Jeremy hunt

Last week, the Department of Health announced that patients would have to produce their passport when registering for their first hospital appointment as part of the clampdown on health tourism. On 17th November 2014, I wrote the following to Mr Jeremy Hunt, Secretary of State for Health: Following a GP referral to hospital, patients are sent details of date, time and place of their first appointment.  It would be perfectly reasonable to include an explanatory note listing entitlement criteria for free NHS care, and the reasons why some patients may be ineligible.

I can understand why the Tories have ring-fenced the NHS, but if they do want to indulge in a little trimming I know just where to start – with the moron who signed off on the online 'calculator' that assesses your risk of a heart attack. 'Official NHS calculator predicts when you will have a heart attack,' says a piece in today's Telegraph. Actually, it doesn't. Nor does it pretend to. But the NHS can hardly complain about being misrepresented for clickbait, since – even if you report its claims accurately – the 'calculator' is nothing more than an expensive PR gimmick.

Is the NHS in crisis, or isn’t it? Jeremy Hunt doesn’t want to use the word, telling the Today programme that ‘there’s a huge amount of pressure’, while Norman Lamb argued that ‘I wouldn’t describe it as a crisis’ but ‘I readily acknowledge that the system is under intense pressure’. Few politicians want to describe something they’re notionally responsible for as ‘in crisis’ (though Lamb isn’t afraid to use pretty strong language about some areas of his portfolio, including mental health). But whatever word they use, ministers know that things aren’t hunky dory in accident and emergency departments at the moment - and this hasn’t been a cold winter.

It is difficult to describe with equanimity the culture shock that has been administered to Arts Council England, the 69 year-old benefits office for the creative industries. Invented by Maynard Keynes to nurture the grass shoots of an English renaissance with a few quid here and there - £25,000 for Covent Garden, £2,000 for the LSO - ACE has burgeoned into a mighty quango that distributes £1.9 billion of public cash and £1.1 billion of lottery money over three years. It feeds not only the performing arts but museums, galleries, monuments, public libraries, poetry and pottery.

Two politicians unashamedly and eternally at one another’s throats are Jeremy Hunt and Andy Burnham, scrapping over who cares more about ‘Our NHS’. Today Hunt has written to Burnham complaining about a story in the Sunday People this weekend that 1,800 nurses have left the NHS in two months. Hunt is accusing Burnham of dodgy figures, writing: ‘As you will know as a former Secretary of State for Health, nursing numbers are subject to seasonal variation, which means there is always a temporary dip in the summer months - including when you were in office.

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, 'designed to reward GP practices for undertaking a proactive approach'.

At least I’ve got my husband’s Christmas present sorted out: the Dull Men of Great Britain calendar. It is no doubt intended ironically, as travelling the country photographing old pillar-boxes, for example, does not strike me as being in the least bit dull. I had thought that dull, in reference to people, was a metaphor from dull in the sense of ‘unshiny’. ‘Dieu de batailles!’ as the Constable of France in Henry V exclaims of the English, ‘where have they this mettle?/ Is not their climate foggy, raw and dull?’ But I was quite wrong, as so often. It started off (in the form dol) meaning ‘foolish’. In English almost as old as you could care to have it, the author of The Seafarer declares: Dol bith se the him his dryhten ne ondrædeth; cymeth him se death unthinged.

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 don’t have a healthy, growing economy.

[audioplayer src="http://traffic.libsyn.com/spectator/TheViewFrom22_28_August_2014_v4.mp3" title="Mary Wakefield and Julia Manning discuss the ambulance crisis" startat=63] Listen [/audioplayer]Last month I wrote about the weird exodus of paramedics from London’s ambulance service. Flies would blanch at the rate they’re dropping, and so I was curious — and also anxious. Everyone who lives in this heaving city relies upon 999, and 999 relies upon paramedics. The official reason, given to me by Mr Jason Killens, the tough-sounding director of operations at the London Ambulance Service (LAS), was that they’re leaving because they’re underpaid. But as I wrote back then, I wasn’t convinced.

For years, Secretaries of State for Health have studiously ignored one of the most corrosive regulations to the NHS: the European Working Time Directive. Although the EU is not supposed to have any remit over health, this 'health and safety' directive limits junior doctors' hours to an average of 48 hours per week, with added ECJ judgements imposing compulsory immediate compensatory rest time should hours be breached – and 'on-call' time classed as work, even if the doctor is fast asleep. This rigid imposition is neither healthy, nor safe; with junior doctors complaining that it has led them to do illicit work to get sufficient hours of training in, unpaid, less supervised, resulting in them being more tired and less trained.

The NHS has released the findings of its investigations into Jimmy Savile’s relationship with several hospitals and the accusations of abuse. Leeds General Infirmary has been the location of the most shocking incidents, which occurred from 1962 to 2009. Victims have reported abuses ranging from inappropriate comments to sexual assault and rape. Here are the five things you need to know about the latest Savile revelations: 1. Savile ‘interfered with the bodies of deceased patients’ Long-circulated rumours about Savile and necrophilia appear to have some credence, according to the Leeds report. It appears his unfettered access to the Leeds General Infirmary led to an interest in the mortuary which  'was not within accepted boundaries’.

Sunlight is said to be the best of disinfectants. Jeremy Hunt has taken up this mantra with the launch of the NHS’s Accountability Hub today. As well as offering information about your nearest GP or hospital, the NHS Choices website is now full of patient safety indicators which, according to the Department of Health, offer an ‘unprecedented amount of patient safety information to allow patients, regulators and staff to see safety performance across a range of indicators.’ All sounds like a good idea, so I had a poke around to see how much information was available on two hospitals I’ve had the pleasure of visiting — one in London, one in Gateshead.

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, point-blank, to have such an inquiry in the case of Mid Staffordshire.

There was a lovely little ultrasound picture of a foetus to illustrate the Independent’s splash today about the incidence of sex-selective abortions in Britain. According to the paper’s analysis of ONS statistics, the incidence of second daughters among immigrants from Pakistan and Bangladesh and possibly those from other countries such as India isn’t quite the same as in the population at large. Either immigrants from these groups are, more than the rest of us, having child after child until they have a boy or they are simply aborting second pregnancies where the foetus is a girl in order to ensure their next child is a boy: most probably, according to a statistician used by the Indie, the latter. The cull of pre-natal girls could have cost between 1,400 and 4,700 lives.

Jeremy Hunt has delivered his response to the Francis Report. It was as expected: monthly staffing figures on a ward-by-ward basis, minimum standards of safety for staff levels, a national safety website, and further safeguards against ministerial interference in independent regulation.