To David Cameron, Ed Miliband and Nick
Clegg: Please keep the NHS, the biggest jewel in the UK’s crown, shining
Ahead
of the general election in the UK on Thursday (May 7), maybe one of the most
closely fought elections in recent times, my only concern is for the National
Health Service (NHS) to which I owe my deepest gratitude.
The
NHS is an issue of great public concern and has rarely been out of the
headlines in recent months. Polls show the NHS will be one of the issues people
will base their voting decisions on, and I certainly would.
The
Conservative and Labor parties appear to be neck and neck according to polls
carried out for the Sunday newspapers. This,
says the BBC, suggests a hung Parliament is likely, and the Lib Dems have been
setting out their “red lines” -- with public sector pay joining education
spending, a £12,500 personal allowance, £8bn for the NHS and an emergency
"stability budget."
If the recent series of TV debates
produced just one moment of consensus, it was on the importance of the NHS.
Despite cuts elsewhere all the major parties, from left and right alike, appear
to be in agreement that the NHS should receive more funding -- the argument
being how much is needed and where this should come from.
An Economist/Ipsos
MORI poll
shows
that two in five of the British public (38%) think that health care is one of
the most important issues facing Britain today, currently ranked second only to
immigration (45%), and above the economy (28%) and unemployment (21%).
I
write about the general election because it will be held one day after the 23rd
anniversary of my mum Vicky’s death on May 6, 1992. And no one would have been a bigger defender
of the NHS than her.
The
NHS is what makes me proud to be British. Paying my taxes and National
Insurance contributions was never a problem because they were my insurance for
old age, as it was for Vicky.
Although
I neglected to register in time to vote from abroad, I will follow closely and hope
the party that will preserve and give adequate funding to the NHS wins the day.
The
NHS is a life-safer and it is unthinkable how many people rely on it to
survive.We certainly did.
|
My mum, Vicky |
Vicky’s
troubles began in 1984 when we were living in Beirut and she collapsed one July
morning from an aneurysm. She came out of a coma five weeks later, albeit with
no recent memory. That was difficult and traumatic enough, but after breaking a
hip some years later, she was diagnosed with terminal viral liver cirrhosis.
We
were in an out of the American University Hospital (AUH) in Beirut where she
was then living. But with each visit, the costs were mounting to the point
where I had to be accompanied by a cousin carrying a carrier bag full of
banknotes to pay the bills. By 1990, this became practically impossible, added
to the electricity and water cuts as well as the fighting and bombings. It was
time for her to come and live with me in London.
A
couple of months later, Vicky had a relapse and was admitted to Charing Cross
Hospital in Hammersmith, a teaching hospital. It was my first experience with
the NHS, not having needed it before.
Vicky
was there there for over a month. A month in hospital is a long time. You get
to know everyone, all the shifts, the routines and how everything works.The doctors were reluctant to let us leave because they said her days were
numbered. However, she lived for another year after that, thanks to the excellent
medical care she received.
We
were initially in a ward but as my sister and I were with my mum all the time, we
were moved to a room on our own. With sisters and nurses much too busy and
overworked, we did the basics, but the nurses and doctors were on hand for the
essential care, reassurance and the numerous cups of tea and Horlicks needed to
keep us going.
The
room was cleaned daily, without having to tip anyone to do it. The sheets were
always clean, the support and kindness in abundance.
What
was even more remarkable was the after-hospital care we received.
We
were given a wheelchair and visited at home to see what needed to be adjusted
to help Vicky and ourselves cope.
We
were provided with all the medicine, the pads and all kinds of equipment for
the bathroom to make washing easier. A dentist and nurse even came home and set
up to treat a problem Vicky had with a tooth. A carer was also arranged for
when I had to leave her to go out and do chores.
There
is not one thing Vicky needed to make her comfortable at home that was not
provided by the NHS.
The
NHS, its staff and services were our lifeline for the year and a bit until
Vicky’s death that terrible May 6 morning.
So
dear Messrs. Cameron, Miliband, Clegg and co, hands off the NHS or rather,
hands on it -- it is our treasure!
What
is the NHS?
The
NHS
was launched in 1948. It was born out of a long-held ideal that good healthcare
should be available to all, regardless of wealth -- a principle that remains at its core. With the exception
of some charges, such as prescriptions and optical and dental services, the NHS in England remains free at the point
of use for anyone who is a UK resident. That is currently more than 64.1
million people in the UK and 53.9 million people in England alone.
In
2014, the
Commonwealth Fund declared
that in comparison with the healthcare systems of 10 other countries
(Australia, Canada, France, Germany, Netherlands, New Zealand, Norway, Sweden,
Switzerland and the US) the NHS was the most impressive overall. The NHS was
rated as the best system in terms of efficiency, effective care, safe care,
coordinated care, patient-centered care and cost-related problems. It was also
ranked second for equity.
The
NHS employs more than 1.6 million people, putting it in the top five of the
world’s largest workforces together with the U.S. Department of Defense,
McDonalds, Walmart and the Chinese People’s Liberation Army.
Funding
for the NHS comes directly from taxation. Since the NHS transformation in 2013
the NHS payment system has become underpinned by legislation. When the NHS was
launched in 1948, it had a budget of £437 million (roughly £9 billion at
today’s value). For 2015/16, it was around £115.4 billion.
The
UK Parliament sets the overall budget available to the NHS in England. It also
allocates a block grant to each devolved national government to spend on local
needs. Each government may choose how much of its block grant to spend on its
health care system.