The NHS at 70. And my mother at nearly 94.

The NHS celebrated its 70th birthday last week. And my mother is due to celebrate her 94th this coming week.

The two aren’t unrelated.

My mother is part of a diminishing band of people born before Britain had its National Health Service. Indeed, she played a peripheral role in its creation. She reached adulthood during the Second World War, and decided to throw her lot in with the Labour Party which, at the time, had never formed a government with a parliamentary majority.

It must have been a challenging time to be with Labour. Under the leadership of its first Prime Minister, Ramsay MacDonald, the party had entered a coalition government with the Conservatives. That action was widely perceived as a betrayal. The punishment had been dramatic, rather as with the Liberal Democrats when they betrayed their voters in the same way nearly 80 years later: Labour had been reduced to a rump in parliament.

By the time my mother became involved, it had increased its number of MPs substantially, but still had only a third the force the Conservatives could muster. And it was back in coalition again. This time, however, that step was widely seen as a proof of statesmanship, since the country was at war. Indeed, the Labour leader Clement Attlee had played a significant role in making sure that the Conservatives would have to select Churchill, and not one of the appeasers of Hitler, to lead any government he would join.

My mother, as I mentioned recently, took a job as secretary to a Labour MP and the reformist Fabian Society. That too was was a challenge: in those pre-#MeToo days, young women were simply warned to be careful with some of their bosses, who were of course almost exclusively men. 

‘Careful, that one has wandering hands,’ they’d be told.

The onus would be on the women to avoid the hands, rather than on the men to withdraw them. It will probably come as no surprise that some of those who couldn’t control their urges had control of significant departments of state.

In her work, my mother wasn’t at the centre of power, but she was on the edges of that centre. She saw how Labour worked with the Conservatives towards victory in the war. And then she was actively involved in the campaign for victory in the peace. At the 1945 election Attlee’s Labour finally won a parliamentary majority, in a landslide victory over Churchill’s Conservatives.

It was that government which launched the NHS in 1948.

Health Minister Aneurin Bevan visiting a patient in Trafford, Manchester
on the first day of the NHS, 5 July 1948

Unfortunately, that’s not the only link between my mother and the health service. She has been occupying a bed in one of the great teaching hospitals of the NHS for two weeks now with no sign of her being discharged. She is unresponsive, spends most of her time asleep and, even when she does open her eyes, seems not to recognise any of us, relatives or friends, who come to visit her.

It was only three weeks ago that I had lunch with her for the last time, in her favourite Oxford restaurant. We both knew she was getting weaker, that she was spending an increasing proportion of her time asleep, that she was losing some of the acuteness of her conversation. But a real exchange was still possible: she and I talked about her favourite subject, history, and also about politics and the fact that Labour is again in a difficult state today.

Yet it was only days later that she started the precipitous decline that led to her present condition. Will she recover? Who knows. At the moment there’s little sign of it. My wife and I took our youngest son and his fiancée over to see her two weeks ago, and then she was alert enough to recognise us all and to wish the engaged couple well with their wedding, even though she was already having trouble finishing some of her sentences. I saw her again with my brother a few days later, and sentences seemed beyond her reach, though at least there was still recognition.

Today, that too has gone. I can’t help feeling that I’ve said goodbye to her already, in those earlier visits. Physically, she survives and continues to eat and drink a little, but my mother, the sharp, sometimes exasperating, but always intellectually bright woman I’ve known for 65 years, is already gone. Or at least away, with no certainty she’ll come back.

So I’m not sure whether she’ll see her 94th birthday. She may survive until it happens, but is it really a birthday if one isn’t conscious of it? All that kind of thing, I fear, is behind us.

The story is not without its more comforting side. She is in no pain. She is being looked after by a group of people, both physicians and nurses, who strike me as highly committed and professional but, above all, humane and focused on helping people. My mother has been in pain for many years; I’m glad to say that she seems now to be out of all pain and at peace.

For that I’m deeply grateful. And all the more so because at no point has anyone asked for any kind of payment for all this. The fundamental principle of the NHS, still one of the best-loved institutions in Britain, remains: as when the Attlee government founded it, the NHS prides itself on being free at the point of care. You need help? They provide it. And no one asks for a credit card first.

The great old NHS that my mother worked to make possible keeps doing what it does best: looking after patients as well and as kindly as it can. And today it’s doing it for her.

My mother in happier times with, I believe, my brother