Nhs

As many as 100,000 patients had a cancer that was missed, or had their diagnoses or treatments delayed during the lockdowns of 2020 and 2021. That’s the shocking finding of a recent study by the Institute of Cancer Policy at King’s College London. The experts conclude that some patients will already have died, many still haven’t been diagnosed and others will already have a more advanced cancer as a result of the delays. And it is likely this figure of 100,000 will continue to rise as more data from 2021 and early 2022 is analysed. In other words, there could not be a more important time to fix cancer care in this country.

This is not a good time to be a girl. Research from Steer Education last month showed that far too many girls are sad and anxious and concealing their troubles from others. In 2019, the Lancet published research showing girls’ rates of self-harm had tripled since 2000. Other studies show girls are much more likely to be depressed or anxious than boys. This might surprise. Aren’t today’s girls growing up in an age of equality, inheritors of girl power? They’re more likely than boys to go to university. They have better economic prospects than any generation of females that went before them. Empowered female role models are more visible than ever before, in culture, sport, media, science, business, even politics.

‘This is my father, and his pronoun is he,’ said the builder boyfriend, checking his dad into Accident and Emergency. ‘And how do we address you?’ said the personage at the reception desk. ‘You can address me as they,’ said the builder b, who was happy to go along with the way the hospital wanted to do things, if only to entertain himself during what was obviously going to be a long wait. His father had fallen on top of a gas canister in their building yard and he was now in so much pain they suspected he had broken his ribs.

A health-care disaster Sir: Kate Andrews’s piece on who really controls the NHS (‘Waiting game’, 12 February) gives us a flavour of how things have come to this: an unaccountable health service with a government attached. We are about to enter a new phase, with additional taxation in the form of increased NI based on promises which are already looking hollow — waiting lists will continue to rise. There is no sign that the 100,000 key workers who are needed are going to be found any time soon.

Before the pandemic hit, NHS England waiting lists were at a record high of 4.4 million. Three lockdowns later, they’ve risen to six million: an unacceptable figure for a Tory government which has spent years trying to rebrand itself as the ‘party of the NHS’. Boris Johnson’s decision to break his manifesto pledge and raise taxes was directly linked to the idea that the money would first be funnelled into the health service to fix the backlog. So can he now deliver for patients? When Health Secretary Sajid Javid announced his ‘elective recovery plan’ in the House of Commons on Tuesday, he said that the waiting list would start shrinking by March 2024, though he stressed that the numbers will rise before then. By how much?

A few months ago, Sajid Javid was asked how he could justify sacking unvaccinated care home workers if they had been infected with Covid and had natural immunity. The Health Secretary replied as if such people were plainly idiots. ‘If they haven’t taken a vaccine — despite all the effort that’s been made to persuade them, encourage them, provide them with information, introduce them to trusted voices — then at some point you have to move on.’ By ‘move on’ he meant thousands of them should be fired. NHS staff are next in line: we have until 1 April to get jabbed or get out. On a recent visit to King’s College Hospital, Javid asked some of us what we thought of this.

Barely six weeks after it was first discovered in Britain, the Omicron variant has changed everything. Cases have soared far beyond records made in the first wave. Hospital admissions are surging and pupils are once again wearing masks in school. Modellers have produced terrifying figures — up to 25,000 hospitalisations a day, more than five times the last peak. It looks like a Covid groundhog day, a doom loop we seem unable to escape. Last summer, just before the end of lockdown, I wrote in this magazine about a ‘third wave’ of infections which could be just as big as the first. But my model also pointed to something else: that we could ride out this wave without the health service being overwhelmed and without the need for further restrictions.

We’re ending the year by republishing our ten most popular pieces from 2021. Here's number eight: a Spectator editorial written in September about the need for GPs to resume face-to-face appointments. Nye Bevan famously said that he was only able to persuade family doctors to support the creation of the NHS because he ‘stuffed their mouths with gold’. But at least he obtained good service from them — including home visits. Until Tony Blair awarded GPs hefty pay rises while allowing them simultaneously to opt out of night-time and weekend work, they were responsible for their patients’ care 24 hours a day, seven days a week — with practices often pooling resources to provide continuous cover.

Wrong cure Sir: In referring to the UK as the highest-spending European nation in healthcare proportionate to GDP (‘Hospital pass’, 4 December), Kate Andrews paints an exaggerated picture which is based upon additional expenditure in the NHS during the Covid pandemic, partly accounted for by £38 billion spent on test and trace. The figures are further inflated by the UK suffering a relatively greater fall in GDP. In reality, the NHS has been woefully under-resourced compared to its European counterparts over the past decade, leaving it with approximately 50,000 fewer doctors compared to OECD averages, the second-lowest numbers of hospital beds per capita, and the lowest numbers of MRI scanners.