Nhs

Public health specialist Sir Michael Marmot has blamed ‘the cuts’ for the rise in dementia among the elderly, resulting in a decline in the rising rate of life expectancy. But parroting ‘the cuts’ does nothing to treat the cause. If Sir Michael wants to tackle that problem, the ancients can tell him how. It has to do with lifestyle. Ancient medicine, like ancient Gaul, was divided into three parts: drugs, surgery and lifestyle. This last part permeated every aspect of life. Food and exercise were taken to be the most important, but sleep, sex, bathing, massage, mental activity, and so on — even clothing — could all come into the

The NHS is one year older, yet none the wiser. Having spiralled into perpetual crisis years ago, no one can pretend the gargantuan system is looking great for its age. Its fragile condition has all of us worried – not least because of the millions of lives that are forced to depend on our monopoly health service. The NHS’s woes are thought by some to be the result of some evil right-wing push towards privatisation – and by no means a reason to hold back oodles of praise for the healthcare system. If anything, the health service’s troubles have served as a call-to-arms to defend the status quo. But despite the jabs and digs

Sometimes, on Sundays, I visit Richard, a friend who’s 95 and lives alone. The idea originally was that I’d be doing Richard a favour, but the truth is he cheers me up far more than I do him. I visit because I like him, but as the weeks go by, I’m afraid I’ve also developed a grim curiosity about what it’s like to be in your nineties. Meals-on-wheels, crumbling knees, hernias, cannulas, the way a day dissolves into unintended naps… ‘Can’t we talk about something more cheerful?’ says Richard, as we sit knee to knee. But I’m obsessed, like a tourist taking notes on some awful country they must one

Mrs May promises to amend the Equalities Act to prevent employers from ‘unfairly’ dismissing those with mental disorders. It is a laudable aim, but imagine what would happen if businesses had to keep on a disturbed worker. Imagine what it would be like, not only for the employer, but for the other employees. In her speech on ‘the shared society’ in January, Mrs May pitched into the ‘burning injustice of mental health and inadequate treatment’. In doing so, she praised the ‘tremendous campaigning work by Black Mental Health UK’. Again, this was rash. Mental health is an over-politicised subject, and organisations like Black Mental Health UK help make it so.

Are there any words which have such an affinity as ‘NHS’, ‘IT’ and ‘cock-up’? Older readers might remember how the Department of Health blew £10 billion of taxpayers’ money on a computer system which was eventually abandoned. Today comes news that two dozen hospitals have been affected by a massive hack of computer systems. Patients in Stevenage and Blackpool have been told not to visit their local A&E departments unless they are desperate. Operations have been postponed. Phone systems have gone down and doctors are unable to prescribe drugs. The culprit is a piece of ‘ransomware’ which seems to be capable of locking computers which it says will only be

There’s a graveyard inside Henry Marsh’s head, though you’d never guess it to look at him. There he sits in his elegant flat in a small castle on a small island in the Oxford Thames: 67, attractive, restless. There he sits with the world all around him: Persian rugs, French tapestries, Japanese prints and his beautiful blonde wife (the anthropologist Kate Fox) in a separate flat below. But the ghosts of past patients are never far away. Henry Marsh is a brain surgeon, celebrated for his skill in operating on patients under just local anaesthetic. He’s famous also for his astonishing memoir Do No Harm, to which he’s now written

Philip Hammond should be sending George Osborne a case of the finest claret. For Osborne’s decision to accept the editorship of the Evening Standard, has distracted Westminster’s from  this week’s spectacular Budget reversal. But, as I say in The Sun this morning, the fallout from it will be felt for some time. Even Hammond’s Cabinet allies admit that ‘Of course, he’s damaged’ by the whole issue. But those in May’s circle are blunter. Pointing out the mistake was ‘staring you right in the face’ before he made it and that the National Insurance hike on the self-employed ‘was pushed back several times’ by Number 10. They predict that ‘his arrogance

In the NHS clinic where I work, adults who suspect they may have Asperger syndrome wait almost a year for a diagnosis. The clinic takes referrals from all over Cambridgeshire and Peterborough (a population of 860,000), but we have to see all of them in the hours of a single full-time doctor. And the clinic is not given funds to run a follow-up support service once someone has been diagnosed. These individuals struggle to socialise, are neurologically different, and are overlooked because their disability is invisible. Many have experienced bullying in childhood, underemployment in adulthood and exploitation because of their social naivety. Many are made to feel inferior despite their

Perhaps the most interesting thing about the debate on the increase in National Insurance Contributions for the self-employed is that it lays bare the lie that people are happier to pay more tax to fund the NHS. In December, the Guardian reported a study that suggested that 70 per cent of people would ‘happily pay an extra 1p in every pound if that money was guaranteed to go to the NHS’, while almost half of the 1,000 people surveyed said that they would even pay an extra 2p in the £. Where are these people now?  A 2p in the £ increase suggested for a sub-section of people (a sub-section, don’t forget that currently

If you’ve had enough of battling to get the kids a doctor’s appointment, or don’t want them waiting months to be seen by a specialist, there is an alternative. You could take out children’s private medical insurance that will pay for some or all of the diagnosis and treatment your child may require. Such policies come with a long list of benefits. For example, most offer same-day video and phone consultations and can arrange specialist appointments and procedures much faster more than through the NHS. ‘Another valued benefit,’ says Kevin Pratt, consumer affairs editor at MoneySupermarket.com, ‘is the cash payment that is made to the parent for each night that

We all think pretty highly of ourselves these days, free from old-fashioned ideas about sin. We’re good people. And yet… I read in a letter in a local newspaper recently a description of an event in the writer’s own home which shows that we might also be becoming monsters. The letter-writer, Jane, was a lady in her late fifties who cared at home for a husband, Fred, with terminal brain cancer. As Jane’s letter explained, Fred had fallen recently on to the bathroom floor, and as she was unable to lift him, she telephoned for help. Seven medics arrived and rushed to the scene. All seven then stalled. Though Fred

We all think pretty highly of ourselves these days, free from old-fashioned ideas about sin. We’re good people. And yet… I read in a letter in a local newspaper recently a description of an event in the writer’s own home which shows that we might also be becoming monsters. The letter-writer, Jane, was a lady in her late fifties who cared at home for a husband, Fred, with terminal brain cancer. As Jane’s letter explained, Fred had fallen recently on to the bathroom floor, and as she was unable to lift him, she telephoned for help. Seven medics arrived and rushed to the scene. All seven then stalled. Though Fred