Last night, the Incredible Dement shocked the nation. Appearing on BBC2, armed with only a Euro-Rover ticket and a large hat, he toured the Continent, boldly seeking out destinations where others fear to tread. Everywhere he went, it was either raining or snowing, for these were the lands that God forgot. Soon it became apparent that, when the ID was on the road, all roads led, not to sun and the Eternal City, but to snow, and an another altogether different type of Eternity. They led to Zurich, to a dapper blue house tucked away on an industrial estate – a planning requirement, you understand – where a Mr Peter Smedley, late of the canning concern, was about to do to himself what his family had spent decades doing to peas. The only difference was that Smedley would emerge not in a can, but an urn. He had come to Dignitas, to die.
All May Have Won, but None Shall Have Prizes
Amazingly, roboNick this morning wiped the Vaseline from his glasses, and saw the light. The BBC’s Innuendo-in-Chief, master of the C word, E word and R word, realised it was all about the D word.
‘Duty, that is, Huw. The duty [lugubrious sideways glance] of the Secretary of State, that is, to provide [meaningless pause] a comprehensive health service.’
‘Thanks Nick. That was Nick, ending his report for us from, err, Downing Street.’ That’s the nice thing about Huw: he always takes the trouble to make sure you know who’s who, what’s what, and where’s where, even when, err, he’s not quite sure himself.
Basic Instinct III
Dr Clare Gerada, the well-known suicide cyclist, and Chair for the time being of the Royal College of General Practitioners, appeared on the SuperMarr show this morning. She was in fiery mood, with short cut red hair and a dress so red that it might itself have been on fire. Beside her, Mr Stephen Dorrell MP, one-time Health Secretary in the Major government, smouldered in a grey brown wood-ash jacket. When Clare appeared on the verge of bursting into flames, Stephen puffed political smoke. Had a mirror been at hand, he would no doubt have flashed political semaphore too. For all Dr No knows, he may even have done so, but Dr No’s Sunday sensibilities had at the start been rudely corrupted, and his eyes fixed, by a rogue cameraman who had spotted the stage was set not for the SuperMarr show but for Basic Instinct III. The camera lingered hopefully. At one point, Clare raised her hands from her lap. The cameraman’s basic instincts twitched palpably, his finger on zoom; but it wasn’t to be. The only flashes, were there to be any, would come from Stephen’s mirror, or the dying embers in his wood-ash jacket. We were back on easy, like Sunday morning.
Drive-By Surgery
David ‘Ozymandias’ Cameron’s five NHS pledges – worthy of only the briefest flash in the news-pan yesterday – are already showing all the substance of five brown ballerinas. Even as he made his speech, the smart finger was on the money. PCTs have been running rings round the fixed national tariff for months, allowing private providers to compete on price.
The Bureau of Investigative Journalism has spotted a loophole, a loophole, we might add, that is as wide, open and inviting as a barn door, that allows – forgive the jargon – community services provided under the any willing provider procurement process to escape the national tariff. Since this is the kind of terminology that gives the rest of us a migraine, we may translate this to mean stuff done outside hospital, excluding normal general practice, that is not subject to fixed prices.
It Could Be Fatal
The Today programme this morning fingered Jimbo as an Anglo-Sassenach. There wasn’t much he could do about it, except take a side-swipe at Humph by declaring that at least he wasn’t a Boyo, because the Sassenach evidence was in his DNA. It was the kind of case that Police Constables are wont to refer to as an open-and-shut case. The Bannock was laid bare, a faggot dressed as haggis. Auntie, on health and safety advice, thoughtfully provided a counsellor, in case it all proved to much for Jimbo. It was certainly too much for Humph, who could be heard in the distance cackling and laughing all the way to the allotment.
The Shrinking Raspberry – BMA Blows It Again
With friends like the British Medical Association, who needs enemies? On the day the Care Quality Commission revealed that three out of twelve hospitals it reported on were hanging elderly patients out to die, the BMA chose to blow its anti-Health and Social Care bill trumpet. But the Association’s call was inevitably drowned in the howls of anguish that arose in the face of hospitals turning biddies into Ryvitas on an industrial scale. Even Humph rose to the occasion, and adopted his best dishcloth wringing tone. No need to get bogged down in the statistics, said he, as he wrung the dishcloth of despair to its dying drop. As beads of disbelief coalesced on the brow of concern, he told the nation what it so desperately needed to hear: it was, he said in a whisper, about humanity. The BMA story, naturally, sunk like a stone in a pond.
When a Dentist Sneezes, the NHS Catches a Cold
Dr No’s NHS dentist is a likeable old cove. Asked how he proposed to fix Dr No’s new crown in place, he announced ‘Bostik Number Five’ – a Dr No response if ever there was one. So – just to be clear – this post is not about knocking dentists as a profession. What it is about is looking at what happens when you run a substantial private mostly insurance based system alongside a publicly funded NHS one; and what has happened in dentistry does not bode well for the rest of the NHS.
On Monday, Channel Four’s Dispatches programme invited dentists to open wide. A number obliged, and an unedifying collection of drill sharks, cement mixers and card snitchers sprung into view. The general wheeze was to get you, an NHS patient, in the chair, and then offer a Hobson’s choice of private treatment, at which point wallets, inevitably, opened wider than mouths.
NHS – The Apprentice
Opening Titles: Camera swoops across London teaching hospital rooftops – St Thomas’, Guy’s Tower, the cruciform Royal Free. The second half of Mars from Holst’s The Planets throbs loudly. Cut to UCL’s Accident & Emergency entrance at night. A large NHS blue Roller, Registration Mark NHS 1, arrives, with what appears to be a Belisha Beacon in the back seat. The door opens, and Lord Sugar steps out, looking very grim. He points at an Ambulance Paramedic.
Sugar: You’re Fired.
Paramedic: Thank you, Lord Sugar. (walks off, trailing a defibrillator trolley on wheels, towards a waiting taxi. The Belisha Beacon gets noticeably oranger).
Voiceover: The NHS. A decayed, inefficient state monopoly that consumes money as a waterfall does water. Waste is everywhere, and indifference is rife. Even nice Gerry Robinson couldn’t fix the NHS. Lord Sugar has had enough.
Sugar (to camera): It’s a shambles, a bloody disgrace.
How To Compete on Price Without Competing on Price
Twenty five or so years ago, in the Hacksaw years, there was a move afoot (there had also been a Michael Foot, but that is another story) to relax the then decidedly restrictive and yet unworkable Sunday Trading Laws. Hacksaw and her buddies attempted to introduce a Shops Bill in 1986 to relax the rules, but the move was seen off by an unlikely coalition between the God Squad, acting in best Ian Paisley style, and by the Unions, marking the only time – a precedent we might want to note – that a Hacksaw Bill was ever defeated. Thus the restrictions, including the quaint absurdity of allowing the sale of a pornographic magazine but not a Bible or a birthday card on a Sunday, continued for another eight years, until the liberalising 1994 Sunday Trading Act came into force.
The early Hacksaw years were nonetheless a time of unbridled market adoration – yuppies had just been born, and the Stock Exchange Big Bang was around the corner – and so the spivs and suits, who had no intention of letting tiresome laws fetter their marketing zeal, set about devising ways of getting round the restrictions. Dr No’s favourite, for its audacity, was the carrot wheeze: carrots, but not beds, could be sold, so the spivs sold carrots, at a hundred quid a pop, and threw in a bed for free.
Saturn Calling…
An extraordinary letter has appeared in The Telegraph this morning, online version here, a letter so bizarre that it elevates those chirpy Eurovision Song Contest result package links to communiqués of Kissingerian consequence. Signed by a clutch of GP chavs, it appears to be the brainchild of a scuba-diving Masonic medical wax chandler (motto: Non Angelus sed Anglus – No Angel but at least I’m English) who, tellingly, lists Conservative poiltics as one of his ‘interests’, which is putting it mildly: here he is blogging in 2009 about what the Tories are going to do to the Labour legacy once the Tories had achieved the ‘moral authority of victory’ in the 2010 election. Taken together with today’s Telegraph letter, it appears that Pimlico GP Dr Jonathon Munday’s zeal for nuking Labour legislation is matched only by an equal and opposite zeal for propping up Broken Arrow’s dud legislation.