Sunday, 19 April 2015

TV Review: INSIDE HARLEY STREET

A version of this article was originally published in The Dundee Courier on 18th April 2015.


Inside Harley Street: Monday, BBC Two

Paul Whitelaw

Do you ever get bored of the prostate, Roger?”

Vanessa Engle has a knack for probing questions. An incisive student of life's rich pageant, she's renowned for superior observational documentaries on subjects such as feminism, socialism and orthodox Jews. Exclusive subcultures and beleaguered ideologies are grist to her mill.

It was only a matter of time before she arrived in the privileged world of Harley Street, that famed square mile in central London offering private healthcare. With its winning combination of wry humour, social critique and underlying compassion, Inside Harley Street put her cheerfully impudent interviewing style to good use.

Inevitably, her recurring focus was on money. Doctors wouldn't be drawn on how much they earned; “a lot” seemed to cover it. As for their upper-crust patients, one old dame claimed to have no idea of how much she forked out. Another said money was no sacrifice, as she'd never sacrifice anything for anyone. True blue Britain at its best.

A commercial enterprise designed to generate revenue, the Harley Street estate has been privately owned for over 300 years by one of Britain's wealthiest broods, the Howard De Walden family. The company stance on euthanasia is typical of its strict regulations. Even if it were to become legal in the UK, it would never be allowed in Harley Street. Not a good advert for the brand, claimed a De Walden executive. Too much of a downer.

Their preferred image is one of exclusive, personalised care. Engle caught patients being warmly greeted by their GP's with “Hello darling!” hugs and kisses, as they exchanged idle chit-chat about expensive foreign holidays.

One GP – typical in that he began his career in the NHS – spoke of patients calling him at 2AM to have their blood pressure taken. “They may be feeling anxious after returning from the casino,” he said, semi-seriously. He then became defensive when Engle asked if this is why he became a doctor. “Yes,” he frowned, “I became a doctor to help people.”

I don't doubt that. However, a colleague later admitted that the help they provide isn't inherently 'better' than what you'd get for free on the NHS.

Not that all Harley Street patients are wealthy. Of particular interest were the ordinary Arab patients whose treatment is part-funded by their government, and the poor Russian child whose surgery was made possible by a charity telethon back home.

Then there was Derek, an Alzheimer's patient partaking in a free medical trial subsidised by drug manufacturers. Derek might be given useless placebos, but his wife reckoned it was worth the risk. Her quiet desperation spoke volumes.

Essentially a political filmmaker, Engle's point about social inequality and the rank unfairness of life was slyly delivered. “If everyone had access to private medicine we'd have a healthier population,” said one doctor bluntly. Yes, and if only the NHS provided free gold lollipops. Oh when will this dream come true?

Engle is a heartfelt polemicist, and a blatantly left-leaning one at that. As such, she's an open-goal for those bizarrely paranoid, misguided souls who accuse the BBC of being a red-fingered hotbed of socialist dogma. The truth of the matter is, she's an anomaly, a throwback almost. 

Right-wingers should be delighted that "lefty" documentary auteurs such as Engle barely exist in TV any more. I'm delighted that she does.




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