Nhs

There are many reasons why what is sometimes crudely called ‘the trans issue’ is important. One is the political failure that left the legitimate views of many women (and men) ignored by decision-making individuals and bodies, who instead prioritised the views of interest groups and campaigners. Another is the multiple failures of governance that have seen numerous public bodies fail to deal properly and responsibly with questions of real public interest, because of their enthusiasm to follow the subjective agenda of interest groups rather than amass and act on objective evidence. Simply put, organisations that are supposed to make decisions on the basis of facts have sometimes chosen to proceed on the basis of feelings and claims.

That the NHS is in intensive care appears to be beyond doubt. The health service in England needs 12,000 doctors and 50,000 nurses and midwives, and waiting lists are expected to rise to 9.2 million by March 2024. The question now is what to do. It’s a question that has been asked before, and the answers have been poor. One more heave at reform, a task force here, a task force there, another few billion all over the place and all will be well, so the defenders of the NHS claim. What they overlook, however, is that there have been more than a dozen major reform programmes over the past 30 years, yet our health outcomes remain dismal.

Rishi Sunak’s big pitch this weekend is to grip the NHS waiting list crisis. It makes political sense, given the terrifying size of these lists now, with some trusts declaring their waits ‘unmanageable’. By the time of the next election, the crisis in the NHS is going to seem monstrous. Ethical concerns tend to end up fading whenever a government has failed to do the long-term planning it could have done The former chancellor is worried that the surge in people seeking private treatment is ‘privatisation by the back door’. James and I discuss the wider context of this on our latest Coffee House Shots podcast, agreeing that if people feel forced to go private, the underlying public consent for the NHS itself will start to erode.

Sajid Javid spoke some sense earlier this week when he said that the word ‘woman’ should not be removed from NHS ovarian cancer guidance. The Health Secretary was responding to the revelations that the NHS website had been stripping the word ‘woman’ from its advice pages. But fine words are only a start. The Health Secretary needs to get a grip on an NHS website that seems in thrall to magical thinking on sex and gender. The problem is wider than he might realise. Quite apart from the row over the advice to women seeking advice on cervical cancer and ovarian cancer, the NHS is currently hosting a page entitled, ‘Think your child might be trans or non-binary?

If you called an ambulance last month you probably faced quite a long wait. Figures released this morning show the average time for an ambulance to arrive after a ‘category two’ call-out was 51 minutes, only slightly down from 61 minutes in March. This is still nearly three times longer than the 18 minute target for category two emergency calls, which include serious conditions such as strokes or chest pain.  Pressure is mounting within hospitals too, with 12 hour A&E waits reaching a new high: one in 20 patients now have to wait half a day or more for treatment after arriving at hospital.

Whatever advantages money may have brought Rishi Sunak as he rose to become Chancellor of the Exchequer, his wealth has now become a serious hindrance to his career. Whatever decisions he takes, everything is seen through the prism of his personal financial situation. If he rejects demands for greater public spending, he will be accused of throwing the poor to the lions. If he raises taxes, he will be accused of failing to understand how ordinary people are struggling. If he cuts them, he will be accused of pandering to his rich friends. Even acts of private generosity by Sunak seem to arouse suspicion when made public.

Most people don’t need reminding about the cost-of-living crunch: food, petrol, bills and transport all provide a daily reminder that prices are going up. But today’s energy price cap rise – lifting by almost £700 – provides a headline example of the increasing costs of essential goods.. Alongside it, the National Insurance hike (a 2.5 percentage point rise split between employers and employees) and an average council tax rise of 3.5 per cent both kick in too. But what about the essential services that are supposedly ‘free’? It seems these are getting expensive too.

Can Sajid Javid really say, as he did this afternoon in the Commons, that the government is taking action to ensure 'that no families have to go through the same pain' experienced by those affected by the biggest maternity scandal in the history of the NHS? The Ockenden inquiry into the maternity services at the Shrewsbury and Telford Hospital NHS Trust published its final report today, concluding that 'repeated' failures in care may have led to the deaths of more than 200 babies, and of nine mothers. The individual stories of stillborn babies, infants severely and sometimes fatally harmed, and women’s pain being dismissed are deeply distressing.

Will the Conservatives have much evidence that they've helped the country recover from the pandemic by the next election? Even though all the indications are that the party will go for a later poll in 2024, they still do not have much time to fix the big holes that have gaped wider as a result of Covid. In many cases, such as the NHS backlog, the holes were already there before the pandemic, which makes them even harder to close up. Education is another policy area where the rhetoric and time left to fulfil it just don't seem to match up. This morning I asked Education Secretary Nadhim Zahawi on Times Radio when he expected school children to have caught up the learning and attainment they lost as a result of lockdown.

Sajid Javid was something of a breath of fresh air when he was appointed as Health Secretary last June. Gone was the libidinous, lockdown-loving Matt Hancock; in came the Thatcherite free-marketeer promising a 'return to normalcy.' Since then, some of the shine has come off the Saj. First, there was the debacle over Covid passes at Christmas. And now the Health Secretary faces the perennial problem which faced his predecessors: how to pay for a creaking health service with an ageing population? In his first major policy speech last week, Javid spoke candidly to the Royal College of Physicians (RCP). He warned that the NHS is on an 'unsustainable financial trajectory' and urged new methods to 'reduce costs.