Nhs

The next bitter battle over the NHS is looming

It’s been a while since we had a nice big fat NHS row, but those who enjoy watching Andy Burnham and Jeremy Hunt fight over the ‘party of the NHS’ crown can rest assured that there’s a really bitter one coming up this autumn. NHS England has spent the past few months consulting on a change to the way clinical commissioning groups are funded that could end the current arrangement where more money per capita is spent on patients in deprived areas. The formula currently being considered would make the number of elderly people in an area a more important factor in the size of the grant that each CCG

I got a call from Jeremy Hunt about health tourism — but he still doesn’t get it

On Monday morning, Jeremy Hunt’s diary secretary rang me to arrange a time for me to speak to the Secretary of State over the telephone. I had already received an email from his special adviser the previous week, saying, ‘The two points which the independent research make clear are central to what you’ve been saying for a long time; namely that health tourism is a huge problem with a substantial cost to the NHS and the current system is an unfair burden on frontline staff.’ When Jeremy rang, he was charming, full of praise, and eager to tackle the issue of health tourism — the exploitation of the NHS by

The View from 22 — tomorrow’s news today

The Daily Mail appear to be avid readers of The Spectator but we’re pleased that they now follow our weekly podcast, the View from 22, just as closely. It yesterday ran a story based on the comments of one of our podcast guests, Professor J Meirion Thomas, saying that £200 NHS levy on foreigners ‘will attract more health tourists’: Top cancer surgeon claims move would be a ‘disaster’. What the Mail had to say about Thomas’ take on Jeremy Hunt’s efforts to tackle health tourism is powerful stuff: ‘Professor Thomas, a cancer specialist, was one of the first whistleblowers to expose the financial impact of non-British residents seeking free healthcare on the

Simon Stevens could turn out to be Jeremy Hunt’s Mark Carney

Remember the name Simon Stevens. He’s is the new chief executive of the NHS in England and is going to be absolutely crucial to whether the government can make its health reforms work. Stevens is a former Labour special adviser. However, he comes from the reformist wing of the party. He used to advise Alan Milburn and Tony Blair on the NHS. But a profile in today’s Guardian reveals just how impressively radical Stevens is. Denis Campbell writes that Stevens favours local pay in the NHS. He is also, Campbell says, keen on the idea of independent GPs competing with existing GP surgeries for patients, in the hope that this

How the Spectator helped blow the whistle on health tourism

In February, an NHS surgeon came to The Spectator’s offices to discuss a piece he felt it was time to write. He wanted to blow the whistle on health tourism. Professor J. Meirion Thomas knew he was taking a tough decision, given the hostile reaction of the doctors’ unions and civil servants to anyone who makes the slightest criticism of the NHS. But the Francis Report into the Stafford Hospital scandal had just come out, reminding GPs of their ‘statutory duty of candour’. The professor said that he would like to expose what he regarded as the systematic abuse of the NHS. His Spectator article was read at the highest

NHS whistleblower: health tourism crackdown is an ineffective ‘disaster’

Will the government’s plans to tackle abuse of the NHS by foreigners make any difference? The surgeon who first blew the whistle on health tourism, Professor J. Meirion Thomas, believes they aren’t going far enough and may even have a negative impact. He first spoke out in the pages of The Spectator and gives his verdict on this week’s View from 22 podcast. The independent report and proposals, particularly the levy on students and temporary foreign visitors, won’t make much difference says Thomas: listen to ‘Prof J Meirion Thomas on Britain’s health tourism ‘disaster’’ on Audioboo

The View from 22 podcast: police vs liberty, health tourism and Westminster’s economic week

Are the police wasting too much time on Twitter instead of catching criminals? On this week’s View from 22 podcast, Nick Cohen looks at what Britain’s fall in crime has done to policing methods. Is the fall responsible for the police’s heightened in what people say on social media? What does this mean for our civil liberties and freedom of speech? Consultant NHS surgeon J. Meirion Thomas also joins to explain how The Spectator helped blow the whistle on health tourism abuses. Will the government’s plans to tackle systematic abuses by migrants work? How much effect will the levy on students and temporary visitors have? Are the figures quoted by the Department of

Finally, an end to health tourism in Britain?

‘When this paper reported a senior surgeon’s warning that health tourism could be costing the NHS “billions”‘, begins today’s leader in the Daily Mail on the government’s efforts to clamp down on treating foreign nationals. That’s one (rather cheeky) way of putting it. Another way is ‘When this newspaper reported a piece that appeared in The Spectator and made it a cover’. For our subscribers, it was that familiar feeling of déjà lu — when you read in the newspapers something you first saw in our pages. But the problem of NHS tourism, which Prof J Meirion Thomas exposed, is at last being addressed. Dr Thomas’ original Spectator article appeared in

Labour just don’t get it – the NHS is about patients not process

Sometimes the small points say a great deal.  Yesterday Steve Rotherham, the Labour MP for Liverpool Walton, tabled a written parliamentary question about emails I obtained from the Care Quality Commission under Freedom of Information about patient safety concerns at Basildon. Steve Rotheram: To ask the Secretary of State for Health if he will carry out an internal investigation into which officials in his Department released confidential emails to the hon. Member for North East Cambridgeshire. [170605] Norman Lamb: The Department understands that this parliamentary question relates to the release of emails sent or received by the then chief executive of the Care Quality Commission (CQC) during the month of

The View from 22 podcast: fat Britain, Westminster reshuffles and Obamacareless

Does Britain have an obesity problem? On this week’s View from 22 podcast, Fraser Nelson discuses the bizarre steps taken by the NHS to deal with our growing weight problem. Do we have such a thing as a ‘fat gland’? Why is Britain’s changing size so rapidly? And according to Fraser, Nottingham is the ‘fattest’ part of our country and deep fried Mars bars really are a delicacy. James Forsyth and Isabel Hardman also discuss this week’s Westminster reshuffles, what they mean (if anything) for the man for the street and who’s up and who’s down in the the cabinet and shadow cabinet. What do the changes says about the

Andy Burnham’s last stand

The details of the government reshuffle are currently being hammered out at the 8.30 Downing Street meeting. But as MPs and ministers nervously wait for the call from the Number 10 switchboard, Ed Miliband will be plotting his own changes to his top team for later this week. And as key Shadow Cabinet members such as Liam Byrne look vulnerable, one shadow minister who is holding on with all he’s got is Andy Burnham. The Shadow Health Secretary is very popular with the party’s grassroots, but he is also politically vulnerable because of his connections to the previous Labour government. But though Ed Miliband failed to publicly back Burnham at

The knives are out for Andy Burnham

When David Cameron first addressed Parliament on the Francis Report, he told MPs that he didn’t want to seek scapegoats. Some of his MPs were disappointed that the Tory leadership wasn’t going after Andy Burnham or Sir David Nicholson. Well, the latter has left, and the former is looking vulnerable in a forthcoming Labour reshuffle, and for months the gloves have been off. After gaining access to a dossier of emails suggesting that Labour tried to stop the Care Quality Commission informing the public about failings at Basildon Hospital, Tory MP Stephen Barclay, who has been digging away on this for months, has called for Burnham to resign. He said:

Jeremy Hunt aims for the moral high ground on the NHS

Jeremy Hunt has an unusual way of delivering a forceful speech. He pulls a worried, frowny face, and speaks in a special growly sort of voice when he wants to criticise his opponents, but doesn’t shout, or indeed really raise his voice at all. Today he delivered a particularly forceful speech to the Conservative conference on why the Tories are the ‘party of the NHS’. He used that phrase ‘our NHS’ that Andy Burnham likes to deploy as part of his emotive pitch to voters on the health service. Hunt used the same emotive pitch today, arguing that Labour placed ideology above what works for patients, and that it failed

Can Jeremy Hunt make the Tories the patients’ party?

What to do about Ukip is dominating the conversation on the fringe and in the conference bars here in Manchester. But Ukip is only part of the challenge for the Tories. At the next election, they need to hold onto their 2010 supporters and—if they are to win a majority—take votes off Labour. The Tories will only be able to do that if they can reassure these voters on the cost of living and public services. So, this week we’ll see the Tories trying to underscore their commitment to the NHS. There’s already been the cancer drugs fund announcement and Jeremy Hunt will, as I said in the Mail on

Letters: Alan Sked on party politics, and how to win a pony show

Party politics Sir: I don’t think it is true that I would be unhappy in any party, as Ross Clark suggests (‘The end of the party’ 14 September). I was very happy in the old Liberal party, which I joined as a 14-year-old and did not leave for almost 20 years. I then became a Eurorealist so could not join any major party. Having taken a leading role in the Bruges Group I then set up the Anti-Federalist League, which subsequently became Ukip. Between 1988 and 1997 I spent a huge amount of time writing pamphlets, fighting by-elections, fighting general and European elections, leading parties and campaigns — while all

Hospital food isn’t a joke. It’s a scandal

One of the patients I see regularly as a voluntary hospital visitor, who has been in hospital for weeks, seems to be getting better. Still skeletally thin, he is now sitting up and complaining. His problem is that he longs for a jacket potato with just butter. He hates beans. But he might as well ask for gravadlax and dill. On the hospital menu, baked potatoes only come with baked beans. I asked one of the Thai ladies who deliver the food if he could possibly have a plain spud. ‘Not possible,’ she said, ‘all with beans.’ She said she would go and ask someone, but who that might be

Letters: GPs reply to J. Merion Thomas

Some doctors write Sir: Professor Meirion Thomas (‘Dangerous medicine’, 17 August) may be an excellent surgeon but he is uninformed about the nature of GPs’ work. For many older consultants in the NHS, it will have been decades since they last spent any time in a GP setting, if they have at all. He fails to realise that 95 per cent of the work of diagnosing, treating and caring for patients takes place within general practice. Common illnesses range from depression, to diabetes, asthma and hypertension, as well as many others. Dr Meirion Thomas’s idea that nurse specialists are the answer betrays his lack of understanding that most patients present

The View from 22 – fixing the NHS in the wrong way, the whining intern and Ed Miliband’s summer of discontent

Are David Cameron and Jeremy Hunt going about fixing the NHS in the wrong way? On this week’s View from 22 podcast, former No.10 advisor Sean Worth and director of Reform Andrew Haldenby discuss Dr J Meirion Thomas’s Spectator cover feature on the problems with the Health Secretary’s plans to reshape the NHS. Is Dr Thomas right in saying we need more focus on training GPs, and not centralised technological solutions? Will the government’s reforms be remembered in 100 years as a landmark moment for the NHS? And do we need more focus on recruiting British doctors, to improve the quality of care? Freddy Gray and the Economist’s Daniel Knowles

The wrong way to fix the NHS

Jeremy Hunt, the Health Secretary, is a decent and well-meaning man. He’s genuinely excited about the new, radical reforms planned for the NHS which he announced last weekend. I have been told that Hunt and his old friend David Cameron see this restructuring of the NHS as the next great step, as significant and successful as Gove’s education reform; something the Prime Minister will be remembered for gratefully in 100 years’ time. I’m afraid they’re wrong. If implemented as announced, these plans will be both expensive and ineffective. The main trouble is that Hunt’s NHS revamp will rely on a vast, integrated and enormously complicated IT system. The idea is

Jeremy Hunt’s tough talk on the NHS doesn’t address the toughest question of all: what is the purpose of modern medicine?

Jeremy Hunt’s quiet demeanour is deceptive. The Health Secretary has a bit of what my late grandfather called ‘iron in the soul’ – a measure of self-confidence, calculation and the determination not to let the bastards get you down. ‘Iron in the soul’ came in handy during the Burma campaign in the Second World War. And I imagine that it’s vital if one is to prosper as Secretary of State for Health. Hunt was sent to the Department of Health last year in order to clean up the political mess left by Andrew Lansley. Hunt’s tenure has been beset by scandals beyond his or his predecessor’s control – from Mid