Nhs

Sunday

Patrick O’Flynn

Instead of lockdown, let's create a National Shielding Service

So what would you do? That was the question that cropped up on my Twitter timeline after I’d sent out various tweets condemning the shambolic decision by Boris Johnson to order another England-wide lockdown. I noticed the same question in the replies to an anti-lockdown tweet sent out by the Mail on Sunday’s Dan Hodges too. And it is a fair one that I think deserves an answer from commentators used to throwing rotten tomatoes at the stage but seldom willing to climb up on it. So here is mine: First, it is too late to call off the lockdown now, as preparations for another approach will take some time.

Thursday

Jeremy Clarke

The generosity of French doctors

My last NHS scan showed a shadow on a rib. The scan report couldn’t decide between a new cancer metastasis or scarring from an old injury. The first would mean the cancer had moved into my skeleton and was on a winning streak. I have fractured ribs in sharp collisions with steering wheels more than once and cling strenuously to the old-scar hypothesis. The image showed a second suspicious blur. Something, possibly a tumour, was putting pressure on my left kidney. Since then I’ve been going around with a length of plastic tube inserted in my urethra to drain it. Until that point my cancer was just a word. Now

Thursday

Simon Wood

Covid, lockdown and the economics of valuing lives

How much should we pay to save life? The question is often viewed as distasteful: you can’t put a price on human life. But resources are finite. Even if the only purpose of life was to prolong it for as long as possible, there would be limits to healthcare affordability. So if resources are limited, how can their application be made fairly? And how can this logic be applied in a pandemic? One element when establishing a fair method is to consider life years saved rather than lives saved. This recognises that someone of my age (55), who has already enjoyed two-thirds of his likely life span, should be a

Matthew Parris

The memo Dominic Cummings never sent

There’s something about Dominic Cummings I will always like, and perhaps partly it’s the danger. I hardly know him well — perhaps at all, really — but will never forget an evening many years ago after a Times debate, when a few of us participants repaired to a restaurant called Fish near London Bridge. We sat up late, talking and drinking until we were just a handful; and one was Dominic. Hours with this arresting man sped by. He reminded me of one of my heroes in politics, the late Sir Keith Joseph, though Cummings is relaxed and loose, and Keith could be stiff and shy. What they shared, though,

Thursday

Melissa Kite

Was the maskless man in my carriage dying of Covid?

A man without a mask appeared to be dying of Covid, or something quite like it, on the London to Guildford train. Hunched double in his seat across the aisle, he groaned as he coughed, gasped as he sneezed, and sniffed as a way of clearing the mess because he hadn’t got a tissue. Sans mask, sans handkerchief he spluttered and spattered. His capacity to ignore my stare was magnificent. I’m not a tolerant person, and when someone is sneezing at me during what is supposed to be a pandemic I cannot muster generosity. Sitting on the worn, red upholstery of the 1453 South Western train service from Waterloo, I

Thursday

Melissa Kite

Trust the NHS to take the worst elements of the private sector

After driving around the hospital grounds in concentric circles until I was surely down a wormhole, I found the scanning unit. It was shoehorned down a narrow alley and had four parking spaces outside its door, all of them empty, but the sign above them was clear: ‘Private parking, wheel-clamping in operation.’ It did not say patient parking. Most likely, with a sign like that, it was staff parking. I looked around and realised I was stuck down a dead end. My only option was to reverse backwards, craning my neck around because the old Volvo long ago ceased to have functioning beepers. As my neck was the reason I

Thursday

Melissa Kite

My ‘virus’ turned out to be arthritis

‘Hallo! You was callin’ us about appoint…MENT!’ said the lady at the scanning unit of my local hospital in broken English. Nothing wrong with that. It’s just that when I received a letter bearing the logo of a private company informing me of the details of my forthcoming MRI, I got all excited, anticipating efficiency. Although I was having it done on the NHS, the appointment came through swiftly with no mention of the health service on the paperwork, which raised my expectations. I rang to confirm, but after holding for a while I was told to leave a message and someone would ring me back. A few hours later

Thursday

Lloyd Evans

James Graham's small new drama is exquisite: BBC Four's Unprecedented reviewed

Let’s face it. Theatre via the internet is barely theatre. It takes a huge amount of creativity and inventiveness to make anything remotely like a theatrical drama in the digital sphere. The BBC’s Culture in Quarantine team have invited some talented writers and actors to try and crack it. Unprecedented begins with ‘Viral’, by James Graham, in which three 18-year-old lads enjoy a Zoom chat from their bedrooms. The craftsmanship in this small script is exquisite. The characters are united by a common purpose — creating a globally popular video clip — while each has to grapple with a personal crisis. One has a dying granny, one is coming to

Sunday

Tali Fraser

Has the abuse of ‘test and trace’ started already?

I was followed three times in five days by men I didn’t know. During a pandemic – at any time, really – you would think they would have something better to do. They made gestures, shouted, catcalled, but I managed to lose them each time, partially because they had none of my details. They didn’t know my name, my number or my address. But what if they did know that information? What if they had been working at a bar I had gone to with friends and given my contact details over, for test and trace. That was the experience of one young woman this week. Shortly after she went

Wednesday

James Kirkup

Are whistleblowers being silenced at the NHS gender clinic?

The Gender Identity Development Service (GIDS) at the Tavistock and Portman NHS Foundation Trust carries out some of the most complex and contentious clinical work in the NHS. It deals with children and young people who are experiencing discomfort over their gender identity, but is it raising patient safety concerns? Some of the children it sees go on to change their legal gender. Some receive physical treatment in the form of puberty-blocking medications. Some go on to have further treatments including cross-sex hormones and surgery. The service, which is heavily over-subscribed, is a divisive one. A number say it offers vital, even life-changing care to children in great distress and

Sunday

Kate Andrews

This NHS clap is not for its carers

At 5pm, we are being encouraged to head to our windows and doors to clap for the National Health Service on its 72nd birthday – the idea is that we’d be doing, once again, what we did in lockdown. Except we wouldn’t. The original gesture was to show thanks to the many healthcare staff (and a broader scope of key workers) who were putting their lives on the line to help others, treating our sick at the peak of the virus in the UK. These are brave people at the best of times, but especially so in the early months of the pandemic, when we were still in the dark

Thursday

Lionel Shriver

A minority opinion on Covid deaths

When the media have gone large on the conclusions of an overpoweringly tedious report, one of the biggest favours a columnist can do for a readership is to read the source. Friends, you owe me. I will expect flowers and chocolate. For I have located Public Health England’s ‘Beyond the Data: Understanding the impact of Covid-19 on BAME communities’ and ploughed through the whole bloody thing. This is the report that produced headlines like the Guardian’s ‘Historical racism may be behind England’s higher BAME Covid-19 rate’. Channel 4 News hit the same black-and-brown-patients-are-dying-of-racism note, which conveniently chimes with the current hair-shirtery of Black Lives Matter. A bit too conveniently, I

Hugh Osmond

How Britain lost the war against coronavirus

Sun Tzu, the great Chinese military commander, said that all battles are won or lost before they are ever fought. By first week of February, the UK and many other European countries had lost the battle against coronavirus. Another of my favourite life sayings is that ‘Assumption is the mother of all screw-ups’. Assumptions by UK government, Sage, NHS, Public Health England and the Department of Health and Social Care were certainly the mother and father of this one. The NHS, PHE and Sage thought they were well prepared for a pandemic: there were dozens of reports, response strategies, protocols, operating plans, models, transmission studies — you name it, there

Tuesday

James Kirkup

Helen Whately is right about student nurses

Helen Whately, the care minister, is being tarred and feathered. She wrote a letter to an MP about student nurses, saying they are ‘supernumerary and not deemed to be providing a service’. The outpouring of fury online and, sadly, from some traditional media outlets provides an object lesson in all that’s wrong with the way Britain debates politics and government in the era of Twitter. Whately’s comments should not be ‘controversial’ or even newsworthy, because she said nothing wrong. Student nurses are indeed ‘supernumerary’, which means that they are not counted towards the total of nursing staff in the NHS. This is not just sensible, it’s something recognised and demanded

Thursday

Kate Andrews

The coronavirus app was always doomed to fail

For months now, the British public has been told there’s only one way to resume normal life: a successful virus-tracing scheme. Early on in the pandemic, the UK decided to go its own way in this area, rejecting Apple and Google’s established, decentralised app model by trying to launch its own one. NHSX would create a centralised app that funnels contact details to public health officials once somebody reported their symptoms via their phone. Bad for privacy, good for knowing exactly where infection rates were spiking in something close to real-time. Hailed as a soon-to-be ‘world beating’ app by the Prime Minister, it was launched on the Isle of Wight in

Melissa Kite

My organ donation opt-out hell

Opting out of organ donation was one of the hardest things I’ve done in a while. I don’t mean the decision was hard. There’s no way I’m donating my body parts to the state. The hard bit was completing the online form and getting the NHS to accept my decision. If you didn’t notice, the law changed on 20 May so that everyone over 18 must fill out a form if they do NOT wish to be carved up after death. If you don’t submit this form, your organs automatically become the property of the state and, once they’ve taken the bits they need, your relatives get to bury what’s

Thursday

The Spectator

Letters: What Hong Kong really needs from Britain

Hong Kong’s future Sir: So we have a moral duty to protect the people of Hong Kong and guide them back to the golden world which existed before 1997 under British rule (‘Let them come’, 6 June)? Come off it. It is true that the hope behind the 1984 Joint Declaration was for HK to move gradually to stronger democratic forms, although under the direct authority of the government of the PRC, as it had been with the UK. What has destabilised Hong Kong and alarmed Beijing is digital grass-roots empowerment — the same thing that half the world’s governments are facing. In Hong Kong it appears in a particularly

Thursday

The Spectator

Has Covid-19 evolved to become less deadly?

Covid deaths Has Covid-19 evolved to become less deadly?— Global infections reached a new peak on 29 May, with 125,473. The daily average for the past seven days is 108,965, 36% higher than in the week beginning 14 April.— However, deaths peaked at 8,429 on 17 April. The daily total for the past seven days is 3,902, 43% lower than in the week beginning 14 April.Source: Worldometers Quiet hospitals How did NHS activity change in the last quarter of 2019/20 compared with a year earlier?Hospital admissions -9.6% Elective admissions -9.7%GP referrals -13.9% Other referrals -8.3%Source: NHS England Busy beaches Beaches were packed, leading to fears of social distancing. What are

James Kirkup

The NHS has quietly changed its trans guidance to reflect reality

Imagine you have a child who says they believe they were born in the wrong body, describing what amounts to a fundamental and painful mismatch between their biological sex and their gender identity. Imagine the child you see as your daughter declaring that they are in fact a boy. Where would you turn for information? No doubt a lot of people in such a position would consult the NHS. That ‘mismatch’, after all, could be a sign of gender dysphoria, a condition recognised – and treated – by the health service. What would you find if you looked up this issue on the excellent and comprehensive NHS website? First, you’d

Thursday

Max Pemberton

The NHS is letting down thousands of patients

I’m embarrassed every Thursday. I don’t mean to sound ungrateful. The outpouring of love for NHS workers at 8 p.m. each week has been touching. Who wouldn’t want to be clapped and cheered? But quietly among ourselves, many of us in the health service have increasingly felt it’s misplaced. I’ve come to dread it. It makes me wince. The fact is that the NHS is currently letting down thousands upon thousands of patients. When the dust has settled, I fear that we will be responsible for the death or morbidity of countless people. Since the pandemic hit, entire NHS services have completely stopped. I fear that this will have catastrophic