Nhs

Why is maternity care in Britain getting worse?

Chelsea and her partner had been trying for a baby for two years. Following several miscarriages, she became pregnant again last spring. ‘We were overjoyed,’ the 26-year-old says. ‘We thought this time everything would finally be different.’ Joy rapidly turned to worry when Chelsea began to suffer headaches and visual disturbances and made several trips to Worthing Hospital, part of University Hospitals Sussex NHS Foundation Trust. Eventually, foetal distress was picked up during a scan; after a transfer to another hospital and an emergency Caesarean, Bonnie was born in September at just over 26 weeks’ gestation. She had suffered a brain bleed and had chronic lung disease. ‘I knew something

The real reason we should be burning our own gas

Regular readers of this column will be familiar with my promoting an idea called a ‘Paceometer’ (pictured). Rather than presenting speed in, say, miles per hour (distance/time), it presents speed the other way round, in minutes per ten miles (time/distance). Created by the cognitive scientists Eyal Peer and Eyal Gamliel, the Paceometer shows something which is mathematically trivial but completely non-intuitive. Quite simply, the faster you are going already, the less time you save by going 10mph faster still. Accelerate from 20-30mph and you save ten minutes on a ten-mile journey. Accelerate from 70-80mph and you save just over a minute. Upgrading to Concorde to fly across the Atlantic saved

Why did the NHS employ a dietician who didn’t know what the large intestine was?

Here’s a mark of our times. A dietician who apparently ‘bluffed’ her way into a top NHS job has been sacked for knowing less about the body and medicine in general than a reasonably well-trained spaniel. The woman claimed great experience in working with nutrition based diseases and even cancer – but colleagues soon discovered she could not identify a feeding tube, did not know what or where the large intestine was, had seemingly never heard of a gall bladder and believed radiology was used to treat heart disease. According to colleagues she lacked even basic knowledge of anatomy. She was struck off the register and Manchester University NHS Foundation

Being kind to my parents means saying no to them

After a week in Coventry dealing with two parents with dementia, it would have felt like a nice spa break to go to Guantanamo Bay. The smallest cell at Gitmo and a pair of sensory deprivation earmuffs would have been sheer bliss. I got back from not picking up my father’s car from the garage and my mother was standing in the doorway crying. In the time it had taken me to drive three times the distance to the MOT test centre in a circle of unfathomable six-lane 30mph Midlands bypasses, because that was the way my father wanted to go, the garage had shut and his car was locked

The uncomfortable truth about the new Mental Health Act

Three years ago, Nottingham University students Grace O’Malley-Kumar and Barnaby Webber, along with caretaker Ian Coates, were murdered by Valdo Calocane in a psychotic rampage. These were preventable deaths. Calocane should have been detained long before he went on his killing spree. The fact that he wasn’t is the consequence of a decade of progressive ideology in the NHS and police, who turned a blind eye to Calocane’s psychosis in part because he was a black man. By 2023, there could have been no doubt about his violent tendencies. In 2020, he was arrested after he attempted to force entry into his neighbour’s flat, believing (falsely) that his mother was

Why Ed Davey is happy being boring

15 min listen

The Liberal Democrats have unveiled a new strategy on the NHS. Sir Ed set out his big, bold plan this morning: scrapping the UK–US pharmaceutical deal to redirect £1.5 billion into social care. It sounds like a substantial sum – until you remember it amounts to less than 1 per cent of the NHS’s annual budget. In today’s podcast, the team discuss why Ed Davey is leaning into being deliberately boring, in an effort to appeal to the perceived sensibilities of Middle England. Meanwhile, with the dust settling after Nadhim Zahawi’s defection, is Reform at risk of losing its outsider appeal, given that his resignation from government caused such a

Foetal femicide has arrived in Britain

Last summer, the Labour MP Tonia Antoniazzi introduced a clause to the Crime and Policing Bill that will decriminalise all abortions. Enshrining this ‘right’ into law will mean that a mother could end the life of a baby a week, a day or even an hour before it is due to be born, without facing legal consequences. The bill will go to the House of Lords this month. If there had been proper debate over the proposal, rather than introducing it alongside 1,482 other amendments, parliamentarians might have spotted the flaw: the proposed legislation will enable sex-selective abortions. The NHS normally delays the point at which parents are entitled to

What went up – and down – in 2025?

Erasmus in England The government is to rejoin the Erasmus scheme, which allows students at British universities to spend time studying in other European countries, with reciprocal opportunities for EU students. How did Desiderius Erasmus’s own studies in England go? — In 1499 he spent two months at St Mary’s College, Oxford, where he attended John Colet’s Bible classes and also learned skills in horsemanship. His trip ended in financial disaster, however, when customs officials confiscated his gold and silver while he was leaving England. — From 1511 to 1515 Erasmus was a Professor of Divinity at Cambridge, where he studied and taught Greek. But he was far from happy

Has Reform peaked? – racism allegations & Farage’s toughest week yet

45 min listen

After a summer in which Nigel Farage seemed to bend the news cycle to his will, Michael and Maddie ask whether the party’s momentum is slipping. Do the allegations dredged up from Farage’s schooldays mark a decisive turning point – or, perversely, strengthen his outsider appeal? And with questions over Reform’s election spending, defections from the Conservatives, and the small matter of finding 500 people to staff a government, is the insurgent right entering its moment of vulnerability? Then: two stories that lay bare a crisis in women’s healthcare. Baroness Amos’s damning interim review of maternity services and the astonishing employment tribunal ruling in the Sandy Peggie case raise the

Hands off my prostate

Too much information. That’s what you’re about to get. I wouldn’t read another line if I were you. I will be talking, at length, about my prostate and, by extension, my old fella and why I will not let the medical clergy anywhere near either of them, not the private medics or the chaotic maniacs who work for the NHS. I don’t mind whipping it out for you, though – and so this is an article which is both repulsive in its personal revelatory details and will also, if anyone takes it seriously, result in 230 premature deaths over the next decade or something. I don’t think it’s going to

How the budget will damage the NHS

This week’s budget will have a substantial impact on the NHS – just not in the way the Chancellor has talked about or may have hoped for. Starting with pay, the Chancellor has announced that from April the minimum wage will rise to £12.71 per hour for people over the age of 21. What the Chancellor seems to have forgotten is that in the NHS, many domestic support workers, housekeeping assistants, drivers, nursery assistants, security officers and some healthcare assistant and secretarial roles are currently paid lower than the proposed minimum wage increase. Unions estimated that at least 200,000 of these workers were impacted by the last increase of the

Would you pay £65 for toothpaste?

Time was, you didn’t look forward to going to the dentist. Even for routine stuff, your highest aspiration would be to get it over as quickly as possible with as little unpleasantness as possible. Most of the procedures seem pretty mechanical, including having the most sensitive bits of your teeth scraped with a metal thing. That was what I thought before I encountered Anti-Ageing Dentistry at the Nejati clinic in Belgravia, where the founder – it seems wrong to call Brandon Nejati a mere dentist – talks about ‘pampering’. This is where a really expensive luxury spa meets dentistry and it’s the most obvious example of how oral care is

Why your weight loss jab is ballooning in price

‘A friend of mine who’s slightly overweight, to put it mildly, went to a drug store in London,’ Donald Trump said aboard Air Force One. Earlier he had told reporters: ‘He was able to get one of the fat shots. “I just paid $88 and in New York I paid $1,300. What the hell is going on? It’s the same box, made in the same plant, by the same company.”’ You can see why the dealmaker-in-chief was irked. And when Trump is irked, someone usually pays the price. In May, the President signed an executive order for ‘most-favoured-nation prescription drug pricing for American patients’. It was a warning to drug

The problem with psychiatrists? They’re all depressed

Edinburgh seems underpopulated this year. The whisky bars are half full and the throngs of tourists who usually crowd the roadways haven’t materialised. There’s a sharp chill in the air too. Anoraks and hats are worn all day, and anyone eating outdoors in the evening is dressed for base camp. Perhaps tourists don’t want to travel because they’re too depressed. That’s the specialism of Dr Benji Waterhouse, an NHS shrink, who writes and performs comedy about his patients. Dr Benji is an attractive presence on stage with his crumpled Oxfam clothes and his dreamy, half-shaven look. He could be the guy who tunes up U2’s guitars. His act is very

Will the junior doctors regret picking a fight with Wes?

13 min listen

The dispute between the British Medical Association (BMA) – a trade union for doctors – and the government continues, following the five-day strike by junior doctors. Doctors argue that pay is still far below relative levels from almost two decades ago, combined with the cost of study, the cost of living and housing crises, as well as challenging conditions within the NHS. Nevertheless, with an average pay rise of 5.4% for resident doctors this year, support for the strikes appears to be falling – both with the public at large, and within the BMA. Health Secretary Wes Streeting has hit back at the BMA and said they ‘will not win

The NHS is to blame for Bonnie Blue

Channel 4’s documentary begins as the ‘adult content creator’ Bonnie Blue (real name: Tia Billinger, 26, Derbyshire) prepares to beat the world record of men shagged in 12 hours. Spoiler: she beats it, raising the bar to 1,057, though she was a bit nervous that no one would show up. You might wish to see her cry – because you despise her, or because you need some sign she’s human – but the worst she suffers is a nasty flu. It does somewhat clarify things to discover that Bonnie Blue had been an NHS financial recruiter Bonnie Blue was prohibited from selling the tape on OnlyFans – the porn website

Our B&B is the opposite of organic

‘You need a Wwoofer,’ said the guest as he luxuriated in the big armchair by the roaring fire in our sitting room. We looked at him blankly for a moment before I replied: ‘We have a woofer. Two woofers.’ And I nodded to the spaniels lying at our feet. ‘No, I’m talking about the Wwoof scheme,’ he said, a hint of his Welsh accent showing through. ‘World Wide Opportunities on Organic Farms. A Wwoofer is someone who comes to work for you for nothing in return for learning about organic principles.’ The big old house on the hill seduces them with her Georgian charm. She’s a flirt of a building

How to spot a troublesome Airbnb review

The guest who thought our farm was in the town centre was very cross indeed. She got out of her car by the old fountain and stood hands on hips surveying the meadows sloping from the big old house towards the rugged mountains beyond. She was wearing knee-length khaki safari shorts, so you’d have thought she’d be pleased to pitch up in the middle of nowhere. But she looked askance at the rolling hills and affected to be shocked by the reality of what was clearly pictured and described on the booking site. She asked how she and her husband were supposed to walk to their drinks party in town

Letters: Why we need libraries

NHS origins Sir: Your leading article ‘Wes or bust’ (5 July) credited Labour with founding the NHS. In fact, the NHS was founded during the second world war by the Labour, Liberal and Conservative coalition. The speech with the famous line ‘free at the point of use’ was in fact made by Winston Churchill. He made it because he was PM and it was his job. For Labour to claim to be the initiator is somewhat disingenuous. Edward Hirst Aston, Sheffield All aboard Sir: Michael Gove is quite right (‘Tracks of my tears’, 5 July): the retirement of the royal train is sad news for those of us who like

Portrait of the week: Rachel Reeves cries, Rishi Sunak joins Goldman Sachs and a six-month bin strike

Home Rachel Reeves, the Chancellor of the Exchequer, had given a theme to the week by sitting weeping behind Sir Keir Starmer during Prime Minister’s Questions. She later said: ‘It was a personal issue.’ Sir Keir said: ‘She will be Chancellor for a very long time to come.’ No. 10 said she and the Prime Minister were ‘in lockstep’. The government found itself short of the £5 billion it had meant to save in the welfare bill, thwarted by its own MPs. The Office for Budget Responsibility said that, with rising debt, ‘The UK’s fiscal position is increasingly vulnerable’. Asked whether she would rule out tax rises in the autumn, the