Nhs

In praise of those who have improved healthcare in Staffordshire

Last week, the House of Commons considered the vital matter of the Francis Report – one year on. It is quite difficult at this stage in the tragedy of Stafford hospital to recall how it all came about and the difficulties that those of us who experienced it had to endure, the patients and the victims in particular. There was complete and total resistance, a granite-like refusal, to having a proper look at what was going on. A tooth and nail battle had to be fought to get the Inquiry in the first place, under the Inquiries Act 2005. I was absolutely astonished that successive Secretaries of State completely refused,

Spending on health harms your wealth

Much of the Budget debate next week will be devoted to the future growth rate of GDP and of total public spending; but there probably won’t be much attention paid to the impact of particular elements of public spending on growth. Yes, people (particularly well-paid consultants) talk about the merits of individual projects like HS2; but it seems to be an article of faith among politicians of all parties that some government functions result in more growth than others. In particular, many politicians unthinkingly assume that spending on infrastructure, education and healthcare necessarily improves the economic efficiency of both the public and private sectors. But is the conventional wisdom accurate?

The Early Access to Innovative Medicines scheme will make us healthier for longer

Imagine this: you take a routine trip to the doctors. Except it doesn’t turn out to be routine at all. Instead, the doctor tells you that you only have months to live. Worse still, there is no certified cure. There is a potential drug that could save your life, but it’s stuck in a regulatory tangle, waiting for approval which takes years. It might come on the market in a decade. But by then, of course, it will be too late for you. Ludicrous, surely? Yet that has been the dilemma facing too many over recent years, unable to get access to the drugs that could save their lives. Decades

Wales is a nightmare vision of Ed Miliband’s Britain

If politics was science, you would call Wales the ‘control’ group, for public service reform. Here is a country where Labour are the only game in town and a socialist philosophy which places a monopolistic state provider at the centre of health care and education reigns supreme – yes, even more supreme than the pupils and patients this system is designed to serve. In fact, in devolved Wales, Labour are running the public services as Ed Milliband would like to see them; a Labourite utopia of State supremacy, with none of the so-called evils of alternative providers getting in the way of the tight grip of the State. So how

The dream pill may not always be worth it

A couple of years ago, I was put on the third-generation contraceptive pill Yasmin. ‘It’s good for your skin and stabilises your weight,’ the doctor said. And it’s true. I’ve found it to be wonderful. Most of my friends are on similar types of third–gen pill, like Femodene and Marvelon; many swear by them. Out of the 3.5 million women in the UK using the combined contraceptive pill, 1 million are on third–gen versions. But things aren’t all rosy. In the past week, all British GPs have been ordered to warn anyone taking these popular pills that they are at risk of developing potentially fatal blood clots. The statistics make for

Imagine the uproar if a Tory minister proposed a “do-it-yourself” NHS?

Consider these two stories. In the first the government approves new proposals to overhaul hospital outpatient care. For once there isn’t even much of a pretence that this will improve healthcare. It’s simply a question of saving money. Assuming the new proposals are implemented, many outpatients who had hitherto enjoyed (or endured) hospital appointments will be told to stay at home. Indeed they will be advised to “treat themselves”. What contact they have with a consultant will be of the “virtual” kind. Perhaps a quick telephone call if they are lucky. More likely, they will be told to download an app to their phone which will tell them how to

What the NHS owes the Tories

[audioplayer src=’http://traffic.libsyn.com/spectator/TheViewFrom22_23_January_2014_v4.mp3′ title=’James Forsyth discuss the NHS with Charlotte Leslie MP’ startat=1430] Listen [/audioplayer]Pinned to the wall of Jeremy Hunt’s office in the Department of Health is an A1 piece of paper detailing that week’s ‘Never Events’. It catalogues the mistakes that have been made in NHS hospitals that should never have happened: people having the wrong leg amputated, swabs being left inside patients after surgery and the like. This grim list is a rebuke to the glib, Danny Boyle-style rhetoric which dominates all political debate about the NHS and treats any attempt to examine the failings of British health care as heresy. One can’t imagine Andy Burnham, the last

Podcast: Islam’s 30 year war, Westminster’s wandering hands and the Tories’ NHS legacy

Is the Sunni-Shia conflict in the Middle East making a new great war ever more likely? On this week’s podcast, Douglas Murray discusses the battle involving Iran, Iraq, Syria and Saudi Arbia with Tom Tugendhat, a former solider and advisor to General David Richards. Why has the West failed to control the region? Can anything be done to save the situation? And how likely is it that the Sunni-Shia battle will end in a nuclear standoff? Do the men of Westminster also suffer unwelcome advances? Former Lib Dem advisor Miranda Green and Guido Fawkes’ Alex Wickham discuss the culture of Westminster’s wandering hands. How endemic is the problem for both

What the NHS really needs

I blamed the pheasant casserole, but I did it an injustice. Its only contribution to the drama behind my disappearance in mid-December was a residue of lead shot in the small intestine that briefly confused the radiologist. The real villain revealed by the scan was my appendix, which had taken on the raging, bull-necked, bug-eyed appearance of Ed Balls faced with a set of improving growth figures. And so it was that I spent a week in the Friarage at Northallerton, a small ‘district general hospital’ that has survived every NHS restructuring to date and is cherished by the citizenry of rural North Yorkshire. For someone who hasn’t been hospitalised since

Martin Vander Weyer: In my hospital bed, I saw the future of the NHS

I blamed the pheasant casserole, but I did it an injustice. Its only contribution to the drama behind my disappearance in mid-December was a residue of lead shot in the small intestine that briefly confused the radiologist. The real villain revealed by the scan was my appendix, which had taken on the raging, bull-necked, bug-eyed appearance of Ed Balls faced with a set of improving growth figures. And so it was that I spent a week in the Friarage at Northallerton, a small ‘district general hospital’ that has survived every NHS restructuring to date and is cherished by the citizenry of rural North Yorkshire. For someone who hasn’t been hospitalised since

Save the heritage of Barts Hospital

Everybody wants to support cancer charities, don’t they? Take Maggie’s Trust, which ‘empowers people to live with, through and beyond cancer’. The Maggie’s approach is defined by their cleverly designed modern care centres, which welcome not just people battling against cancer but their families and those who care for them. Maggie’s now plans to build a new centre, only the second in London, at St Bartholomew’s Hospital in Smithfield. We desperately want to stop them. Before you start shouting at the screen, let us explain. We represent another group, one that was set up to protect the heritage of Barts, rather wordily calling ourselves ‘The Friends of The Great Hall

Portrait of the week | 21 November 2013

Home The government announced proposals for the National Health Service, including a law to criminalise wilful neglect by doctors and nurses, and a scheme to post online the numbers of nurses on wards. By the end of October, 219 households had seen work completed to insulate their houses under the government’s Green Deal, launched last January. Nick Boles, the planning minister, suggested that David Cameron, the Prime Minister, might like to revive the National Liberal Party, an organisation affiliated to the Conservative party from 1947 to 1968. The Foreign Office summoned the Spanish ambassador after a Spanish ship entered waters off Gibraltar and undertook surveying activity for 20 hours. A

After Mid-Staffs, the NHS needs whistleblowers – and whistleblowers need protection from the public

It is impossible, I would have thought, to have heard Debbie Hazledine’s account on the Today programme of her late mother’s mistreatment at Mid Staffs Hospital and not to have thought ill of the hospital in question. An institution in which such callousness thrived for so long must have few friends left, you might imagine. And yet the strangest thing about the Mid Staffs scandal is the defensive feeling it has inspired. The ‘Save Mid Staffs’ campaign has been vocal at points, while Julie Bailey, the Mid Staffs whistleblower, appears to have been persecuted. In front of this backdrop, a debate about what should happen to wards in failing hospitals has morphed into a full-on slanging

The return of the family doctor?

Ministers have described the deal on GP contracts, negotiated by the government and the British Medical Association (BMA), as a return to the days when GPs were family doctors. Certainly, it is a step in that direction. The contract, which will come into force next April, revives the personal link between doctor and patients aged 75 or over, and makes GPs responsible for out of hours care. The Department of Health says that GPs will also be: offering patients same-day telephone consultations; offering paramedics, A&E doctors and care homes a dedicated telephone line so they can advise on treatment; coordinating care for elderly patients discharged from A&E; regularly reviewing emergency

Portrait of the week | 14 November 2013

Home EDF Energy said it would put up prices by 3.9 per cent. BT Sport spent £897 million on the rights to show Champions League football for three years, provoking a 10 per cent fall in BSkyB shares. The rate of inflation fell from 2.7 per cent to 2.2, as measured by the consumer prices index; as measured by the retail prices index, it fell from 3.2 per cent to 2.6 per cent. Unemployment fell by 48,000 to 2.47 million. Barratts, with 75 shoe shops, went into administration. Flybe, the Exeter-based airline, announced plans to cut 500 jobs. Plans were published for an airport on an artificial island off Sheppey in the Thames Estuary,

Sir Bruce Keogh denies that he is proposing two tier A&E

Sir Bruce Keogh’s anticipated review into accident and emergency has been published today to a chorus of praise and boos. The Mail describes it as a ‘sticking plaster’. The Independent is cautious. The Guardian is critical. And the Telegraph and the Sun are more positive. Sir Bruce Keogh gave a masterly performance on the Today programme, which may go some way to calming fears in the press. He said that the current system, which was designed in the 70s for the 70s, is unsustainable. At the root of his analysis is the belief that the present system is inefficient because patients have to go to the NHS to receive attention,

David Cameron prepares for winter of discontent in A&E

There are two important NHS stories in the papers today. First, the Times reports (£) that A&E departments are facing severe pressures because of historic staff shortages. The paper notes: ‘Half of all senior doctor posts go unfilled at accident and emergency departments, putting unsustainable pressure on life-or-death care. The College of Emergency Medicine (CEM) says that 383 of the 699 specialist registrar posts in A&E have been left vacant over the past three years, stretching emergency ward doctors beyond capacity and driving up waiting times. The shortfall in senior doctors deprives A&E departments of the ability to see 766,000 people each year, since the CEM points out that each registrar

Why Cameron’s NHS lines didn’t quite work at PMQs today

Though the NHS made a welcome change from endless bickering about energy bills at today’s PMQs, the exchanges were just as unedifying. There is very little gain in the sort of fact war that David Cameron and Ed Miliband tried to indulge in, as there is no killer fact that can silence an opponent on the NHS. Instead, the exchanges descended very quickly into ‘let me give the right honourable gentleman the facts about the NHS under this government’, ‘we have a Prime Minister too clueless to know the facts’ and ‘once again, the right honourable gentleman is just wrong on the facts’. Each man used his own ‘simple facts’

Isabel Hardman

Another rotten culture, another political risk on the NHS

The allegations of a cover-up at Colchester General Hospital suggest something rotten in a culture, once again. The police have been called in by the Care Quality Commission to investigate claims that documents about patients’ care were falsified and that managers bullied staff into doing this so that cancer care at CGH could meet its targets. Bernard Jenkin, the local MP, placed great emphasis in his interview on Today on the problems with culture in the NHS, which Health Secretary Jeremy Hunt is trying to resolve with a series of reforms to NHS leadership. But there will inevitably be a row about the role of targets in this scandal as