Showing posts with label Health and Social Care. Show all posts
Showing posts with label Health and Social Care. Show all posts

Friday, 22 November 2019

Boris is already demonstrating how his government will be all tell and no show

Boris Johnson, the Prime Minister - a phrase that used to sound like a joke - made a lot of promises in his first speech from Downing Street. His announcement of £1.8bn has been reported as the first down payment on these pledges.

Here-in lies a key sample of what we can expect from Boris Johnson and his verbose new government. A big promise and an announcement, with all the PR trimmings to follow, which on inspection fails to live up to the terms.

All tell and no show. The Boris way.

It's also been the Tories way through all of their time in government, whether under Cameron or May. Announcing old funding again as new funding, relabelling and reannouncing, fiscal politics played out in the media rather than in the treasury. And all the while, the cuts go on.

In the present case, Boris has offered up a lump of extra cash for the NHS. But it isn't what it seems. In fact, the £1bn 'upfront' is money that the government had already promised to the NHS - in exchange for three years of trusts slashing their budgets - only to then block hospitals from spending it.

The second half is for what is know as capital spending, long term investment to pay now for projects that will be ready years from now. This kind of spending is deeply important, but does little for struggling hospitals in the present - and even that sum isn't coming right away.

What the government cares about are the flurry of headlines that follow these press releases - often printed wholly and uncritically in the media. While the front pages tell people what the Tories want them to hear, the analysis is buried and with it the debunking of the government's claims.

These headlines are the heart of a long term government strategy, all about governing by telling and not showing. It has allowed them to slash and slash again at budgets, and the services they fund, and to deflect criticism on to others - mostly the vulnerable, exposed by the Tories' own austerity politics.

Don't be fooled by the headlines. Don't let the Tories, as John Harris puts it, sow "discord and resentment via austerity" only to reap the rewards of the chaos with a sharp PR strategy. If we're not sharper ourselves, we'll face the consequences of Tory disaster politics while they profit.

Thursday, 1 June 2017

General Election 2017 - Health & Social Care: Voters ousting Jeremy Hunt would send the Conservatives a very strong message

Health and social care in Britain is under tremendous strain and more Tory cuts won't help.
One of the biggest questions hanging over the 2017 general election is the future of funding for health services in Britain. The Conservatives have overseen one crisis after another over the last seven years.

There is a clear distinction to be made between progressives and Conservatives on how to address them. Under the Conservatives their are going to be more cuts, while the progressive parties have pledged to raise more money.

And this election even offers a symbolic way to reject the Tory approach to healthcare. Dr Louise Irvine - who previously took the government to court and won over the cutting of casualty and maternity services Lewisham Hospital closure - is standing against Health Minister Jeremy Hunt in the South West Surrey constituency.

Tactical Voting

On behalf of the National Health Action Party, Dr Irvine is standing against Jeremy Hunt and the field has been cleared. Local members of the Liberal Democrats and Labour have agreed not to campaign and the Green Party withdrew its own candidate.

The various progressive alliance movements have all offered their endorsement, including Compass - the most well known pressure group for a new more pluralism politics.

Let's be realistic: it would be a huge upset for Dr Irvine to defeat Jeremy Hunt. Last time he took 34,000 votes (with UKIP on 5,600), while Irvine took just under 5,000. However, support for the Conservatives is not innate.

Through the 1990s and into the 2000s, the Conservative-progressive split (led by the Lib Dems) averaged out at 26,000 to 26,000. Only since 2010 has Hunt opened up a significant majority. And now he's among the most well known ministers - for all the wrong reasons.

Voters in Surrey have a chance to reject Hunt's management of the NHS and the air of conflict he has created with doctors. Members and campaigners for the progressive parties have already thrown in their backing for Irvine. Now it's down to voters.

Health in Crisis

And there are a lot of reasons voters can be dissatisfied with Hunt. From strikes, to closures, to year and after year cuts to funding, Britain's healthcare system faces some dire years ahead if the Tories remain in power.

Hunt caused plenty of controversy by deciding to go toe and to toe with junior doctors over new contracts and casting them as unreasonable people taking unnecessary action. Fortunately, the public was having none of it: polls showed the public consistently behind the doctors.

The strike action over contracts goes hand in hand with discontent at the ongoing public sector pay capped, limited to a 1% rise. The policy has led to distress particularly among NHS staff, with pay not rising along with prices and the general cost of living.

Hunt's management of the NHS has also antagonised patients. One in six A&E departments across the country face closure under the Tory drive to find £22bn in cuts from the health budget in the next few years. These emergency units have been under severe strain, with waiting times targets consistently missed.

The problems with healthcare in Britain stretch beyond the Health Secretary to his party's wider approach.

One place from where extra pressure is being exerted on the NHS is social care. With no where to go, thanks to a shortage of places, hospital beds are remaining full. Elder patients are finding themselves stuck in hospitals, unable to be discharged because the social care system is at capacity.

That is in part thanks to Conservative cuts to local government funding, that has seen billions cut from social care budgets - with only token efforts to restore minimal amounts, mostly to be raised by local councils themselves, a move that is clearly punitive to poorer communities.

This failure to display compassion has overtaken welfare too. From cuts to disability benefits to attempts, appallingly, to dismiss the needs of those with mental illnesses. In an effort to cut spending on welfare, Tory policy chief George Freeman said the party wants welfare to go only to the "really disabled".

All of fronts, there appears to more concern about producing an immaculate looking balance sheet, than about the comprehensive quality service that balance sheet is supposed to be providing.

Progressive Pitch

The progressive parties are calling for a change in direction and both Labour and the Liberal Democrats have pledged more funding - and not just for the NHS itself. Both parties are calling for more to be restored to the social care system and for health and social care to be seen and treated as a joined-up service.

Labour have pledged to raise around £6 billion a year extra for the NHS, from higher taxes on the wealthy. They accompany that with investment from their proposed National Transformation Fund to upgrade hospitals and their equipment.

The Liberal Democrats go a step further. They plan to add a penny in the pound to tax, affecting all earners - but hitting the richest hardest - specifically to support the NHS and social care.

Both of these plans are a pragmatic step towards addressing the problems in the healthcare system. So would lowering stress for public sector workers by lifting the pay cap, to which both parties have committed.

Labour and the Lib Dems are also pledging to do away with some of the Conservatives more heinous welfare cuts, particularly those affecting people with disabilities.

Stand up for Healthcare

The idea of a progressive alliance is a rejection of the gerrymandering system that forces people to divide according to tribal loyalties. To bring people together who support common values and work together to ensure better representation.

In this election, the progressive alliance movement has brought parts of the Labour Party, the Liberal Democrats and the Greens together around the common values - for which they have stood in most past elections.

But standing aside for National Health Action and their candidate Dr Louise Irvine shows something more: a willingness to put aside narrow interest to fight for something larger. To put a candidate into office who has fought long and hard for the NHS.

Voters have to do two things. To vote for the candidates that stand for their values - not just for a specific party - and they need to be vocal about what is moving them. Healthcare always tops the list of people's concerns in Britain.

Jeremy Hunt has mismanaged the National Health Service. His party in government has sewn division and lacked compassion. Even if you usually vote Conservative, especially if you normally vote Conservative, rejecting Hunt and electing Dr Louise Irvine would be a strong statement.

Choosing Dr Louise Irvine would be a symbolic defence of the NHS and of the principles of compassionate universal care. But it would also put into office a tireless and independent minded local campaigner - who beat the government in the courts to stop closures and isn't afraid to call out any of the parties on their record.

Monday, 6 February 2017

The Tory Facade: The healthcare crisis in Britain belies the Conservative presentation of their party as responsible stewards

The central claim that the Conservative Party makes, its fundamental promise to the electorate, is that it will be a responsible manager of the state. It tries to present its opponents as reckless ideologues, to be contrasted with their own sensible handling of public duties.

The current condition of the NHS exposes this claim as nothing more than a marketing campaign. The NHS remains the single most popular element of the public apparatus in Britain, even as it has descended into a period of prolonged crisis.

A report released today showed that beds have been filled beyond safe levels in 90% of hospitals over winter, with all the results of overcrowding that follow - in long waiting times and cancellations (Triggle, 2017).

It has been the tendency of the Prime Minister Theresa May at recent renditions of PMQs to deflect blame. On healthcare, her response has been to deflect it to the NHS administrators - claiming bad practice in the use of resources for shortfalls and service delivery (Merrick, 2016).

To back up that claim, the government says it has provided the funding the NHS asked for - but that is a half truth at best. The government has been accused by fact checkers, and Parliament's health committee, of fudging their numbers (Campbell, 2016).

While the government repeats its criticised claims of providing "$10 billion" of extra funds - with the reality being half of that - more parts of Britain's physical, mental health and social care service slide into crisis.

For instance: Social care is critically underfunded (Eichler, 2016). It was not protected from austerity and has been terribly withered by cuts to local government.

The Tories have no 'responsible' remedy. Talk of upfront charges for foreign patients (BBC, 2017), claims of bad practice in administration - these are cheap deflections, taking advantage of anti-immigration myths or falling back on tired austerity.

On social care, the Tories have responded with trivial tax powers for painfully stretched councils. But they will raise more in richer areas and less in poorer, and raise little in either case - only £200m nationally - to counteract the deep cuts that have ravaged the social care infrastructure (Merrick, 2016; BBC, 2016).

Standing back and observing the Conservative stewardship of health and social care, brings one of only two conclusions: incompetence or ideologically driven mismanagement. Whether deliberate or due to incompetence, the NHS is being undermined.

The public stood behind last year's strikes by junior doctors. But the pressure remains and continues to build. Progressives must start to dismantle the façade and show people the reality of the Conservative Party behind the marketing image.

The future of health and social care in Britain depends upon the public understanding its worth and seeing with their own eyes the devastating impact that Tory policies have had on this iconic symbol of progress in Britain.