STILL at breaking point: the UK’s National Health Service.
The argument about Covid-19 is still raging. Who are you going to believe – the politicians or the medical experts?
Here’s a medical expert – Dr Tim Cooksley, president of the Society for Acute Medicine.
He’s saying that the surge of Covid infections caused by the BA.2 variant of Omicron has caused a wave of illness among hospital staff, creating knock-on effects of overcrowding and low morale.
He said:
“The NHS and social care continue to be under immense strain and the system is becoming increasingly compromised.
“The reality is that we are seeing overcrowding in acute care settings with patient flow throughout the system impaired and patients stuck for long periods in emergency departments and acute medical units (AMUs) which results in worse patient outcomes.
“Due to this, paramedics are then stuck unable to transfer their patients into hospitals and get back on the road, resulting in 999 patients being left at home for longer periods without clinical assessment and treatment which potentially has a significant impact on their outcomes.
“These were problems that existed before Covid, however they are now exacerbated by high staff absence levels, fatigue and low staff morale, worsened by often not being able to deliver the standard of care they wish.”
More than 71,000 staff in acute trusts in England were off work last week because of sickness – two in five as a result of Covid, while more than a quarter of ambulance handovers were delayed by more than 30 minutes, Dr Cooksley said.
He described the Government’s goal of tackling the backlog in elective, non-urgent care as a “distant prospect”.
Covid-19 infections in most of the UK remain near or at record levels.
And Boris Johnson has spent years saying tens of thousands of nurses and doctors are entering the health service.
Where are they?
Or was this just like his more recent promise to “take control” of energy prices? That it’ll happen sometime, or maybe never?
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Extremists: Theresa May (left) and Michael Gove. [Image: BBC.]
The alleged rift between Michael Gove and Theresa May over claims that Muslim extremists have taken over 25 Birmingham schools is bizarre.
These are government ministers who most closely share the extremist attitudes that the ‘Trojan Horse’ school governors are said to have; their methods are the same, even if their aims are different.
Consider this. The claims made about the Birmingham school are that:
A ‘Trojan Horse’ (stealth) takeover of schools in Birmingham, by Islamic extremists, has taken place.
Governors were installed who undermined and then replaced school leaders with staff who would be more sympathetic to their agenda.
Boys and girls have been separated.
Assemblies put forward extremist Islamic views.
Other religions are downgraded.
Now let’s look at Theresa May, who:
Took part in a backdoor (stealth) takeover of the UK government after the Conservative Party failed to win a majority in the 2010 general election.
Wants to repeal the Human Rights Act as it protects UK citizens against some of her favourite policies:
The duty to refrain from unlawful killing, investigate suspicious deaths and prevent foreseeable loss of life runs against the results of the Coalition’s changes to incapacity/disability benefit assessment which led to the unnecessary deaths of 73 people per week between January and November 2011.
The prohibition of slavery, servitude and forced labour is contrary to the government’s mandatory work activity schemes.
The right to a fair trial contradicts the changes the government has been making to Legal Aid.
The right to respect for one’s privacy, family life, home and correspondence runs against the “snooper’s charter” that Mrs May wished to impose.
And so on. The Tories would dearly love to remove your rights to freedom of expression and freedom of assembly and association, as that means they could outlaw this blog and abolish trade unions.
Authorised a plan to use a fleet of advertising vans telling illegal immigrants to “go home”, which split the London communities in which they were used and led to false accusations against British citizens.
The phrase “go home” on the vans attracted criticism from the Advertising Standards Authority as it was a reminder of an extremist racist slogan.
And Michael Gove:
Took part in the backdoor (stealth) takeover of the UK government.
Has imposed an army of independent advisors on his education department, to overrule the opinions of expert civil servants, grind down their morale and force them out of their jobs.
Planned to give a Bible to every state school in the country, clearly implying an intention to assert the supremacy of Christianity over every other religion practised in the UK, with others downgraded.
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The second – Health Warning: Government! is now available
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This is the first pic I could find of Marcus Brigstocke, as he might have looked while delivering the piece quoted below. He’s a known beardie so he probably had face-fuzz as well.
What a rare and pleasant thing we’ve enjoyed for the last few days – a Bank Holiday weekend with good weather! And isn’t it a shame that this means most of you will have been out, and therefore missed Marcus Brigstocke’s turn on The Now Show.
Here’s a guy who knows how to take the government apart; it seemed as though he’d been reading Vox Political for the last few months because he touched on some of our favourite subjects:
1. The economy
He led with the 0.8 per cent increase in economic growth, mocking the government’s celebratory tone with impressions of how ordinary people took the news, up and down the country (some of the accents were beyond belief).
“Well done, George Osborne,” said Marcus, his voice dripping with sarcasm. “You have proved your theory right, using the Grand Theft Auto model. You have successfully shown that the poor really are like video game prostitutes – if you kick them hard enough, eventually money will come flying out of them.”
Doesn’t this fit nicely with what this blog has been saying about the economy being dependent entirely on the movement of poor people’s money? Those with less spend all – or almost all – of their income and it is this money, being pushed around the system, that boosts profits and keeps Britain going.
He continued: “I know that the state of the economy matters but for the vast majority of people it is as mysterious and cryptic as the shipping forecast… What makes a difference to people is not zero-point-eight-per-cent growth; it’s actual wages and the cost of living.
“The National Institute of Economic and Social Research (NIESR) showed this week that the average worker is £2,000 worse-off since the financial crisis hit,” another common theme here on VP, except in fact it’s £2K per year worse-off. Let’s do a quick shout-out to Jonathan Portes, NIESR’s director, whose Tweets are well worth a read: @jdportes
“I say, ‘hit’. That makes it sound like the crisis swerved towards us. The reality is, the average worker is £2,000 worse-off since the financial sector arrogantly, and with galactic, hubristic stupidity, drove the economy off a cliff, yelling, ‘Does this mean I still get my bonus?’ Of course you’ll still get your bonus. Otherwise you’d leave the country and [chuckling] nobody wants that.” [Laughter from the audience – we’re all in on that joke.]
2. Employment
“More people are in work now; good. But why do employers talk like they deserve a sainthood when they have people working for them? Your company does a thing; you need workers to facilitate the doing of that thing. The workers work, and the thing is done – am I missing something here? Do you feel you need a medal?”
2a. Zero-hours contracts
“One-point-four million British workers are having to scrape a living together from cynical, ruthless, exploitative employers using zero-hours contracts. Value your employees – they are not battery workers; they are people… One in five UK workers earns less than the Living Wage.”
At this point the narrative switches to a spoof advert: “At GreatBigFacelessBastardCorp we care so little about what we do, we pay our workers the minimum wage allowed under the law! That way we can pass on their listlessness and overwhelming sense of defeated apathy to you, the customer! GreatBigFacelessBastardCorp – crushing dreams so you don’t have to!”
This relates to an argument that Vox Political has been having with Tory-supporting businesspeople for years, going back to the earliest days of the blog. Back in January 2012, I wrote False economies that leave the business books unbalanced in which I stated:
It seems to me that many employees are finding life extremely difficult now, because the amount they are paid does not cover all their outgoings and they are having to work out what they can do without. The cost of living has risen more sharply than their pay, so they are out of pocket.
This creates stress, which can create illness, which could take them out of work and turn them into a liability to the economy – as they would then be claiming benefits.
That’s bad – not only for the country but also for their company, because demoralised employees produce poor work and the company’s turnover will decrease; having to bring in and train up new workers to replace those who are leaving through ill health is time-consuming and unproductive.
Therefore, in taking the money for themselves, rather than sharing it with employees, bosses are clearly harming their own companies and the economy.
In fact, it seems to me that this is a microcosm of the larger, national economy. In order to keep more money, bosses (and the government) pay less (in the government’s case, to pay off the national deficit). This means less work gets done, and is of poorer quality (in both cases). So orders fall off and firms have to make more cutbacks (or, revenue decreases so the government makes more cutbacks in order to keep up its debt payments).
[This seems to have been borne out by subsequent events. More people are employed than ever before, according to the government, yet GDP has improved by only a fraction of one per cent in the last quarter. By rights, it should be about 20 percentage points higher than the pre-crisis peak by now, according to some analysts.]
The message to bosses – and the government – is clear: Cutting back investment in people to keep money for yourselves will cripple your earning ability. Cutting even more to make up for what you lose will put you into a death spiral. You are trying to dig your way out of your own graves.
But there is an alternative.
A reasonable pay increase to employees would ensure they can pay their bills, and would also keep them happy.
Happy workers produce better results.
Better results keep businesses afloat and earn extra work for them.
That in turn creates more revenue, making it possible for bosses not only to increase their own pay but employ more people as well.
Wouldn’t that be better for everybody?
Well, wouldn’t it?
3. Welfare lies
“Young workers are amongst the hardest-hit by the downturn, with pay falling by 14 per cent between 2008 and 2013. Well done, everybody! We pay far more from the welfare budget supporting incomes for people in work than we do for those out of a job.
“The government keep on crowing about the number of people they have in work … most of them are not so much in work as near some work, if only they were allowed to do any.
“If you’re on the minimum wage, kept on a zero-hours contract between 7am and 7pm so you can’t work for anyone else but rack up a grand total of – ooh! – just enough hours so your employer doesn’t have to pay your National Insurance [another VP theme], you get no training, no employee benefits, no hope of any promotion and you hear ‘IDS’ banging on about how he’s ‘the saviour of benefits street’, well, if you can still afford a shoe then please throw it at the radio or through the telly or at his actual face.” This is a reference to sabotage, in which workers threw their crude shoes – or ‘sabots’ into machinery to stop it working, in protest against their working conditions and developments that were endangering their jobs.
“Low pay means higher staff turnover, high absenteeism, poor morale and lower productivity.” That’s exactly as I stated in the VP article from 2012.
4. In conclusion
“I don’t know when money started making money faster than people but… It’s not helping,” said Marcus, truthfully. “So instead of running about with your shirt over your head doing ‘airplane arms’, shouting ‘Nought-point-eight-per-cent’… do something to get the people who actually work to be rewarded, recognised and remunerated for what they do.
“It’s not rocket science and, frankly, if it is, I sincerely hope they’re not on minimum wage.”
When I heard that piece, I very nearly stood up to applaud. If you want to hear it yourself (and I’ve left out enough of it to make it worthwhile, I promise you), it’s available for download here, and starts around eight and a half minutes in.
Actually, it would be better if Marcus hasn’t been reading this blog, because then he would have drawn the same conclusions, from the same evidence, thereby reinforcing my own reasoning.
Now, let’s have your opinions, please. I’ll be very interested to hear from supporters of the current “pay-’em-the-bare-minimum” policy as they almost invariably say things like “We can’t pay them any more” – it’s never “They have good reasons that mean they can’t pay us more”.
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Underqualified: This Labour Party campaign meme highlights the drawbacks of Michael Gove’s foolish and expensive ‘free school’ experiment.
The country has been concentrating on government sleaze for the past week or so – and this is a mistake. We should also monitor government incompetence and thankfully Michael Gove is around to provide plenty of it.
He wants organisations that are part of his struggling ‘free schools’ pet project to receive special fast-track attention – to avoid the political embarrassment that would be caused by their failure.
Last year the project was rocked by the failure of the Al-Madinah Free School in Derby, and the resignations of unqualified head teachers at Pimlico Free School in London and Discovery School in Crawley. Vox Political discussed all three at the time.
The Discovery School was one of four that were declared inadequate by Ofsted and closed down at the end of March.
Last week, The Observer revealed that Gove wants to hush up any further damaging revelations by ensuring that problems are tackled before Ofsted can publicise them.
The article stated: “It suggests that party political considerations are now driving education policy a year ahead of the general election.”
Quite. It is also a sharp reminder of how far the Coalition government has deviated from its original claim, to be uniting “in the public interest”.
The plan adds extra pressure to the Education department, where morale has already plummetted due to Gove’s determination to employ his own advisors, to overrule the expert advice provided by civil servants in favour of ideologically-motivated dogma.
It also shows that Gove is giving preferential treatment to his pet project. State schools go into special measures after receiving a ruling from Ofsted that they are inadequate – and can remain there for more than a year.
More damaging still is the fact that many of the problems with free schools have nothing to do with education, but are organisational in origin. According to the article, these include: “Operating in temporary sites without a clear permanent home; new, inexperienced and often isolated trusts needing to upskill themselves to run a school for the first time; instability in principal appointments and senior leadership teams.”
So when you hear that your child’s school has been under-performing because it has been deprived of resources and support from the Department for Education, just remember that this has happened because we have an Education Secretary who is more concerned with hiding his own inadequacies – problems that could have been avoided if he had concentrated a little more on the details.
On the basis of this term work, Mr Gove, we’ll have to give you an ‘F’ – for ‘Fail’.
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Don’t blame Whitehall: Civil servants are highly-trained experts in their field; Conservative politicians are amateurs with opinions. Who do YOU think is responsible for the cock-up called Universal Credit? [Picture: Daily Telegraph]
Isn’t it a shame for the Tories that they hung their ‘welfare’ ‘reforms’ on an incompetent like Iain Duncan Smith?
Accused of wasting £140 million of taxpayers’ money on his white elephant Universal Credit scheme (or is it scam?) he can at least take comfort that the latest report followed his lead and fell back on what is now becoming a Conservative Party Standard Excuse: Blame the civil service.
That won’t wash, though. The real reason, as detailed in this blog previously, is lack of interest by Conservative Party ministers like Smith himself.
We call him ‘RTU’ because we believe his incompetence as an Army officer led to him being ‘Returned To Unit’ and eventually shuffled out of the service and it is this history that seems to be repeating itself here.
Let’s have a look at the “alarmingly weak” management for which the Secretary-in-a-State was rightly criticised by the Commons Public Accounts Committee this week.
We know that the project is now well behind schedule, despite protestations to the contrary from RTU and the Department for Work and Pensions. A planned pilot roll-out in April was restricted to just one Job Centre, where they handled only the simplest cases, working them out on spreadsheets because the IT system is open to fraud.
It is now doubtful whether the project can still be delivered, on-budget, by its 2017 deadline. If it is, what kind of service will it provide?
Of the £2.4 billion set aside, £425 million has already been spent and a sum between £140 million and £161 million is likely to be written off, depending on whose figures you believe.
“From the outset, the department has failed to grasp the nature and enormity of the task; failed to monitor and challenge progress regularly; and, when problems arose, failed to intervene promptly,” said Public Accounts Committee chair, Margaret Hodge. She described the system’s implementation as not only poor but “extraordinarily” poor.
And she said the pilot scheme was not a proper pilot, as “It does not deal with the key issues that universal credit must address: the volume of claims; their complexity; change in claimants’ circumstances; and the need for claimants to meet conditions for continuing entitlement to benefit”.
The report by the committee singled out the DWP’s permanent secretary, Robert Devereux, for particular criticism, saying he only became aware of problems in ‘ad hoc’ reviews, because reporting arrangements were inadequate and had not alerted him to problems. Even after he knew of major problems, he did not closely monitor the project, the report stated.
It seems Conservatives on the committee wanted more criticisms to be included, and The Guardian has stated that senior Tories have said they would accept Devereaux’s resignation, if offered.
Let’s face it: we’ve been here before.
Michael Gove’s Education Department is now in a terrible mess because he brought in a gang of “advisors” to operate “above” his officials – who have meanwhile faced huge cuts in their workforce and a disastrous fall in morale. Gove brought his ignorant mates in to force their foolishness on the professionals, as this blog reported in June.
That was when The Spectator weighed in against the civil service, lodging an advance claim that if Universal Credit flops it will be due to the civil service, but if it succeeds it will be a victory for Tory ministers alone.
what a lot of nonsense.
Civil servants do what elected Members of Parliament tell them to do. They pay attention to the wishes of their political leaders and apply their considerable expertise to the problems set for them, in order to produce the required result, within budget, while complying with the strictures laid down by those political leaders.
They are very good at their job.
If they are failing, then the problem must lie with the politicians. If a goal is unrealistic, then blaming the ‘help’ is totally unproductive – it only serves to make them hostile.
And, let’s face it, we’ve all seen sheep with more intelligence than Iain Duncan Smith.
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What Britain Wants: Delegates at the Conservative Party Conference in Manchester were outnumbered three-to-one by the 50,000 demonstrators against the party’s austerity policies, who chanted “Out, Tory scum!”
Do rank-and-file Tories really believe their party’s “achievements” in taxation will propel it to victory in the next election?
To recap: The Coalition government has cut taxes to allow 13,000 income-millionaires an extra £100,000 each, but at the other end of the income scale, raising the tax threshold nominally gave the poorest in society an extra £600 per year – which has been completely wiped out by the rising cost of living and cuts in social security benefits. Most people in the UK earn less than the average wage so it is easy to conclude that many more people will be affected.
It might be a mouth-watering policy for the ‘have-yachts’ who now appear to comprise the majority of party membership after the mass defections and membership card-burning displays of recent months, but party leaders know that they need to keep that sort of thing quiet and woo the masses with a more attractive proposition.
They’re not stupid. They have learned a trick or two from David Cameron’s short-lived “detoxification” before they came back into public office, and they believe their “bait and switch” tactic is serving them well. They need a user-friendly “bait” to get the average citizens’ votes, after which they can “switch” back to the terrifying policies of oppression that we have tasted – yes, only tasted – over the last three years.
So Andrew Rawnsley in The Guardiantells us: “The high-speed rail link is to be rebranded ‘the north-south railway’ in an attempt to convince voters that the Tories want an economic recovery for all regions of the country.”
And Andrew Gimson on ConservativeHomestates: “There is a bit of window-dressing about cautions, which is meant to show that the Tories are tough on crime. And there is an irresponsible scheme to help people buy over-priced houses, which is meant to show that the party is on the side of people who do not have rich parents.
“If I were a floating voter, I think I would find these attempts to gain my support rather patronising,” he adds – and we can all agree with that.
Then he has to ruin it with: “Why can the party not rely on the substantial reforms being made in such fields as taxation, welfare, education and health?”
Simple answer: Because nobody wanted them.
We have already covered taxation in part. To the regressive changes in income tax that have helped the rich and attacked the poor, we should add the non-attempt to handle tax avoidance, which amounts to a few weasel words spoken for the benefit of the public while the ‘Big Four’ accountancy (and tax avoidance) firms continue to write the law on the subject, ensuring that their schemes – together with the people and firms on them – continue to avoid the attention of HM Revenue and Customs.
Is that fair? Do you think it will appeal to the poverty-stricken voter-on-the-street?
Welfare: George Osborne was set to unveil a new intensification of Workfare today (Monday), in which everyone who has been unemployed for more than two years will have to go on work placements in order to receive their benefits. This is, of course, utterly pointless. Such schemes ensure that fewer real jobs are available (why should an employer pay anyone a living wage when the government is supplying a steady stream of workers for free?) and have proved worse than useless at getting anyone into the few positions that remain. The announcement may cheer the Tory faithful but Andrew Gimson’s article suggests that these people are further out of touch than their MPs!
It is interesting that the new plan is not being unveiled by Work and Pensions Secretary Iain Duncan Smith, but by his rival. It seems that Smith really has been ‘Returned To Unit’ for the time being – perhaps because he has done more to re-toxify the Tory brand than most of the party’s other front-benchers put together!
It is, however, a sad example of the power of media censorship that people are more stirred up by his bedroom tax than they are about the fact that his Unum-inspired and Atos-driven work capability assessments for Employment and Support Allowance claimants have led to so many thousands of deaths – yes, deaths – that the government is refusing to release the fatality statistics.
Education: Michael Gove is working hard to dismantle state education, so schools may be run for profit, rather than to educate our children. He has distorted international statistics to make it seem that our performance had worsened when in fact it had improved – and got an official warning about it from the UK Statistics Authority. He lied about the advantages of schools becoming academies – all schools already control the length of the school day, teachers’ pay and the curriculum. His claim that autonomy would improve performance remains entirely unfounded – non-academy schools outperform them. His expensive Free Schools experiment is pointless if intended to improve education – in Sweden a similar experiment increased racial and social divisions while education standards dropped. American ‘Charter’ schools were also held up as examples of “extraordinary” change, but almost half showed no improvement and more than one-third worsened. Gove’s next stop, following the ‘Charter’ schools’ example, will be privatisation – schools-for-profit. Meanwhile, he intends to worsen academic achievement by promoting an outdated, learn-by-rote, system of teaching that is scorned by the other countries he says he admires, in favour of creativity. And he has undermined not only teacher morale and conditions, but also the morale of his own civil servants. Our children don’t even have the right to a qualified teacher any more. Now he wants performance-related-pay, rather than national pay awards – further undermining teachers and teaching standards.
And Tory policy on health has been the biggest betrayal of the lot: If David Cameron had any support at all in 2010, it was because he had promised to support the National Health Service in the then-upcoming time of austerity. He promised no top-down reorganisations of the NHS, even though he knew his then-health spokesman, Andrew Lansley, had been working on exactly that for many years. After worming his way into Number 10, they immediately embarked on the piecemeal privatisation of this country’s greatest asset, and this is now well under way, with contracts worth billions of pounds awarded to private companies for work that was previously carried out by the nationalised service, and a quarter of the commissioning groups – that we were told would be run by GPs and other health specialists – now run by the private accounting firm (also one of the Big Four and a subsidiary of Atos) KPMG.
Even their performance on the economy – which both Cameron and Osborne made the yardstick for determining this Parliament’s success – has been poor. The current upturn has nothing to do with Osborne’s policies and everything to do with the UK’s current position in the economic cycle – in short, things had to get better eventually.
This is why the Tories are gathering under the false slogan “For Hard-Working People”, rather than the more appropriate “For The Idle Rich” that Andrew Rawnsley suggests. The party’s leaders understand what their dwindling support base does not – that they need the masses to believe the Conservatives are on their side.
This is why they can only wheel out watered-down or repackaged policies that they hope will please the crowds – the party’s leaders understand that anything more solid will turn us away.
If you get the chance, have a good look at the speakers in this year’s conference. Every one of them will be terrified that their message isn’t strong enough or that the public will see through it – and remove their snouts from the trough in 2015.
The fact is, they had already blown it – long before they got anywhere near Manchester.
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