Nhs

The importance of selective inefficiency

Readers of a certain age may remember choosing a cassette player in the 1980s. In theory the process was simple: we would have read reviews of competing devices in audiophile publications and then bought whichever device scored best in terms of sound quality, reliability and value for money. Except we didn’t do this, did we? We went into Comet, looked at three or four examples we considered most attractive, and then pressed the ‘eject’ button on each of them. Invariably we bought the cassette player with the most elegant eject action. If it gracefully whirred open with a sweet damping movement, that was a clincher. Any device in which the

Dying Without Dignity: a report on end-of-life care that shames the NHS

The name says it all. ‘Dying Without Dignity’ is the parliamentary health ombudsman’s report into over 300 complaints of the neglect of terminally ill patients by the NHS. The BBC this morning highlights two horrible examples. One mother had to call an A&E doctor to come and give her son more pain relief because staff on the palliative care ward he had been on had failed to respond to her requests. A 67-year-old man’s family learned of his terminal cancer diagnosis through a hospital note – before he knew himself. This ‘failed every principle of established good practice in breaking bad news’, says the report. Julie Mellor, the ombudsman, uses uncompromising language: ‘Our investigations have found

What should Jeremy Hunt do next to the NHS?

The Tories barely talked about the NHS during the election campaign. It was an area of Labour strength, and one Ed Miliband and Andy Burnham were keen to talk about as much as possible. But now they’re back in with a majority, the Conservatives are keen to start talking about the health service again, and to start trying to erode that Labour poll lead on the issue. David Cameron and Jeremy Hunt yesterday announced their plans for a seven day NHS, but though announcements are always very handy for getting attention, the Tories need to strike a balance between lots of new initiatives and too much meddling that upsets people

Why GPs are the London cabbies of the NHS

GPs are the very personification of the description ‘jack of all trades, master of none’. Following so-called ‘specialist’ training, they emerge as the ultimate generalists, requiring additional input to manage any kind of medical complication, lacking the in-depth knowledge and experience required to manage comprehensively many of the common medical conditions. And they’re a drain on the public purse thanks to their six-figure salaries. They barely spend more than a few minutes with each patient, don’t usually work nights or weekends and then complain when those patients express dissatisfaction with said service. They are also responsible for a glut of hospital referrals – particularly to cancer services where they divert resources from

What Labour must do is estrange its awful voters

And so now we have to suffer the epic delusions, temper tantrums and hissy fits of the metro-left. They simply cannot believe how you scumbags could have got it so wrong last Thursday, you morons. You vindictive, selfish morons. That has been the general response from all of the people, the liberal middle-class lefties, who have cheerfully contributed towards making the once-great Labour party effectively unelectable. You lot voted Tory out of fear — because you are stupid, stupid people. The Conservatives ran a ‘negative’ campaign and, because you are either simply horrible human beings, or just thick, you fell for it. That’s been the subtext of most of the bien-pensants,

Long life | 7 May 2015

It’s more than four months now since my 75th birthday, but I’m still waiting for a ‘cold call’ from the NHS to ask if I have ‘thought about resuscitation’. This is what the Daily Mail warned me last week that anyone over 75 might now receive. As it so happens, I do quite often think about resuscitation, though only in the sense that I would like to be somehow revived when I fall asleep at my desk. But the Mail was talking about something different: NHS guidelines by which doctors are required to ask their elderly patients if they would like to be resuscitated when they suffered a heart attack

Miliband’s tablet of stone may cost him my vote

You have the advantage over me. You know the result of the general election, whereas I do not — a consequence of the moronically linear progression of time. Indeed, you may already have fled to one of those countries with a much lower tax rate and less fantastically irritating politicians — Algeria, for example, or Benin. Or Chad. And you are reading this digitally on some patched-in fibre-optic service, the electricity generated by goats trotting forlornly around a gigantic hamster wheel outside — but you are nonetheless delighted with your new life, despite the flies and the occasional gang of marauding, maniacal jihadis. At least you’re not here to experience Britain

This election campaign has shown a democracy in a horrible state of disrepair

It is often said that we get the politicians we deserve. But throughout this election I have kept wondering, ‘Are we really as bad as all this?’ The answer must be ‘yes’. This bland and empty ‘campaign’ has not only been the fault of the main parties competing to govern the UK – it has also been a reflection of what they believe we, the general public, now expect from our politics. Of course the result is aggravating, in part because we keep trying to enjoy contradictory things. For instance at some point in recent years it was decided that any statement outside a vague centre-left orthodoxy constituted a ‘gaffe’.

‘Don’t Google this’, the doctor told me when I got my daughter’s test results

‘Don’t Google this’, the doctor ordered. The command – with its authoritarian tone; implied threat (if I did, I’d find out something sinister); distrust in my ability to sift and understand information; suspicion of uncontrollable emotion – would have raised my hackles in any circumstances. As it was, I’d already been shocked by the GP’s telephone speculations and could not reply. The casual, unthinking cruelty of medical professionals is something I’d encountered before, in caring for my elderly parents. The media regularly uncover evidence of nurses chatting while their patients plead for help and hospital administrators pushing out the ‘bed-blocking’ elderly and infirm. But this time it hit me really hard. Because the doctor was talking about

Ed Miliband: the stone ‘got people talking’ — and refuses to apologise for borrowing too much (again)

Ed Miliband began the first 15 minutes of his NHS day talking about trust and the deficit. In a feisty interview on the Today programme, the Labour leader again did not apologise for borrowing too much when his party was in government. Instead, he argued it was a failure of banking regulation that lead to Britain’s financial problems: ‘Yesterday George Osborne’s permanent secretary at the Treasury Nicholas Macpherson published an article, in which he said that 2008 was a banking crisis pure and simple. And he reflected my judgment which is what happened in the country is that we had a dramatic crisis in banks which lead to high deficit.’ When he was

Andy Burnham still can’t answer questions on Mid Staffs

Today’s health election debate on the BBC just now was one of the feistiest we have seen in this campaign. Andy Burnham, Jeremy Hunt and Norman Lamb clashed repeatedly — and passionately — over Mid Staffs and the appropriate role for the private sector in the NHS. Burnham was on hectoring form throughout the debate. But he struggled so badly to answer Andrew Neil’s questions about Mid Staffs that one was left feeling he’ll never be able to win a Labour leadership contest until he has a proper answer to these questions. listen to ‘Andy Burnham and Jeremy Hunt clash on Mid Staffs’ on audioBoom

The Greens’ regressive message has lost them student votes

‘If you’re not a socialist before you’re twenty-five, you have no heart; if you are a socialist after twenty-five, you have no head,’ goes the old, oft-misattributed saying. But if you’re a Green party supporter on a university campus today, you’re more likely to have no friends. It was reported last week that the Green party’s share of the student vote has almost halved in the past two months – falling from a peak of 28 per cent to a paltry 15. In January, the Greens’ vote was creeping up on Labour (the consistent student favourites) but it has now plummeted below even that of the so-called ‘Tory scum’ you hear so

Letters | 23 April 2015

Enemies within Sir: I thought Matthew Parris was typically incisive in his last column, but perhaps not quite as much as the person who wrote its online headline, ‘Scotland knows the power of a common enemy. We English don’t’ (18 April). It is true that ‘the wish to be the underdog’ is a defining urge of our age, even in relatively prosperous polities such as Scotland and Catalonia. But Parris is wrong when he claims that the closest the English come to the ‘Braveheart feeling’ is in their collective memory of the second world war. If only that were true. Would any other country make so little of its crucial

Campaign kick-off: 15 days to go

The general election campaign is beginning to feel a little staid. Maybe there was too much excitement over the attacks and TV debates, or maybe the parties are running out of big policies. But there are still some announcements: Labour will continue its ‘NHS week’ with promises of more health care spending while the Tories will talk up their caring side. To help guide you through the melée of stories and spin, here is a summary of today’s main election stories. 1. Vote Labour, save the Union The Tories’ attacks on the dangers of voting Labour and getting the SNP have hit a road bump. Two senior former cabinet minsters have

The Tories are gaining momentum with their ‘Labour-SNP pact’ message

Complain all you like about the way the Tories are campaigning at the moment, but it’s getting the message across. The party has hit on the SNP, which is fascinating the media anyway, as the best line of attack to undermine Labour. Tory candidates report being pleasantly surprised by how much cut-through the Labour-SNP message is getting, while pollsters now say members of their focus groups are raising the issue unprompted. Focusing on the SNP may well have a number of serious side effects for the Tory party. It may reinforce the perception that they are a nasty, negative party. It may mean they do not give voters sufficient reason to

Campaign kick-off: 16 days to go

The Tories are partying like it’s 1992. Sir John Major is being wheeled out today to reinforce what Michael Fallon and others have said: the SNP are dangerous for Britain. Labour will continue with its ‘NHS week’ by promising more money and outlining what they will do on entering government. To help guide you through the melée of stories and spin, here is a summary of today’s main election stories. 1. Major moment While Tony Blair’s standing has gone down since he left office, John Major’s has increased. He is now looked upon fondly by many Conservatives, coming from a time when the party won majorities and didn’t have to worry

Campaign kick-off: 17 days to go

The campaign’s focus will swing back to Scotland today, with Nicola Sturgeon launching the SNP’s manifesto in Edinburgh. Ed Miliband is also heading north, to address the Scottish TUC and kick off Labour’s latest efforts to attack the Conservatives on the NHS. To help guide you through the melée of stories and spin, here is a summary of today’s main election stories. 1. Last chance to vote More important than any of the news stories, today marks the deadline for registering to vote on May 7. As the splash of today’s Daily Mirror puts it, ‘you can make a difference’. Forget talk of the same old parties with same old ideas, the

Diary – 16 April 2015

To the dentist. And for an extraction. I hadn’t had a tooth out in decades. But the twinges when I bit on a nut warned me that my problem molar — much abused by a badly fitted bridge in the 1970s — had finally given way. My usual dentist confirmed as much with a poke and an X-ray. Then came the surprise. ‘I’m going to hand you over now,’ he said. Having a tooth out has ceased to be a hazard of life to be borne and grinned at. Instead it’s become dental surgery. And it requires a specialist. Mine was a man with a mission. ‘My job is to

Portrait of the week | 16 April 2015

Home Launching the Conservative party manifesto, David Cameron, the party leader, told voters he wanted to ‘turn the good news in our economy into a good life for you and your family’. The Tories promised: to eliminate the deficit by the end of the parliament; to provide 30 hours of free child care a week for working parents of three- and four-year-olds; to grant a right for housing association tenants to buy their properties; to increase the inheritance tax threshold for married couples from £650,000 to £1 million (paid for by nobbling tax allowances on pension contributions for those earning £150,000); to raise the threshold of the 40p rate to £50,000 by

Labour MP suggests Ed Miliband is not speaking frankly about NHS spending

This morning Sir David Nicholson criticised Ed Miliband for failing to commit an extra £8 billion a year towards the NHS. The former head of the NHS said that Labour needed to follow the example of the Tories and Lib Dems by signing up to the pledge. Now, Frank Field, the Labour MP, has come out in response. However, rather than rush to Miliband’s defence, he has claimed that each main party leader, including Ed Miliband, is not being frank about NHS spending. Field says in a press statement that it will only be after the election that Labour, along with the other major parties, will be able to seriously discuss their plans for the