Nhs

Covid has forced ministers to reassess mental health

Has the pandemic really been good for the way the NHS treats mental health? That’s the rather startling claim I report on today in my i paper column. Ministers have started to talk — equally surprisingly, it has to be said — about the possibility that they are close to reaching parity of esteem between the treatment of mental and physical health, and that the chaos of Covid is partly responsible. Covid has certainly made it harder for the government to just offer talk and no cash on mental health Now, it slightly depends on what your definition of ‘parity of esteem’ is. If it’s just that party strategists and purse-string-holders

Who’s paying the price for Sturgeon’s pandemic politics?

Don’t worry if you missed the press release announcing which Scottish taxes are going up to pay for Nicola Sturgeon’s headline grabbing four per cent minimum pay rise offer for certain front-line healthcare workers, including nurses. You missed it because there wasn’t one. In characteristically hubristic form, the Scottish Government made the announcement just a few hours before the pre-election ‘purdah’ period began, with Sturgeon immediately taking to Twitter to declare:  ‘Our NHS staff deserve more than applause and one per cent is not enough’.  It was a thinly-veiled dig at the offer Boris Johnson’s administration has put forward in England. Normally when a government makes an announcement like this the

Why the hospital money row is going to the wire

The row over the NHS pay rise is taking up most of the political attention when it comes to the health service at the moment. But it’s not the only – or indeed the biggest – problem facing the politicians and officials involved. This morning Matt Hancock appeared before the Health Select Committee, and after being grilled on the proposed pay increase, found himself having to explain why, with just 16 days to go, hospitals still have no idea what their Covid-related funding is going to look like for the next six months and beyond. The NHS budget for 2021/22 still has not been signed off. Hancock insisted that the

My Covid-19 vaccine jab means I love NHS managers

I am 45. That means I’m old enough to have been writing about politics at a time when political attacks on ‘NHS managers’ were a routine part of political debate and media coverage, standing alongside ‘yobs’ and ‘asylum-seekers’ as the nation’s villains. It’s also old enough to get me a Covid-19 vaccine, injected into my arm on Saturday morning at a GP surgery in south London by a student doctor from a nearby teaching hospital. Watching the performance of the vaccine centre, doling out hundreds of vaccines each hour, I was reminded of all those promises from all those politicians about getting rid of fat cat NHS managers. The current

Revealed: Labour councillor’s role in party NHS film

Oh dear. Following up this afternoon’s PMQs at which Keir Starmer led on the issue of nurses’ pay, the Labour Party have tonight tweeted a new attack ad featuring a nurse in her branded lanyard. Calling the proposed one per cent pay rise ‘a complete slap in the face’ she says ‘we feel completely betrayed’ adding ‘We’ve cared for this country along with millions of other key workers and we deserve better than this. We deserve to be looked after ourselves.’ https://twitter.com/UKLabour/s… It turns out the nurse in question is Sarah Barber, an elected Ipswich Labour councillor – a fact which is not made clear in her party’s tweet that simply claims ‘Here’s

James Forsyth

Starmer made life difficult for Boris at PMQs

Keir Starmer had his most effective parliamentary outing in some time today. The Labour leader not only picked the right topic, nurses pay, but asked short, pithy questions which made it harder for Boris Johnson to change the subject.  Starmer landed a few blows with some cheap but effective comparisons of what nurses were getting compared to other bits of government spending. With elections coming in two months’ time, Labour will be happy to run with this issue. The only protection that the Tories have on it is to say that the independent pay review body will, ultimately, make a recommendation. Starmer’s performance could, though, have been even more effective.

Rishi Sunak’s real opponent

Things are starting to get more awkward for Rishi Sunak — something the Chancellor has long been prepared for. He knew that the early months of the pandemic, in which he gave out billions in taxpayers’ cash, would fade to the rather more difficult landscape he now faces: trying to rein that spending in — and stop ministers from eking more and more out of the Treasury for their own departments.  At this morning’s Treasury questions, Sunak inevitably faced questions about the bombshell dropped by NHS chief Sir Simon Stevens in a select committee hearing that the NHS had been budgeting for a 2.1 per cent pay rise. Katy offers

Katy Balls

Sunak’s NHS pay rise headache

Will the government press on with a 1 per cent pay rise for nurses? Despite the Chancellor announcing tax rises in his Budget, it’s a recommendation over NHS pay that is proving the most contentious for ministers. The Department of Health has recommended a 1 per cent rise to the independent panel that advises the government on NHS salaries. This is below what had been expected — with nurses’ unions campaigning for a pay rise as high as 12.5 per cent. Government aides are keen to stress no decision has been made as the independent body is not due to make its recommendation until May.  Speaking today before the health select committee,

The pressure on the NHS is only just beginning

Is the row over the government’s plan to award only a 1 per cent pay rise to NHS workers as politically toxic as some suggest? Labour has certainly seized on it, with Sir Keir Starmer saying ‘Covid heroes’ deserve a pay rise. But Boris Johnson today defended the raise, saying: ‘What we’ve done is try to give them as much as we can at the present moment… We’ve tried to give the NHS as much as we possibly can.’ He also pointed to wider government investment aimed at helping the health service cope with the pandemic.  The pay ‘rise’ might not be as much of a problem in isolation –

Why NHS workers shouldn’t get a pay rise

The Government in the person of Rishi Sunak won a surprisingly positive public response to what was essentially a tax-raising Budget this week. Within 24 hours though, the same government had spectacularly lost the PR contest by recommending a 1 per cent pay rise for NHS staff across the board. The outcry was universal: mean, measly, an insult, a slap in the face, not a way to treat ‘our heroes’ – or, more personally, those who saved the Prime Minister’s life. The rise – and it is currently just a recommendation to the NHS pay review body – is indeed a mistake. In fact, it is a double mistake, but

The mysteries of ‘long Covid’

Soon, as the rates of coronavirus deaths and infections plummet, we’re likely to focus more on those who suffer what is being called ‘long Covid’ — yet the truth is we know very little about what precisely it is. Long Covid began as a quiet murmur in the background: anecdotal stories about symptoms which extended beyond the predicted 14-day recovery time. There’s no agreed definition, so it’s hard to say how many sufferers there are, but a survey from the Office for National Statistics suggests it affects as many as one in ten of those who have had the virus. As the second wave retreats, the number of people left

Vaccination offers us a road out of lockdown. Let’s take it

As an epidemiologist and doctor who volunteered to return to the frontline in both waves, I have seen first hand the death and suffering from Covid. And, also, the knock-on effects on those affected by cancelled services. Deciding when to end lockdown is, of course, a difficult decision, but I now fear the costs of lockdown will soon start beginning to outweigh the benefits. There is no doubt that Covid-19 has the capability to rapidly overwhelm our healthcare system and cause unprecedented casualties. Indeed, what has transpired over the last year suggests that Neil Ferguson’s figure – that the virus was capable of taking 500,000 lives – looks fairly accurate.

The NHS is still in desperate need of reform

Along with many of my colleagues, I have been arguing for years that the current structure of the NHS cannot survive. Giving the health service endless money won’t make a significant difference, unless its core structures are changed. It is therefore very interesting to see that Matt Hancock, in the middle of the pandemic, has unveiled a package of major changes to healthcare, the essence of which is to reverse the Lansley reforms. One of the reforms the health secretary is taking aim at is the purchaser/provider split, which I have identified in the past as one of the ‘four crumbling pillars of the NHS’. The split involves regional panels

Why are so many health workers turning down the vaccine?

On Saturday the government hit its target of administering a first vaccine dose to 15 million of the highest-risk groups for Covid 19. By now, everyone over the age of 70, all healthcare workers and vulnerable groups should have been offered a vaccine. It is an impressive achievement which stands in contrast to many of the other things that have gone wrong over the past year. But there is a rather large fly sitting in the ointment. While 90 per cent of eligible members of the general public have turned up for their appointments (97 per cent in the over-80s), the same is true of only 80 per cent of

The problem with ‘our NHS’

Labour is demanding that Matt Hancock apologise to NHS workers for a ‘disgraceful attack’ on the NHS. In a letter to the Health Secretary, the party’s deputy leader Angela Rayner says Hancock must distance himself from a claim that ‘there is nothing special about the NHS, neither during this pandemic nor at any other time’. She also writes that ‘if you are committed to the protection of our NHS you must take action immediately to assure the NHS and the British people’ that he doesn’t think ‘we should not be grateful for the NHS or thank the NHS and its staff for their work during this pandemic’. This sounds serious,

Tom Slater

Is a vile tweet about Captain Tom really a matter for the police?

Should it be illegal to be a moron? That’s the question we really need to be asking ourselves in the wake of the arrest of a man in Scotland over a vile tweet about the death of Captain Tom Moore, the Second World War veteran who became a national treasure in 2020 for his NHS fundraising. Police Scotland has confirmed that a 35-year-old man has been charged ‘in connection with communication offences’. What it is he actually said wasn’t made clear. But a subsequent report, and much online chatter, points to this delightful post: ‘The only good Brit soldier is a deed one, burn auld fella, buuuuurn.’ That the post was

Are the Tories trying to put politics back into the NHS?

It has taken the Conservatives an entire decade to recover from their last attempt to legislate for a reorganisation of the NHS. Now, they’re proposing to unpick some of what’s left of that Health and Social Care Act.  Details of a Health and Care White Paper leaked to the excellent Andy Cowper at Health Policy Insight last week revealed that ministers want to grab more control of the health service overall, as well as individual foundation trusts and matters such as water fluoridation. The Health Secretary will become significantly more powerful. Some of this forthcoming legislation contains changes NHS England has long wanted and been expecting, such as abolishing Andrew Lansley’s

Would Captain Tom want his own statue?

Captain Sir Tom Moore was a lovely man and an inspiration to centenarians everywhere. Actually, forget centenarians; if the rest of us could be so chipper and nicely turned out at half his age, we’d be doing well. I was oddly moved to hear of his death, though not, I fear, to the point of turning out at my window to applaud. But then I gave the communal pot banging a miss for the NHS during lockdown too, so that’s nothing new. I’m not convinced Boris Johnson is right, though, when he says Captain Tom deserves a statue. After all, he was a modest man, Sir Tom; I’m not sure he

Matt Hancock is right: we are in a vaccine race with France

There are plenty of different ways in which Matt Hancock, the health secretary, can be criticised for his handling of the Covid-19 crisis. Track and trace didn’t work, lockdowns were sporadic and probably too late, and the messaging wobbled all over the place. But comparing the British vaccination drive to France and the rest of the EU? That was completely right. When Hancock remarked on Sky News yesterday that the UK had vaccinated more people in just three days than France had managed in total, his critics on social media went into a predictable meltdown. It’s not a competition or a race lectured the finger-waggers. We have only done one

Tavistock gender clinic whistleblowers have been vindicated

The Care Quality Commission has released its reports on the gender identity services offered by the Tavistock and Portman NHS Foundation Trust. They make for grim reading. The CQC describes an NHS facility that — until last month — put vulnerable children on a pathway to the use of untested medicines and life-changing interventions, sometimes without keeping proper records proving consent for treatment or demonstrating the reasons for that treatment. An NHS service where staff were afraid to raise concerns about procedure and practice for fear of ‘retribution’ from their employers. An NHS service that failed to ask fundamental questions about the growing number of vulnerable children being presented for