From our UK edition
23 min listen
This week: J. Meirion Thomas tells us about the story of the politician, the street trader and the foiled kidney transplant plot (00:57), Tom Goodenough discusses the blurred lines between sport and entertainment (08:30) and Adam Sweeting reads his interview with documentary-maker Nick Broomfield about the forgotten Rolling Stone (13:42).
From our UK edition
Here is your dilemma. Imagine you have a university-age daughter who has developed kidney failure. She needs a transplant. You know that the best results are obtained when the operation is performed at a transplant unit with access to the best immunosuppressive drugs, when the kidney is taken from a living donor, and especially when that donor is young and from a similar ethnic background to the recipient. Like most parents, you will go to almost any lengths to help your child – but would you break the law? The £7,000 reward offered for the kidney was equal to four years of earnings for the donor Ike Ekweremadu thought that the risks of breaking the law in the UK were worth taking to gain the best outcome for his daughter.
From our UK edition
Much of the cost of running our universities and other centres of higher education is borne by government, meaning the taxpayer. Therefore, to reciprocate, one of the main responsibilities of these institutions should be to produce graduates who meet the needs of society. This is not to suggest that we should exclude the ‘follow your dreams’ brigade from higher education. But funding, facilities and priority should be given to subjects that will contribute more to our national prosperity and societal requirements. These subjects would include engineering, computer science, mathematics, chemistry, physics and other sciences intended to improve our skill deficiencies, our industrial productivity and to encourage more entrepreneurs.
From our UK edition
Gaining a place in medical school has always been a lottery, made even more difficult for aspiring doctors this year. For those who failed to achieve their A level conditional offer grades, this will come as a hard blow and may seem grossly unfair. Some students are entitled to feel victims of the A level grade inflation in 2020 and 2021 when exams were cancelled due to the Covid pandemic and acceptance to medical school was determined by over-generous teacher-assessed predicted grades. As the government returns the cap on the number of medical school places to approaching pre-pandemic levels, fewer places have been offered to students for 2022 entry and examination boards have been directed to reduce the number of top grades.
From our UK edition
GPs have voted to strike if some contract changes, including forcing practices to open on Saturdays, are not withdrawn. The doctor proposing the motion at the British Medical Association’s annual conference in Brighton urged her fellow medics to 'channel our inner Mick Lynch'. This analogy – and the meeting’s decision in favour of industrial action – tells us everything we need to know about the political leanings of the BMA who ought to be unbiased. It was particularly distasteful to invoke a comparison with the RMT’s rail strike which caused travel chaos and distress last week for NHS staff and their patients, among other innocent casualties.
From our UK edition
23 min listen
On this week's episode, Robert Hardman reads his cover article on the quiet radicalism of Queen Elizabeth II (00:50); J. Meirion Thomas reads his article on the 'total triage' system that is leaving patients unable to see their GPs; and Sarah Ditum reads her review of Sandra Newman's new novel, The Men.Presented by Angus Colwell.Produced by Angus Colwell and Cindy Yu.
From our UK edition
In March 2020, as the health service prepared for the first Covid wave, NHS England encouraged GPs to adopt a new system called ‘total triage’. The aim was to reduce the number of patients in clinics in order to protect GPs, their staff and patients themselves from the virus. If patients hoped this system was a temporary, emergency measure, they were wrong. Under ‘total triage’, patients had to provide far more details of their (sometimes sensitive and embarrassing) symptoms to a receptionist or on an e-consultation form. They would then be allocated a telephone consultation with their GP or another health professional such as a nurse, pharmacist or physiotherapist.
From our UK edition
For years, Britain has been failing to train enough doctors and has been importing them instead. This has been a well-known and much lamented fact, raising several ethical issues. Is it right for us to rob developing countries of their much-needed medics? Simon Stevens, the head of the NHS, said at the Spectator’s health summit this week that Britain should stop ‘denuding low-income countries of health professionals they need’. Quite so. Which makes it all the more shocking that last year, for the first time ever, the UK imported more doctors than it trained. And the problem Stevens highlights has, under his leadership, been getting steadily worse.
From our UK edition
This morning, we wake up to the news that the government is now serious about collecting money from health tourists – those who come to the UK to use the NHS without being entitled to it. We have, alas, heard this before. For weeks now, we have been reading about a crisis in A&E — a symptom, we’re told, of a funding crisis in the National Health Service more generally. Since I started working for the NHS almost 45 years ago, this has been a familiar theme: the system is creaking, but a bit more tax money should suffice. To many of us who have seen the system close at hand, another question presents itself: what if the NHS were to cut down on waste? And perhaps recover costs from the health tourists who turn up for treatment to which they are not entitled?
From our UK edition
Last week, the Department of Health announced that patients would have to produce their passport when registering for their first hospital appointment as part of the clampdown on health tourism. On 17th November 2014, I wrote the following to Mr Jeremy Hunt, Secretary of State for Health: Following a GP referral to hospital, patients are sent details of date, time and place of their first appointment. It would be perfectly reasonable to include an explanatory note listing entitlement criteria for free NHS care, and the reasons why some patients may be ineligible.
