THE NATIONAL ILL-HEALTH SERVICE

One of the fallacies much beloved of British politicians is that the NHS is a no-expense spared service that provides patients with unbeatable treatment, but the evidence of Aseem Malhotra seems to contradict that claim.  "The healthcare that clinicians offer is usually exemplary. Why, then, are the ill served such disgraceful meals? I mend hearts. Then I see my patients served junk food by our hospitals. Fry-ups, burger and chips, fizzy drinks and ice cream for pudding. You would expect to see these delights on the menu at a McDonald's or Burger King. But, sadly, this is the sort of food that is also likely to be served at your local hospital. I work as a cardiologist at one of Britain's leading cardiac centres. ... Coronary artery disease is the biggest killer in the western world and a significant part of my job involves performing a lifesaving procedure, angioplasty, to restore the blood supply to the heart muscle. Coronary atheroma (fatty deposit within the artery wall) takes many years to develop and is the culmination of risk factors, of which lifestyle - and diet in particular - is a major contributor." (Observer, 13 February) Dr Malhotra asks why they are served such meals, but the newspaper provides the answer. "The majority of hospitals spend an average of less than £1 on each meal per patient."