Daily Mail

Watch this and you’ll rage: why are NHS pen-pushers so useless?

- CHRISTOPHE­R STEVENS

The brilliance of NhS medical teams on show in Hospital (BBC2) leaves you speechless. So does the abject incompeten­ce revealed in one management foul-up after another.

Cameras watched as cardiovasc­ular surgeon Francesco Torella saved a life with insouciant calm, operating at the Royal Liverpool hospital on Dave, a 74-year- old cabbie with an aneurysm who was just minutes away from death.

‘ It’s going to be a gentle operation,’ Mr Torella assured his assistants, ‘not smash and grab.’

his expertise seemed unassailab­le. Yet over the road, a billionpou­nd building intended to be the Royal’s new state-of-the-art home stood vacant — a towering symbol of NhS ineptitude.

Following the collapse of building contractor Carillion, this empty shell of a hospital will need £300 million of repairs just to make it habitable. Its concrete skeleton is in danger of disintegra­tion, and all the outer cladding needs to be ripped off and replaced.

That is mismanagem­ent on a vast scale. But smaller catastroph­es seem to erupt every hour, all of them threatenin­g lives.

We saw a senior doctor searching the wards in mounting irritation for a missing patient. Tommy, who had aggressive prostate cancer, had been moved to another bed and was now lost in the system.

Meanwhile, 91-year-old Ron was transferre­d from the Royal to Aintree, five miles away, without his paperwork. The records hadn’t been printed out, and somehow it was beyond the capability of administra­tors to send them by email. Ron, who had shattered his hip in a fall, endured hours of added agony.

It is beyond rational explanatio­n that surgical miracles are performed across the health service every day, yet to expect basic admin to be done is apparently asking the impossible.

Things could be worse. Imagine if the situation was the other way round, with efficient filing but endless bungles and howlers from the doctors.

On every ward, infallible secretarie­s would arrive at bedsides with the punctualit­y of quartz clockwork, to enumerate that day’s botch-ups: ‘Good afternoon, Mrs e. Smith, you were admitted this morning at 8.22am and 13 seconds for ingrowing toenail surgery.

‘In the past nine hours and four minutes, I’m pleased to say we have permanentl­y solved the toenail problem by amputating both of your feet. In addition, I see we have removed one kidney, and sewn you up with a pair of surgical scissors inside.

‘The charge for the scissors is £114.23. Would you like to settle by card or PayPal?’

Administra­tive breakdown was also causing havoc among the chimps at Chester on The Secret Life Of The Zoo (C4). Alpha male Dylan, 32, the chief executive of the chimp troupe, was neglecting his duty to his shareholde­rs.

Alpha chimps are like business tycoons, constantly fighting off hostile takeovers while micromanag­ing every aspect of daily business. Ambitious young underlings must be slapped down (literally) and a complex hierarchy maintained. But Dylan was letting standards slip so badly that he might as well have outsourced Chimp Inc to the disgraced bosses of Carillion.

Teen apes ran amok. Babies got trampled. When Dylan wasn’t sprawled unconsciou­s in the sun, he was sexually harassing any female within reach.

Dylan got duffed up by a gang of subordinat­es. Since then, he has been demoted to office boy.

As always with this series, compiled from hours of footage shot on hidden camera, there was a wealth of fascinatin­g animal behaviour on show. And as always, it was almost human.

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