Marmite, IT systems…and the NHS at 75

Two young mums and their toddlers were chatting in front of the shelves holding Marmite at the local supermarket. As the Badger politely reached between them for a jar, one mum grumbled ‘Yuk. You shouldn’t eat that stuff; it’s horrible’, and the other added tartly that ‘Supermarkets shouldn’t be allowed to sell it’. Supressing an urge to argue, the Badger saw the seriousness on their faces, took a jar, and moved on. If people think supermarkets should be barred from selling Marmite, then there’s no hope for society!

While cogitating on the way home, the Badger concluded that Marmite and the UK’s National Health Service (NHS) have something in common – the ability to divide and polarise opinions. How did the NHS come into this? Well, the seed was sown in the Badger’s brain by an early morning radio news programme during which an NHS interviewee highlighted how much time medics waste having to log on to different IT systems to treat their patients. Little seems to have changed since early 2020 when a Health Secretary said ‘It is frankly ridiculous how much time our doctors and nurses waste logging on to multiple systems. Too often outdated technology slows down and frustrates staff. Other interviewees bemoaned NHS vacancies, waiting lists, delays to patients being discharged from hospital, and workforce strikes over pay. The seed was thus sown for the Badger to cogitate on the NHS, especially as it celebrates 75 years of existence on 5th July 2023.

Then this seed grew further when the Badger took a call from his cousin as he reached the supermarket. His cousin is recovering at home after an operation. Their NHS consultant advised that the waiting time for their operation could be six months, and so, instead of waiting in debilitating pain, they dipped into their savings and had their operation privately just two weeks later. The Badger’s brain was thus already cogitating on the NHS as he approached the Marmite shelves.

The Badger likes Marmite and the NHS, a huge, complex organisation employing over 1.3m people that has a special place in the public’s affection because we are all users and it’s free at the point of use. Unfortunately, perpetual transformations have long been strangling its vital signs and its service to patients, making it a political and ideological football and the centre of shrill media outcry. Current struggles as it approaches its 75th birthday imply that it is systemically crumbling in its current form, and something more fundamental must happen to make it fit for the rest of the 21st century. That, of course, is just the outcome of a cogitation on the way home from a supermarket with a jar of Marmite. One thing’s certain, however. Marmite and the NHS will divide opinions and generate highly charged debate for years to come…

Leave a comment