Nhs

David Cameron is coming under fresh pressure to force out NHS chief executive Sir David Nicholson this afternoon. The health boss has had to apologise to the Public Accounts Committee, after his evidence yesterday was directly contradicted by whistleblower Gary Walker’s testimony to the Health Select Committee today. Nicholson told the PAC that Walker ‘didn’t identify himself as a whistleblower at that moment in time, nor did he raise with me any issues of patient safety’. But today Walker produced a letter which said ‘I assume the Department of Health has a policy on whistleblowing and would therefore like this letter to be considered in that context’. Nicholson’s letter of

Jeremy Hunt used his address to the Conservative Spring Forum this afternoon as the next step in his quest to make the Conservatives the party of the NHS, not Labour. His speech was in some ways quite formulaic: it started with good news about health care in this country, then praise for the ‘extraordinary’ staff working in the NHS. But then it moved on to his duty ‘to be honest about the failures’ of the health service too. He said: ‘If you care about something you don’t try to sweep problems under the carpet – you expose them, sort them out and make things better. And by criticising us when

As the Mid-Staffs tragedy unfurls, it becomes more and more apparent that contrary to the insistence of former Labour Ministers and Prime Ministers, this was not an isolated case, but an appalling example of problems evident throughout the NHS. Indeed, back in 2008, the then Labour Government received reports from respected international health consultants warning of a culture of fear and compliance within the NHS; a place where the emphasis was on ‘hitting the targets, but missing the point’ and patient safety came second to presenting a set of statistics suitable for dispatch-box delivery. Ironically, these reports had been commissioned to commemorate the 60th anniversary of the NHS, but far

I knew that British doctors are well-paid but unti I saw, via Kevin Drum, this chart I had no idea they were so much better-paid than most of their peers in the western world.  This is culled from a 2004 OECD report (Pdf) and all figures are in PPP-adjusted dollars. Of course, doctors received significant pay increases during the Blair years. Specialists were not treated as kindly as (well-trained) GPs but even their wages increased by more than 30% in real terms. Which is fine. The constituency demanding pay cuts for doctors is very small. Nevertheless, these charts (which are not, I think, outdated in any significant sense) are worth

Health tourism is raised every now again by politicians, but never has it been raised so forcefully by such a senior doctor. In this week’s Spectator, Professor J.Meirion Thomas, a consultant surgeon with the NHS and one of Britain’s leading cancer experts, speaks out about health tourism. He writes: I am frustrated at seeing the NHS targeted by patients who are ineligible for free care, but who usually get through the net. Specialist units may be especially vulnerable. Reluctantly, I have decided to share my concerns. The final trigger to write this article was a potentially ineligible patient who accused me of unethical behaviour because I would not promote his

Can anyone think of a bigger scandal in any British public service than that revealed at Stafford Hospital? It is worse than Aberfan, or Bloody Sunday, or the King’s Cross fire, or Jimmy Savile, or even the abolition of grammar schools. Up to 1,200 people died unnecessarily, not because of one error, or a particular set of errors, but because of the way an entire hospital was run for several years. There is plenty of evidence now emerging that comparable disasters have taken place at other hospitals, for similar reasons. Yet I searched last Saturday’s Guardian in vain for a single mention. Politicians are desperately closing the subject down. They have persuaded