-mongering, I think the NHS — by which I mean a nationalised healthcare model — is the best option available, if only someone were brave enough to make the right changes in the right way. Don’t expect this government to

Rod Liddle

Panic about Ebola in Africa – not here

Got Ebola yet? Early symptoms are very difficult to distinguish from either winter flu or, indeed, a particularly bad hangover. Bit feverish, aches and pains, sore throat and so on. Only when you start to bleed from the eyeballs should you worry a bit: that’s never happened before with Jack Daniels. It was the African bloke huddled up on the tube, I would reckon, the one who kept coughing. I knew I shouldn’t have sat near an African. One or two clinical experts have been likening the Ebola virus to HIV. They seem to me similar more in a sociological sense. I remember those days when people avoided being in

Stop ‘Stoptober’: seven health benefits associated with smoking

James Delingpole’s latest Spectator column laments the pernicious portmanteau afflicting this fine month: Stoptober. Geddit? That’s ‘-ober’, as in the second half of ‘October’, with the word ‘Stop’ cunningly positioned where the ‘Oct’ would normally be. And what marketing genius was responsible for this rebranding? Why, someone from an Orwellian body which you’d probably much prefer didn’t exist, let alone to have to fund with your taxes. Public Health England. James closes with his own call to action: ‘Let’s start by reclaiming October.’ In that spirit, and on the conviction that public tediousness is a greater hazard than the odd puff, here are seven non-catastrophic health-related outcomes observed in association with smoking. 1. Revenge

Winter is coming: do you really need a flu jab?

Winter is coming. You can tell because the days are drawing in, the light has that autumnal greyness, and the first bloody advent calendars are in the shops. Also, those of us who are old, pregnant or still in nappies are reminded reminded to take our flu jabs. The Telegraph, among other outlets, is reporting that two million UK children will be eligible for the new nasal-spray influenza vaccine this year; it’s been extended to include four-year-olds as well as the two- and three-year-olds who were eligible last year. I’m hugely wary of any sort of criticism of vaccination programmes, because the sort of people who criticise them are usually

A new low for NHS doublespeak

Orwell had it that political writing is ‘defence of the indefensible,’ and that ‘political language has to consist largely of euphemism, question-begging and sheer cloudy vagueness.’ For the latest example, look no further than the statement circulated on Tuesday by the Colchester Hospital Foundation Trust, regarding Dee Hackett, who was appointed last November as director of Nursing and Patient Experience. Dr Lucy Moore, Chief Executive of Colchester Hospital University NHS Foundation Trust, said: ‘I have been talking with Dee over the past few months about her long-term plans. ‘By mutual agreement, we have decided to support her to explore various other opportunities. ‘We have agreed with Dee that due to

Cameron’s shield and spear

[audioplayer src=”http://traffic.libsyn.com/spectator/TheViewFrom22_2_Oct_2014_v4.mp3″ title=”James Forsyth and Isabel Hardman review the conference season” startat=604] Listen [/audioplayer]Today’s speech was all about equipping the Tories with the weapons they’ll need to fight the next election. The Cameroons have always been convinced, with justification, that the Tories can only hope to win elections if they neutralise the NHS as an issue. So, we saw Cameron giving the party a shield on that issue—a promise to increase spending on the NHS every year. This was combined with Cameron’s most personal—and angriest—response yet to Labour efforts to suggest that he’s privatising or running down the NHS. If Labour continue to make this charge, Cameron is prepared to

Tories will keep NHS ring fence, Cameron to announce

The Tories will protect the NHS budget, David Cameron will announce in his speech to his party conference today. Extracts of the Prime Minister’s speech, which he will deliver in Birmingham later today, include a promise to ‘protect the NHS budget and continue to invest more’. Cameron will repeat George Osborne’s argument that ‘you can only have a strong NHS if you have a strong economy’, and will also mention his own personal commitment to the health service, saying: ‘From the country that unravelled DNA, we are now mapping it for each individual. Cracking this code could mean curing rare genetic diseases and saving lives. Our NHS is leading the

If David Cameron wants seven-day GP clinics, he’ll need market reform

Today, David Cameron will pledge that if he’s re-elected he’ll give everyone access to a family doctor seven days a week. He will say:- “People need to be able to see their GP at a time that suits them and their family. That’s why we will make sure everyone can see a GP seven days a week by 2020. We will also support thousands more GP practices to stay open longer, giving millions of patients better access to their doctor. This is only possible because we’ve taken difficult decisions to reduce inefficient and ineffective spending elsewhere as part of our long-term economic plan. You can’t fund the NHS if you