Crisis in Health

It’s difficult to think of a more inappropriate person to be Secretary of State for Health and Social Care[1]. He has all the bedside manner of Dracula. Prime Minister (PM) Rishi Sunak re-installed him in that vital Government post. So far, he’s achieved nothing but distress and mismanagement[2].

I shouldn’t joke. The seriousness of the situation in the National Health Service (NHS) isn’t a joking matter. Winter is testing the service to breaking point. Both the statistics and the experience of patients are not acceptable by any reasonable measure.

What’s intolerable is the general Ministerial response. Hard-line rhetoric about not budging on negotiations is callous. Dismissing every call for support by rattling-off lists of figures about Government spending is no help at all. Trying to redirect attention away from the things that need fixing. The shabby politics of avoidance is not what’s needed.

As a personal note, I find the situation indicative of broader failures too. My one term as a Surrey Country Councillor, between 1993 and 1997 is more history than anything else. The problem is that it’s not. I remember papers coming to full council meetings with a title that is pertinent and recognisable today. The subject being “bed blocking[3]”.

That’s 30-years ago, our institutions struggled with making the transition between hospital care and social care. It was clear that there was going to be a growing problem. The demographics pointed to a rising aging population. There was no ambiguity about the facts.

Ministers have come and gone. Quite rapidly over the last year. Each with the responsibility for NHS service delivery, performance, and social care policy. Some like incoherent gad flies, some who span like windmills in a storm, some like patrician overseers but none with the managerial skills needed to address the challenge that stares them in the face.

Most local authorities are dealing with cuts to their budgets, financial constraints and the cost of living demands we all confront. In some cases, they are tittering on the brink of bankruptcy[4]. Many local authorities have been forced to reduce their funding of social care at a time of rising demand. 

It’s mad that, after all this time, we have still not come up with an integrated health service. Pitching the NHS and local authorities against each other for funding is absolutely ludicrous. It’s costing lives.

Today, we must recover from a crisis. Tomorrow, real change must be implemented to prevent a future crisis. It isn’t as if we don’t know what to do!  


[1] https://www.gov.uk/government/people/stephen-barclay

[2] https://www.independent.co.uk/news/uk/politics/nhs-strikes-barclay-cooper-libdems-b2244466.html

[3] https://fullfact.org/health/bed-blocking-what-it-and-it-paralysing-nhs/

[4] https://www.kentonline.co.uk/kent/news/what-it-means-for-kent-residents-if-kcc-goes-bust-277075/

Where’s the common sense?

It’s two whole years since the end of the UK’s Brexit transitional period. That’s since the day when the UK fully withdrew from the European Union (EU). Have we seen any, I mean any, Brexit benefits from the day of the Brexit referendum? The sad truth is – No. We are worse-off. Investments haven’t happened, political turmoil persists and bureaucratic barriers have grown.

Certainly, it’s right to say that British politicians have been busy. They have found lots of targets to blame for this continuing underperformance. You name it; Remainers, young people, environmentalists, protesters, strikers, human rights, overseas aid, COVID, flu, global economic downturn, energy prices, war in Europe, Biden’s administration, China, France, Germany, hot weather, cold weather, the list goes on and on and on. The Brexiter’s blame list is an exceptionally long one. Add to this the fact that Boris Johnson comes in for caustic blame. Often strongest from the people who trumpeted his ascendancy to power in 2019.

Although we should not dwell too much on the past, it’s as well to not let what has happened in this last year be swept under the carpet. Remember 2022, after 44 days, Conservative Liz Truss resigned as British Prime Minister (PM). She was the first choice of the members of the political party most entrenched in Brexit thinking. This extraordinary farce made the country look it was run by like a bunch of incompetent fools, of ill-disciplined fanatics, of preposterous comics.

The blatant dishonesty behind Brexit can not be denied. A recent example was the Government statement on having not attained a promised boost from new trade agreements. A ridiculous political line about not signing deals until they are right for the country is a brazen smoke screen to cover-up a significant lack of achievement[1].

We need some serious common sense injected into our politics. The UK is not going away. The EU is not going away. Both share an immense common interest. Both are faced with similar challenges and threats. Both share the same values.

Brexit has added to costs, adding to inflation, labour shortage and under performance. Most people[2] now accept this analysis and want to see serious change[3]. The more both Conservatives and the Labour Party cling on to the mythology of Brexit, the more damage will be done. Keir Starmer has confirmed that the Labour Party will not seek for Britain to re‑join the EU. What a reckless folly from a would be PM.

POST: referendum – latest news, breaking stories and comment – The Independent


[1] https://www.bbc.co.uk/news/uk-politics-63808657

[2] https://www.statista.com/statistics/987347/brexit-opinion-poll/

[3] https://yougov.co.uk/topics/politics/explore/issue/European_Union

Wilko

It took me a while. Looking though a box of horded records. They’re the sort of thing that seemed important at the time and some how got preserved. Really daft stuff like timesheets, the names of people and places that have long since gone. The Plessey Company no longer exists. The former Plessey Marine site at Uppark Drive, Ilford, now that’s the site of a B&Q store. GEC/Siemens launched a hostile takeover of The Plessey Company[1]. By 1990, the company name had all but disappeared and over time its parts had been sold off. It’s sad to read the fate of some great British companies.

Rifling through stashed personal papers is a Christmas break sort of thing to do. It has a reassuring feeling to it. Memories are fragments and some bits and pieces of paper help tie together roughly connected moments.

From January to May in 1981, I undertook an undergraduate training programme in Ilford, Essex. This was quite an excursion, or at least an opportunity to explore somewhere quite different from my student life in Coventry and nothing like my home life in Somerset.

My digging up a record of the past was for a reason. The BBC have done a review of 2022[2]. As you might expect part of that was a review of some of the people, we have lost in 2022. Quite a number of these personalities had their heyday in the 1980s. Ten minutes into this annual review is a clip of Wilko Johnson. He’s playing as part of the British R&B band Dr Feelgood. If there’s one album, I’d advise anyone to play, anyone who loves raw live music, then it’s “Stupidity[3]”.

Now, my recall may be fuzzy, but I remember seeing Wilko play live on stage in early 1981. Initially, I thought that was as part of Dr Feelgood, but a small amount of research shows that he’d left the band by that time. His stage act is seared on my memory. That electric stare he had and the robotic side to side run across the stage was just mad. Genius all the same.

I’m sure that I saw him at London’s Marquee club. However, it may be an oversight, but he’s not listed in the records of early 1981. I strongly agree with this site that the Marquee Club[4] is a real reminder of the days when club / pub music was alive in its richest shape.

When I write this, I’m thinking how dam lucky I was just to be there on one night. More than 40 years ago. It doesn’t matter it’s still live to me.

POST: BBC Radio 4 – Mastertapes, Series 2, Wilko Johnson (the A-side)


[1] https://en.wikipedia.org/wiki/Plessey

[2] https://www.bbc.co.uk/iplayer/episode/m001gfn6/review-2022-3-we-remember

[3] https://www.discogs.com/master/105937-Dr-Feelgood-Stupidity

[4] http://themarqueeclub.net/

Spirit

Tis the season of goodwill. Here’s wishing you a Merry Christmas. May there be peace in the world. It’s time to capture the spirit of Christmas and spread it far and wide. We do it every year but it’s no less important every time we do it. It’s a great big manifestation of hope. A way to end the year in a mood of good humour, joy, and optimism. 

In this case talking about double entendre is way short of the mark. The word “sprit” has a whole host of contemporary meanings. It’s an extensive list. Here, I’m trying to capture some essence of what has been passed down for generations. It’s how we cheer ourselves up knowing that the hardships of winter are a passing phase. Christmas may have its origins in seasonal habits that run through the whole of human history.

Like it or not, the Christmas we know has come down from Roman times. Although, it might be better to say that a recognisable celebration is traceable back to the ninth century in England. That reason for festivities unites all Europeans. It’s part of our common heritage and social fabric.

However, as I drive west, down the A303 and pass Stonehenge it’s not Christian Christmas I might think of as much as the Winter Solstice[1]. That is as we move from seeing less of the Sun day-by-day to a gradual lengthening of the days. Ironically, this is known as the first day of winter in the northern hemisphere.

The coming 31 days of January maybe the least loved of the months of the year, but the prospect is that winter will be finite. We can honour its passing before it has passed. Lengthening hours of sunlight will change our mood and slowly raise our spirits.

Isn’t hope wonderful? What shame human affairs don’t have such a seasonal clockwork mechanism at their core. Or maybe they do, in the way that Christmas and the calendar synchronises us with the rhythm and routine of the heavens.

For me the next celestial marker is the Vernal Equinox as it ushers in Spring. I don’t know if having a birthday just before the onset of Spring symbolises any mystical significance, but I like it. So, celebrate and enjoy the seasonal spirit. Christmas comes but once a year. Let’s hope this one brings some good cheer.


[1] https://www.independent.co.uk/life-style/winter-solstice-2022-celebration-shortest-day-facts-b2249667.html

Strikes

Impossible to listen to the burbling of UK Minister Stephen Barclay. After a while the listener sinks into an overwhelming feeling of despondency. His words are strung together as if he was on a brain teasing quiz show run by Victoria Coren Mitchell. Barclay exudes a fear of making sense.

For one, please, please, please will he not keep saying the same thing about rigidly adhering to the results of a pay review body. Results which are widely known to be out-of-date. Afterall, if Ministers have any purpose at all, it goes way beyond rubber stamping the work of others.

Given his previous party-political roles it’s astonishing to see him in a serious government job like Health Secretary. A job where playing party-politics can cost lives. I think we all know that the crisis of the moment is not just about pay. However, to pretend that staffing levels and pay are not so important is beyond the understanding of most normal people.

This suited grey-haired man in his early 50s would be better employed on the London stage. I can see him as Marley’s ghost in a Westminster adaptation of A Christmas Carol[1]. Recounting the day when he had the opportunity to fix the problems of Health and Social Care but looked the other way and played for time.

The many strikes that are hitting Britain are avoidable. British politicians are failing to engage with the problem. What’s disheartening about this situation is that everyone knows there will be a settlement at some time. Recognising that fact, it’s about time the groups involved got together and talked long and hard. That is talking with no subject taken off the table.

The Secretary of State for Health and Social Care has a leadership role. It’s time for him, not to excuse the government at every media opportunity, but to engage, roll up his sleeves and meet the unions. Playing party-politics and courting right-wing public opinion was fine as he did in his Brexit job but now Barclay has a real job with real responsibility. It’s winter. This is tragic.

He needs to step up or ship out.

POST: Making a bad situation worse International nurses considering leaving UK if pay does not improve | Nursing Times


[1] https://youtu.be/ReprQS03ZM4

R.I.P. Terry Hall

Term started in September 1978. My first resting place in Coventry was in Priory Hall[1], overlooking the tarmac and the infamous ring road. We were up on an elevated 4th floor. That was the part of the building that spanned the road that led to the Cathedral. It was slabs of grey concrete arranged as Lego blocks in the 1960s. As student accommodation it was bashed and battered but cheap and warm. Sitting at the heart of the city compensated for the fumes that wafted up from the bus station. It was a good way to start my undergraduate life in an industrial Midlands city.

Little remained of medieval Coventry, except paintings. The bombing of WWII reshaped everything in the city centre. Post-war rebuilding embraced the modern with architecture we now find brutal. Strangely for me, 26 years later I moved to a German city that suffered the same fate; Cologne.

I’m writing this to remember sitting on the floor in Lanchester Polytechnic Students Union, beer in hand, listening to the bands that stamped their identity on the city and far beyond. Despite the economic depression, or because of it, there was an unending stream of bands trying get noticed. The Union was a venue where there was always an audience to be found.

Amongst them was The Specials. Although, for me the band that sticks in my mind at that venue was the early version of UB40[2]. “One in Ten” captured so much of what was happening outside the doors the Union building. The mood of the song resonates now as much as it ever did.

My engineering sandwich course meant that I came and went from Coventry between 1978 and 1982. I couldn’t have chosen a better time for live music. Yes, the city was suffering a devastating economic downturn. The Government of the time appeared happy to let great British industrial names to go to the wall. Pubs and clubs were buzzing and Two Tone[3] was invented.

So, thank you Terry Hall. His performances captured what The Specials were about. At the time, I had no idea that what was happening in the Student Union Hall would be enduring but that’s the way it turned out. The brilliant music and lyrics sum up so much that they will last for ever.

We lived in a concrete jungle. The song “Ghost Town[4]” by The Specials is beyond iconic. It’s a lament about the passing of good times. It’s about the wreckage left by an uncaring Government. It’s about a lost sense of direction. It’s a song for today too. We see this pent-up frustration coming back. “The people getting angry”. It’s not the scourge of unemployment this time. It’s the trap of low paid employment without hope.


[1] https://manchesterhistory.net/architecture/1960/prioryhall.html

[2] https://youtu.be/usYgf8cVfvU

[3] https://www.thespecials.com/gallery

[4] https://youtu.be/RZ2oXzrnti4

Windy Days

At a young age, I had learnt how to harness the power of the wind. One of my childhood constructions was based on a chunky 4-wheelled trolley that was used to move milk churns around our farm. It may have been redundant at the time when my boys own “land yacht” was created. What made it fun was that the front wheals were steerable. With a slight slope on the concrete farmyard and a windy day, it’s amazing how much fun could be had despite a crash now and then. My poor parents must have spent a lot of time patching up me and my brothers’ grazes, bumps, bruises and hurt pride.

In the 1960s, dad and mum were still milking cows, but milk churns had been replaced by a polished stainless steel bulk milk tank installed in the dairy at the back of the farmhouse. It wasn’t so much a dedicated dairy farm, as we had pigs and chickens and cattle, but the cheque from the Milk Marketing Board[1] probably kept the family finances in the black.

To create working sails there was plenty of discarded black plastic sheeting. This was used a lot to cover hay ricks so they would survive the winter without rotting. Nicely, this tough sheeting could easily be cut to any size and shape even if the discarded bits had rips and holes.

My first experiments with flight were unique. In so far as I know. More accurately the term “controlled falling” describes what we got up to when parents were not looking. Built on the fun had with my milk trolley yard yacht it seemed natural to experiment. Being in the Southwest windy days filled a sizeable number of days of the year.

Out the back, in a field behind the cow stalls was a standard Dutch barn. Quite a big one with a lean-to that faced roughly north. That painted red lead[2] barn was filled to the brim with hay. It was a sturdy construction that wasn’t going anywhere. A steel roof strong enough to hold an 11-year-old without any problem. I’m sure we were told off many times for getting up on that barn roof.

The black plastic rick covering material didn’t make good kites. It was too thick and heavy. What it did make was crude parachute constructions. I tried these as a substitute for a kite. Seeing a strange boy running with a string attached to an inflated plastic parachute must have been quite perplexing.

Having gained some feel for the power of the wind by playing, it was time to see if these experiments could be taken to the next level. Jumping off a hay barn roof may sound reckless and downright dangerous. However, I never was one disregard my own safety, even as a mischievous young boy. Having springy hay bales to land on or a soggy field where wellington boots sank deeply into the mud, lowered any physical risk considerably.

Parachuting off the hay barn roof proved to be a short-lived project. It almost worked. The wind did slow the inevitable plunge but not enough to make it enough fun to do it too many times. The baler twine parachute attachments got twisted and broke loose far too often. In so far as I remember no injuries were sustained in this boyhood madness. Well, a couple of bumps.


[1] https://discovery.nationalarchives.gov.uk/details/r/C179

[2] https://en.wikipedia.org/wiki/Lead-based_paint_in_the_United_Kingdom

Christmas past

My interest in machinery goes back to an age of 9 or thereabouts. It’s not easy to be accurate about times past. Memories are moments in time that can get mixed up in a chain of events.

Christmas presents for me, and my brothers were a mix of new and second-hand. Someone the second-hand ones were more valued than the new ones. If I close my eyes, I can still see the auction sale room[1] in Gillingham, Dorset where a mysterious collection of toys and bric-a-brac where exhibited every December. A white painted outhouse building that was never warmer than a fridge. Full to the brim with cast-off items and curiosities.

In the afternoon, surveying the goods before the sale was an exciting moment for me. It was a time to say, “can we have that?” The answer would depend on how much my dad was prepared to bid. That was a good life lesson. Knowing that wants were not always going to be met.

That’s where my Meccano[2] came from. Not just the metal variety but there was a larger plastic type too. It was a junior range. More cherished was the classic metal version. Green strips of metal and boxes of nuts and bolts arranged in neat plastic compartments. Unlike current versions, these kits gave only the merest hint as to what to build and how to do it. So much was left to the imagination.

Cranes and bridges were one of the more basic designs, I liked to build. The cranes had strings and pulleys to lift and lower things for the fun of it. Bridge builds could be tested to see if they were strong enough to carry weight.

Inevitably, the more I played the more the small Meccano nuts and bolts went missing. The noise an upright Hover vacuum cleaner makes picking up those nuts and bolts was so distinct. It was like many large hail stones hitting a tin roof. Rummaging through the vacuum cleaner bag with a magnet ensured all the neat plastic compartments remained full.

Those long gone dusty sale rooms in Gillingham were also the source of more than one chemistry set. That’s when a boy’s chemistry set paid only scant attention to personal safety. As much as to say I had an experimental childhood with a degree of freedom that was wonderful. The more I reflect, the more I can see that was the case. Luckly, I learnt a lot and got through it relatively unscathed.


[1] Chapman Moore & Mugford

[2] https://www.meccano.com/en_gb

Omnishambles

Ten years ago, the Oxford English Dictionary (OED) Word of the Year was a word that is as usable as ever. It wasn’t brought to the fore by social media. At that time, social media hadn’t bitten such a big chunk out of our attention time. We even had enough time to sit in front of the box on an evening. That said, the box hasn’t faded into the background entirely. The massive screens displayed in electrical stores remain a standard part of a typical living room.

“The Thick of It[1]” ran for four series and captured the insanity of Government spin-doctoring and fanatical incompetence. Unapologetically self-indulgent Ministers and their aides scuttled around reacting to every small vibration coming from the media. This was masterful fiction but it’s closeness to reality is the story of 2022.

In 2012, the media political arena adopted “Omnishambles” as shorthand for chaotic behaviour on a large scale. Although it started life as a way of describing the Labour Party’s muddles and confusions before 2010, it has a universal applicability. Westminster can be a whirlpool of volte-faces, embarrassments and unfathomable twists and turns. 2022 ends with none of this diminished.

So, what have we to look forward to in 2023? This winter of discontent[2] is mostly likely to escalate. The impact of inflation and energy bills are like an erupting volcano. A few minor earthquakes, then an explosive plum and finally the top gets blown off the mountain.

Brexit and the pandemic have left people feeling exhausted. So, to see their standard of living diminish as this Conservative Government shamelessly wobbles on regardless, then this becomes the straw that breaks the camel’s back.

The Prime Minister may try to mine what popularity there is in the public mind, but this is not the time when a new Margaret Thatcher[3] will step forward. This is where simple analogies with the past quickly unravel. In this case the Conservatives own the problems. There’s no denying their responsibility for the last 12-years.

To restore the hope, that things can improve, a new formula is needed. People are not looking for perfection but a convincing vison, some basic honesty, and robust resolve. 


[1] https://en.wikipedia.org/wiki/List_of_The_Thick_of_It_episodes

[2] https://www.bbc.co.uk/programmes/p06yc8k4

[3] https://www.businessinsider.com/thatcher-and-the-winter-of-discontent-2013-4?r=US&IR=T

Voters

It’s one of those things I do, most years. For the greatest part, I can predict what I’ll be doing in March-and April. It started back in the 1980s. At the time we lived in Cheltenham[1] town. Putting leaflets through doors. Knocking on doors. “Hello, I’m calling on behalf of …….” was usually the introductory line. With prepared words not only did I remind the town’s residents that there was a local election in May but let them know the name of the best candidate.

I’m writing this as credentials. Yes, I know a thing or two about the nitty gritty of local elections in the UK. My experience has been accumulated over nearly 40-years. Lots of cold early spring evenings and weekend delivery rounds to get a message out in a short space of time.

One of the biggest changes, in terms of practical organisation, has been a change that has affected all parts of life. In 1985, everything was paper based. If I said: “Shuttleworths[2]” to a 21st century campaigner there’s a good chance they will not have a clue what I’m talking about. These were paper pads used to record names and addresses of supporters.

Local campaigning has undergone a digital transformation. However, in the British electoral system paper is still at the heart of everything that is done. The ballot paper is sacrosanct. Voters put a cross in a box set against a name and a logo. It remains inclusive in that there are few people who cannot manage that basic act.

In all my time campaigning, I can remember no voter fraud or corrupt activities. Yes, over enthusiastic, or idiotic behaviours pop-up now and then, as they do in all walks of life. It’s always an important function but also amusing to check spoilt ballot papers at an election count. A small number of voters can be creative in the insults and images they draw on ballot papers.

So, listening to last night’s Parliamentary debate on new Voter ID Regulations was distressing. The Conservative Government plan is to spend £180 million on solving a problem that doesn’t exist. This law is being pushed forward aggressively at a time when local Councils are cutting services due to lack of funding. The Local Government Association (LGA)[3] is saying that there’s not enough time to make the demanded changes before next May.

Ministers are ignoring such advice. Additionally, these regulations seem nonsensical. They impose new requirements on the operation of polling stations but do nothing in respect of postal voting. The natural suspicion for the forceful timescale is that this act is to suppress votes at a time when Conservative candidates are expected to loose in great numbers next May.

A further reason to be sceptical that Voter ID can prevent instances of electoral fraud is that convictions for voting offences have overwhelmingly related to postal votes, not personation at polling stations. Measure that create a barrier to voting in person will lower local election turnout. That’s a voter turnout that is as low as 29% of registered voters in my Borough.

This is a sad day for British democracy.


[1] https://www.visitcheltenham.com/

[2] https://www.libdemvoice.org/how-did-shuttleworths-get-their-name-40299.html

[3] https://www.local.gov.uk/about/news/lga-statement-parliamentary-vote-plans-introduce-voter-id