A hospital stay
I came out of hospital last Thursday evening after 8 nights in the Edinburgh Royal Infirmary. Along the road at Little France. [Named from French members of the entourage brought to Edinburgh by Mary Queen of Scots, who took up residence at nearby Craigmillar Castle.] It was the longest that I have been in hospital in my life. And I was unbelievably happy to be back at home again.

The sequence began when Susie had an elective hip replacement, her second in 12 months, over in Kirkcaldy on July 24th. All went well, and I had my own elective hip replacement here at the Royal Infirmary on August 3rd. I was home the following day, and we had the treat of a visit from granddaughters Amelia and Eloïse, who were on a flying visit to Edinburgh. With them I walked slowly up the road on two crutches.

But a day later I was back in the Royal Infirmary with major urine retention problems following spinal block surgery, a disturbing kidney malfunction, and a modest fever. Cue 8 days in the Renal Unit with a bewildering pattern of medications. Hourly blood pressure tests, blood samples, blood sugar tests, cannulas, catheterisation, a blood transfusion – I’ll spare you the details. I’ve never been very happy with the sight of blood, especially my own!
The nurses were uniformly delightful. And the morning round of the doctors was a daily encouragement, though I could never quite distinguish the Consultant from the Junior Doctors. The food was stodgy, but could have been a lot worse. What I hated was the early morning start, the tedium of the day, largely bed-bound, with no view of the sky and only artificial light, and the long, awful stretches of the half-lit night. Twice I came close to murdering the man in the next bed who coughed at regular intervals through the night. Alternating with rumbling expectoration. When the doctors said that I could come home [at the second attempt: the previous day I had packed to come home but spoiled it by fainting], I nearly wept with tears of gratitude.
The National Health Service
The NHS is much the same age as me; it was born under Clement Attlee’s post-war Labour government in July 1948. At its launch, by the Health Minister Aneurin Bevan, three core principles were laid down: that the service should meet the needs of everyone, that it should be free at the point of delivery, and that it be based on clinical need and not on the ability to pay. This is axiomatic to anyone of my generation and younger. You need to go back to A. J. Cronin’s The Citadel [my copy went to the OXFAM bookshop a few years ago] to get any idea of how things used to be. This 1937 best-seller tells the story of a young Scottish doctor in the 1920s; he starts his medical career in a Welsh mining village, and then works for a Miners Co-operative scheme, before he moves to London where he is seduced, metaphorically and literally, by the corrupt and greedy world of Harley Street doctors and patients. The book is based on Cronin’s own experience working as a doctor in Tredegar, and apparently had a significant influence on Nye Bevan.
In recent years there has been recurrent, sometimes heated, generally inconclusive, debate about the future of the NHS. Danny Boyle’s innovatory sketch at the 2012 Olympics extolled the NHS as one of the great unifying institutions of national life. Securing approval ratings above those of the Royal Family and the BBC.
Much of the debate about the future of the NHS is occasioned by the sheer size of the organisation. England’s NHS is the largest employer in Europe; it is said that 1 in every 25 adults in England works for the NHS. A decade ago the BBC estimated that the NHS across the United Kingdom had 1.7 million staff, which made it fifth on the list of the world’s biggest employers, comfortably bigger than for example Indian Railways. Nearly all hospital doctors and nurses in England are employed by the NHS and work in NHS-run hospitals. General practitioners, dentists, and opticians on the other hand are almost all self-employed and contract their services back to the NHS.

The population of the United Kingdom is ageing. A rise in chronic diseases and a growing proportion of older people in the population leads to a steady increase in demand for health services and funding. An older population means significantly more people are being admitted to hospital for emergency treatment. Hospital stays are kept to a minimum, but people cannot be discharged without some home visit assessment. Hence the phenomenon of ‘bed-blocking’. Recent successive governments have failed to improve the linkage between health services and social care.
From almost the very beginning of the NHS people have been arguing as to whether the country can afford it. Sir Stafford Cripps, Labour’s post-war Chancellor, an eager proponent of austerity and financial discipline, was horrified by the overspending, and wanted to impose charges, especially for things like spectacles, as a way of holding down costs and raising revenue – but failed to get his way in Attlee’s Cabinet.
Funding the NHS through general taxation is the key reason why the NHS is affordable. This method of funding has many strengths; it’s cheap and efficient to raise money through an existing tax system; it’s as fair in its impact as the tax system itself, sharing the cost across the whole tax-paying population; and it allows the government to plan the allocation of resources according to need rather than relying on the political decisions of dozens of local councils or the whims of charitable donations of the wealthy.
But the weakness of the system is that the level of spending at any point is decided by the government of the day, and shaped by the political priorities and allegiances of the party in charge rather than by any link to levels of health needs or the costs of delivering services.
Reform UK’s latest headline policy, launched by the despicable Robert Jenrick, is to massively reduce the UK’s benefit bill in order to fund tax cuts for their crypto-currency millionaire cronies; the people who have been financing Farage’s extravagant lifestyle. Leaving aside this kind of right-wing rant, there is a continuing debate about the issue of NEETS; young people not in education, employment, or training. There are said to be a million or so NEETS between the ages of 16 and 24, some half of whom are in receipt of benefits. This is clearly not desirable. Nor sustainable.
Gratitude … the uncomplicated kindness of friends
I am writing about the NHS as a consumer rather than a political commentator. My recent experience was definitely positive. It is no-one’s fault that days in hospital are long and boring. The food was stodgy, but could have been a great deal worse. I appreciated the daily rounds of the doctors and consultants. Who were engaging and encouraging. The nurses and ancillary staff were kind and seemingly tireless. Since my return home I have had notification of 5 different outpatient appointments, from the Orthopaedics and Physiotherapy and Renal departments.

So, I give thanks for the care of the NHS. And I give thanks too for the uncomplicated kindness of family and friends: above all for Susie, a tireless support; for lifts to and from hospital from Mike and Wendy, the amazing David Dickson, Walter, Derek, and Dave Healey; for hospital visits from Susie, from Elspeth Burrell, from Liz and David, from Barry, from Mike and Wendy, and from Peter Jeffries. And for our son Jem and grand-children Freya and Oskar, who have come to Edinburgh for a week to support us through this time of transition. All of which brings me back to Oliver Sacks who underlined the importance of developing ‘an attitude of gratitude’.

Envoi The death of reading …
There was a piece in The Times last Saturday about the death of reading. Linked to a forthcoming book of that title or similar. And referencing, inevitably, Donald Trump. Who is quoted as saying that the Bible is his favourite book. Asked to select a possible favourite verse or book, Trump said that he wouldn’t like to be too specific !

I’m old-fashioned enough to still be on books. Before I went into hospital I was re-reading David Halberstam’s The Best and the Brightest, his magisterial, and for me almost hypnotic, account of how President Kennedy’s star-studded administration led the United States deeper into a disastrous and unwinnable war in Vietnam. While in hospital I turned the pages, a bit vacuously, of an early Brunetti book by Donna Leon, and also The Riddle of the Sands, a 1903 thriller by Erskine Childers which influenced, among others, John Buchan. And then a book by Edward Stourton, the broadcaster and journalist who died last month, about clandestine crossings of the Pyrenees during the last war. With particular reference to the PAT line and to Andrée de Jongh and the COMET line. Since I came home I’ve been reading Max Hastings’ Going to the Wars, an enjoyable run-through of his battlefield adventures and his love affair with the British Army, culminating in his boastful exploits in the Falklands War. But also telling the complicated story of writing a book for George Weidenfeld, the biography, ultimately unpublishable, of Benjamin Netanyahu’s older brother who lost his life at Entebbe.

And I’ve also been discovering the wondrous Sophie Roberts. Of whom more another time.
August 2026


























































