Features

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.

‘Famine is part of Russia’s strategy’: Zelensky’s economic adviser on Putin’s tactics

Alexander Rodnyansky has a desk waiting for him back at Cambridge, where he’s currently on sabbatical from his role as a junior economics professor. But he won’t be returning for some time. He’s working from Kyiv, prioritising his other job: as economic adviser to Volodymyr Zelensky. Rodnyansky was in Ukraine when the war broke out and he could easily have returned to the UK. ‘That wasn’t really much of a thought,’ he says. ‘I’m sixth-generation Kyiv. I was just going to stay.’ He became a full-time presidential adviser two years ago, hired to help reform Ukraine’s financial institutions, including the privatisation of state-owned commercial banks. ‘About 55 per cent of our banks are government-owned,’ he says.

‘Putin may be prepared to go to the limits’: Antony Beevor and Serhii Plokhy in conversation

The military historian Antony Beevor joins Serhii Plokhy, professor of Ukrainian history at Harvard, on Spectator TV this week to talk about the war in Ukraine. This is an edited transcript of their discussion. Putin’s plan ANTONY BEEVOR: I’m alarmed by the latest developments. The encirclement or imminent encirclement of Severodonetsk could cut off a large number of Ukrainian troops, leaving them in an impossible position. It’s a move that suggests Russia’s real attempt at the moment is to seize Severodonetsk and the area around it, and to cut off Ukraine from the Black Sea entirely. This is deeply worrying because it means that Putin could then say, right, we will negotiate on this basis – and Ukraine will be totally vulnerable.

The quiet radicalism of Elizabeth II

Long before domestic woes and an inferno at Windsor had prompted the Queen to describe 1992 as her ‘annus horribilis’, she had a very frank discussion with her prime minister, John Major. On this particular matter, she made it clear that she was not interested in ministerial advice. Her mind was made up. She had decided to pay income tax. For the best part of two years, through war in the Gulf and a recession, sections of the media had been painting a picture of a spoiled, profligate royal family carrying on without a care. Every long-range snap of a shooting party or of the Duchess of York on another holiday was taking its toll, and would be conflated with the issue of money.

Are sanctions making Russia richer?

Before the invasion of Ukraine, it was by no means certain that there would be a united response from the West. The sanctions imposed on Russia after Vladimir Putin’s annexation of Crimea in 2014 were fairly limited, especially from the European Union. Germany pressed on with the Nord Stream 2 gas pipeline to Russia. But now, America, Europe and much of Asia have been united in applying severe sanctions against Russian banks, companies and oligarchs. Three months on, it’s time to ask: are the sanctions working? The answer from the Bank of Russia’s balance of payment data for January to April isn’t reassuring. It showed that the sanctions are emphatically not working, at least not in the way that they were intended.

I’m being priced out of eating out

I used to be able to afford to go to restaurants. Yes, it was a treat, but it was just about doable, and though it was never a pleasure to be presented with the bill, it didn’t leave you reeling from shock and buyer’s remorse. The schnitzel in my favourite London restaurant has gone up from £12 to £20 for the small one and from £22 to £33 for the normal-sized one. Meanwhile, restaurants and pubs all over Britain no longer offer a mere hamburger. It has to be called a ‘short rib and flank burger, smoked Applewood Cheddar, shallot marmalade, garlic aioli and skin-on fries’ to justify its £17.50 price tag.

Why I’ve spent £68,500 on a tank

Buying a tank is not as easy as you might think. When we started looking for one, people delighted in telling us: ‘Oh, you should have bought one in the 1990s. There were hundreds available for practically nothing!’ Well, not anymore. Especially not if you are picky about what sort of tank you want. I’m collecting artefacts for a new museum of totalitarianism and wanted a T-54 or T-55, two models which are pretty much the same as each other with just a few alterations and which are the most-produced tanks in history.

Farmers vs rewilders: can they find their common ground?

Our age isn’t the first to set an English landscape of our dreams against the one which actually exists, or see earning a living from the land as something base and destructive. The tension has always been there between people who work the land and the utopian dreamers for whom every mark of the plough is a scar. Farmers bristle at talk of countryside utopias and rewilding, and passionate wilders can’t see why land managers do things which they think are harmful to the land. Both groups complain about being misunderstood by the other, all the while failing to spot that the much more profound threat to the countryside comes from those who don’t care about what happens to it at all.

Could Putin be toppled? An interview with Richard Dearlove

‘One of the things about being in Moscow as the guest of the Russian government,’ says Richard Dearlove, the former head of MI6, ‘is this real attempt to make you feel like an outsider.’ It comes, he says, ‘from a fundamental Russian suspicion of foreigners’: ‘The Kremlin is designed to intimidate you. It’s designed to make you feel as if you are at the centre of a great empire.’ Dearlove joined the Secret Intelligence Service in 1966, and though spies are always a little cagey about their past, it seems he served as an intelligence officer behind the Iron Curtain. After a stint as head of station in Washington, in 1999 he was appointed chief of MI6 by Robin Cook. It was then that he first met the man who is now Russian president.

‘China is all-out against us’: an interview with Lithuania’s foreign minister

On the 16th floor of a tower block in Vilnius, Lithuania, is an office with a nameplate so incendiary that it has started a trade war. The ‘Taiwanese Representative Office’ violates a rule that China imposes upon its trade partners: never allow Taiwan to open official offices. Call it ‘Taipei’, or anything, just not ‘Taiwan’. Lithuania recently decided that an important principle is at stake: should small countries be bullied by big ones? It thought not – and has allowed Taiwan to use its own name at what is regarded as a de facto embassy. This was Vilnius going out on a limb, saying it was time to defend democracies and support freedom, and it is now looking to build an alliance of like-minded countries. This has made Beijing very angry.

Zelensky’s choice: can Ukraine force Russia to negotiate?

When Russian forces first rolled into Ukraine, most thought that President Zelensky would have to flee. Boris Johnson said Britain could host a Ukrainian government in exile. The Americans offered to get Zelensky out of Kyiv to protect him from the hit squads that Moscow had sent to kill or capture him. Zelensky, with the courage and flair that has defined his war leadership, replied: ‘I need ammunition, not a ride.’ Well, the Ukrainians now have the ammunition – and three months in, the war looks very different to how on 24 February anyone imagined it would. Yes, the Russians have taken Mariupol, opening the way for a land corridor from the Donbas to Crimea, which they annexed in 2014.

Changing channels: the new war for political broadcasting

It’s hard to step outside nowadays without being confronted with a massive picture of Piers Morgan. In the adverts for his new TalkTV show he can be seen crushing the House of Commons in his hands or pointing to an address for the channel’s complaints department. ‘Love him or hate him,’ the adverts declare, ‘you won’t want to miss him.’ Actually, it seems, people don’t mind if they do. At the last count, barely 40,000 tuned in. In contrast, Morgan’s final appearance on Good Morning Britain drew almost two million viewers. So what’s going on? One answer is that TalkTV, like any new channel, will take a while to establish itself.

Why was a brilliant BBC serial kept in its most secret vaults?

BBC Four announced this morning that 'The Roads to Freedom' will play on the BBC for the first time since the 1970s on Wednesday 27 July. In May, Peter Hitchens asked why the BBC had kept it in the archive...  If someone had managed to bottle the essence of the 1960s – the exciting, adventurous bits – wouldn’t you want to take at least one deep draught? I certainly would. I sometimes long for the power to recreate that odd, dangerous, thrilling time, if only to see if I have got it right in my memory. In fact, they did bottle it. But nobody is allowed to taste the vintage. Well, almost nobody, as we shall see. The BBC possesses, beyond doubt, a full recording of its 13-part 1970 dramatisation of Jean-Paul Sartre’s The Roads to Freedom trilogy.

Cold Turkey: why is Erdogan resisting Nato’s expansion?

Driving a hard bargain is the Turkish President Recep Tayyip Erdogan’s chief survival skill – one that has kept him in power for nearly as long as his Russian counterpart Vladimir Putin. And the basic principles of bargaining are twofold: never give something away for nothing, and make your threats to walk away convincing. No surprise, then, that Erdogan’s buzz-killing announcement last week that Turkey would oppose Swedish and Finnish membership of Nato was made in characteristically blunt terms. Speaking of a planned visit of Nordic diplomats to Ankara, Erdogan asked: ‘Are they coming to convince us? Excuse me, but they should not tire themselves.

Italy’s hostility to Nato is building

Ravenna, Italy The war in Ukraine has caused an unholy convergence of the left and right in Italy. While there is nothing formal so far about this alliance of enemies, it nevertheless threatens to destroy the unity of Nato. The most high-profile participant is -Matteo Salvini, leader of the Lega – the party with the second-highest number of MPs in Italy’s parliament – which is invariably defined as ‘far right’. Salvini, who has been one of Vladimir Putin’s strongest supporters outside Russia, condemned the invasion of Ukraine and has now come out as a pacifist. He opposes Finland and Sweden joining Nato, or sending more arms to Ukraine, on the grounds that both would make peace less likely.

The pernicious creep of Big Nanny

Waiting at a coach station recently, in the space of seven minutes I was cautioned three times by the disembodied voice of Big Nanny. No smoking or vaping was allowed. Cycling was prohibited. Pedestrians were directed to use only the designated crossings. I almost wished I’d opted to travel by rail, but then I remembered that Big Nanny rides on trains too. In a quieter era of rail travel the only announcements, apart from service cancellations, used to be the one about refraining from urination when the train was in the station, and advice not to poke your head out of the window of a moving carriage. Which some dimwits nevertheless did with tragic consequences and so removed themselves from the gene pool. Now, though, Train Nanny never shuts up.

New Aussie rules: Conservative values have fallen out of fashion

The election campaign is under way in Australia, barbs are being exchanged, candidates denigrated and abused, and promises – many of which are just fantastic in the literal sense of the word – are being made. The Prime Minister, Scott Morrison, who is the leader of the Liberal party, is being challenged by the Labor leader, Anthony Albanese. Although Morrison has the edge over Albanese as preferred prime minister, neither is much loved. The leaders are unlikely to be a decisive issue in the election. What is the deeper mood of the country? That needs to be put into its historical context. Ever since the mid-1970s, Australians have expected political parties to be economically responsible.

Why Russian literature shouldn’t be cancelled

Vladimir Putin makes no secret of his love for Russian culture, and Russian literature in particular – a body of work whose achievements, Dostoyevsky once claimed, justifies the existence of the entire Russian people. But if that same oeuvre now inspires a man instigating unprovoked war, doesn’t that raise urgent questions about its contemporary validity? For some, these concerns are best expressed via cancellation. In Wales, the Cardiff Philharmonic recently pulled the plug on performances of Tchaikovsky’s 1812 Overture, Marche Slave and Second Symphony, the ‘Little Russian’ (an old and patronising name for Ukraine).