Letters: ‘Confidence’ in chief of the NHS



These letters appear in the print edition of The Independent, Friday 8 March

Sir David Nicolson has said that he will not resign. The Government has given him backing so he will not be fired.

The Government is about to implement innovations that have the wholehearted support of neither the professionals nor the public. Who then better to bring in these controversial changes than a man whose reputation is in tatters? When the innovations fail he will be blamed and fired, and the new man will start with a clean sheet.

Just as in football, when a manager gets “the confidence” of his chairman, what inevitably follows?

Professor A G D Maran, Former President, Royal College of Surgeons, Edinburgh


The NHS just saved my life. With no prior symptoms, I suffered a minor heart attack on 18 December. Three hospitals, three ambulance transfers, upwards of 50 dedicated professionals, and nine days later, I had had a world-class triple bypass to remedy a previously undetected life-threatening condition.

I was kept informed throughout of what was happening and why, with clarity and sensitivity. At all times I was treated with unfailing care and concern, as a patient and a person.

When I thanked one of the surgeons, he smiled and said that it was a team effort and that the contribution of nursing and support staff was equally important. I witnessed a level of teamwork, personal commitment, discipline and professionalism by staff at all levels that I never encountered in 20 years in industry, much at senior management level.

Nightmares like Mid-Staffordshire are not caused by accumulated pressures created within the value-structure of either medicine or the NHS. They are generated by the ignorant, simplistic misapplication of long-discredited business techniques by politicians and civil servants who have never run anything except a doubtful argument.

The corporate vultures are circling the NHS, scenting red-blooded profit. Driven by ambition and half-baked prejudice about a critical area of our public life, our naive politicians are easy prey for the first snake-oil salesman with an easy pitch.

Hospitals are not businesses. Patients are not customers. But my albeit anecdotal experience demonstrates that the NHS already has a level of disciplined, rigorous, empathic delivery of a life-and-death service that would be the envy of any private enterprise.

All it needs is for politicians to listen to the professionals who run it and who have dedicated their lives to the principles and values it enshrines. Then shut up and find the money to save it.

Keith Farman, St Albans, Hertfordshire


The comments by a Doctor Thomas E Rardin from the American Medical Association and quoted in The Lancet in January 1961 should remind us what good medical practice should be. The quote is from a paper on aplastic anaemia, including that caused by exposure to TNT in munitions workers and quotes a death rate of 34 out of 45 patients.

“Patients are fearful, suspicious, doubtful, sensitive, anxious and often lonely. Their greatest need is to feel close to those around them. Each person in the hospital setting becomes important to the patient, because he believes each one knows something about him.

“Whether it is the clean-up girl, an intern, a nurse or an attending physician, the patient needs to identify strongly with optimistic, kind, understanding and supportive people. There is no more effective medicine than kindness, nor is there any substitute for it.

“It is an essential ingredient in all human relationships. When one is frightened and lonely, a cold, disinterested and indifferent attitude on the part of attending personnel can be devastating.”

Edward Priestley, Brighouse, West Yorkshire


Teenage mother amid the chaos of Syria’s war

Your news report about the millionth refugee from the civil war in Syria hides one of the reasons behind the awful upheaval in the Arab world (7 March).

The millionth refugee, Bushra, is 19 years old. She has two children, the elder of whom is four years old. That means that Bushra was made pregnant when, at most, she was barely 14.

As long as we Arabs persist in such obscurantist and inhuman treatment of women, our society is not likely to move into the free and liberal world that our younger generation strives for so earnestly and at such high cost in blood.

The Syrian regime has caused untold suffering to its people. Arab social norms have regrettably helped and the obscurantism exampled in Bushra’s life is beginning to show through the rebel forces. The only negative quality to equal it is Western hypocrisy in tutting incessantly and doing nothing.

Dr Faysal Mikdadi, Dorchester, Dorset


The arrival of the millionth refugee across the Syrian border is a stark illustration of a crisis that is bringing fear, pain and suffering on a massive scale. Within Syria, violence  is intensifying and more than four million people, at least half of whom are children, are in urgent need of assistance.

But a chronic lack of funding is threatening to leave many Syrian children without essential assistance. Unless an 80 per cent funding gap is bridged very soon, Unicef will be forced to scale back on even life-saving interventions.

Following a sudden disaster such as an earthquake, public generosity is mobilised, funds pour in, political decisions are made to ensure that relief reaches those in need. The situation in Syria is not a natural disaster, but the suffering of Syria’s children is no less extreme.

David Bull

Executive Director, UNICEF UK,

Baroness Miller of Chilthorne Domer

Helen Goodman MP

(Bishop Auckland, Lab)

Cathy Jamieson MP

(Kilmarnock & Loudoun, Lab)

Russell Brown MP

(Dumfries & Galloway, Lab)


Mandelson’s anger

Andy McSmith’s reference (6 March) to a confrontation between Peter Mandelson and me elides two separate episodes. It is true that Mandelson, then a member of the advisory board of Independent News & Media, which owned The Independent, did “march up” to me at an Economist party in the National Gallery, but he did not refer to Andy.

He was (very) angry about the newspaper’s stance on the Iraq war, particularly a front-page story that morning critical of Tony Blair, which he called “disgraceful”. He threatened to resign from the INM board, which he did, but some months later.

His complaint about McSmith was a separate affair. As I recall it, the two had “history” going back some years and didn’t like each other very much. Mandelson felt that McSmith was pursuing something of a personal vendetta against him whereas Andy, not unreasonably, felt comments he made in The Independent criticising the war were fair and reasonable (and he was right).

It is true that I did convene a meeting at which the two of them had a good shout at each other and Mandelson dropped his demand for an apology or retraction. But it is not true that Mandelson objected to McSmith’s hiring – he was already hired – and nor did he demand his sacking. It was not the kind of thing he did.

Ivan Fallon (Former CEO, Independent News & Media UK), Cape Town


Revolutionary policy idea

I find it almost unbelievable that a government can announce that they will use evidence-based research to examine which initiatives work and, by implication, which don’t. As the first line of your report (4 March) says, “It is, one might think, what a good government would be doing anyway”.

One has to ask what are the policies of successive governments based on if not evidence. Are policies based a whim, an ideology, a thought or a chat over a pint? It is no wonder we suffer from U-turns. It is astounding that policies are made without reference to history, social and economic evidence, and the evidence available from universities and other research bodies.

What will a government do if the research conflicts with their political stance? What if free schools and academies don’t raise standards? What if prisons do not lead to a reduction in crime? What if benefit cuts actually harm people?

Graham Jarvis, Leeds

React Now

Latest stories from i100
Have you tried new the Independent Digital Edition apps?
iJobs Job Widget
iJobs General

Guru Careers: Software Developer / C# Developer

£40-50K: Guru Careers: We are seeking an experienced Software / C# Developer w...

Guru Careers: Software Developer

£35 - 40k + Benefits: Guru Careers: We are seeking a Software Developer (JavaS...

SThree: Trainee Recruitment Consultant / Resourcer

£18000 - £23000 per annum + Commission: SThree: As a Trainee Recruitment Consu...

Ashdown Group: UI Developer - (UI, HTML, CSS, JavaScript, AngularJS)

£25000 - £40000 per annum: Ashdown Group: UI Developer - (UI, JavaScript, HTML...

Day In a Page

Read Next

In Sickness and in Health: 'I'm really happy to be alive and to see Rebecca'

Rebecca Armstrong
Supporters in favour of same-sex marriage pose for a photograph as thousands gather in Dublin Castle  

The lessons we can learn from Ireland's gay marriage referendum

Stefano Hatfield
Sun, sex and an anthropological study: One British academic's summer of hell in Magaluf

Sun, sex and an anthropological study

One academic’s summer of hell in Magaluf
From Shakespeare to Rising Damp... to Vicious

Frances de la Tour's 50-year triumph

'Rising Damp' brought De la Tour such recognition that she could be forgiven if she'd never been able to move on. But at 70, she continues to flourish - and to beguile
'That Whitsun, I was late getting away...'

Ian McMillan on the Whitsun Weddings

This weekend is Whitsun, and while the festival may no longer resonate, Larkin's best-loved poem, lives on - along with the train journey at the heart of it
Kathryn Williams explores the works and influences of Sylvia Plath in a new light

Songs from the bell jar

Kathryn Williams explores the works and influences of Sylvia Plath
How one man's day in high heels showed him that Cannes must change its 'no flats' policy

One man's day in high heels

...showed him that Cannes must change its 'flats' policy
Is a quiet crusade to reform executive pay bearing fruit?

Is a quiet crusade to reform executive pay bearing fruit?

Dominic Rossi of Fidelity says his pressure on business to control rewards is working. But why aren’t other fund managers helping?
The King David Hotel gives precious work to Palestinians - unless peace talks are on

King David Hotel: Palestinians not included

The King David is special to Jerusalem. Nick Kochan checked in and discovered it has some special arrangements, too
More people moving from Australia to New Zealand than in the other direction for first time in 24 years

End of the Aussie brain drain

More people moving from Australia to New Zealand than in the other direction for first time in 24 years
Meditation is touted as a cure for mental instability but can it actually be bad for you?

Can meditation be bad for you?

Researching a mass murder, Dr Miguel Farias discovered that, far from bringing inner peace, meditation can leave devotees in pieces
Eurovision 2015: Australians will be cheering on their first-ever entrant this Saturday

Australia's first-ever Eurovision entrant

Australia, a nation of kitsch-worshippers, has always loved the Eurovision Song Contest. Maggie Alderson says it'll fit in fine
Letterman's final Late Show: Laughter, but no tears, as David takes his bow after 33 years

Laughter, but no tears, as Letterman takes his bow after 33 years

Veteran talkshow host steps down to plaudits from four presidents
Ivor Novello Awards 2015: Hozier wins with anti-Catholic song 'Take Me To Church' as John Whittingdale leads praise for Black Sabbath

Hozier's 'blasphemous' song takes Novello award

Singer joins Ed Sheeran and Clean Bandit in celebration of the best in British and Irish music
Tequila gold rush: The spirit has gone from a cheap shot to a multi-billion pound product

Join the tequila gold rush

The spirit has gone from a cheap shot to a multi-billion pound product
12 best statement wallpapers

12 best statement wallpapers

Make an impact and transform a room with a conversation-starting pattern
Paul Scholes column: Does David De Gea really want to leave Manchester United to fight it out for the No 1 spot at Real Madrid?

Paul Scholes column

Does David De Gea really want to leave Manchester United to fight it out for the No 1 spot at Real Madrid?