Nhs

That former Care Quality Commission chief executive Cynthia Bower resigned so quickly from her current job after being named as one of the three executives involved in a discussion about covering up the Commission’s failings simply underlines what an appalling mess this case has been from start to finish. The names were withheld ostensibly because of data protection, but when they appeared, it was clear that this was about another sort of protection. Perhaps this will be the tipping point against unaccountable NHS managers and inspectors staying safe whatever their failings. Jeremy Hunt certainly seemed to think that it could be, tweeting: ‘Pleased to receive CQC letter naming the individuals involved. Clear sign

Today’s hearing of the Public Accounts Committee is going to be real box office stuff. Sir David Nicholson is giving evidence, supposedly on the NHS IT programme, but he’ll find himself confronted by Tory committee member Steve Barclay, who, armed with freedom of information evidence of 52 gagging orders in the NHS, will demand that the health service boss step down immediately. This is what Nicholson told the Health Select Committee when he gave evidence on 5 March (full transcript here): Barbara Keeley: What do you think, as chief executive of the NHS, of a loophole like that existing-where £500,000 of taxpayers’ money could be used to gag somebody who

Health Secretary Jeremy Hunt is correct to say that there was a ‘dramatic fall in confidence’ in alternatives to Accident & Emergency units. He says that this has built up steadily since GP contract changes in 2004. He is right of course, and who can blame him for making the obvious political point that Labour government negotiations have helped fuel this present mess? They may have caused it, but he is in power to help solve it. As a group of NHS Trusts has warned that casualty departments could collapse within six months as a result if ‘huge pressure’, any long term strategy will frankly not alleviate today’s problems. Patients

They’re running Julie Bailey out of town. The poison pen letters, foul-mouthed phone calls, slashed tyres, shit through the letterbox, boycott of her cafe and attacks on her mother’s grave have become too much. Stafford’s upstanding citizens, or a good number of them, want her gone. So she is leaving her home and business, and looking for a better place. ‘People come up to me in the street and just start bawling,’ she told me. ‘I can’t go out by myself. I always need someone with me’” Bailey had been the public face of the campaign to highlight the conditions inside Stafford Hospital. She showed that nurses left food and

Health Service Journal has a great scoop this afternoon that NHS boss Sir David Nicholson will retire in March 2014. The man who was in charge of the Mid-Staffordshire NHS Trust when the serious failings in care took place had long been considered a busted flush, but his departure seems to be set for a great deal later than those pushing for it had hoped. I’ve spoken to Conservative MP Charlotte Leslie, who has long been after Nicholson’s scalp. She says: ‘I don’t think it’s soon enough and he should go immediately. If you want to oversee a massive culture change from the bullying and stifling of whistleblowers, then you

I bet you remember your first fountain pen. Mine was a Conway Stewart with marbled barrel, I had it for starting Big School and I used to polish it. That trusty pen lasted until A-levels finally broke its back and after that I slipped down the primrose ballpoint path to slovenly writing. I never used a typewriter — too noisy, so I hand-wrote my books until the almost-silent laptop seduced me down another slithery slope. But I still hand-write when I need to take my time — books can be divided, like Americans, into fast ones and slow ones. Recently, a friend told me he had gone back to a

Labour’s new independent commission on health and social care aims to draw up plans on bringing together health services and social care so that the NHS can be financially sustainable. Launching the plans today, Ed Miliband said that ‘we must make every pound we spend go further at a time when our NHS faces the risk of being overwhelmed by a crisis in funding because of care needs by the end of this decade’. But there is one big question that Sir John Oldham, who will chair the year-long review, won’t be asking about the long-term financial viability of the health service. It’s a question that some Labourites are well-attuned

Within five years, we could find out how genetically predisposed we are to developing certain types of cancer. Through DNA screening, the most susceptible of us will be prompted to adapt our lifestyles accordingly and ultimately reduce the risk of developing the disease. The breakthrough has been hailed as the ‘the biggest leap forward yet in understanding the genetic basis of cancer’. But at what cost? The good news is clear enough. Researchers at the Institute of Cancer Research and Cambridge University have identified 74 ‘single nucleotide polymorphisms’ – small physical elements found on human DNA – that correlate with the probability of developing ovarian, breast and prostate cancer.  Of these, 16 are

When T.S Eliot spoke of the folly of trying to ‘Devise systems so perfect, that nobody will need to be good’, he effectively described a distinction between the left – who instinctively turn to systems to get things done, and the right – who tend to believe in focusing on individuals, people, and their values. In a world where the centre-ground has become over-crowded with political parties all frantically claiming it, and a rainbow array of party hues (Blue Labour, Red Tories), this is a distinction that still makes some sense. In fewer areas is this distinction seen more clearly than how we think of our public services. Whether we

Digital politics is all the rage. Take what Rachel Sylvester described in today’s Times as ‘digital Bennism’ — an online movement that is becoming increasingly influential to the Labour party’s campaign methods. And in the forthcoming Spectator, I’ve a piece discussing why policymakers are adopting internet-centric ideals to challenge the traditional way of doing things. The government’s digital ventures were discussed at Policy Exchange this afternoon. Rohan Silva — David Cameron’s senior policy advisor — said the government’s digital work is the ‘most radical thing people haven’t heard of’. Silva contrasted Labour’s strategy of using IT to ‘gather ever-more information and power for the government’ with the current mission to

Jeremy Hunt used his address to the Conservative Spring Forum this afternoon as the next step in his quest to make the Conservatives the party of the NHS, not Labour. His speech was in some ways quite formulaic: it started with good news about health care in this country, then praise for the ‘extraordinary’ staff working in the NHS. But then it moved on to his duty ‘to be honest about the failures’ of the health service too. He said: ‘If you care about something you don’t try to sweep problems under the carpet – you expose them, sort them out and make things better. And by criticising us when