Showing posts with label NHS. Show all posts
Showing posts with label NHS. Show all posts

Wednesday, 6 May 2015

A date that will go down in history?

If the opinion polls are right, and I hope they aren’t, the 70th anniversary of VE Day on Friday will also be Deadlock in Britain Day.

All round the country bleary-eyed candidates and would-be Prime Ministers will be surveying the wreckage of their hopes.

Just as Churchill did a mere two months after he was ecstatically cheered on the Buckingham Palace balcony on May 8th, 1945.


Spectacularly losing an election you entered with a personal approval rating of 83% is an achievement few can ever hope to emulate.

When Churchill’s wife Clementine tried to console him that his defeat might be a blessing in disguise, he retorted: “At the moment it’s certainly very well disguised.”

So where did he go so wrong? In popular memory Labour’s pledges of social reform overwhelmingly carried the day. Yet the Conservative manifesto of 1945 also promised “a nation-wide and compulsory scheme of National Insurance” and the creation of “a comprehensive health service covering the whole range of medical treatment from the general practitioner to the specialist”. This should not be altogether surprising.

The Beveridge Report of 1942, to which the post-war settlement owed so much, had been commissioned by the all-party wartime coalition Churchill led.


Personally, I put the Tory crash down to lousy PR. If only Max Beaverbrook or Brendan Bracken had said, “Winston, the thing to do is to carve your National Insurance and health service pledges on an 8 foot limestone obelisk and cart it around the country with you”, how very different the result might have been.


It is altogether more plausible that a post-war Tory government would have set up a National Health Service than that Labour would have instituted a “right to buy” for council tenants in 1959 – another counter-intuitive notion that has recently received an airing on the letters pages.

The unsuccessful Labour manifesto of that year does indeed contain a promise that “Every tenant … will have a chance first to buy from the Council the house he lives in”, but it was referring to privately rented homes that it proposed councils should take over.


Incidentally, imagine the furore that would ensue today if any party put out literature implying that all tenants were necessarily male. Well, maybe not in the case of UKIP.

The greatest counter-intuitive idea of all is that Margaret Thatcher was a Green pioneer because she closed so many coal mines (albeit not as many as Labour’s Harold Wilson) thereby anticipating the current left wing fetish for leaving fossil fuels in the ground.

If you rake through old manifestos you find Labour, now the staunchest opponent of giving the people a say on membership of the European Union, standing on a platform of withdrawal from the EEC in 1983.

Ideas pass back and forth between parties, and memories of past promises, successes and failures are selective. It is worth recalling that the revered socialist government of 1945 continued to award hereditary peerages, and pressed ahead with the creation of a British atomic bomb.

And, while independence was swiftly granted to India, there were ambitious plans for the continuing empire in Africa, including the once infamous scheme to improve British diets through the extensive cultivation of groundnuts in Tanganyika. It failed disastrously because the climate and soil were both completely unsuitable for growing peanuts.


A lesser known disaster of the time was a parallel scheme to boost chicken and egg production in The Gambia, West Africa … with the aim not just of feeding Britain but of reducing the colony’s dependence on the successful cultivation of groundnuts.

No doubt we can anticipate more expensive cock-ups of this sort, whoever finally comes to the surface clutching a lifebelt after tomorrow’s election.

I shan’t attempt a prediction, even though my family are still reeling from the fact that I accurately foresaw the Duchess of Cambridge giving birth to a daughter called Charlotte Elizabeth Diana – and then failed to place a bet on it.

Sadly for us David Cameron is no Churchill, Ed Miliband no Attlee. In a world of politicians no one much likes or respects, deadlock may be inevitable. But it is not to be desired, as anyone who remembers the 1970s will vouch.


Originally published in The Journal, Newcastle upon Tyne.

Wednesday, 18 February 2015

Don't call me fat, it's a mental condition

When Churchill died 50 years ago, I don’t believe any of his obituaries included the word “fat”.

No one lamented that he had been snatched from us at a mere 90 years of age because of his cavalier disregard for healthy eating.

Instead his gargantuan appetite for food, whisky, Champagne, brandy and cigars was celebrated as a matter of national pride.


It remains so when any distinguished “person of size” hands in his or her XXL dinner pail. We learn that they were gourmets, never gluttons. People who “appreciated the finer things” and were always “larger than life.”

The "larger than life" Clarissa Dickson-Wright

Contrast this with our treatment of the obese working class, characterised as weak-willed, feckless chavs who need to have their benefits withdrawn to get them off their grotesquely oversized backsides, and be cajoled into gastric band surgery to stop them being “a drain on the NHS”.

I deduce from these inconsistent attitudes that it is not so much obesity we don’t like, as the native lower orders. But it is strictly non-PC to say as much, so we pick on certain characteristics – the dreadful names they pick for their children, say, or the sort of fast foods and ready meals they like to eat – and deride those instead.

As a fat person myself I thought I had a certain licence in the use of the word, in the same way as black and gay people are allowed to self-describe in terms that are strictly verboten for everyone else.
Nevertheless I received a stern ticking-off when I casually enquired of my wife “Who’s the fat kid?” when we were picking our son up from primary school the other day. There was only one of them in the playground, and it seemed the most natural way of describing him.

However, I was swiftly re-educated as to why this was as unacceptable as it would have been to highlight his skin colour or a disability.

Our elder son is already conscious of the importance of not getting fat, even though he is as slim as the fan mail folder in Lord Green’s inbox and has no interest in food whatsoever, regarding mealtimes as an inconvenient interruption to his busy schedule.

And, as already noted, he is entirely typical of his peer group.

Nevertheless we must apparently plough on with the crusade to remove sweets from supermarket checkouts, downsize chocolate bars and make drinking a can of fizzy pop as socially unacceptable as lighting up a Capstan Full Strength would be if they were still allowed to make such things.


I can tell you now what will stop this in its tracks, and it will be someone demonstrating a clear linkage between obesity and mental illness: “I eat because I’m depressed.”

I know this to be a fact of life because I’ve been a depressive and a bit on the large size for the last 40-odd years. I also know that I can alleviate my depression by cutting my calorie intake, sleeping less and exercising more, which also tends to reduce my avoirdupois.

But since every time I write on this subject at least one angry reader writes in to complain that you can no more cure yourself of depression than of cancer, I feel sure that my fellow fatties are aiming at an open goal if they can lumber far enough to get a foot on the ball.

As a child, I was always told not to mock the one monumentally fat girl on our street because it was not her fault: “It’s her glands.” And not, as I strongly suspected, too much time in Maynards and not enough on a skipping rope.


Now it will be the state of her mind.

As for the “saving the NHS money” argument, it’s cobblers. Because if the morbidly obese don’t die young of that, they will surely die old of something equally costly to treat.

Ultimately the only way to save real money on the NHS will be for us all to live in good health until we expire suddenly in our sleep. Perhaps helped on our way by a beneficent National Euthanasia Service.

Now there is a truly sinister thought to ponder. Meat pie, anyone?


Originally published in The Journal, Newcastle upon Tyne.

Wednesday, 11 February 2015

"I told you I was ill"

In Iolanthe, W.S. Gilbert’s Westminster sentry ponders the mysterious fact that every child born into the world alive “Is either a little Liberal, or else a little Conservative”.

This was, of course, before the Labour Party, let alone UKIP or the Greens, had been invented.

Conservatives possibly outnumbering Liberals in this scene from Iolanthe

Yet I increasingly think that there is indeed a fundamental two-way division in humanity, between the optimists and the pessimists.

Whether it is determined biologically or by environment I cannot say, but I do know that the pattern is set early. Because my two sons are both under six, and I definitely have one of each.

The elder, like me, approaches every proposal with a mindset of “What could possibly go wrong?” He is likely to spend his life wondering “What’s the catch?” and turning down opportunities that might, through a concatenation of infinitely remote possibilities, lead to disaster.

The younger, like his mother, has an altogether sunnier disposition. For him, the glass will always be half full rather than half empty.

I am not sure that I can do anything to change their respective attitudes. What interests me is which of them is likely to be happier.

It might seem a no-brainer. The pessimist will live his life in a perpetual fog of gloom and shy away from such possible excitements as space travel, cosmetic surgery or voting Labour.

Not one for Charlie Hann, I suspect

Yet I am a pessimist so extreme that I have never yet boarded an aeroplane without a deep conviction that it is much more likely to crash in flames than to reach its destination.

Which, since so far it has always managed the latter, has given me periods of elation that I am sure no normal traveller could hope to match.

Always expect the worse, and life will throw up regular pleasant surprises.

We spend a lot of time wondering about the time and manner of our death, us pessimists, so I naturally pitched up at Wansbeck General Hospital a week ago fully braced for the worst.

My mood had not been lifted by receiving a summons from the Department of Elderly Medicine, even if I could detect the hand of some well-meaning PR looking for a kinder way to express “Geriatric”.


Nor was it helped by seeing a doctor in a room that bore a sign reading “Pre-Surgical Assessment”.

But then, as it turned out, while I have indeed got a long list of things wrong with me, so would most 60-year-olds subjected to the same battery of tests.

In particular, I am no more likely to keel over with a stroke tomorrow than any other comically overweight and inactive non-smoker of my age.

True, this left the doctor with no explanation for the symptoms I have been experiencing, though he did kindly offer to refer me to another specialist for yet more tests.

However, in the week of Groundhog Day, it seemed better simply to draw stumps and add a few more irritating conditions to the long list of things one just has to learn to live with as one gets older.


Receiving this good news should have lifted me onto the sort of high that I normally experience only after stepping off a plane alive and making it through Arrivals without being the subject of a terrorist attack.

However, a new attack of pessimism soon kicked in as I realised that I could no longer put off a long list of important decisions that I had put on hold in the light of my clearly imminent demise.

I resolved to be nicer to everyone if I were to be spared, and I think it lasted about as long as most such resolutions. But I will keep trying.

In the long run, my pessimist son and I will be proved right, and can only hope that we have enough dying breath to utter the magic words “I told you I was ill.”

The humourless Church establishment prevented Spike Milligan’s family from having those words engraved on his tombstone, until they proposed putting them in incomprehensible Irish.


Since I lack Spike’s Irish roots, I wonder whether one of my readers might be able to assist my preparations by supplying a suitable Latin translation?


Originally published in The Journal, Newcastle upon Tyne.

Wednesday, 4 February 2015

The consoling power of favourite quotations

It is sad but true, as William Hazlitt famously observed, that “The least pain in our little finger gives us more concern and uneasiness than the destruction of millions of our fellow-beings.”

Given my privileged opportunity to comment on any of the huge issues facing the world today, from climate change to the electability of Ed Miliband, it seems rather pathetic that the only thing of really gripping interest to me is today’s appointment at Wansbeck General Hospital to learn the outcome of some recent tests.


But there comes a tipping point in all our lives when death ceases to be a distant and theoretical concern, mainly affecting others, and comes to command our attention with the same sort of force as an oncoming juggernaut, careering madly towards us on the wrong side on the road.

It seems like yesterday that I was constantly making forward-looking suggestions and being frustrated by an older generation’s shrugging acceptance of the status quo, usually with the words, “It will see me out.”

Now I am firmly in their camp, my short-sighted selfishness tempered only by a sense of duty to my two sons, who could easily still be around in 90 years time. If anyone is.

Although constant awareness of the Grim Reaper’s stealthy approach is unnerving, age does have its compensations over and above the Senior Railcard. Perhaps the greatest of these is a sense of perspective, and the growing realisation that the Tory Prime Minister Arthur Balfour was right when he declared that “Nothing matters very much and few things matter at all.”

A.J. Balfour, nephew of Lord Salisbury: "Bob's your uncle!"

We are just moderately intelligent monkeys clinging to a rock spacecraft as it hurtles around a dying star. Our stay aboard is remarkably short and the best we can do is to make it as enjoyable as possible, both for ourselves and for our fellow travellers.

I have already tuned out the long-running general election campaign as so much white noise. It doesn’t look as though anyone can win it outright and it is hard to see any of the possible permutations of coalition making a material difference to our lives.

Particularly when you consider that many of the things Labour attacks most bitterly, such as the growth of private provision within the NHS, are simply the continuation of policies they themselves pursued when last in power.


We should always beware of anyone who presents us with a big plan to change things for the better. Socialism, communism and fascism all did that, and look how well they went.

The creation of the European Union and the euro were similarly billed as vehicles to prosperity and peace. Those of us who argued that they were likely to create just the opposite were cried down as reactionary fools.

Now that the continent is economically stagnant and mired in debt, with extremist parties on the rise across it, it is interesting to note how little we hear from those who screamed that Britain would be massively disadvantaged if it let the euro train leave the station without us on board.


Though they are the self-same voices issuing dire warnings of the fate that will befall us if we are mad enough to vote to leave the EU in a referendum, if we ever elect a Government so foolish as to hold one.

I’d like to think I might live long enough to vote for my country’s independence but I have to accept that the country I fondly remember has vanished forever, and no vote is going to bring it back.

So I’m off to see my consultant resolved to try and be a bit nicer to my fellow human beings for as long as I am spared; and I will endeavour to stick to that resolution even if what he mainly diagnoses is a bad case of hypochondria.

At the very least I will have had a salutary warning that should inspire me to try harder. For, as Dr Johnson observed, “when a man knows he is to be hanged in a fortnight, it concentrates his mind wonderfully.”

While if the worst comes to the worst I can always console myself with another favourite quote from Evelyn Waugh: “All fates are worse than death.”


Originally published in The Journal, Newcastle upon Tyne.

Wednesday, 7 January 2015

Accept reality: there is no Santa Claus

Most of us now view politicians much as my younger son began to regard Santa Claus last month.

Two-year-old Jamie had a series of meetings with Santa at a variety of events. At each he was asked what he wanted for Christmas and replied, unfailingly, “a race car”.

At which Santa asked whether he had been a good boy and then handed over a small package that clearly, from its shape and size, contained either a book or a cuddly toy.

Each time Jamie eagerly unwrapped it and his little face fell as he surveyed the contents.

“Oh,” he said with infinite sadness. “I was hoping for a race car.”

Luckily the real Santa turned up on Christmas Eve with just enough racing cars to restore his faith in superhuman nature.


What, you might ask, has any of this got to do with politicians as we brace ourselves for months of General Election campaigning?

Simply that we too have a wish list – lower immigration, better roads, cheaper rail fares, improved health services, tax increases for the rich, tax cuts for ourselves – that the various Santas of the main parties may promise to deliver.

But then they’ll simply hand over the same old package that they had planned all along, and we will be terribly disappointed.

This is because our expectations, like Jamie’s, are fundamentally unrealistic. The national finances are knackered, to use the technical economists’ jargon, and whoever is in charge is going to struggle to do much for us against that background.

Let us take health as an example, because I happen to have had recent experience of attending Wansbeck Hospital for an NHS scan.


The premises were top notch, the equipment clearly state-of-the-art, the staff charming and my appointments on time. This is exactly what people pay for private health insurance in the hope of achieving.

Now, as it happens, the service at Wansbeck is provided in partnership with a private company: InHealth.


Why should anyone care? It works brilliantly and it remains free to the patient. If this is the sort of “privatisation” that is going to make the NHS “unrecognisable” after another five years of Tory government, I’d vote for more of it.

What’s more, I feel no confidence that Labour in office would do anything radically different, given that they persisted with the Private Finance Initiative and the introduction of private partners to the NHS throughout their 13 years in office.

The key, plain fact of the “NHS crisis” was disarmingly explained on the radio the other morning by a scientist introducing his research findings that two thirds of cancers are caused by random mutations on which neither lifestyle nor heredity has any bearing.

The human body, he said, has a design life of approximately 40 years and after that it will start breaking down, no matter how careful you are.

Trying to keep me, at the age of 60, doing all the things I used to enjoy in my 20s is like trying to do 24,000 miles a year in a 1954 Morris Minor. It’s likely to cover rather a lot of them on the top of a recovery truck.


But we expect the NHS to keep us going in good health until we are 80, 90 and – in ever-increasing numbers – 100.

The potential cost of trying to do this is limitless and ruinous. No political party is ever going to be able to deliver it, so like young Jamie we might as well stop wishing and accept the reality of ongoing disappointment.

Because there isn’t a benevolent Mummy and Daddy to step in and save the day for the NHS, the roads budget, the armed services or anything else.

Accept reality – and bear in mind that the reality of hard times in Britain is infinitely preferable to the condition of most of the rest of the world – and we will undoubtedly face fewer disappointments.

That knowledge may also enhance our lives for the next few months as we reach for the “off” switch at the start of every pointless political debate. After all, we don’t need a doctor to tell us they are very bad indeed for our blood pressure.


Originally published in The Journal, Newcastle upon Tyne.

Wednesday, 9 April 2014

Turning into Victor Meldrew

I don’t recall exactly when I turned into Victor Meldrew, but there is no doubt that we are now completely indistinguishable.

Keith Hann
Victor Meldrew

Having fallen about laughing at the line “Don’t tell him, Pike!” at a recent awards dinner, and found that no one else on the table recognised it (or had even heard of Dad’s Army), I should perhaps explain that Meldrew was an irascible, elderly sitcom character.

I thought of him as, before I sat down to write this column, I emailed Inchcape to tell them that they were mistaken in their belief that my Land Rover was due for a service, only to have my message instantly bounced back because the email address they had provided did not exist.

I then rang Npower to ask why on earth they had written to me suggesting that I could save money by switching from my Economy 7 tariff on the grounds that I am not using enough electricity at night. Which seemed odd, given that I use ten times more power then than during the day, owing to my reliance on storage heaters.

Their representative cheerily admitted that it was a “generic” letter they had sent to all their Economy 7 customers. So no chance of some confused or vulnerable people being worried or persuaded to pay more than they need to, then.


So much for this week’s sterling efforts at customer service by the private sector. I hesitate to move on to the public sector, because I have found from bitter experience that it is never a good idea to question other people’s religions or quasi-religions, and the NHS definitely falls into the latter category.

Nevertheless, I cannot think of any other organisation that would expect me to wait patiently for two hours, as I did on Friday in the company of my two-year-old son to see his consultant, only to be told: “He’s not here today.”

To be fair, I exaggerate. I only spent 90 minutes in the waiting room. The first half hour was spent alone in the car waiting for a parking space to become available, following the hospital’s decision to fence off at least three quarters of its car park and designate it “staff only”.

Leaving a totally inadequate provision for “visitors” or, as in our case, “patients”. I don’t know what happened after that as I got the red mist and walked out, remarking that their communications were a joke.

My wife, who was also there, said she found the subsequent consultation useful and our son did not bite anyone, so I suppose it may be counted a qualified success.


I have never known anything of the sort occur in private medicine. There you always seem to be able to see the consultant you expected, at pretty much the time you agreed. The surroundings are usually nicer, too.

The downside in my experience is that they are always eager to recommend a barrage of tests in the hope of identifying some expensive treatment to charge to your insurer.

When I went privately to a cardiologist a few years ago I was told that I urgently needed an invasive procedure on my heart.

I sought a second opinion and was referred to the NHS because the even more sophisticated test my new consultant recommended was not available anywhere else, even for ready money. It concluded that I would be just fine and there must be something in it, as I have not had the originally predicted massive heart attack at the time of writing.

Today I shall have the delight of speaking to my private health insurers to ask how they can justify their latest 14% increase in my premium to more than £4,000 per annum, given that I have not made a claim for several years.

“Old age and rising costs” will no doubt come the answer. The same reason that NHS spending continues to spiral in a way that makes it, I suspect, completely unsustainable.


But I shall steer clear of that and conclude with a topic on which we can all agree: the non-contrition and non-resignation of Maria Miller. Here Victor and I are in absolutely perfect harmony. Altogether now: “I don’t believe it!”



www.blokeinthenorth.com

Originally published in The Journal, Newcastle upon Tyne.

Wednesday, 12 March 2014

Memo to the NHS: we're all going to die

The NHS does not seem to offer anything as simple as a mission statement on its website, preferring instead to outline seven principles and a longish list of values.

Nowhere among these can I find the words, “To make the nation’s flesh creep, like the Fat Boy in The Pickwick Papers”.

Yet that is undoubtedly the effect on me of their current advertising campaign: “Be Clear on Cancer”.


I nodded knowingly as I watched the TV ad showing that bloke picking up his indigestion pills every time he left the house. Then came the punchline: “If you suffer heartburn most days for three weeks or more, it could be a sign of cancer”.

Stone me, I’ve suffered heartburn most days for at least 25 years. I felt an urgent need to kick the hearth to make sure that I wasn’t already dead.

I was about to pick up the phone and make an appointment with my doctor, when I remembered three salient facts.

First, he already thinks – with some reason – that I am Northumberland’s biggest hypochondriac. 

Secondly, he has prescribed me some pills for heartburn, which I take nearly every day, and presumably wouldn’t have done that if he suspected I was suffering from cancer.

And, thirdly, you can never get an appointment with my doctor. Sometimes I go online and book one a couple of months in advance just in case I happen to feel poorly then. (Before anyone complains, I always cancel these in good time, thereby creating a golden opportunity for someone who is genuinely ill.)

Ever since a colleague died of skin cancer many years ago I have been boring my local medics into catatonia by subjecting every new bodily growth (apart from my disgustingly expanding stomach) to their informed inspection.

Once the legendary and now retired head of the practice looked at the single word “Moles” on my record card and delivered a very full disquisition on the state of his lawn, before asking why I was bothering him with my problem, rather than a pest controller. I don’t think he was trying to be funny. 


The problem with running advertising campaigns encouraging more people to go to their doctor is that those who prick up their ears will be alarmists like me. No doubt reinforcing the GPs’ inclination to treat such worries with suitable scepticism.

In recent years I have known two people who went to their doctors convinced they were suffering from brain tumours. Both were repeatedly informed that they were imagining their ailments and advised to relax and stop Googling medical websites. One is now dead, and the other happily in remission following brain surgery and chemotherapy. We shall never know whether a less sceptical initial response would have made any difference to these outcomes.

Perhaps the time is ripe for a full merger between the NHS and the Daily Mail, so they could focus their mighty combined resources on frightening the living daylights out of us.

To give just a few examples from the last two weeks alone, eating too much protein is as dangerous as smoking 20 cigarettes a day; while eating too much sugar will kill us (though fat, which “experts” been telling us to avoid like the plague for decades, turns out to be not so bad after all).

Even the salmon the authorities have been advising us to tuck into with gusto, because oily fish is good for you, turns out to be contaminated with microscopic amounts of DDT. Which pose no known risk to health, but when has that ever stood in the way of a screaming headline?

I am old enough to remember when DDT was hailed as a saviour for controlling malaria. Then people started worrying about its impact on wildlife and side-effects like cancer.

That’s reputations for you. Up one minute, down the next. Just look at fat and sugar.

The key facts are that we’re all going to die of something, and the best way of deferring that unhappy day is to eat, drink and do all things in moderation. Oh, and please don’t trouble your doctor unnecessarily. He’s almost certainly got quite enough on his plate dealing with hysterical mole-watchers.


Originally published in The Journal, Newcastle upon Tyne.

Tuesday, 19 February 2013

Horsemeat in the food chain: seriously, why the long face?

In my day job, I have done virtually nothing else for a full month now apart from answering questions about horsemeat.

Those who have knowingly eaten it assure me that horsemeat is delicious but, like most English people, I always pass those boucheries chevalines in Paris with a shudder of distaste. Which is entirely illogical, given that I don’t even like horses.


Many other columnists have lined up to opine that we are in the midst of a huge crisis caused by our addiction to cheap food, fostered by those evil supermarkets who are constantly driving down standards and screwing their suppliers. The answer, clearly, is to pay more, eat better and support your friendly, local butcher and farmer.

Even though the roof is kept over my head by Britain’s leading high street retailer of frozen food, I am personally delighted that good independent butchers have enjoyed a boost to their trade as a result of all this nonsense.

But please be assured that it is 99.99% nonsense, and that the problem is not so much processed food as manufactured hysteria. Yes, a small handful of rogues have evidently been passing off horsemeat as beef to some unsuspecting customers. But, as the food safety specialists never tire of explaining, this won’t actually do you any harm.

But what, scream the hysterics, if the horses had been treated with the veterinary painkiller called bute? Yes, the Government’s chief medical officer wearily explained, that might indeed stand an outside chance of making you ill if you ate 500 or 600 bute-laced horse burgers every day. Not that any trace of bute has been found in any UK products tested to date.

My client – Iceland Foods, since you ask – withdrew and destroyed a couple of batches of their burgers after the Food Safety Authority in Ireland detected small traces of horse DNA, amounting to one tenth of one per cent of the product. That particular test was not accredited for use in the UK and samples from the same batches were immediately sent to two independent laboratories for confirmation. No trace of horse DNA could be found.

All Iceland’s other beef products have now been tested and similarly proved to contain no rogue horse or pig meat. So they said so. Cue howls of protest that the company is not grovelling apologetically for something it has not done.


It’s a rum food crisis in which no one has died or, so far as we know, even been made ever so slightly poorly. As catastrophes go, it’s the equivalent of the Titanic’s head chef running out of lemon juice for the mousseline sauce to accompany the poached salmon in the first class dining room.

Meanwhile a Titanic-sized death toll has been exacted by mismanagement of the NHS in mid-Staffordshire and yet that, bizarrely, is the story that has proved pretty much a one day wonder.

I am old enough to remember what food shopping was like before the big supermarkets became dominant and the important truth is that it was rubbish.


There has been a revolution in the variety, quality, freshness and value for money of the food available to us in my lifetime that has been driven by supermarkets and is hugely advantageous to us all.

Yes, I also buy from independent shops and farmers’ markets because I am lucky enough to be able to afford to do so, but I have no hesitation in doing the bulk of my shopping in supermarkets – including Iceland – and nor should anyone else.

If you’re going to get hung up on microscopic quantities of DNA, brace yourself for next week’s shock disclosure that your raspberry yogurt almost certainly contains a trace of banana.

Please also remember that your local butcher’s handmade burgers stand every chance of containing minuscule traces of other animals’ DNA. And, unless he washes his hands with the obsessive dedication of a serial killer who has successfully evaded justice, quite possibly human DNA too.

I really hope that some enterprising tabloid does run a test for that, so that we may look forward to the next stage of the crisis: Britain rocked by revelations of rampant cannibalism among the middle classes.


Originally published in The Journal, Newcastle upon Tyne.

Tuesday, 4 December 2012

Why dearer booze and free news are both seriously bad ideas

The proudest moment of my life was opening last Friday’s Journal and finding myself described by former Fleet Street editor David Banks as a “journalist”.


Up until then I had thought of myself as simply a misplaced PR man with an unprofitable hobby.

It is entirely typical that I should finally gain this longed-for recognition just when journalism is under a three-pronged attack of unprecedented ferocity.

First from the internet, and the growing assumption that all news and comment should be available instantaneously, and completely free of charge.


Secondly from the alliance of crime victims and celebrities who would impose tighter regulation, backed by statute, on the printed media. Just when the floodgates of the worldwide web stand open to disseminate limitless quantities of tittle-tattle and misinformation with almost zero prospect of correction or redress.

And finally from the threat to impose minimum pricing on the hack’s traditional relief and recreation: alcohol.

Let me deal with the last first. Apparently we all need to pay more for our booze because the centres our major cities have been made a “living hell” by cheap drink.


Really? Might it not have more to do with the halfwitted decision to abolish traditional opening hours, and the oversight of licensing by magistrates, in the vain hope of creating a sophisticated “continental café culture” rather than having the young lying around the streets in pools of their own vomit?

Not that it is just Yoof that Nanny cares about. According to campaigners, this more expensive drink will also “save the lives” of 50,000 pensioners over 10 years and massively reduce the burden on the NHS.

Except that, in the real world, those pensioners will surely die of something else that will almost certainly prove every bit as expensive to treat.

On this logic, we should also be imposing massive new price hikes on food to counter obesity, and on skis, horses, motorbikes and rugby balls to save the NHS from treating the resultant accidental injuries.

There are already laws against serving alcohol to those who have plainly consumed enough, and against being drunk and incapable or disorderly. Just as there are laws against the unlawful interception of communications through phone hacking.

Rather than holding inquiries and adding more pages to the already bulging statute book, why not first have a try at enforcing the laws we have already got?

Meanwhile the relentlessly increasing domination of nearly all our lives (not you, Auntie Leslie) by the internet makes the attempt to impose fresh rules on newspapers as relevant as the actions of those courtiers who egged on poor old King Canute to plonk himself in the path of the rising tide.

Yes, I know they call him King Cnut these days, but I couldn't risk a misprint

We need a free and unfettered press that asks awkward questions, highlights injustices and exposes wrongdoers, without outrageously invading the privacy of those who have never sought to be public figures, or otherwise breaking the law. For that to happen, we also need people willing to pay a few pence each day for a newspaper or its online equivalent.

Becoming a writer was my lifelong ambition, in admittedly lazy recognition of the fact that stringing words together is the only small talent I possess. I am delighted that it is now easier than ever before to get my work published; but considerably less happy that it is also increasingly difficult to make any money by doing so.

Yes, there are J.K. Rowling and that woman who wrote Fifty Shades of Grey, but they are to the mass of authors as lottery jackpot winners are to the other mugs who fork out for a ticket.

In my ideal world, reasonably priced alcohol would be served principally by responsible landlords who would ring a closing bell at 10.30 or 11pm, and send home before then anyone who was clearly the worse for wear.


Those patrons who were not engaged in conversation or traditional pub games would while away their evenings happily reading newspapers, or perhaps my latest book.

The really sad thing is that, well within living memory, something very like that earthly paradise actually existed, and it is never coming back.

Originally published in The Journal, Newcastle upon Tyne.

Tuesday, 2 October 2012

The only way to retire in comfort is going to be winning the lottery

The greatest obstacle to every well-intentioned Government health campaign, like Stoptober, has always been the Uncle Fred factor.

However convincingly they may present statistics on the terrible consequences of smoking and drinking, nearly everyone can cite in response the example of an Uncle Fred who defied the odds.

Toping and puffing to wild excess from the age of 14, Uncle Fred only died aged 98 when he was knocked off his bike while fleeing from his girlfriend’s house after her husband came home unexpectedly early.

How the nation’s medical profession must have groaned last week when Dorothy Peel from Hull, interviewed as she celebrated her 110th birthday, revealed that one of the secrets of her longevity was giving up smoking … at the age of 104. While the other was never drinking whisky before 7pm, sticking to sherry earlier in the day.

Cheers, Dorothy! [Picture courtesy of The Sun]

The problem with this sort of story, amusing and spirit-raising though it undoubtedly is, is that it falls into the same category as those regular tales of massive lottery wins. It could be you. But it won’t be.

In practice, buying that ticket every week (and I write as a fellow mug who does it himself) just admits you to that not very select club of idiots who have cheerfully signed up to pay an extra voluntary tax. 

Continuing to smoke and drink heroically, in defiance of all official advice, involves a similar willingness to pay additional taxes. And, unlike having a flutter on the lottery, it will also shorten your life.


One of the main reasons cited for making cigarettes beyond the pale is the huge amounts that the NHS will “save” on the treatment of smoking-related illnesses. This will no doubt be true in the short run, but I wonder whether anyone has ever attempted a proper cost-benefit analysis in the longer term.

Because sadly few of us are destined to pass away peacefully aged 110 or more. The process of dying is more likely to be unpleasant, prolonged and, for the NHS or its privatised successors, expensive.

If we cut out the fags, the effect may be just to defer that cost for, say, 20 years, adding in the meantime to the drain on the nation’s pension funds. The parlous state of which needs no underlining.

The Government’s latest wheeze to deal with that particular crisis kicked off yesterday with the beginning of auto-enrolment in pension schemes. This involves having your pay docked now to build up a fund for your old age which, according to all the examples I have heard, will pay you a pathetically small additional pension and reduce your entitlement to benefits by a similar amount.

A worthwhile win for Government and society as a whole, no doubt, but hardly a great boon to the individual compulsory saver.

This will not make welcome reading for those towards the bottom of the economic heap, but I believe that the underlying reality is that we have simply had it too good for too long.

After Macmillan, no one dared to point out that "You've never had it so good." But he was right ...

The generation that won the equivalent of a double rollover jackpot in the lottery of life was the one just before mine. They were too young to be conscripted for World War II. Those who made it to university not only enjoyed their education entirely free of charge, but received a maintenance grant from the taxpayer. They worked through a period of generally increasing prosperity and benefited from a wholly disproportionate inflation in the value of their property assets.

Then, to cap it all, they retired on the sort of final salary pensions that are now completely unaffordable.

The reality for those of us bobbing along in their wake is that we are likely to go on getting worse off for some considerable time, whoever we vote for at the next election. For us, any sort of retirement, let alone a prosperous one, is probably just a dream.

Rather like emulating the spectacular luck of Uncle Fred or Mrs Peel in smoking and drinking without ill-effects, or picking the right six numbers in the lottery.


Originally published in The Journal, Newcastle upon Tyne.

Tuesday, 6 March 2012

Have you read the news? Time to start screaming

Given that we are all clinging to a smallish rock that is hurtling through space at around 67,000 miles per hour, it constantly amazes me that we do not spend all our time screaming like passengers on the scariest ride at an amusement park.

Now there's something you don't see every day

Heaven knows, there is plenty in the news to scream about. Petrol prices reaching an all-time high, for a start. Plus our Prime Minister repeatedly endorsing the giant supermarkets’ bogus claims to be in the business of “job creation”.



When in reality we all know that they have thrown countless thousands out of work in the small retail businesses they have destroyed and the suppliers they have squeezed to death; and that they will not be entirely happy until they have trained us to stack the shelves ourselves, as well as learning to operate their wretched self-scanning checkouts.

Then there is President van Rompuy of Europe being reappointed without anything so tiresome as an election, Vladimir Putin winning a landslide in a charade of one, and the Yanks reaching “Super Tuesday” in their endlessly bizarre contest between a small assortment of multi-millionaire loons. None of whom a sane nation would trust to take charge of a school crossing patrol, never mind a nuclear arsenal.

Though all these look quite rational developments compared with the Iranian elections contested only by supporters of alternative fundamentalists Mahmoud Ahmadinejad and Ayatollah Ali Khamenei. Rather like a British general election in which the only parties standing were the BNP and the English Defence League.

Probably not exchanging highlights from the Frank Carson Memorial Joke Book

Not to worry, though. If the Iranians ever do get their hands on an atomic bomb President Obama or one of the aforementioned Republicans will undoubtedly take swift military action, in the way that has worked so splendidly in Iraq and Afghanistan.

Closer to home, we have the suggested privatisation of the British police: what a simply great idea. It has worked so well in the NHS, with never a case of MRSA and virtually every ward boasting a Michelin star since they contracted out the cleaning and catering. And the staff all so well rewarded and jolly, too. No wonder the Government wants to extend the idea wherever it can.

Of course, many of the functions of the police and judiciary were put into private hands years ago. Specifically those of a Mr Rupert Murdoch, whose minions have allegedly taken it upon themselves to boost the meagre pay of numerous serving officers, pass far harsher judgements than the courts on anyone who offended against their “values”, and even to provide an active retirement for some of the more intelligent members of the mounted branch.

Bringing a whole new meaning to the phrase “covert surveillance”. Fox coverts, that is. Sorry, but it is the only joke I have yet to see cracked among the reams of “Horsegate” stuff about hacking jackets, neigh-sayers and foal disclosure.

There have been many spoofs of Bond villains over the years, but it is increasingly hard to picture anyone better suited to preside over a missile-packing, hollowed-out volcano than Mr Murdoch. True to form, last week he even dropped his Mini-Me son James into the traditional tank full of hungry sharks.



But let us not despair. We may still look forward to 76-year-old Engelbert Humperdinck restoring our national pride in this year’s Eurovision Song Contest, generously sponsored by the manufacturers of Stannah stairlifts and Zimmer frames.

Engelbert: heartthrob

Though technically it ought to be renamed the Centralasianvision Song Contest since it is taking place in Uzbekistan. Where? It is amazing to think that, within living memory, Neville Chamberlain was talking about German designs on Czechoslovakia as “a quarrel in a far-away country between people of whom we know nothing”.

I hear that Engelbert will be singing an updated twilight home version of his classic 1960s hit, “Please release me – where am I?”

Yes, you’re right. The time to start screaming is definitely right now.


Originally published in The Journal, Newcastle upon Tyne.

Tuesday, 31 January 2012

Pregnancy: on the whole, I am glad to be a bloke

Unexpected discoveries on the brink of old age include this: being pregnant with a breech baby is very like voting in a British General Election.

Despite appearances, I am not pregnant myself; but my wife unmistakably is. And our baby, due in February, is resolutely refusing to adopt the approved position for a conventional delivery, despite increasingly voluble encouragement to do so.

Mrs Hann reckons that this can only be because he is stubborn to the point of self-defeating bloody-mindedness, like his elder brother. I am genuinely unaware of anything in their genetic inheritance that could account for this profound flaw in their characters.

A small boy reluctantly obeying instructions he does not agree with

In case you are wondering, the similarity to voting in a General Election is that medics keep outlining various ways of dealing with the problem, and my wife’s reaction is the same as mine when confronted with a ballot paper: she does not fancy any of the above one little bit.

Whether that be performing origami on her womb before delivery, extracting the baby by Caesarean section or simply allowing nature to take its course (with special emphasis on how they would respond if the infant got stuck on his way out, as breech babies are apparently more prone to do).

Sadly, Mrs Hann does not have the option of spoiling her ballot paper and walking out of the polling station in disgust. One way or another, a decision has to be made quite soon on how to bring young Jamie into the world.

So tomorrow we are going to hospital for our consultant’s Plan A: attempting to turn the baby around inside his mother.

Easy peasy lemon squeezy: what could possibly go wrong?

This comes with plenty of caveats. It will be painful. It may distress the baby or damage the placenta. It could even induce premature labour and require an emergency Caesarean section. Best of all, even if it is successful, there is every chance that the baby could simply turn straight back round again. Particularly, I suppose, if he has already shown form as an awkward little so-and-so.

Luckily the doctor was quick to set my wife’s mind at rest when she said that she had read that the chances of this happening were as high as 50%.

“No, no, it’s much closer to 40%”, came the confident reply, as though that made it pretty much a dead cert.

The baby is scheduled to be induced before full term in any case, because Mrs Hann has gestational diabetes, and this happy event has already been pencilled in for Friday week.

I saw the light bulb clicking on above my wife’s head.

“Here’s an idea,” she said. “Why don’t you just wait until you are ready to deliver him anyway, and try to turn him around then?”

“Oh no, we can’t do that.”

“Why?”

“Er, logistical reasons.”

“Such as?”

“The bloke who knows how to turn babies around only comes in on Wednesdays.”

So are the great life-and-death decisions of our wonderful health service arrived at. For some reason my mind wandered off at this point to that South African hospital where unexplained deaths in the intensive care unit turned out to due to a cleaner disconnecting the life support machine to plug in her vacuum cleaner. Though that is probably an urban myth, as most good stories turn out to be.

I do not know why women willingly put themselves through all this, and I certainly do not know why so many of them volunteer to do it more than once. Particularly in our case, when I kept leaving all those magazine articles about happy only children so prominently lying around, and even made one the home page of our computer.

All I can do is hold my wife’s hand, smile reassuringly and think, as I so often do when I run into the participants in elections: “Rather you than me.”

Originally published in The Journal, Newcastle upon Tyne.

Tuesday, 5 July 2011

Pensions: the ideal excuse for an evening in the boozer

My father left school at the first opportunity and saved for a pension all his working life. He retired at 67, invested all his savings in an annuity, and dropped dead at 73.

Which was sad for his family, but good news for the pension system. Because it helped to boost the profits and share price of his insurance company, which in turn increased the worth of its major investors: pension funds.

This may sound too good to be true, like an entire community supporting itself by taking in the neighbours’ washing, but it all worked pretty well so long as people considerately died not too long after they stopped working.

The essential problem today is that too many of us are living too long. Not only that, but our careers are being shortened by spending longer in education, taking gap years and expecting paid leave to be a parent. How can we possibly aspire to retire early, too?

Frankly it’s just not on. Unless you are a successful entrepreneur or have clawed your way to the very top of the greasy pole in business, you have no hope of saving enough to fund decades of comfortable retirement during less than 40 years at work.

While if you’re employed in the public sector, sadly the rest of us just can’t afford to maintain your current pension arrangements, either. Terribly sorry and all that, but you’re going to have to soldier on for longer and boost your own pension contributions, too.

Unless, perhaps, you are willing to enliven your retirement with dangerous sports or other risky pursuits that stand a chance of reversing the relentless upward trend in UK life expectancy, which is currently increasing by three years every decade.

A truly astonishing statistic, given that one cannot open a newspaper without reading how global warming, superbugs, obesity and drink are going to do for as all any minute.

Talking of risk and drink, a 65-year-old non-retired friend of mine recently climbed 23,000-odd feet up Everest, helped along by a supply of fine wines and vintage Cognac. I have not dared to ask how he feels about the recent advice that people of his age should drink no more than 1.5 units of alcohol a day.
 
That is about half a pint of beer, or less than a standard pub measure of wine. Surely all part of the health professionals’ relentless drive to prove that the only safe limit for booze, as for cigarettes, is a big, fat, round zero.

This is quite a laugh considering that some of the biggest drunks I know are doctors, while nurses are fiercely locked in combat with ballet dancers for the title of most dedicated smokers.

The arguments for reducing our intake of booze are always presented as being for our own good. Cut down on it, and we could all live longer lives. Well, possibly. Then again, they might just SEEM longer. And haven’t we already established that living ever longer is not necessarily an unalloyed good?

Ah, but we would also be healthier and thereby help to achieve that sacred goal of saving the NHS money. Except surely not, in the long run. Because until someone invents a foolproof way of ensuring that we all go to bed in perfect health one evening, then pass away peacefully in our sleep, sooner or later we’re all going to die of something unpleasant and probably lingering, in which the NHS (or its Cameron-Lansley privatised successor) will almost certainly feel obliged to get involved.

It’s a conundrum. My own advice is that we should all discuss it further in the course of a long an evening in the pub. Which will help a threatened local amenity, cheer us up, and might just help to pull the whole pension system back from the brink.

Originally published in The Journal, Newcastle upon Tyne.

Tuesday, 7 July 2009

Daring to be rude about the NHS

One of the most striking changes in this country during my lifetime has been the almost complete death of respect. Parents, teachers, clergy, police, politicians, royalty; all the traditional authority figures are now routinely abused.

So far as I can see, there are only two notable exceptions to the current British “disrespect” rule: the Muslim religion and the NHS. I think we all understand why few dare to be rude about the former; but why are politicians of all parties falling over themselves to praise the NHS and assure us that it will be exempt from the swingeing cutbacks which are inevitably heading our way, as a result of the decision to spend so much of our money saving bankers from themselves?

I am a child of the NHS, though my only significant direct exposure to it was having my tonsils removed in the old Ear, Nose and Throat Hospital in Rye Hill when I was six. An experience so horrific that I was still having nightmares about it four decades later.

It then superintended the decline and deaths of my parents, with mixed results. The things that stick in the mind are my father being stuck in a private room in a spanking new hospital where no-one ever responded to his bell; to the extent that my mother once found him slumped onto a newspaper for so long that a perfect mirror image of the front page had transferred itself to his face.

Or there was the time I went to pick him up after a routine operation to be told that he was not allowed to walk to the car (though that was precisely how he would be getting around as soon as he reached home); no porter would push him in a wheelchair during their sacred dinner hour; and if I dared to push him myself the whole hospital would be closed by a strike.

Fast-forward 20-odd years to 2009, and how have things changed? Our hopes were scarcely raised when, shortly before our baby was due to be born, we found our chosen hospital covered in signs apologising for the restrictions imposed on visitors while attempts were made to control an outbreak of the norovirus.

Despite the site being festooned in banners boasting about a 45% increase in consultant numbers since it became an NHS foundation trust in 2004, my wife only ever saw one during a long series of what were supposed to be consultant appointments prior to the birth, and I never met one at all.

As for as the experience of childbirth itself, and the care of our son during a worrying few days of hypoglycaemia, we were hugely appreciative of the work of some brilliant, kind and dedicated professionals. However, this was counterbalanced by the experience of dirty and horrifically overheated wards, inedible food, surly support staff and a slow-grinding bureaucracy so monumentally frustrating that I was seriously fearing for my wife’s sanity by the time I had arranged her discharge. By which stage, we were able to take our son home with the added bonus of a hospital-acquired infection.

We agreed as we drove out of the hospital grounds that we would not be having any more children unless we could afford to do the whole thing privately, of which there is little sign; pregnancy being one of those conditions which private medical insurance curiously fails to cover.

In short, I remain unconvinced that the countless billions lavished on the NHS since 1997 have been wisely spent, or that they have made it anything like “the envy of the world” it was always cracked up to be. I for one would be prepared to respect the first politician who dared to initiate a genuinely open public debate about why this is, and what can be done about it.

www.blokeinthenorth.com

Originally published in The Journal, Newcastle upon Tyne.