Going private

Many people outside Britain still think of the NHS as the envy of the world, but it hasn't been anything of the sort for several years now. The NHS is seriously underfunded and understaffed and many of its employees are so overwhelmed and so exhausted they're thinking of quitting for less stressful jobs - or they already have.

I've always been a loyal supporter of the NHS and a critic of private medicine, which provides swift treatment if you've got the money, but leaves those who can't afford it at the mercy of a declining public health service.

I'm very conscious that with rapidly lengthening waiting times for both consultations and surgery, there might come a day when I face a choice between waiting indefinitely for the NHS to attend to me or going private and getting the sort of care that should be standard practice.

I don't mean waits of a few weeks or months. I mean years. Some people in Northern Ireland are waiting up to seven years for a medical procedure. Some are waiting over three years for pain management appointments. There were long waits before Covid, but now they're totally off the scale.

So suppose I needed a hip replacement, a knee replacement, cataract surgery or some other operation, and I was told I'd have to wait years? And suppose things would get worse in the meantime? And suppose a private clinic could treat me tomorrow? I would seriously consider going private, despite my socialist principles.

I had to wait 18 months for a routine prostate operation under the NHS. I could have gone private but it wasn't urgent and I wasn't in pain so I was prepared to put up with the long wait.

But I can see myself being forced into some agonising decisions.