{"id":9835,"date":"2011-07-04T16:03:32","date_gmt":"2011-07-04T15:03:32","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=9835"},"modified":"2011-07-04T16:03:32","modified_gmt":"2011-07-04T15:03:32","slug":"richard-smith-will-the-nhs-let-me-die-of-malaria","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2011\/07\/04\/richard-smith-will-the-nhs-let-me-die-of-malaria\/","title":{"rendered":"Richard Smith: Will the NHS let me die of malaria?"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.bmj.com\/site\/blog\/icons\/bmjh7648e.jpg\" alt=\"Richard Smith\" width=\"160\" height=\"110\" align=\"left\" \/><br \/>\nI&#8217;m about to spend two weeks in Nigeria and need antimalarial tablets, but it seems that the NHS cannot help me. If I come back with malaria, no doubt it will help me &#8211; with two weeks in intensive care and a post mortem if necessary.<\/p>\n<p>It&#8217;s Monday morning, and I&#8217;m going on Saturday. I should have thought of it sooner, but I&#8217;m &#8220;only human.&#8221;<!--more--><\/p>\n<p>I start by ringing my GP. The receptionist tells me that I needed to have come six weeks in advance. Can I just see a GP? She says that&#8217;s not possible: I have to go the travel clinic, which happens once a week and isn&#8217;t happening this week anyway because the nurse is on holiday.<\/p>\n<p>She tells me to go to another local clinic, which she describes as &#8220;walk in,&#8221; or a  true walk-in clinic.<\/p>\n<p>I decide to ring first. I Google the local clinic, ring the number, and discover to my surprise that I&#8217;m talking to a university department. The person on the other end says &#8220;this happens all the time,&#8221; and we discuss how it is happening.<\/p>\n<p>After Googling again, I ring another number. The (small) centre actually has three practices, none of which seems to know a thing about the others. The first clinic tells me that they don&#8217;t have a clinic but one of the others might. They don&#8217;t.<\/p>\n<p>I then guess that the receptionist at my practice confused two local clinics with similar names. I ring the other clinic, a more modern one, where they have nine choices of numbers to press once I get through. None is a travel clinic, so I try making an appointment. They don&#8217;t have a travel clinic and can&#8217;t help me.<\/p>\n<p>Next I try the true walk-in clinic, which takes a long time to answer the phone. No, they don&#8217;t prescribe antimalarials.<\/p>\n<p>At this point I give up and ask a GP friend to prescribe me antimalarials. Not everybody has this option.<\/p>\n<p><i><strong>Richard Smith<\/strong> was the editor of the <\/i>BMJ<i> until 2004 and is director of the United Health Group&#8217;s chronic disease initiative. <\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>I&#8217;m about to spend two weeks in Nigeria and need antimalarial tablets, but it seems that the NHS cannot help me. If I come back with malaria, no doubt it [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2011\/07\/04\/richard-smith-will-the-nhs-let-me-die-of-malaria\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":38364,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[955],"tags":[2394,549,998],"class_list":["post-9835","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-richard-smith","tag-communicable-disease","tag-healthcare-rationing","tag-malaria"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Richard Smith: Will the NHS let me die of malaria? - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2011\/07\/04\/richard-smith-will-the-nhs-let-me-die-of-malaria\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Richard Smith: Will the NHS let me die of malaria? - The BMJ\" \/>\n<meta property=\"og:description\" content=\"I&#8217;m about to spend two weeks in Nigeria and need antimalarial tablets, but it seems that the NHS cannot help me. If I come back with malaria, no doubt it [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2011\/07\/04\/richard-smith-will-the-nhs-let-me-die-of-malaria\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2011-07-04T15:03:32+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2017\/02\/Richard-Smith.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"540\" \/>\n\t<meta property=\"og:image:height\" content=\"350\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2011\\\/07\\\/04\\\/richard-smith-will-the-nhs-let-me-die-of-malaria\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2011\\\/07\\\/04\\\/richard-smith-will-the-nhs-let-me-die-of-malaria\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Richard Smith: Will the NHS let me die of malaria?\",\"datePublished\":\"2011-07-04T15:03:32+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2011\\\/07\\\/04\\\/richard-smith-will-the-nhs-let-me-die-of-malaria\\\/\"},\"wordCount\":371,\"commentCount\":12,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2011\\\/07\\\/04\\\/richard-smith-will-the-nhs-let-me-die-of-malaria\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2017\\\/02\\\/Richard-Smith.jpg\",\"keywords\":[\"communicable disease\",\"healthcare rationing\",\"malaria\"],\"articleSection\":[\"Richard Smith\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2011\\\/07\\\/04\\\/richard-smith-will-the-nhs-let-me-die-of-malaria\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2011\\\/07\\\/04\\\/richard-smith-will-the-nhs-let-me-die-of-malaria\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2011\\\/07\\\/04\\\/richard-smith-will-the-nhs-let-me-die-of-malaria\\\/\",\"name\":\"Richard Smith: Will the NHS let me die of malaria? 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