Health Service Journal
Michael White

Michael White writes about politics for The Guardian.

Michael White: there's no pleasing the peers

9-Feb-2012
Is there escape from Andrew Lansley’s reforms?
Michael White: humility is in short supply despite Lansley's 'climbdown'

2-Feb-2012
It would be good to detect signs of humility and contrition in the healthcare community when the editors of three of the leading trade publications (including this one) launch a “never again” plea for more discussion and less prescriptive dogmatism next time there’s an NHS reorganisation.
Michael White: will Lansley's Healh Bill survive the 'big push'?

26-Jan-2012
Do you remember the Battle of the Bulge? No, nor do I. It was the last German counter-offensive on the western front in World War II, a thrust through the Ardennes at Christmas 1944 that hoped to push British and American armies back into the Channel.
Michael White: trusts need to be wary of the lure of lawsuits

19-Jan-2012
Catching my eye before Christmas was the £4.5m employment tribunal award against Mid Yorkshire Hospitals Trust in the case ofconsultant Eva Michalak.
Michael White: a deal must be cut to restore certainty to the NHS

12-Jan-2012
It’s surely good news that health ministers are to encourage medical staff to ask patients about their lifestyle choices, as ProfessorSteve Field’s NHS Future Forum has been suggesting - though in my experience they have been doing it for ages.
Michael White: the mess in the cosmetic Wild West

5-Jan-2012
Public authorities like the NHS often take a beating from energetic health journalists during the annual Christmas news doldrums. Why? Large, complex organisations always have problems, but are less likely to fire off menacing lawyers’ letters than dodgy banks.
Michael White: can Lansley's localism really escape postcode lottery-itis?

15-Dec-2011
Confusing, isn’t it? One week an international report gives England’s still-centralised NHS a pat on the back for rapid improvements. The next week another survey concludes that the NHS is more popular than it has ever been.
Michael White: the eternal tension of national vs regional policy

8-Dec-2011
David Cameron’s new plan to open up NHS medical records to high-tech life science researchers is a bit like chancellor George Osborne’s proposal in last week’s autumn statement to boost the regional economies in those parts of Britain that are suffering most in the downturn.
Michael White: freedom to choose doesn't stop bad decisions

1-Dec-2011
Reading recently about the difficult transition from Oliver Cromwell’s 11-year republic to the restored Stuart monarchy of Charles II in 1660, I came across some wise words by the great aristo-scientist, Robert Boyle.
Michael White: ministers' fears of a CQC tick box regime

24-Nov-2011
Hurt feelings are easy to detect in the system as the winter nights draw in. Officials at the Care Quality Commission sound hurt at what they feel is unfair media treatment of their efforts to ensure the super-regulator is fit for purpose.
Michael White: private sector concerns going round in circles

17 November 2011
Days before the conclusion of Circle Health’s long negotiation to take over the running of Hinchingbrooke Health Care Trust I encountered some research about the private sector’s parallel march through Britain’s prison management system. It struck me forcefully.
Michael White: let's back the public sector plan B

14-Nov-2011
At the weekend I rang an old trade union friend, a veteran of countless public sector negotiations, disputes and occasional strikes, to hear him contradict my own excessively rational view (“don’t do it, comrades”) of the pensions dispute which threatens NHS services this month.
Michael White: don't bank on blaming Brussels for the NHS's ills

3-Nov-2011
I was nursing a cold and watching the Commons EU debate on the telly at home when I was startled to hear David Nuttall, the Tory MP leading the anti-European charge, blame those wily foreigners for the imminent closure of the maternity ward and special care baby unit in his Lancashire constituency.
Michael White: ice cool Professor Grant may have what it takes to succeed

27-Oct-2011
It was a Labour peer who despairingly drew my attention to the vote against Professor Malcolm Grant’s appointment as chair of the NHS Commissioning Board by Labour MPs who sit on the Commons health select committee down the corridor at Westminster.
Michael White: relief for supporters as Health Bill scrapes through Lords

20-Oct-2011
Before this column embarks upon its weekly moan, it is worth looking at the NHS furore from a wider perspective.
Michael White: Burnham's return signals the start of a grudge match

13-Oct-2011
Watching the Rugby World Cup I sometimes thought of John Healey, Labour’s health spokesman until Ed Miliband’s autumn reshuffle brought former secretary of state Andy Burnham back to tackle Andrew Lansley and his now notorious bill.
Michael White: the search for Tory health debate beyond the fringe

6-Oct-2011
Before the Tory faithful arrived in Manchester for their 2011 conference, a veteran party figure predicted the NHS would not feature much, despite the turbulence behind the Health Bill and the frantic applause lines which Ed Miliband effortlessly generated in the service’s defence a week earlier in Liverpool.
Michael White: lacklustre Labour missing opportunity in Liverpool

27-Sep-2011
Sometimes politicians clash with experts on real-life issues in ways that expose the weaknesses of both groups, especially the political class.
Michael White: don't get mad, get on with it

22-Sep-2011
By the time I reached Birmingham for the Liberal Democrats’ autumn conference, the threatened drama about the fate of Andrew Lansley’s much-amended Health and Social Care Bill was all over bar the inevitable shouting.
Michael White: in reality, even a centralised model devolves power

15 September 2011
Much fuss was made of Nadine Dorries’ bid to tighten abortion counselling procedures as the Health and Social Care Bill finally left the Commons.
Michael White: what's wrong with giving overseas providers a crack at managing NHS hospitals?

8-Sep-2011
I was still on my late summer holiday during much of the renewed skirmishing which heralded the return of Parliament and the latest battles over the Health Bill.
Michael White: through choice comes different outcomes - and that way we learn

1-Sep-2011
Politicians had barely shaken the sand from their shoes or packed away the bucket and spade before they were gripped by that hardy health perennial, proposed changes to Britain’s abortion law.
Michael White: avoiding the thing called IT

25-Aug-2011
A new report in the Harvard Business Review suggests that big IT projects are spiralling out of control, at considerable cost to taxpayers, shareholders and customers. Naturally it made me think again of the NHS’s own national programme for IT drama, running expensively since 2003.
Michael White: the riots could change the outlook for health priorities

18-Aug-2011
As we all picked our way through the debris of what I’m tempted to call the “Foot Locker Riots” in search of deeper explanations than the urgent need for new trainers, I found myself thinking several times of Sir Michael Marmot, the man HSJ likes to call “the guru of health inequalities”.
Michael White: the strange landscape of US healthcare

4 August 2011
Where else but the US should this column spend a few days as punishment for not understanding how inappropriate a mechanism competition is for driving efficiency and innovation in healthcare?
Michael White: see you later, innovator

27-Jul-2011
Oh dear. The British Medical Association is promising health ministers a long hot summer over the Health Bill, instead of a few calm weeks for leisurely reflection; this is in the misplaced hope that the medics can force its withdrawal before the bill goes to the obstreperous Lords.
Michael White: Lansley - the boy on the burning deck?

21 July 2011
Watching Andrew Lansley performing these days sometimes reminds me of Casabianca, Felicia Dorothea Hemans’ famous poem of 1826, the one about the young French sailor (was he 10, 12 or 13?) who stayed at his post on the doomed warship, L’Orient, during Nelson’s 1798 victory at the Battle of the Nile.
Michael White: political meltdown?

14 July 2011
Meltdown is an overworked media cliché which I try to avoid. But recent developments look a bit serious for the coalition.
Michael White: the well-intended Dilnot report may fall on deaf ears

7 July 2011
Ministers didn’t sound very grateful for Andrew Dilnot’s report on how to solve England’s elderly care problems and, I suspect, eventually those of the devolved Celtic regions too because they have similar money issues with oldsters who stubbornly won’t die.
Michael White: Cameron takes Labour to task in Wales

30-Jun-2011
Have you noticed in all the excitement over reform of the NHS in England that David Cameron has taken to poking the NHS in Labour-dominated Wales for cuts being factored into the health budget in Cardiff?
Michael White: the noisy ghosts of health ministers past

23 June 2011
Why are former health ministers being so noisy in these turbulent times? No, I do not mean Frank Dobson’s spat with ministers who want to eject better-off people from council flats like the one opposite the British Museum which he has occupied for decades.
Michael White: reform concessions do little to soften Tory image

16-Jun-2011
It would be an exaggeration to suggest that Nick Clegg hired Wembley Stadium to celebrate his party’s triumph in helping rewrite Andrew Lansley’s Health Bill and “saving the NHS.” But Lib Dem boasting caused resentment among Conservative MPs of all stripes.
Michael White: Southern Cross is a victim of financial engineering

9-Jun-2011
Things may finally be changing but, until the GMB union and Ed Miliband got stuck in this week, I have been repeatedly astonished by the failure to link the care homes crisis to the fate of Andrew Lansley’s bill.
Michael White: how to survive in the blame game

2 June 2011
I heard a senior NHS manager on the radio mid-week sounding like Sharon (“I don’t do blame”) Shoesmith, Haringey’s ousted children’s services chief, as he defended his hospital against a damning report from the Care Quality Commission.
Michael White: bill opposition proving more than just yellow-bellied

26 May 2011
Perhaps I underestimated Liberal Democrat determination to amend the bill (only one bill in this column) or push it under a bus.
Michael White: who's the one to watch?

19 May 2011
I must admit that the first thing I looked for in Monday’s newspapers wasn’t Cameron’s big NHS speech. It was to see whether weekend reports of boastful remarks about “big opportunities” for the US private sector in Britain’s healthcare market had gained much media traction.
Michael White: mixed-market debate feels like déjà vu all over again

12 May 2011
“John Redwood is right” is not a sentence I try to utter very often. The Tory right winger is brainy and high minded, but he places too much faith in markets and lacks political sense.
Michael White: despite distractions, the focus remains trained on reforms

5 May 2011
Did you catch that row over the NHS at prime minister’s question time? No, I thought not. What with the royal nuptial and the killing of Osama bin Laden we have all had a lot on our media plate.
Michael White: the Tory rhetoric is now bogged down in detail

27-Apr-2011
Over a junk food lunch with NHS heavies recently I found the conversation turning – yet again – to Andrew Lansley. Is he on the level? Does he have a hidden agenda to privatise the system? That kind of thing.
Michael White: time to address costly preventable failures

20-Apr-2011
It being Easter weekend this column thought to give Andrew Lansley and his NHS reforms the week off. The secretary of state is on his own painful road to Calvary, carrying a legislative cross of his own making.
Michael White: Lansley must tune in to rescue reforms

14 April 2011
To listen to Nick Clegg picking his way through the minefield of NHS reform on Radio 4 was to be reminded how hard it is to calibrate effective opposition – words and actions which can make a difference to important legislation.
Michael White: with friends like Lansley's, who needs an opposition?

7 April 2011
More and more people have started to ask me: “Is David Cameron going to sack Andrew Lansley?”
Michael White: 'Nicholson's challenge' matters more than Osborne's Budget

31-Mar-2011
At the TUC’s big anti-cuts rally in Hyde Park a young NHS physiotherapist spoke with a passion and sincerity which characterised the day’s main event, if not the hooligan fringe rioting in nearby Piccadilly.
Michael White: under fire Tories retreating forwards

24 March 2011
In my inbox on Monday I found an email from some self-styled “Big Society NHS” doctors reporting what they heard Andrew Lansley saying at a dinner given for the health secretary in his childhood neighbourhood of Hornchurch, Essex.
Michael White: Lansley battles to keep reforms afloat

17 March 2011
Colonel Gaddafi may have benefited from the rival distraction of Japan’s apocalyptic tsunami, but Andrew Lansley has no such luck. As HSJ’s editorial asks if he is “screaming inside”, wave after political wave rolls over him.
Michael White: disquiet over accountability grows in the health war

10 March 2011
The most startling political utterance I heard during another lively week in the health war fell not from the lips of Andrew Lansley, nor even from militant (“Back to the 1930s”) medics, but from mild mannered Stephen Dorrell.
Michael White: Lansley's cloudy vision blurs the clear NHS reality

3-Mar-2011
Watching the drama of health reform debate week after week, I sometimes think of a clever young Tory think tanker called Danny Kruger. Remember him?
Michael White: 'Price competition has never been the policy... Yeah, right.'

24 February 2011
To be frank with you, I’d never heard of David Bennett before he was unexpectedly promoted to become the new chair of Monitor, as it evolves into the economic regulator to the entire NHS. Truly this is a real-life version of Eric Carle’s children’s story The Very Hungry Caterpillar. Guess who’s the new part-time butterfly?
Michael White: away from NHS reforms, healthcare problems - and solutions - still sound familiar

17 February 2011
Let’s try even harder to cheer ourselves up this week by averting our gaze from NHS reforms and looking at a near neighbour with more pressing healthcare dilemmas. Not to mention deeper budget gloom. No prizes for guessing I was in Dublin recently.
Michael White: somwhere to escape the cuts

10 February 2011
Wherever you turn at present it’s hard to escape the government’s cuts programme. I confirmed that (again) when I rang my sister at the nursery-infant-and-parenting unit she has worked in for many years. Their budget has been slashed, redundancies loom. Should she volunteer to go, taking decades of experience with her?
Michael White: opposition's political artillery fire rings hollow

3 February 2011
A barrage of political artillery fire preceded Monday’s Commons second reading of the Health and Social Care Bill.
Michael White: like a civil war, the Health Bill has divided political families

27 January 2011
Reading in last week’s HSJ how Andrew Lansley’s Health Bill will combine NHS decentralisation with powerful regulation from Whitehall, I was reminded of the label once attached to the Chinese communist party’s controlled introduction of capitalism: “market Stalinism”.
Michael White: ministers are puzzled by the BMA’s hostility

19-Jan-2011
It remains a guiding principle of this column that any policy opposed by the British Medical Association can’t be all bad.
‘Dentists are making their own high pitched whine about the Care Quality Commission’

13 January 2011
I saw Michael Gove declaring himself “an enthusiast” for Andrew Lansley’s healthcare reforms, which says more for the education secretary’s collegiate loyalty than his attention to the small print.
Michael White: It could have been worse

6 January 2011
The danger for ministers over the festive break is to be drawn into the news vacuum that develops when the world goes on holiday. How well did Andrew Lansley survive his first Yuletide vacuum in the health hot seat?
'People are skeptical of welfare spending'

17 December 2010
As coalition ministers plough on with radical reforms of health and other public services, they should not take much comfort from this week’s social attitude survey suggesting Britain is now more right wing than in the Thatcherite 80s.
Michael White: caution and openness

9 December 2010
Watching Andrew Lansley introduce MPs to his “nudge” white paper on public health, I was struck by how much it is still a first draft and by how enthusiastic the new generation of Conservative MPs is for bossiness.
'Stalinist Whitehall controls will be needed'

2 December 2010
I felt a bit sorry for Phil Morley, chief executive of the Hull and East Yorkshire Hospitals Trust, getting roughed up on the radio after Dr Foster’s sleuths named his patch as the place where patients are most likely to die of complications after routine operations.
'Dorrell argues now for quiet pragmatism, for letting change evolve'

25 November 2010
Am I just imagining it? Or did Andrew Lansley start to modify his combative message to the NHS, its suspicious staff and customers, even before Stephen Dorrell’s striking intervention in the reform debate courtesy of last week’s HSJ?
'NHS cuts will come off a far fatter bird'

19-Nov-2010
It won’t have changed your life much, but MPs have been squabbling for weeks now over the future size of the NHS budget under the coalition’s plans for the next five years. “Bigger or smaller?” critics demand to know. Yes or no, does it change anything?
Michael White: health panel discussions

11 November 2010
As I type I can hear this week’s opening of the Mid Staffordshire Foundation Trust public inquiry being discussed on the radio.
'Complaints about NICE on one page and useless, costly drugs on another'

4 November 2010
After a summer in which Labour’s health team was off fighting a leadership contest and the Liberal Democrat team was co-opted into government, health politics are livening up. No more Mr Nice Guy seems to be John Healey’s message.
‘Labour MPs who call the Osborne way Thatcherism Mk II are not up to speed’

28 October 2010
It took less than a week for some vociferous supporters of George Osborne’s £81bn spending cuts experiment to get cold feet about the likely consequences for lower economic growth. The government “cannot cut its way to prosperity”, business leaders warned on Monday.
‘Part of “Waiting for Osborne” consisted of Lansley reassuring voters he has GP support’

21 October 2010
At a conference the other day I heard an entrepreneurial medic giving a glowing account of a GP led consortium and all the wonderful Lansley style things it is doing for its patients in the South. Oh brave new world!
What was he thinking?

14 October 2010
What’s that? Our former health boss, cheerful Alan Johnson, as shadow chancellor and Andy Burnham switched to the education brief, where he has been quick to condemn coalition plans to raise student tuition charges? What was Ed Miliband thinking?
'Lansley needs to make the intellectual case for PCT upheaval'

7 October 2010
Who caught my attention at the Tory conference this year? Not Andrew Lansley, I think. He had his £164m cancer screening announcement pinched by David Cameron (a PM’s prerogative) and also made a rather lacklustre speech of his own from the platform.
'The pre-election death tax row continues to reverberate'

30 September 2010
No, I didn’t really expect Ed Miliband to snatch the Labour leadership from his big brother, now you come to mention it. I did expect Andy Burnham to end up where he did in the contest, fourth out of five after a respectable campaign which has raised his political profile for the future.
'A centre-left party in a centre-right coalition needs to tread carefully'

23 September 2010
It has been a fascinating week in Liverpool watching Liberal Democrat ministers, MPs and party activists circling each other at their first party conference since entering the Cameron-led coalition.
Michael White: Is the summer silly season over?

16 September 2010
MPs are back at Westminster early this year. Does it mean the summer silly season is definitely over? Not quite. I read during the week that Andy Burnham, our erstwhile health secretary and Labour leadership contender, is a descendant of Britain’s first Tudor monarch, King Henry VII.
Michael White on Blair's diary

9 September 2010
Don’t be put off by some of the savage reviews of Tony Blair’s memoirs. As books of this kind go, and I have read a few, it is unusually frank in all sorts of ways, not least about his growing alcohol dependency - a very New Labour concern.
'Lansley is saying it's not about saving cash or sacking nurses'

2 September 2010
I have this persistent weakness, doctor. I keep feeling sorry for politicians. I know they are all volunteers and do foolish things. But people are so unkind to them, even when they mean well.
NHS efficiency does not automatically equal value

26 August 2010
There was an undignified spat on BBC radio on Monday between Evan Davis of the Today programme and Bob Neill, the pugnacious local government minister, over the price of bagels charged to the public purse.
'As silly season stories go, Milburn's appointment was at least a genuine fact'

19 August 2010
So, our reformist ex-health secretary Alan Milburn is to advise the coalition government on social mobility. The predictable cry of “traitor” goes up from within the Labour ranks.
Milton’s would-be milk snatch

12 August 2010
As the overblown furore over school milk came and, almost as quickly, went after David Cameron stepped in, I was left feeling a bit sorry for Anne Milton, the coalition’s Conservative public health minister.
Michael White: the working time directive

5 August 2010
Oh dear, I see the Royal College of Surgeons is up in arms again over the European working time directive as its 48 hour week rule affects staffing, management and even the safety of our hospitals.
Michael White: Lansley's five priorities for the NHS

29 July 2010
It was cheering to spot Andrew Lansley’s five priorities for the NHS, public health and social care on the department’s website the other day. We need reassurance that he does have a coherent overview.
Michael White: the cancer target

22 July 2010
A thoughtful politician friend of mine said with uncharacteristic impatience the other day: “No, I don’t think the coalition knows what it’s doing at all. I think it’s all over the place.”
Michael White: no aspect of the NHS will be untouched

14-Jul-2010
It is a handy principle that any health secretary who falls foul of the British Medical Association and other NHS trade unions can’t be all bad, not least because the BMA’s response to Andrew Lansley’s mid-summer gift to GPs looks a touch ungrateful.
Michael White: libertarians and public health

8 July 2010
We know he has had a tough week, but do go easy on Andrew Lansley.
Michael White on the NHS budget

1-Jul-2010
Good news of a sort for Andrew Lansley as he faces twin pressures: wholly predictable pressure from the Tory right (plus that nudge from Andy Burnham) to include the NHS in George Osborne’s Budget strategy for public spending cuts, and pressure from the chancellor himself not to let feckless GPs manage so much NHS money.
Michael White on hospital reconfigurations

24 June 2010
“Oh joy, oh bliss. Now we will get some answers,” I told myself as we were waiting for George Osborne’s emergency cuts budget - (we are still waiting for details of Andrew Lansley’s Brave New NHS World).
Michael White on NHS reorganisation

17 June 2010
I am very fond of my regular GPs. But Dr A treats the NHS’s budget cautiously, as if it was his own life savings, while Dr B is usually quite happy to fork out on my behalf.
Michael White: the case for devolving power

10 June 2010
Before we turn to the miserable stuff, here is something which may cheer you up. Naoto Kan, the new prime minister of Japan, is a former social activist who first made his name as health minister in the 1990s.
Michael White: Richard Sykes' resignation

3 June 2010
Before last weekend’s manure hit the coalition fan I had taken the trouble to dig out the Orange Book for further scrutiny. No, not the widely consulted guide to generic drugs, but the volume of essays published by the free market wing of the Liberal Democrat party. It caused so much trouble in 2004.
Michael White on coalition compromises

27 May 2010
When is the glass half full and when is it half empty? It’s all a matter of temperament, in my experience. The 400-point Lib-Con coalition agreement seems to have been a relatively painless negotiation as far as the 30 health (plus four on public health) points are concerned. Should we be delighted or not?
Michael White: the new Lib-Con government

20 May 2010
Well, it’s not going to be dull, is it? At a stretch you could even say that one of the dullest things about the new Lib-Con government is that Andrew Lansley was appointed health secretary.
Michael White: what the new government will mean for health

5-May-2010
Cheer up, the election campaign is more or less over now and the country is finally bracing itself for the tricky bit.
Michael White: on the campaign trail

29 April 2010
Always in search of a scoop, I tried to track down a speech about the NHS which I had heard that Gordon Brown made last weekend. It did not seem to have been widely reported, but this was not entirely the media’s fault.
Michael White: the election debate

22 April 2010
In turbulent times this column’s reputation as a non-panic zone serves it well. Swine flu, Alan Johnson for PM, delinquent volcanoes, we take them all in our stride. So too the Lib Dem election surge since Nick Clegg’s quite good performance in the TV debate.
Michael White: the election campaign

15 April 2010
How is the election going so far for you? No, don’t answer that if you would rather not. What with that ritual controversy over the relative merit of rival tax hikes, week 1 was quietly unimpressive, although the NHS surfaced in the campaign at the weekend.
Michael White on social care funding and the election

8 April 2010
As the election hype went into overdrive after Gordon’s trip to Buck House I got into a tiff with a Conservative chum over the party’s “death tax” poster, the one which wrongfooted Andy Burnham on the delicate question of funding care for the elderly.
Michael White: Darling's Budget

1-Apr-2010
The Budget joke I liked best was not the one about the tax haven deal with Lord Ashcroft’s Belize. It was that Alistair Darling had offered money to fill potholes in our roads after the long, hard winter, but not the black holes in the public finances after the even crueller recession.
Michael White: good news for health

25 March 2010
As we all braced ourselves to disentangle what Alistair Darling’s last Budget will mean for the NHS I took the conscious decision to write an upbeat column to ease the circling gloom.
Michael White: NHS policy pronouncements

18 March 2010
Is the pace of policy pronouncements speeding up or am I just slowing down? Or is it the imminence of that election and the all too understandable desire of elected politicians to cover all their bases?
Michael White on political spin

11 March 2010
It is rarely easy to spot when a policy statement or media report has undue political spin on it. As a hard fought general election approaches it can be near impossible.
Michael White on the Mid Staffs inquiry

4 March 2010
An anecdote and a think tank boffin came to mind as I ploughed through the undimmed horrors of Robert Francis QC’s report on the disaster at Mid Staffordshire Foundation Trust.
Michael White: NHS reorganisation row

25 February 2010
By chance I stumbled on an NHS row which intrigues me. It is the sight of Labour ministers and their Tory shadows and wannabe successors joining forces to denounce disgraceful “scaremongering” about a hospital reorganisation.
Michael White: the personal care row

18 February 2010
Seatbelts on please, crash helmets too. The pre-election row over personal care for the elderly shows alarming signs of blundering on to polling day.
Michael White: NHS spending pledges

11 February 2010
Which is the more alarming spectacle: David Cameron and George Osborne promising real term cuts in public expenditure (but not “swingeing” ones) in the coming Parliament? Or Gordon Brown behaving as if he can carry on making new spending pledges for the NHS?
Michael White: are the Tories ready?

4 February 2010
The Labour government shows plenty of signs of being on its last legs.
Michael White: the four nations of the NHS

28 January 2010
The devolved regions have consistently had more money per head from central government but have drawn back from the more radical target driven and choice oriented agenda promoted in England.
Michael White on Tory health policy

21 January 2010
The core of the Tory green paper seems to be protecting a locally driven public health budget.
Michael White on the cost of alcohol

14 January 2010
Commons health select committee chair Kevin Barron was enjoying a Sunday night glass of Shiraz when I rang to discuss his report on how to tackle Britain’s costly upsurge in alcoholism.
Michael White on the Conservatives' election campaign

7 January 2010
Why did my heart sink watching David Cameron launching what amounts to the Conservatives’ general election campaign on Monday, complete with well trailed health pledges and a wholesome poster proclaiming “I’ll cut the deficit. Not the NHS”?
Michael White on public spending

17 December 2009
There was a cynical chuckle in the Commons during the pre-Budget Report when Alistair Darling told MPs “we take these decisions from a position of strength”. What decisions? Why, cuts in the public spending deficit, of course.
Michael White on NHS regulation

10 December 2009
Is there enough real news to fill all those newspapers and dedicated TV news channels? In most years there are only two or three serious news items, ones that will be remembered, I sometimes joke.
Michael White: shamed FTs, Dr Foster, cancer care

3 December 2009
Where to start this week? Named and shamed foundation trusts, many of which deny alarming allegations levelled by Dr Foster? Or the news from cancer tsar Mike Richards that late diagnosis kills twice as many Britons as we thought?
Michael White: the Queen's Speech

26 November 2009
For a seven minute royal speech which was criticised for not once mentioning what David Cameron called “the three letters that should be in any Queen’s Speech” - NHS - it was quite a boisterous occasion for health and social services. So let us start on a positive party political note.
Michael White: lessons from US healthcare

19 November 2009
I stumbled on a way of thinking about NHS budgets the other day which I hadn’t previously encountered.
Michael White: FT freedoms and the election

12 November 2009
Barely a couple of days pass without some potentially significant policy shift on the health and social care front from the political parties.
Michael White on health debates

5 November 2009
Handy Andy Burnham, our youthful health secretary and Clark Kent lookalike, slipped out of Britain on Tuesday, heading west towards Washington - safely out of the row over home secretary Alan Johnson’s rash dismissal of David Nutt.
Michael White on unaccountable PCTs

30-Oct-2009
Rare indeed is a Sunday night call by this column which yields a mention of primary care trusts and ancient Greek philosopher cum intellectual hard man Plato, virtually in the same breath.
Michael White on public vs private

22 October 2009
The line dividing the public sector from the private has been fragmenting for decades.
Michael White on Tory worries

15 October 2009
I was slightly surprised this week to find myself trudging into expenses-gripped Westminster for the last parliamentary session before the election more troubled by the prospect of a new Conservative government than I was a week ago.
Michael White on the Conservative conference

8 October 2009
Even before I set out for the Conservative conference, a neighbour asked me how David Cameron plans to fund residential end of life care for a flat-rate insurance contribution of £8,000.
Michael White on Labour policy

1 October 2009
I had scarcely arrived in Brighton for Labour’s last pre-election conference than a succession of party veterans had pinned me to the nearest wall to explain why the party is doomed - or why it is not.
Michael White on NHS spending cuts

24 September 2009
Gordon Brown’s belated admission of looming spending cuts unleashed a masochistic torrent of bid and counter-bid by leading politicians.
Michael White on the election battle

17 September 2009
This week’s TUC conference signals the start of the political season, when the rhetorical volume gets turned up.
Michael White on NHS spending and the McKinsey report

10 September 2009
As if last week wasn’t more than usually nightmare-ish enough for the NHS’s managerial officer class, with a convicted murderer’s birthmarks and the leaked McKinsey report providing only two of many horrid headlines, this week started with a fresh jolt.
Michael White: the US healthcare debate

3 September 2009
Senator Edward Kennedy’s death struck people my age with an obvious historical analogy. Just as Jack Kennedy’s murder in 1963 allowed allies to clinch stalled civil rights legislation for black Americans, so Barack Obama’s allies can now regain momentum for healthcare reform - Ted Kennedy’s enduring liberal cause.
Michael White on NHS consultancy costs

27 August 2009
Spare a thought for our ex-junior health minister, Ivan Lewis.
Michael White on US healthcare and NHS politics

20 August 2009
Oh dear. Turn your back on the politicians for a few days’ holiday and when you get back they’re engaged in all-too-familiar pre-election skirmishing about the NHS being safe in our hands - but not in the other lot’s.
Michael White on a holiday from the NHS

13 August 2009
Are you thinking of driving far on the summer holiday this year? I drive across France every August, a round trip of about 1,500 miles.
Michael White on swine flu and summer holidays

6-Aug-2009
August has arrived so I delved into my health archive looking for a holiday subject. Straight away I stumbled on the House of Lords science and technology committee, chaired by the redoubtable Stewart Sutherland.
Michael White: The Tories don't have it in the bag yet

30 July 2009
Are we any the wiser about a future Conservative government’s intentions towards the NHS? I think we are and, being determined to ignore those two great 2009 panics, piggy flu and Labour leadership flu, I plan to focus on those here.
Michael White on the future of healthcare funding

23 July 2009
For a politician in his situation, care services minister Phil Hope was in a remarkably cheerful mood when I caught up with him to find out how well - or badly - his department’s latest green paper had been received.
Michael White on swine flu and infectious attitudes

16 July 2009
There comes a time when even a “keep calm” column has to acknowledge that Britain seems to be edging towards a swine flu pandemic. Alas, there is no antiviral to protect more vulnerable groups like politicians from exhibiting alarming symptoms.
Michael White: on patient safety and savvy spending

9 July 2009
I had an odd experience at the weekend. Reading the Commons health select committee’s depressing report on patient safety, I kept thinking of the more visible drama now being played out over public expenditure and pay.
Michael White: What happened to the government's Health Bill?

25 June 2009
Have we lost track of the government’s Health Bill, which has turned out to be not the promised “flagship” piece of legislation but a “rather small” boat, as Andrew Lansley joked during its Commons second reading?
Michael White on Andy Burnham's rise through the ranks

11 June 2009
Well, well. What a turbulent week for health politics and it is not over yet. By the time you read this, a day or so after I have typed it, Alan Johnson may still be the new home secretary.
Michael White on the big split over ISTCs

4 June 2009
Andrew Lansley has been out and about attacking Alan Johnson’s record as a failed health secretary (“the postman who hasn’t delivered”) on the grounds he has not closed the health gap between rich and poor - and also let the NHS’s Blairite choice agenda atrophy.
Michael White on the patient-consumer parallel

28 May 2009
It is always good to hear the NHS’s top brass trumpeting the service’s virtues, as NHS chief executive David Nicholson did when launching his third annual report. At least his list of modest triumphs serves to counteract some of the negativity generated by more regular reports of NHS failures in the Daily Beast.
Michael White: a search for good news in the NHS

21 May 2009
With the expenses scandal delivering the most humiliating week for Westminster politics that I can remember in 30 years this column is committed to finding something more cheerful to write about MPs today.
Michael White on integrity and whistleblowing

14 May 2009
Amid the uproar over the MPs’ expenses scandal three prime ministers addressed health issues this past week. I refer, of course, to Gordon Brown, David Cameron and Alan Johnson, who is also now tipped (improbably) to succeed Alistair Darling in Number 11.
Michael White on swine flu and leadership

7 May 2009
This column’s established policy is not to panic over either swine flu or Labour leadership flu. Outbreaks of both occur from time to time and are easily spread by modern life, notably by air travel and 24-hour TV news channels. The authorities do their best.
Michael White on the Budget

23 April 2009
Not a good Easter break for the extended White family. Between us we suffered a car crash, an emergency caesarian and a burglary.
Michael White: 'You rarely read about the kindness'

16 April 2009
Unlucky Alan Johnson popped up in the prime time 8.10 spot during the bank holiday Monday edition of the Today programme to protest Number 10’s inherent decency in the wake of Damian “email” McBride’s resignation.
Michael White on the recent political populism

9 April 2009
Watch out for political populism in troubled times. Most of us have been indulging in banker-bashing, but such enjoyably bad habits can be contagious and beneficial chiefly to extremists on the prowl. I spotted two crowd-pleasers that affect HSJ readers only this weekend.
Michael White on the effect of unemployment on health

2 April 2009
A flurry of excitement hit the Commons press gallery when it was rumoured health minister Ben Bradshaw had said unemployment would be good for British men.
Michael White on NHS bad news

26 March 2009
Oh dear, it is barely a week since I wrote elsewhere that everyone knows “the NHS is much better” nowadays. Since then there has been a steady trickle of bad news, from Mid Staffs trust and from Birmingham children’s hospital, and poor cancer mortality outcomes.
Michael White on health inequalities

19 March 2009
Late Sunday afternoon I made myself comfortable to read the latest Commons select committee report on health inequalities before cooking our planned supper of grilled fish and greens.
Michael White on contaminated blood

5-Mar-2009
It never ceases to amaze me how society attaches different value to different lives.
Michael White on the effects of the recession

29-Jan-2009
How should we react to headlines warning NHS finance directors and their colleagues elsewhere in the public sector that a swathe of private finance initiatives - including new hospitals - is under serious threat because of the recession?
Michael White on the NHS and vested interests

22-Jan-2009
I always have mixed feelings on reading that some grand professional body like the Law Society or the British Medical Association is moved to condemn a new government policy as unwise or unclear, and sometimes downright dangerous.
Michael White on public health nudges

15-Jan-2009
I was relaxing on the South Island of New Zealand and just about to throw away what had been a very nice bottle of local sauvignon blanc when I noticed a detail on the label.
Michael White on NHS politics

18-Dec-2008
In these times of global recession and rising unemployment we should seek cheerful news. I offer these crumbs of comfort from the thinly attended fag end of the Queen's Speech debate, where health and education were bundled up as one.
Michael White on the NHS in recession

11-Dec-2008
A rough old trade is politics, as most MPs can confirm. All the same, I felt a bit sorry for Andrew Lansley the other week when he was beaten up for saying 'on many counts recession can be good for us'.
Michael White on the public sector workforce

4-Dec-2008
'Welcome to Soviet Britain,' the Daily Mail's headline roared this week. What on earth is the scourge of the NHS complaining about this time? I murmured, flinching over my first cuppa of the day.
Michael White on the NHS budget

27-Nov-2008
I don't think I heard the word 'NHS' more than once during the chancellor's emergency budget - for that is what it was - on Monday.
Michael White on euthanasia

20-Nov-2008
Buried away in a Commons debate the other day was a remark that could apply to the unhealthy state of the economy and assorted remedies to cure it, including a large injection of job-boosting cash into the NHS capital building programme.
Michael White on NHS bad news

13-Nov-2008
Some politicians suspected Alan Johnson deliberately chose to make his announcement on top-ups on the same day as Barack Obama's election to the US presidency in the hope that he could 'bury bad news.'
Michael White on IT in the NHS

6-Nov-2008
You were probably far too busy to notice Liberal Democrat leader Nick Clegg urging Gordon Brown the other day to 'distinguish between good public spending and bad public spending… By not wasting £13bn on an NHS computer system that doesn't work'.
Michael White on pharmaceutical price regulation

30-Oct-2008
I am indebted to Fred Curzon, 7th Earl Howe and veteran Tory health spokesman in the Lords, for a little gem of a debate in the upper house the other evening. It was doubtless neglected because of the Yachtgate affair in Corfu and relative trivia like the global financial collapse.
Michael White on keeping patients out of hospital

23-Oct-2008
It is not often you read of a new controversy in the Sunday papers and stumble on what looks like the answer in Hansard before bedtime. It happened this week. Here goes.
Michael White on the financial crisis

16-Oct-2008
The deepening financial crisis is changing how we look at everything now. For instance, aren't NHS finance directors glad they didn't have surpluses to invest unwisely during the years when Patricia Hewitt's stiletto was on their necks?
Michael White on Conservative healthcare policy

2-Oct-2008
On the conference circuit this autumn I've been conscious of being generous in my remarks about the prospect of a Conservative government in regard to its policies on the NHS.
Michael White on the global financial crisis

25-Sep-2008
By the time you read this, Labour's 2008 party conference in Manchester will be over and Gordon Brown will still be prime minister, despite whatever has happened or not in the interval.
Michael White on the Liberal Democrats' conference

18-Sep-2008
Apart from Norman Lamb's platform speech and a short midweek debate on the urgent needs of mental health, the health service wasn't very prominent on the Liberal Democrats' conference agenda in Bournemouth.
Michael White on economic populism

11-Sep-2008
Off the Calais ferry and straight back into the political melee this week, I certainly didn't feel the quiet August break had done much for Gordon Brown's government's prospects of recovery.
Michael White on public health policy

4-Sep-2008
Andrew Lansley seems to have been the first health politico to get off the beach and back in hot water this summer with that 'no excuses, no nannying' speech he made to the pro-market Reform think tank.
Michael White on the golden age of the NHS

28-Aug-2008
I have been sitting in patchy sunshine reading Rejuvenate or Retire? the Nuffield Trust's anthology to mark the NHS 60th anniversary.
Michael White on pandemic flu

21-Aug-2008
Did you clock the government's new national risk register, published by the Cabinet Office? It was widely reported as putting pandemic flu as potentially the most lethal threat mankind is facing.
Michael White on relatonships with the media

14-Aug-2008
A grizzled ex-minister, just back from an evidently refreshing holiday, was muttering the other day about what he calls the 'BBC mindset', by which he means all of us in the inky-fingered media trades.
Michael White on feminism

7-Aug-2008
I couldn't help noticing in recent days how feminism kept popping up. As part of the wider debate about equality affecting class and poverty, gender, race, disability, it never goes away.
Michael White on facing up to obesity

31-Jul-2008
Amid the hype over Labour's defeat in Glasgow East, I suspect the most important consequence of the by-election will not be the ejection of Gordon Brown.
Michael White on palliative care

24-Jul-2008
Eleven years ago a good friend died of lung cancer in the palliative ward of a London hospital. Since the operation(s) had gone wrong and he was only 62, it wasn't ideal.
Michael White on rating doctors

17-Jul-2008
As the government winds down towards what it hopes will be a welcome summer break (don’t bank on it), it’s been home secretary Jacqui Smith’s week.
Michael White on how Darzi looks from abroad

10-Jul-2008
An impeccable sense of timing and a wedding of young friends in Washington DC ensured I stepped off the plane at Heathrow this week uninformed about Lord Darzi's master plan for the NHS.
Michael White on Darzi politics

3-Jul-2008
Even before the saintly Lord Darzi uttered the first sentence of his latest report, or Henley had even voted, the Cameroon Conservatives had got their NHS retaliation in first.
Michael White on public health

26-Jun-2008
The other weekend I found myself discussing the public sector with an old leftie who had worked most of his life in housing and hated what he feels the Blair-Brown governments have done. In a word, marketisation.
Michael White on specialist trauma response

19-Jun-2008
The other day health minister Ben Bradshaw read out to concerned MPs a list of all the places on the body where young people get pierced these days.
Michael White on dealing with the Treasury

12-Jun-2008
Right, enough of this gloom. All together now, we are going to say 'let's stay cheerful for the rest of this column, whatever happens'.
Michael White on private vs public

5-Jun-2008
The detail I am most likely to remember from this week's events is the revelation that when Harold Macmillan was chancellor in 1956 he suppressed evidence of the link between cancer and smoking.
Michael White on dementia services

29-May-2008
Being in government is a bit like fighting forest fires, the kind that sweep through tinder-dry acres in countries a lot hotter than ours.
Michael White on the embryology bill

22-May-2008
Another roller-coaster week as ministers and MPs engage in close combat over the Human Fertilisation and Embryology Bill with one hand, while battling to maintain momentum on NHS reform with the other.
Michael White on Darzi's plans

15-May-2008
How hard it is to get your message across when opinion turns against you, let alone when Prezza, Cherie and Lord Levy are all trying to sell books, as the government has been demonstrating this past week.
Michael White on NICE decisions

8-May-2008
Did you hear Ian Gibson, left wing MP for Norwich North, giving Gordon Brown a piece of his mind in the wake of Labour's disastrous performance in the local elections?
Michael White on health policy attacks

1-May-2008
In the run-up to the local elections, not to mention the Royal College of Nursing's conference, the government took a fearsome bombardment on the health front.
Michael White on disease politics

24-Apr-2008
I was reading a book about politicians and their illnesses when news broke that John Prescott has suffered from bulimia, what some newspapers were unkind enough to call a girl's illness.
Michael White on audit culture

17-Apr-2008
Reading the high-minded Times Literary Supplement on a comfortable sofa the other weekend, I stumbled on a ferocious attack on the audit culture that is now so much a routine feature of national life, NHS included.
Michael White on biosimilars and generics

10-Apr-2008
At my bus-pass holding time of life, you don't often come across a word whose meaning you could no more guess at than a street sign in Tokyo. It happened to me when trawling Hansard the other day. The word was 'biosimilars'.
Michael White on patient choice

3-Apr-2008
Well, well, a stormy end to the Easter season. The Tories rampaged against perceived failures in the government's commitment to deep clean NHS hospitals.
Michael White on service cuts

27-Mar-2008
On the dry pages of Hansard, there are occasionally brief exchanges that shed light on life as eloquently as a short story by Anton Chekhov.
Michael White: budget politics

20-Mar-2008
No point in spending too much time on this year's Budget, I think, which wasn't much of an NHS event anyway. I'm all for optimism about the future, but Alistair Darling's low-key confidence a week ago has already been overtaken by the gathering financial storm in the Atlantic. Fasten seatbelts.
Michael White on Darling's budget

13-Mar-2008
By the time you read this, Alistair Darling's first Budget will have reinforced Gordon Brown's latest promise to make our great public services more competitive and accountable to their customers. They are all Blairites now.
Michael White on health budgets

6-Mar-2008
Opposition spokesmen as energetic as Andrew Lansley tend to respond to breaking news rather than to make it. It's the curse of opposition. When they're in the headlines it's usually bad news. The Tory health spokesman has been making headlines.
Michael White on NHS reform

14-Feb-2008
I'm always getting into trouble for trying to be open minded. That Hitler, I say, he was kind to animals. So I turned to this week's polemic from the pro-market pressure group Reform so full of good will that I ignored the title, NHS Reform: national mantra, not local reality.
Michael White on social care's big year

7-Feb-2008
This is a big year for social care, possibly the biggest for a generation, says minister Ivan Lewis whenever he gets the chance. 'We've got to get it right.'
Michael White on Johnson's donation troubles

31-Jan-2008
I shall resist the temptation to make fatcat jokes this week. But I don't think I'm sticking my neck out in predicting that Alan Johnson's trouble over that £3,000 donation to his deputy leadership campaign will not lead to the health secretary's resignation.
Michael White on cutting costs

24-Jan-2008
At a high-minded King's Fund breakfast a few months ago I heard battle-hardened NHS veterans agreeing that there won't be the opportunity for serious efficiency savings until the money tap is turned off. Then everyone will remember how to improvise.
Michael White on Brown's plans for health

17-Jan-2008
Gordon Brown's Big NHS Speech, to which HSJ gave front-page treatment last week, was full of virtuous declaration about what needs to be done to manage rising - and costly - demand in healthcare systems around ...
Michael White on health in the new year

11-Jan-2008
All right, so the Royal Marsden Hospital nearly burned down last week and around 100 wards in 44 hospitals were closed as norovirus swept the country. But it's the start of another year - happy new year - so let's be cheerful.
Michael White on super-sizing the NHS

20-Dec-2007
Huge comprehensive schools which became dysfunctional over time? Huge new 'Titan' prisons which will almost certainly be hard to manage? Ditto hospitals?
Michael White on healthcare rationing

13-Dec-2007
In the week health ministers launched new initiatives on both cancer and stroke, backbench MP Dr Richard Taylor coincidentally staged a Commons adjournment debate on rationing in the NHS.
Michael White on Alan Johnson

6-Dec-2007
I don't know where it came from but in the past few days we've started reading in the papers that Gordon Brown may not last the course. What's more, health secretary Alan Johnson may be the man to take over.
Michael White on data security

29-Nov-2007
When I heard that young Tory thruster George Osborne warn that the fiasco over the two missing child benefit discs from HM Revenue and Customs will prove the 'final blow' to the British ID card scheme, I wondered what it might also mean for the NHS.
Michael White: inside Gordon Brown's mind

22-Nov-2007
Are ministers in Alan Johnson’s health team now finding their feet in their new jobs after a lacklustre start? Are they landing a few blows on the other side too despite renewed talk of a broad consensus on the NHS’s future?
Michael White on Gordon Brown's health policy

15-Nov-2007
Some well-meaning MPs think that Gordon Brown's government is deliberately taking the spotlight off the NHS to give it breathing space to recover from years of political battering.
Michael White on immigration and the NHS

8-Nov-2007
As old favourites like immigration and NHS pay resurfaced in public debate, a conversation I overheard in a Berkshire pub years ago popped up again this week.
Michael White on nursing standards

1-Nov-2007
I didn't know whether to laugh or make plans to flee the country when I read weekend front-page headlines such as 'Nurses to have the power to end a life'
Michael White on getting tough on obesity

25-Oct-2007
Politicians need to do more to tackle the growing obesity problem
Michael White on managers and motivation

18-Oct-2007
If middle managers don't manage and nurses are poorly motivated, no amount of money can solve the NHS's problems, says Michael White
Michael White on Brown's bottler government

11-Oct-2007
What a political week! The NHS may have ended up with a better-than-expected settlement from Alistair Darling’s comprehensive spending review, but voters will not be grateful to ‘Bottler Brown’ and his mates for a while.
Michael White on the shadow health secretary

4-Oct-2007
Now that Gordon Brown has started to open up in public and chancellor Alistair Darling has put a couple of jokes into his conference speech, there is no stopping the confessional flood in politics. Even Andrew Lansley has been affected.
Michael White on this year's Labour conference

27-Sep-2007
I filed this column, from Labour's Bournemouth conference, a little later than usual this week. Gordon Brown had brought the annual leader's speech forward by 24 hours (he is in such a hurry, that man) and I wanted to catch what he had to say.
Michael White on the conference season

24-Sep-2007
'The conference experience is to go home feeling that whatever interest brought you, it is worth doing for the rest of the year'
Michael White on panic politics

20-Sep-2007
'I imagined patients queuing outside their local hospital, just like Northern Rock'
Michael White on former health secretary Stephen Dorrell

13-Sep-2007
When I rang him he said the NHS has 'gone full circle' since Labour came in and abolished the internal market in 1997
Michael White on sheepish politics

6-Sep-2007
'Lib Dem MP Norman Lamb found himself uncomfortable with the party's hostility to NHS choice'
Michael White on politics

31-Aug-2007
'Cameron promised a bare knuckle fight. He certainly got one'
Michael White on politics

23-Aug-2007
'No-one blew the whistle hard enough when the new processes started looking flawed'
Michael White on politics

1-Jan-2007
'I do not think the Walsall trio, all nice chaps, will mind if I describe them as the Old Codgers, rather than the Three Musketeers'
Michael White on politics

1-Jan-2007
'Insiders already knew that the cash figure which health officials cite includes local IT costs which replace existing local IT costs'
Michael White on politics

1-Jan-2007
My conclusion, Watson, is that it is what street urchins call a cock-up, not a conspiracy
Michael White on the budget

1-Jan-2007
'Brown did not say what health will get in 2008-11, though he is said to be focusing on health in his Treasury lair'
Michael White on the IT programme

1-Jan-2007
Lord Hunt thinks trickling out the new IT network is better than the CSA's doomed big-bang approach
Michael White on the Mental Health Bill

1-Jan-2007
If the purpose of the bill is to improve supervised community treatment and to strengthen protection of the public where there is risk of violence, then vulnerable people must surely be encouraged to seek help - not to hide themselves away.
Michael White on the pay round

1-Jan-2007
'The tough pay round is a blatant 'clawback' and I don't think doctors can expect much sympathy'
Michael White on YouTube politics

1-Jan-2007
'Only 19 per cent thought the local service had improved and 52 per cent thought it had deteriorated. These results are rubbish.'
Michael White: maternity woes

1-Jan-2007
'For some, fertility issues are heart-breaking - not marginal NHS issues but utterly central to their lives'
Michael White: media spin

1-Jan-2007
'Judicial review looms on the consultation process and voters don't need media spin to feel cheated'
Michael White: parliamentary deadlock

1-Jan-2007
'Parliament is deadlocked on serious issues that may end up in a 'ping pong' test of wills'
Michael White: the IT programme

1-Jan-2007
'I suspect that the NHS IT programme will come good - after further tribulations'
Mike White on politics

1-Jan-2007
'Mr Blair retains a lot more drive and determination than Mr Major had (ever), but his authority is fading'
Mike White on politics

1-Jan-2007
'Handy Andy Burnham urges respect for NICE's independent experts and insists that complementary medicines (another regular bugbear) must be a matter for 'local determination'.'
MICHAEL WHITE ON POLITICS

6-Jan-2005
Published: 06/01/2005, Volume II5, No. 5937 Page 8

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