7 January 2023
What a joyful start to 2023! There is no crisis in the NHS. And there was I thinking nurses are striking because there is one. But no, our cuddly prime minister has assured us that, even though the NHS is under “extreme pressure”, it has the money to needs to cope with the winter surge in demands for their services.
Dr Vishal Sharma, the chair of the consultants’ committee at the British Medical Association, responded with amazement to this, saying “No 10’s refusal to admit that the NHS is in crisis will seem simply delusional … [and] is taking the public for fools.”
One of Rishi Sunak’s spokespeople produced the rather feeble claim that “We are confident we are providing the NHS with the funding it needs, as we did throughout the pandemic”, carefully refraining from making any reference to the repeated reductions in the real value of funding for the NHS in the previous 10 years since the Conservatives came to power and believed austerity would cure all ills.
So, with the ever increasing number of staff vacancies, they’ve been able to close cottage hospitals and reduce the number of rehab beds. This means that patients who no longer need acute care but aren’t yet well enough to go home have to block beds in acute units instead of being transferred into rehab units which can have just two staff on overnight, and a GP on call. Austerity also meant they had to reduce the costs of maintaining buildings and equipment by not bothering to do any and relying on strategically placed buckets to collect water dripping through the ceilings.
How lucky we all are to have the option of getting private healthcare without having to wait. All we have to do is marry a billionaire or rob a bank or two. The only problem private patients have to overcome is emergency care – if a scalpel slips, or the anaesthetist gets stuck on 12 across, while you’re having an operation in a private hospital, they will usually transfer you to the nearest NHS emergency unit, knowing that they’ll still get paid even if you die.
Sunak’s attempt to distract people from the not-crisis was to make maths lessons compulsory until A level. Why? I took A level maths (and, naturally, failed) and have since used the basic skills of multiplication / long division, geometry and trigonometry that I did in the earlier years but I’ve never once needed calculus.
And nurses are going on strike because the government refuses to discuss how much the real value of their pay has been whittled down over the last 12 years. Despite the government’s frantically blaming the strikers, nobody’s fooled and several recent polls show the majority of people realise the strike is the government’s fault, not the nurses’.
The government’s response seems unlikely to improve things (but when has this ever stopped any government doing something stupid?): they’re going to limit unions’ powers to hold strikes. Sheer brilliance. Anything to avoid dealing with the problems that cause strikes.
The anti-strike law will define “minimum service levels” in key sectors including health, education, fire and rail. They plan to allow bosses to fire staff if minimum service levels aren’t met and to sue unions former damages. Tougher thresholds originally wanted by Jacob Rees-Mogg have apparently been taken out for fear of challenges to their legality.
I could perhaps understand their wish to do this if they limited the powers to essential services provided by the state but so many of these services are no longer state-owned but are run by, or contracted to, companies which, under established ‘rules’ of capitalism, provide their ‘customers’ (forget old-fashioned words like ‘patients’ or ‘passengers’) with the minimum levels of service necessary to maximise what they pay to their shareholders and directors.
I’ve mentioned one of the more heinous breaches of faith before, when the Conservative peer Michelle Mone pressurised the Department of Health and Social Care to award PPE Medpro, a company with close ties to her family, a £122m contract in June 2020. They duly supplied 25 million sterile surgical gowns which were rejected because their technical labelling was “invalid” and “improper”, and they “cannot be used within the NHS for any purpose”. The Department is now seeking a return of the full £122m in public money plus £11.6m for storing and disposing of the gowns, plus interest.
Mone, founder of the lingerie brand Ultimo, was appointed to the House of Lords by David Cameron in 2015. I wonder if Cameron was been gifted a lifetime supply of crotchless Y-fronts.
This inevitably (well, it seems inevitable to me) reminds me that more than 200m email addresses have been hacked out of Twitter and posted on an online hacking forum. According to a LinkedIn post on 24 December by the Israeli cybersecurity monitoring firm Hudson Rock, the breach is likely to lead to a lot of hacking, targeted phishing and dox(x)ing (no, me neither, but it means releasing identifiable personal information to people who aren’t entitled to it – a gift to stalkers and others with equally dubious motives.)
Twitter (aka Elon Musk) hasn’t yet commented.
Musk has lots of money and lots of idea, some brighter than others, but seems to have the attention span of a gnat. While I’d love to go into space, I’m not sure I’d want to go up in one of his rockets because the Which? magazine award for the least reliable used car is currently held by Musk’s hugely expensive Tesla Model S.
As food inflation in the UK jumped from 12.4% in November to 13.3% in December and the Government thinks a 2% pay increase is ample, a Citizens’ Advice survey showed more than a third of UK adults would find it difficult or impossible to cope if their monthly costs increased by £20.
Recession? What recession?
While homeless people in America are facing similar problems to those in Britain and many states are passing anti-homeless laws, Missouri has come up with a novel scheme to help them by making it a crime to sleep on state property. This means that homeless people can sleep on the steps of the local courthouse, get arrested and, if they’re persistent offenders, they’ll be fined up to $750 or, if they haven’t got it (and how many homeless people have?), they’ll get 15 days in prison where the state will provide them with a roof over their heads, a warm bed and free meals for a fortnight. Recidivists unite!
It’s not clear whether the law will also penalise people dozing off in senate meetings, school classes or libraries.
However, there are more than 2,500 community-supported agriculture schemes in America which support both the farmers and the consumers. Customers make regular payments in return for fresh produce but the clever bit is that the price they pay is based on their finances so people who rent their homes or are on benefits or have large debts, pay less. We should start something like this to supplement foodbanks. I’d join.
While I was scanning the website of a large supermarket (which I won’t name to save Waitrose’s blushes), I saw an offer on minced lamb which said “Our fresh lamb is always British and kept happy with room to frolic and graze”. Until somebody hits them on the head with a hammer and cuts them up into little pieces.
