Druin Burch

Druin Burch is a consultant physician, a former junior doctor, and the author of books on history and medicine.

Politics is making us more unhealthy

Wes Streeting has said women have been treated like ‘second-class citizens whose voices don’t matter’. ‘The blunt reality is the NHS is failing women and girls on even the most basic measures of healthcare,’ he added. The Health Secretary’s new women’s health strategy promises £72 million. The problem is that his new men’s health strategy

Should doctors be banned from striking?

Kemi Badenoch has said she will ban doctors from striking. Yesterday, asked if he would do the same, Health Secretary Wes Streeting refused to rule it out. The police aren’t allowed to strike and nor is the military. Why should doctors be different?  The junior doctors are now on day four of their six-day strike;

Why junior doctors are back on strike

In the emergency department, and on my wards, the strikes sit lightly. My specialty of internal medicine never closes; Easter Monday was a normal working day. The only difference from today until Monday next is that junior doctors will be scarce. Not terribly scarce, in truth, since many are as disenchanted with the strikes as

What the death of my beloved son taught me about Easter

The hawthorn hedges are white with blossom; the countryside looks set for a wedding. Even in the small garden of my hospital, spring is inescapable. Cherry and magnolia bloom. Viburnum scents the air, young leaves come to the trees. Hospitals are where most lives begin, and where many end. Hospices shepherd only a small minority

Is it time to scrap the NHS?

Nigel Lawson said the NHS was the closest we had to a religion. What’s needed today is someone willing to declare that this church has become corrupt, self-protective, and hostile to its own founding purpose. In the latest demonstration of its chronic failure, the NHS has all but certainly missed a range of targets, from

The absurdity at the heart of the junior doctors’ strikes

Immediately after the Easter weekend, junior doctors are planning a six-day strike. Unless they call it off, Starmer has said today, they’ll be punished. They have been offered a deal. On the table is an above-inflation pay rise, along with government funding for postgraduate exams that doctors have historically paid for themselves, and an offer

My daughter’s living my football dream

Next door to Jeremy Clarkson’s farm, behind spiked steel fencing and overlooked by edge-of-town bungalows, are the grounds of my daughter’s football team, the Chipping Norton Swifts Under-15 Girls. On cold, leaden Saturdays, I stand and watch. The clubhouse does cups of instant coffee for a pound but they take only cash. I don’t bring

Should teenagers be vaccinated against meningitis B?

Two people have died of meningitis in Kent: an eighteen year old year 13 student named as Juliette, and an unnamed 21-year-old. The outbreak has centred on a nightclub, Club Chemistry, and on a private party. Since news of the outbreak broke, the newspapers and television have been full of images of students queuing patiently

The BBC cannot tax Netflix viewers

The BBC has described itself as being set to enter ‘managed decline’. The government is currently reviewing the broadcaster’s charter, and yesterday the BBC issued a response to its green paper saying that if the status quo remains, public service broadcasting will die. ‘Huge changes in the media market, audience behaviours, and an outdated funding

Can Wes Streeting get the sick back to work?

Health Secretary Wes Streeting has tried using the NHS for social engineering before. Previously, he’s suggested that weight-loss jabs could get people back to work. This week he’s gone further. Yesterday, Streeting said that ‘for the first time’ he would be ‘making the NHS accountable for patients’ employment outcomes’.  Streeting is right that ill health

Pity the fool with a nonsense name

‘If there is one thing I dislike,’ said P.G. Wodehouse, ‘it is the man who tries to air his grievances when I wish to air mine.’ His grievance was conversational, mine is nominative: I pity those with made-up names. There was a time when names came from a modest catalogue: the Bible, aunts and uncles

Is it a surprise middle-class women are using Ozempic most?

New research reveals a startling truth about the people paying thousands for weight-loss drugs: they’re mostly middle-aged, wealthy women. In other news, February is cold and the snowdrops are here. The Health Foundation, a British health charity backed by a billion-pound endowment, confirmed today what most people would have guessed: those paying thousands of pounds

How can measles have broken out in London?

Last month the World Health Organisation removed Britain from its list of countries where measles had been effectively eliminated. The disease has been circulating continuously since late 2023. Last year there were almost a thousand cases, and a child died in Liverpool. Now there is a measles outbreak in Haringey and Enfield. So far it

Does coffee really lower the risk of dementia?

People who drink coffee and tea are less likely to suffer dementia, according to a large study published this week. The research is from Harvard and appears in the Journal of the American Medical Association (JAMA), one of my profession’s top outlets. There is every reason to presume its conclusion is wrong. A total of

The latest junior doctors’ strikes aren’t about pay

Junior doctors have voted to extend their strikes – by a whisker. Turnout for yesterday’s vote collapsed to less than 53 per cent – a whisker above the threshold needed to make it legal. Framed as a pay dispute, the strikes are the result of a needlessly ruined career structure, and a government perversely willing

The solace of spring

By the calendar it is winter, but the days are longer and the birds are singing. Snowdrops are scattered around the front door, and crocuses have already broken through on my lawn. Mostly they are slim and pale, but when the sun has shone they have opened their purple cups to its warmth. Virginia Woolf

Don’t bet on Elon Musk’s failure

Tesla’s last quarterly report revealed that deliveries had declined for the second year running and, for the first time, annual revenues had fallen. “It is starting to look as if Tesla is finished,” concluded a piece in The Spectator. To what extent Musk will succeed can’t be known, but his track record demands thoughtful uncertainty at

What Lego taught me about my own mediocrity

Lego – I can’t bring myself to capitalise it more than once – was born today in 1958, when it was granted its Danish patent. Parents have been performing staccato hops over the plastic bricks ever since. I will not be alone in remembering a Lego set as being an object of endless desire. As

Belsen haunted my friend to the grave

A patient, an old woman with white hair, stripped of speech by dementia, followed us each shift, staying an inch behind, wanting nothing more than human presence. We let her into the staff room, where she hovered behind whoever was nearest, her tattooed number visible on her forearm. They found a young girl, Doris, who

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