Technology

Everyone agrees something dramatic has to be done to help the NHS. It is crumbling and the canary in the mine is general practice. I work as a psychiatrist but my GP colleagues are almost all frazzled, overworked and frustrated at not being able to give the care they want to their patients. They’re quitting in their droves. So it makes sense that politicians, desperate for a quick and easy answer to an overwhelming and complex problem, have leapt on technology as a solution. And, in particular, on  the idea of an app that offers a GP consultation via your mobile phone. In theory, it sounds great: the patient can dial up, speak to and (via phone camera) see a doctor, who could be anywhere. The poster boy is an app called GP at Hand, run by British start-up Babylon.

In the summer of 1999 I did something radical. Spurred on by my husband’s universal loathing of television I took our TV set to the landfill and I haven’t owned one since. Twenty unrepentant years without the demon box, and alive to tell the tale. My family long ago accepted this stubborn eccentricity. They’ve grown used to the silence, the missing screen, the brutal fact that they won’t be able to watch the final of Strictly round at my place. A few friends have taken a different line, still hoping to sell me the benefits of owning a TV, particularly since my husband moved to a nursing home and I live alone. ‘It must get lonely,’ they say. ‘Get a cat, get a goldfish, get a telly.

 Montego Bay, Jamaica When the Kennedy clan were children, JFK and his siblings would tear off their clothes before leaping from the pier at Hyannis Port, Massachusetts — safe in the knowledge their servants would pick up their discarded clothes. That used to strike me as the ultimate in entitlement before I ended up here in a hotel in Jamaica. I’m being waited on hand and foot in a way that wouldn’t have disgraced the Kennedys — or a 19th--century duke. Someone’s just rung to ask when would be a good time to fill my fridge with beer. A driver is waiting to take me on a tour of Montego Bay. When a friend, also staying here, forgot her diary, her butler brought it from her room to our breakfast table.

David Niven’s younger son Jamie, now an old man and a bit overweight, approached my table and announced that he had seen a video of me lunching elsewhere with two friends. He said this in front of the two ladies I was with, one of whom has in the past had issues with my behaviour — namely, the wife. Luckily the video showed me with the designer Carolina Herrera and her husband, who are social friends, so after a pregnant pause Jamie Niven said goodbye and left. It was the end of the story and for once I was doing something innocent, like having lunch. Thinking back, however, I am outraged. Someone I don’t know, and most likely have never heard of, points a smartphone and shoots away, monitoring my every move for strangers’ eyes.

Every ten to 15 years there is a technology breakthrough that really changes what it means to be human. The internet, mobile phones, social media and, most recently, AI voice assistance: all of these amplify the human experience. And with each technological game-changer we go through much of the same series of questions and anxieties. We worry both that it’s all too much, and too little. With the recent advances in artificial intelligence we leap ahead to the existential dangers, and at the same time wonder whether there aren’t more pressing issues to discuss: healthcare, climate change, education, the economy. Well, they are pressing issues — but AI has an impact on all of them.

Given the immense power that it wields, ‘Big Tech’ has ridden a gentle wave of goodwill. Steve Jobs was beloved, Elon Musk is admired and Mark Zuckerberg is generally seen as a well-meaning oddball. A 2018 study found that Amazon is the second most trusted institution in the US, behind only the military. How much that trust is based on knowledge of its procedures and how much on the relatively swift arrival of its packages is another question. That goodwill is fast dissipating. Across, the political spectrum people are beginning to resent the internet giants. This week, a leftist campaign in New York managed to stop Amazon from building a second headquarters in Long Island, Queens.

I’d like to propose a new scientific institution: the IUT, or Institute of Underrated Technology. Rather than trying to invent yet more bloody things, it will instead be devoted to helping us derive greater value from things we can do already using technology which already exists. Innovation is a two-stage process. First you discover something; then over time people discover how best to use it. Many ideas fall at the second hurdle: the Chinese invented gunpowder but used it only for fireworks; early Mesoamericans invented the wheel, but attached it only to children’s toys. In recent times, the internet seems to have delivered a lot more in entertainment value than in productivity. What we need is not more technology, but better uses for it.

It’s been almost two decades since the UK Government first introduced the right to request flexible working for parents and carers. Since then, a lot has changed within our working environments; from the introduction of innovative technologies right through to our daily routine. All employees now have the legal right to request flexible working arrangements, yet since 2010 the percentage of the UK workforce adopting smarter ways of working has not risen above 27 per cent. Research has proved that flexible working arrangements contribute to a more balanced and fulfilled life and are a fantastic way to attract and motivate the best talent for employers.

My first night back in Blighty, I sat all evening at the kitchen table drinking wine with a charming, courteous English gentleman stricken in years. (I’ll call him Bertie. He enjoys the column and wrote inviting me to visit him at his pile on Exmoor.) I’m partial to old-fashioned English gentlemen, relishing above all their many rare qualities their disinterestedness. Before dinner we had slowly and deliberately drunk a bottle of red wine, and another one after that. He did most of the talking. His body was a calamity, but his mind was completely lucid. The vocabulary with which he expressed his mind was about ten times as large as mine and he wielded it with precision and virtuosity.

I recently saw a series of photographs depicting a rural home in China. Pride of place in a grimly furnished main room was given to a gargantuan new flat-screen television, while the sole toilet was a hole in the ground in an outside shed. What strange priorities, I thought. On reflection, though, under the same circumstances, I suspect quite a few of us would do the same thing. In Britain, for a hundred years or so, we never faced such a choice: you could install a decent indoor toilet, but not a Samsung 75in 4K LED TV, because the latter hadn’t been invented yet. So in Britain we almost all installed plumbing before we bought televisions — because that is the order in which they became available.

During the second Gulf war, simply out of curiosity, I found myself visiting the website of a giant American mercenary organisation. At the top of its home page I was surprised to see the words ‘online shop’. Thinking I could perhaps order an airstrike, or a fleet of Humvees to collect my daughters from school, I clicked on the link. All that was on offer was a range of brightly coloured beach towels displaying the company’s logo — a giant bear’s pawprint next to the word ‘Blackwater’. Needless to say, I bought two: one in orange and one in pink. In all honesty, I don’t think my wife was entirely thrilled with them that Christmas. So I’d never claim to be one of the world’s great gift-givers.

Most people were scandalised by John McDonnell’s proposal to promote a four-day working week. But before we get incensed about giving people more leisure during their working life, we need to ask another question. If it really is so vital to the economy that people spend more time at work, then why does the government spend £41 billion every year (a third of the cost of the NHS) providing tax relief on pension contributions? This merely encourages older and more experienced employees to leave the workforce several years earlier than necessary. Remember, five years needlessly spent in retirement is 20 years that could have been spent enjoying a working life of three-day weekends.

My oldest friend Sean Langan came to lunch last Sunday and, rather disappointingly, he seemed more interested in playing with our Amazon Alexa than asking me what I’d been up to. Sean is a documentary filmmaker who spends a lot of time in war zones — he’s just back from Syria —and he often reminds me of that Japanese soldier stranded in the Philippines who didn’t realise the second world war was over until 29 years later. The technological changes that occur while he’s in some god-for-saken hellhole are a constant source of wonder to him. I half-expected him to stop dead in front of our TV in amazement: ‘You mean to tell me the pictures are actually in colour? Whatever will they come up with next!

The grandest view of Gstaad and the surrounding Saanen valley bar none — and that includes the vista from my high-up-on-the-hill farm — belongs to an imposing house that was originally a sanatorium but is now a home for the blind. It’s ironic that it is located where only eagles dare, but its residents are unable to view the sights. Such are the jokes that fate plays on mankind. I had just finished a very hard training session and was looking up the mountain at the blind people’s home, which looks like a very luxurious hotel from the outside. My heart went out to the poor folks inside, blind to the magnificent valleys, streams and mountains that surround them.

It seems that everyone, young or old, has a smartphone these days. But why are the brightest in Silicon Valley taking screen time away from their children? Have they realised that we’re addicted? Also on this podcast, Tory MEPs recently voted in favour of the Viktor Orbán government in European Parliament. Are British Tories flirting with the far right? If they are, it could be because the Conservative Party has no attractive policies. Should we return to One Nation Toryism? First, it’s time for a wake-up call. Smartphones now seem so attached to us that they may as well be organically grown. Both adults and children are addicted, and it’s having an impact on their mental health.